{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T20:11:42Z","timestamp":1649103102173},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Die operative Behandlung von Abduzensparesen orientiert sich vor allem an der verbliebenen Motilit\u00e4t des M.\u00a0rectus lateralis. Reicht die maximale Abduktion nicht \u00fcber die Mittellinie hinaus, sollte eine gleichseitige Muskeltransposition der vertikalen Recti erfolgen. Seit der Erstbeschreibung vor mehr als 100 Jahren sind eine Vielzahl von Modifikationen vorgestellt worden. Die minimalinvasive Adaptation nach Nishida hat zuletzt zunehmend Beachtung erfahren.<\/jats:p><jats:p>\n          Patienten und Methoden Retrospektive Fallserie von 4 Patienten mit Abduzensparesen, deren chirurgische Versorgung mittels Transpositionsman\u00f6ver nach Nishida erfolgte. Die Kasuistiken werden unter besonderer Ber\u00fccksichtigung der pr\u00e4- und postoperativen Verh\u00e4ltnisse hinsichtlich Schielwinkel und Motilit\u00e4t pr\u00e4sentiert.<\/jats:p><jats:p>\n          Ergebnisse Vier Patienten (2 weiblich, 2 m\u00e4nnlich) wurden in die Studie eingeschlossen. Bei einem 7-j\u00e4hrigen M\u00e4dchen und einer 37-j\u00e4hrigen Frau mit linksseitiger Abduzensparese erfolgte eine gleichseitige Transposition. Bei einem 56-j\u00e4hrigen Mann mit linksseitiger Parese und einem 82-j\u00e4hrigen Mann mit Parese rechts wurde die Transposition nach Nishida mit einer gleichseitigen R\u00fccklagerung des M.\u00a0rectus medialis kombiniert. Bei allen 4 Patienten wurden durch die Operation eine deutliche Verkleinerung des Schielwinkels sowie eine Verbesserung der Motilit\u00e4t erreicht.<\/jats:p><jats:p>\n          Schlussfolgerung Die Transposition der Vertikalmotoren ist bei Abduzensparesen als Operationsmethode etabliert. Unter den verschiedenen Modifikationen stellt die Adaptation nach Nishida eine sichere, wirkungsvolle und minimalinvasive Option dar. Die gef\u00e4\u00dfschonende Technik erlaubt auch die gleichzeitige Schw\u00e4chung des M.\u00a0rectus medialis.<\/jats:p>","DOI":"10.1055\/a-1403-2943","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T22:48:38Z","timestamp":1619822918000},"page":"493-498","source":"Crossref","is-referenced-by-count":0,"title":["Augenmuskeltransposition nach Nishida bei Abduzensparese"],"prefix":"10.1055","volume":"238","author":[{"given":"Jan","family":"Heckmann","sequence":"additional","affiliation":[{"name":"Augenklinik, Kantonsspital St.\u00a0Gallen, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margarita","family":"Todorova","sequence":"additional","affiliation":[{"name":"Augenklinik, Kantonsspital St.\u00a0Gallen, Schweiz"},{"name":"Augenklinik, Universit\u00e4tsspital Basel, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veit","family":"Sturm","sequence":"additional","affiliation":[{"name":"Augenklinik, Kantonsspital St.\u00a0Gallen, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,4,30]]},"reference":[{"key":"ref1","first-page":"248","article-title":"\u00dcber Sehnentransplantation am Auge. 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