Indications for repositioning of blow-out fractures of the orbital floor based on new objective criteria - tissue protrusion volumometry.

Background And Aim: The otolaryngologist often meets with fractures of the orbital floor. The most serious complication is diplopia, arising as a result of herniation of the orbital contents, with or without fixation of the inferior rectus muscle. The aim of our work was to create a mathematical model to calculate the volume of prolapsed soft tissue of the orbit in blow-out fractures, as a factor in deciding on the need for surgical treatment.

The application of volumometry as an indication criterion in blow-out fractures.

Unlabelled: Backgroung and Aim. This work builds on our publication on the subject of creating a mathematical model for calculating the volume of proplaped soft tissue of the orbit in blow-out fractures, which aids us greatly in our choice of the most effective treatment immediately post-accident.

Patients And Methods: In this prospective study (2014 - 2016) we treated 29 patients with blow-out fractures.

Our experience with the use of the temporal muscle in facial surgery.

The authors present their experience with the use of the temporal muscle in reconstruction of defects after exenteration of the orbit, palate, filling of the spaces after extirpation of extensive tumours in the infratemporal area and area of the anterior cranial fossa. They operated a total of 25 patients where they used part of the temporal muscle or the whole muscle. None of the operated patients, although two had a ligature of the external carotid artery, developed necrosis or inflammatory complications during incorporation of the transferred muscle.

Contemporary state of surgical treatment of facial nerve paresis. Preliminary experience with new procedures.

Treatment of paresis of the facial nerve is a serious problem which has advanced greatly during the past three decades. The possibilities of surgical treatment are very extensive--from excisions, implantations of springs and weights, to passive and active supports, muscle transposition, transposition and suture of regional nerves to nervous and muscular transplants. The authors demonstrate their experience with transposition of the temporal muscle and methods of transplants of nervous grafts taken from the sural nerve and in the second stage transplants of a portion of the m.

Experience with the treatment of facial gunshot injuries.

Treatment of facial gunshot injuries and their reconstruction is still one of the most serious problems of reconstructive surgery. Our experience comprises treatment of 23 patients with this type of injury. Five patients had primary treatment.

The management of extensive tumours of the scalp.

Though tumours of the scalp and skull are not very common certain severe and extensive forms are associated frequently with intracranial propagation and therefore their reconstruction represents often a major problem requiring the use of a series of surgical methods. Their treatment requires the use of expanders, local flaps, pedicled cutaneous and musculocutaneous flaps, as well as free flaps. This report deals with 10 patients with localized extensive tumours larger than 120 cm2 within the region of the scalp and skull subjected to various reconstruction procedures.

Our experience with surgical repair of Binder's syndrome.

The authors report their experience with the treatment of 15 patients with Binder's syndrome operated upon during a period of 10 years. The surgical procedure consisted in three patients in an advancement of the nasal septum and an implantation of bone grafts. In 5 individuals were used grafts from the iliac bone and in 7 were implanted bone grafts from the calva.

Surgical treatment of jaw deformations in adult patients with clefts.

The authors report their long-term experience with the surgical treatment of malformations of the jaws and of the face associated with clefts in adults. They carried out 172 maxillary surgeries, 65 mandibular operations and 20 bimaxillary surgical procedures. In recent years they performed almost exclusively operations on the upper jaws.

Reconstruction of the frontal region with skull bone grafts.

Cranial bone grafts play a steadily increasing role as the dominant material used for reconstruction of defects within the frontal region. Both clinical experience and experiments on animals provided evidence that they showed a much smaller degree of resorption and that their cutting was associated with a markedly lower frequency of complications. Cranial bone grafts were used for the reconstruction of frontal defects in 17 patients.