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Rehabilitation after surgical treatment of retrobulbar tumors

100%
Składzień J., Wiatr A., Wiatr M., Romanowska-Dixon B., Gniadek-Batko D., Gawlik J., Zielińska-Kubatko A., Wróbel A.
Polish Journal of Otolaryngology
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2020
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vol. 74
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issue 5
7-10
EN
The authors propose a set of rehabilitation exercises concerning the muscles which are responsible for movement of the eyeball. After surgical treatments of retrobulbar tumors, the function of the eyeball muscles is often inadequate. Some compensation should be created at the level of the central nervous system, which means trigging adaptation, substitution and habituation. The exercises should be started just after the patient is awakened: first in the horizontal position, then sitting position and finally standing position. The highest number of exercises should be done in the direction of extreme diplopia
2
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Rehabilitation after surgical treatment of retrobulbar tumors

100%
Składzień J., Wiatr A., Wiatr M., Romanowska-Dixon B., Gniadek-Batko D., Gawlik J., Zielińska-Kubatko A., Wróbel A.
Otolaryngologia Polska
|
2020
|
vol. 74(5)
7-10
EN
The authors propose a set of rehabilitation exercises concerning the muscles which are responsible for movement of the eyeball. After surgical treatments of retrobulbar tumors, the function of the eyeball muscles is often inadequate. Some compensation should be created at the level of the central nervous system, which means trigging adaptation, substitution and habituation. The exercises should be started just after the patient is awakened: first in the horizontal position, then sitting position and finally standing position. The highest number of exercises should be done in the direction of extreme diplopia
3
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Ocular myasthenia – symptoms, diagnostics, treatment

88%
Nowowiejska E., Różycki R.
OphthaTherapy
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2020
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vol. 7
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issue 4
288-294
EN
Myasthenia gravis (MG) is an autoimmune disease in which antibodies are damaging receptors of the neuromuscular junction. One of its main symptoms is ptosis, term that refers to the drooping of the eyelid that may lead to a reduction of the vision field and the compensatory chin-up position. Contrary to sensile (involutional) ptosis, in which surgical treatment is a method of choice, in case of ptosis with myasthenic aetilology, pharmacotherapy is recommended and surgery is relatively contraindicated. Surgical procedures are rarely performed, only in the case of stable ptosis and ineffectiveness of pharmacotherapy. Since the majority of isolated drooping eyelids of a different aetiology can be successfully surgically corrected, ruling out the diagnosis of myasthenia gravis is essential before deciding on appropriate treatment.
PL
Miastenia to choroba autoimmunologiczna, w której przeciwciała uszkadzają receptory w płytce nerwowo-mięśniowej. Jednym z głównych objawów jest opadanie powiek górnych, które wraz z nasileniem choroby w różnym stopniu ograniczają pole widzenia i prowadzą do wyrównawczego ustawienia głowy. W odróżnieniu od opadania powieki górnej (ptozy) na tle inwolucyjnym, w którego przypadku terapią z wyboru jest leczenie chirurgiczne, w miastenicznym opadaniu powiek jest nią terapia farmakologiczna. Operacje są względnie przeciwwskazane, a leczenie chirurgiczne stosuje się w rzadkich przypadkach stabilnej ptozy lub przy braku skuteczności działania leków. Dlatego że izolowaną ptozę o innej etiologii najczęściej możemy skutecznie leczyć chirurgicznie, prawidłowa diagnostyka różnicowa i wykluczenie obecności miastenii są kluczowe przed podjęciem decyzji o wdrożeniu odpowiedniej terapii.
4
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Enophthalmos as a prognostic factor in blow-out fracture of the orbit. Retrospective study of over 700 cases

75%
Koryczan P., Zapała J., Gontarz M., Wyszyńska-Pawelec G., Koryczan P., Zapała J., Gontarz M., Wyszyńska-Pawelec G.
Folia Medica Cracoviensia
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2020
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vol. 60
|
issue 3
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