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[On the clinical significance of the trephined cavity status in patients with radical surgery of the middle ear].

303 ears were examined otomicroscopically in 267 patients who had undergone radical operation on the middle ear (RO). Local and general symptoms in patients after RO were defined as "the operated ear disease". Otomicroscopic picture of pathomorphological changes in the trepanation cavity is provided. It is necessary to account for these changes in planning reconstructive surgery.

Ear, Middle↗

[The surgical treatment of intracranial aneurysms from the pterion approach using small trephining openings].

In the past decade, there has been a clear trend for the use of low-invasive surgical interventions in many divisions of neurosurgery. Since each operation is bound to be followed by tissue traumatization, a decrease in the sizes of skull trepanation should be regarded as a way of reducing the incidence of intra- and extracranial complications. The proposed variant of a pterion access to intracranial aneurysms by using small trepanation holes may substantially decrease the duration of surgical interventions and to avoid postoperative epidural and subdural hematomas without preventing the visualization of arteries in both anterior and posterior Willis' circle and at the same time the variant exerts no negative effect on the possibilities of hemostasis in intraoperative aneurysm rupture. The operation yields a good cosmetic effect.

Adolescent↗

The role of craniotomy and trephination in the treatment of chronic subdural hematoma.

The treatment of chronic subdural hematoma by craniotomy was the procedure of choice in the early part of this century. It has since been replaced by less invasive techniques but retains a limited role in the management of this condition. A new procedure involving a small craniectomy and marsupialization of the hematoma cavity to the temporalis muscle is described. The results of this treatment compare favorably with the more commonly performed drainage methods.

Craniotomy↗

[Micro-trephination of the limbus in neovascular glaucoma].

Microtrephination of the limb was carried out for neovascular glaucoma on 112 eyes. The technique of the operation is described and its results are analyzed. Electric microtrephine (0.6 mm) allows making perforations in the limb as oblique microchannels connecting the anterior chamber and the subconjunctival space. Mitomycin C, an antimetabolic drug, was used for neovascularization control near the channels and filtration pad. High efficiency, low invasiveness, and low incidence of postoperative complications recommend this operation as an alternative method for the treatment of neovascular glaucoma.

Adolescent↗