GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW) | ||||||
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15:16 Jan 18, 2018 |
Spanish to English translations [PRO] Medical - Medical (general) / ophthalmology | |||||||
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| Selected response from: Neil Ashby Spain Local time: 00:36 | ||||||
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Summary of answers provided | ||||
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2 +3 | Apt technique (technique developed by L Apt, N Call) |
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Apt technique / técnica de Apt Apt technique (technique developed by L Apt, N Call) Explanation: For the control group, the inferior oblique muscle was also bunched and sutured either 3 mm posterior and 2 mm temporal to the temporal end of the inferior rectus muscle insertion, or 4 mm posterior and 0.5 mm temporal to the temporal end of the inferior rectus muscle insertion for either approximately a 10-mm or 12-mm recession, respectively, based on data by Apt and Call.11 https://jamanetwork.com/journals/jamaophthalmology/fullartic... Marshall M. Parks, M.D., once described the inferior oblique muscle surgery as the last bastion of motility disorders to be conquered. He and Leonard Apt, M.D., have inspired our interest in surgery of this muscle and its nerve. When describing his technique for locating the nerve to the inferior oblique, Dr. Parks stated that it could be located easily following disinsertion and anterior traction on the insertion of the muscle by “strumming” the inferior oblique nerve as it approached the inferior oblique near the temporal border of the inferior rectus. His description has led many to be curious about the nature of this nerve and has led to a great deal of research on the nerve and muscle over the last two decades. http://pediatricophthalmologypa.com/inferior-oblique-muscle-... https://scholar.google.com/scholar_lookup?title=Inferior obl... Técnica de Apt de oblicuo inferior Esta técnica quirúrgica es la que usamos con más frecuencia para tratar las hiperfunciones moderadas-severas del oblicuo inferior. No recomendamos que sea realizada al comienzo de la curva de aprendizaje en la cirugía con anestesia tópica, ya que requiere mayor experiencia. Algunos autores no aconsejan operar ni el oblicuo superior, ni el oblicuo inferior con anestesia tópica porque provoca dolor y el abordaje quirúrgico es más difícil 47. Nuestra recomendación para utilizar esta técnica es tener una gran experiencia en la cirugía de oblicuo inferior, sentirse cómodo durante la operación, conocer bien la anatomía y el trayecto muscular, asociar sedación consciente y analgesia y tener disponible una cánula de anestesia subtenoniana para inyectar una pequeña cantidad de lidocaína si el paciente manifiesta un dolor importante o se produce reflejo óculo-cardiaco. http://www.doctorjoseperea.com/images/libros/pdf/estrabismos... |
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