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Biomedical subjects

F X Brunner

Publications and source records attributed to F X Brunner.

29 records · Page 2Linked to original sources

Histological findings in sutured and fibrin-glued microvascular anastomosis.

A new method of microvascular anastomosis is presented. A sufficient sutureless telescoping anastomosis was achieved using fibrin adhesive (Tissucol, Immuno GmbH, Heidelberg, FRG) and a Fogarty embolectomy catheter (American Hospital Supply, Deutschland GmbH, Munich, FRG) as an internal splint in the abdominal aorta of Sprague-Dawley rats. The main advantage of this technique is its short application time. Histological examinations mostly showed accelerated healing compared with sutured anastomosis.

Animals↗

[Therapy of sinusitis in childhood].

Therapy of sinusitis in childhood should be adapted both to various kinds and degrees of inflammation and to the age of the child. Furthermore, aetiology and pathology of the disease should also be taken into account. Especially in chronic disease, an allergy could be the cause; therefore, one should initiate suitable investigations and start adequate treatment. As with all long-term therapy measures, it is essential to persuade both the child and the parents to participate in the treatment and to get their co-operation.

Adolescent↗

[Injury of the interorbital space: II. Therapy. Pathology and therapy of the traumatic telecanthus].

The surgical treatment of lesions of the interorbital area belongs to the field of the rhinologist. Treatment options have been extended in recent years by technical advances. These include the extension of microsurgery to the base of the skull and the use of fibrin tissue glue. We have also had experience of an osteosynthetic material. Stable fixation of the antero-lateral walls of the interorbital space have esthetic advantages and functions as compared with interosseous wiring. An abutment is formed to support the upper jaw, and, with this, circular periorbital bony reconstruction is achieved.

Adolescent↗

[Predisposed connections of chronic oropharyngitis and chronic otitis media respectively the endocrinium of menopause (author's transl)].

Eventual predisposed clinical connections of chronic oropharyngitis and otitis media chronica respectively of serum levels of menopausal hormones are examined by clinical-statistic methods or laboratory diagnostics (ratio-immunoessay). Statistic means point out that 71% of all patients suffering from chronic otitis media show symptoms of chronic oropharyngitis too. The question of connection naturally cannot be cleared up as a demonstration, but nevertheless predisposition seems to be probable. Hormonal influence in female during menopause seems not to be predisposing in pathogenesis of oropharyngitis seen very often in this age. This is shown by normal serum levels of oestradiol, FSH and LH in 30 women with chronic oropharyngitis.

Aged↗

[Familial recurrent laryngeal nerve paralysis, a genetically fixed syndrome -- additional remark on linkage of deficiency gene and HLA (author's transl)].

Hereditary laryngeal paralysis has been rarely reported. Some authors describe additional neurological signs in connection with the cranial nerve, or mental retardation. It has been assumed that there is a causal connection with genetic deficiency. Familial studies, presented with this article, showed abductor and adductor paralysis in the mother and in the son, aged 13, abductor paralysis in the daughters, who were 11 and 5 years old, respectively, and normal laryngeal function in the father and in one 10-year old daughter. There were no neurological signs or mental deficits in any member of the family. Genetic analysis of blood-group and HLA systems confirmed linkage of the HLA system and vocal cord disorder, as suggested by Mace et al. (5). Hence, further observations and investigations will be necessary to prove this statement.

Adolescent↗

[One-stage reconstruction of intraorbital fractures by means of plate osteosynthesis (author's transl)].

Considering the multiplicity of sequelae of central midface fractures (rhinoliquorrhea, anosmia, impediment to the drainage of the superior sinuses and to the lacrimal fluid, traumatic telecanthus, dish-face etc.) the importance of rhinosurgical treatment as the foremost procedure is shown. The small-fragment sets according to Champy as stabilizing elements in operations of the interorbital space (Converse) and its osseous supports are mentioned. Both the technical and the functional advantage of establishing a stable osseous trajectory in the rhinobasis after fractures is emphasized. Stable osteosynthesis as a primary therapeutic procedure enables the rhinosurgeon to find a remarkable synthesis of both functional and aesthetic tasks in this problematic area. The stable fixation makes the rhinosurgical treatment a preliminary one for other surgical procedure to follow.

Bone Plates↗

[The central branches of the anterior and median cerebral artery].

1. In our examined subjects, the A. recurrens anterior was found to be more frequently doubled than as has been reported. 2. The number of central rami arising from the A. cerebri media varies between 3 and 13. 10% of these already divide extracerebrally so that the number of small asts actually present lies between 4 and 20. The count presented by Lazorthes appears to be based on the former method and by Jain on the latter. The ramifications arise from the main artery as well as from its insular branches. Arterial trunks are likewise often present that give off a large portion of the asts. When operating aneurysms of the A. cerebri media, these facts are of importance to the neurosurgeon who must sprare these vessels whenever possible. Should more of these branches or one of these arterial trunks be bound with a clip, serious neurological deficits will occur.

Cerebral Arteries↗