A case of glenoid fossa fracture secondary to mandibular trauma is reported. Subjectively, this injury is characterized by pain in the temporomandibular region of the injured side and by mandibular function impotence. Objectively, there is disappearance of the mandibular condyle from the pretragic region, mandibular lateral deviation toward the fractured side, and premature occlusal contacts on the injured side. The injury can be definitively diagnosed only with a temporomandibular joint radiographic examination of them, which includes a lateral and front-back projection stratigraphy. The surgical techniques currently used in these cases are also discussed.

Adult↗

PubMed1977

The use of lyophilized dura in reconstruction of the orbital floor.

The results and experiences with the use of lyophilised human dura in 52 cases are reported. Experimental work carried out on rabbits demonstrate that human lyodura is replaced by a layer of connective tissue. Both, the results of animal experiments as well as those experienced in 52 clinical cases suggest that lyodura is an excellent material for the reconstruction of defects of the orbital floor.

Adolescent↗

PubMed1976

Acid-base equilibrium in Menière's disease.

57 patients suffering from Meiere's disease have been examined: metabolic alkalosis has been found in 39 and metabolic acidosis in 4. Electrolytes (Na, K and Cl) were normal. Among the 31 subjects in the control series a slight metabolic alkalosis qas detected only twice. Follow-up of several patients, from one to three years, resulted in a realization of a parallel between metabolic disturbance and Meniere symptoms. A provocation test, by sodium bicarbonate oral administration, has beem attempted twice: in both instances alkalosis did increase strongly but, only once, vertigo was elicited. Meniere patients found in alkalosis were given acidifying drugs to normalize their acid-base equilibrium. Such treatment proved effective in preventing acute cochleo-vestibular crises and in improving tinnitus and deafness (in the fluctuating stage). On the interruption of treatment symptoms reappeared. The physiological-pathological significance of metabolic alkalosis in Meniere's disease still remains unclear and, consequently, this can be considered merely a predisposing factor in endolymphatic hydrops.

Acid-Base Equilibrium↗

PubMed1973