ABSTRACT
In the clinic, 564 patients with the different forms of myasthenia were operated on. A pharyngo-facial form of myasthenia was revealed in 65 (11.5%) of them. There are the following clinical peculiarities of a pharyngo-facial form of myasthenia: involvement of the pharyngeal and facial muscles, impaired phonation, jerky speech, sensation of the tongue heaviness. The direction of process generalization is commonly from the centre towards periphery, towards the skeletal muscles. Involvement of the muscles of the soft palate, epiglottis causes saliva and pharyngeal secret flowing into the bronchi which leads to asphyxia.
Subject(s)
Facial Muscles , Myasthenia Gravis/diagnosis , Pharyngeal Muscles , Adult , Child , Female , Humans , Male , Myasthenia Gravis/classification , Myasthenia Gravis/surgery , ThymectomyABSTRACT
A result of 70 relaparotomies performed after the operative intervention for acute appendicitis has been analysed. The causes and indications for reoperation, an outcome, nature of complications which required performance of relaparotomy have been considered. A classification of relaparotomies depending on time of their performance is suggested.
Subject(s)
Appendectomy , Postoperative Complications/surgery , Adolescent , Adult , Aged , Appendicitis/surgery , Female , Humans , Laparotomy , Male , Middle Aged , Reoperation , Time FactorsABSTRACT
The results of observation of the 60 patients with the ophthalmic form of myasthenia were analysed. In 34 of them, the subfascial thymectomy was performed, the rest were treated conservatively. At the late period after the operation, the recovery was noted in 20 patients, the improved state--in 14.
