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Biomedical subjects

R Gola

Publications and source records attributed to R Gola.

At least 55 records · Page 3Linked to original sources
PubMed1996

[Melkersson-Rosenthal syndrome. Value of reduction cheiloplasty].

INTRODUCTION: The interest of cheiloplasty is not precisely defined in the treatment of Melkersson-Rosenthal syndrome (MRS). OBSERVATION: The case of a 32-year-old woman, suffering from a typical MRS is reported. The lack of efficacy of various classical molecules (corticoseroids, hydroxychloroquine, dapsone, colchicine, clofazimine) led to a surgical therapy, consisting in cheiloplasty. Systemic corticosteroids were associated. The result was good, with a follow-up of 2 years. COMMENTS: Cheiloplasty is essentially of cosmetical interest, in the MRS, once the inflammatory process has been stopped (almost one year). Medical treatment (corticosteroids), is to be continued after surgery, to avoid recurrence.

Adult↗
PubMed1995

[Palliative treatment of facial paralysis].

Facial nerve palsy disrupts both the static and dynamic equilibrium of the half-face involved. The imbalance worsens with age and senility further aggravates the situation. Palliative surgery can be used in complete intractable facial palsy or rarement for partial palsies or as a temporary treatment. The operation is proposed mostly for elderly patients and does not create other malformations or dysfunctions. Simple and effective reduction, cervicofacial lifting and plicature of the skin muscles is used with ocular protection (passive eyelid circle, lateral de-epidermalized skin flap, blepharorraphia) with or without use of locoregional tissues (orbito-naso-genial and labiogenial flaps) are usually sufficient.

Aged↗
PubMed1995

[The adipose tissue of the orbit. Anatomic classification, therapeutic deductions].

There are two types of adipose tissue in the orbit. The yellow fat and the more abundant white, or orbital fat. Orbital fat cannot be dissociated from the contents of the orbit and plays an important role in ocular physiology and oculomotricity. Orbital fat is essential for aesthetic orbits. Graves' disease and anophthalmia. Adipose tissue in the orbit is particularly important in protecting the ocular globe from lateral wall trauma.

Adipose Tissue↗
PubMed1995

[Basedow exophthalmos: lipectomy or orbital expansion?].

Graves' disease is due to mismatching of the orbit and its contents. Primary muscular hypertrophy is often accompanied increased intraorbital pressure due to obstruction of the venolymphatic drainage at the orbital apex. In moist cases, the fat undergoes minimal volumetric and structural changes. Among the numerous techniques proposed for orbital decompression the solution which allows the greatest orbitoperiosteal expansion while preserving the integrity of the orbital fat is valgus displacement of the malar bone combined with resection of the lateral wall and recession of the inferior and medial orbital walls. This technique, which can be adapted to the severity of each case, is performed via a infraciliary transpalpebral facial incision. It is easier to perform than via a coronal incision. It should be preferred to trans-sinus techniques which have a limited and dangerous action (considerable incidence of postoperative diplopia) and decompression lipectomy, which is difficult to perform, with a light risk and, furthermore, does not take into account the fundamental physiological role of the orbital fat nor the essentially muscular pathogenesis of exophthalmos.

Adult↗
PubMed1995

[Interposition of a full-thickness skin graft in the surgery of temporomandibular joint ankylosis. A study of 31 cases of which 20 had long-term follow-up].

Recurrence is the main problem in temporo-mandibular joint ankylosis treatment. Two therapy are used against this, physiotherapy and surgical joint interposition. Following ankylosis removal, many materials can be interposed but, for us, fullthickness skin graft using Popescu and Vasiliu technique seems to be the best and simplest one. This retrospective study of 31 cases, 20 with long-term follow-up, shows that good results are obtained using this skin graft, with 90% successful rate.

Adolescent↗
PubMed1994

[Surgical anatomy of the parotid region. Current concepts].

Three zones of the parotid region situated in the cervicofacial area were studied. The bilobular architecture of the parotid gland, the relations between the facial nerve and the parotid gland and the cover plans are described. On the posterior border of the parotid there is a cleavage interlobular point where the facial nerve penetrates and can be dissected. Thus the facial nerve has four parts designated as retro, inter, intra and preglandular. The parotid gland and is surrounding capsula is covered by a superficial musculoaponeurosis and the skin. The musculoaponeurosis is used in cervicofacial lifting procedures and palliative treatment of facial palsy. It can also be used in certain situations (primary tumours of moderate size without capsula involvement) to fill retromandibular depressions after total parotidectomy.

Dermatologic Surgical Procedures↗
PubMed1994

[Current surgical approach to masticatory system pain-dysfunction syndrome (except arthroscopy)].

The surgical treatment of SADAM concerns patients with irreversible lesions who continue to complain (disk displacement with pain and limited opening, painful arthrosis) after all the other therapeutic options have been unsuccessful and when no long-lasting improvement can be reasonable expected. Indications for surgery have declined with progress in aetiological treatment, particularly of occlusion, and arthroscopic treatment, but arthrotomy is the only remaining technique feasible in certain cases. SADAM should be a conservative surgery, protecting the disk (repositioning displaced disks, repairing perforated disks) and the articular surfaces (correcting bone irregularities). Anatomic and functional reconstruction of the joint cannot be successful unless the cause of the dysfunction is treated at the same time.

Arthroscopy↗
PubMed1994

[Indications for imagery in dysfunctional temporomandibular pathology].

Cranio-mandibular disorders include muscular and articular signs. Articular pathology is the only one that need to be structurally studied. Paraclinic indications are based upon physical examination. Bone structure can be explored with tomography or CT scan and intra-articular structures can be explored with M.R.I. or arthrography. Two pathologies have then been found with an excessive frequency, disc displacements and juvenile osteoarthrosis.

Cartilage, Articular↗
PubMed1994

[Conservative rhinoplasty].

In most reduction rhinoplasties, conservative rhinoplasty of the nasal roof and septum can be performed in the place of traditional rhinoplasty with resection of the hump. An anatomical and functional study of the nose justifies and explains this new surgical technique. However, impaction alone is not always sufficient, but, in some cases, must be combined with support or projection of the nose tip. In the rhinoseptoplasty proposed, the nasal roof phase is performed before the nostril roof phase. The advantages of this technique, particularly indicated in kyphosis, are related to the preservation of the natural appearance of the nose and its persistence over time.

Aging↗
PubMed1992

[Otologic manifestations of the pain dysfunction syndrome of the stomatognathic system].

Phylogenesis, ontogenesis and anatomy explain the close relationship between temporo-mandibular joint and the middle ear and can therefore help understanding otologic symptoms such as: otalgia which often correspond to articular and muscular pain irradiation (coming from sterno-cleido-mastoid, lateral and medial pterygoid, deep layer of the masseter and temporal muscles); acouphens and ear block sensation that could be caused by a spasm extension of the manducatory (i.e. medial pterygoid) to levator and tympani tensors. These three muscles, which originate from the first branchial arch, have a proprioceptive sensitivity and share the same innervation. What is more tensor and levator veli exchange certain muscular fibers. Tensor tympani spasm can be held responsible both for a decrease or abolition of the Klockhoff's reflex, together with a decrease of the stapedian reflex, the latter due to tympani rigidity induced by a spasm of the tensor tympani.

Ear Diseases↗
PubMed1992

[The discal system of the temporo-mandibular junction].

The discal apparatus represent the intra-articular part of the lateral pterygoid muscle tendon, which is differentiated in front of articular surfaces. It is involved in craniomandibular shock absorbing, joint proprioception, and also plays an important part in both condylar growth and morphogenesis. This is to emphasize the different roles of this apparatus, which should be religiously preserved, its lesions being, most of the time, irreversible and cause of TMJ disorders.

Humans↗
PubMed1992

[Complications of temporo-mandibular arthroscopy. Report of 100 arthroscopies].

TMJ arthroscopy is a little invasive and of poor morbidity procedure of both investigation and treatment of temporomandibular pathology. A highly equipped operating room (double instrumentation) together with fine skill and proper knowledge of arthroscopic joint anatomy can easily prevent the rare complications described (articular, vascular, neurologic and otologic).

Arthroscopy↗
PubMed1992

[Post-traumatic enophthalmos. Pathogenic, diagnostic and therapeutic approaches].

Post-traumatic enophthalmos has a complex pathogenesis, resulting from injuries to the bony walls of the orbit or to the intraorbital contents. Computed tomography allows specifying this pathogenesis by locating displaced bone, fat leakage or muscle incarceration, as well as calculating the volumes of the orbit and of the soft tissues. This assessment guides surgery (most often bone grafts), but correction remains limited by scar retraction, especially around the orbit. The prognosis of enophthalmos mainly depends on a general initial treatment after the trauma.

Enophthalmos↗
PubMed1992

[Enophthalmos of the enucleated eye].

Even when it is corrected by an ocular prosthesis, enucleation often causes enophthalmos. After studying the integrality of the walls of the orbits with CT, the presence and position of the intraorbital implant must be controlled and the enophthalmos treated by compensating for the residual volume loss of the orbital content (bone or biomaterials) and, sometimes, filling up the upper palpebral space (dermal graft, galea flaps or biomaterials). The retraction of palpebral scars limits the possibilities of correction.

Enophthalmos↗
PubMed1992

[Fractures of the condylar region].

Condylar fracture are responsible for: homolateral TMJ disorders following discal apparatus lesions such as: disc displacement, discal lesion, osteoarthrosis of articular surfaces (condylar and temporal), contralateral TMJ disorders, more frequent, with destabilisation of the masticatory apparatus and decrease of ramus height or compensatory hypermobility. Functional treatment can prevent articular and muscular ankylosis. It is often indicated: non-displaced low undercondylar fractures or after surgery. Surgical reduction is indicated in two cases: displaced-low undercondylar fracture. The discal apparatus is intact and function usually excellent, displaced-high undercondylar fractures with 90 degrees head luxation. The bone reduction and contention must be associated to discal apparatus control. If dislocated or displaced, the apparatus should be replaced and sutured. Four factors are implicated in articular function: the fracture position, bone displacement (condylar head in or out of the glenoid fossa), discal apparatus integrity (the lower layer of the retrodiscal tissue is involved in bone regeneration especially in infants), and the quality of occlusion.

Humans↗
PubMed1991

[Temporomandibular joint arthroscopy. Therapeutic aspects].

Arthroscopy is an interesting and enlarging technique that visualise the temporomandibular joint and allows surgical technics such as lysis and lavage, prediscal section, retrodiscal cauterisation, oblic protuberance cauterisation, disc suturing or shavering of the articular surfaces.

Arthroscopes↗