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Biomedical subjects

G Schobel

Publications and source records attributed to G Schobel.

8 recordsLinked to original sources
PubMed1997

Solitary plasmocytoma of the mandible--a combined approach for treatment and reconstruction.

A 44-year-old man presented with a solitary plasmocytoma in the left mandible. After neoadjuvant radiation therapy and chemotherapy, a bone marrow biopsy was taken for cryopreservation. In simulation surgery, tumour resection and primary reconstruction were planned on an individual stereolithographic 3-D skull model. Radical tumour resection and primary reconstruction using a microvascular iliac crest bone graft was performed. In case of extensive osteolysis and/or mandibular asymmetry due to tumourous bone enlargement, preoperative model planning has proved to be a useful tool for primary reconstruction. In the three-year follow up, the patient showed no recurrence of disease.

Adult↗
PubMed1995

[Evaluation of long-term results and donor site defects following transposition of connective tissue flaps].

Nine patients suffering from chronic pain after surgery for thoracic outlet syndrome or after radiation therapy underwent neurolysis of the brachial plexus. To avoid a recurrence of scar formation, a pedicled subpectoral transposition flap of connective tissue, utilizing the pectoral branch of the A. thoraco-acromialis, was wrapped around the neurolyzed structures. Long-term follow-up results are presented.

Adult↗
PubMed1994

Subpectoral gliding tissue flap.

By cadaver dissection, the anatomy of the connective tissue between the pectoralis major and the pectoralis minor muscle was studied. The possibility of creating a pedicled flap of gliding tissue based on the pectoral branch of the thoracoacromial artery was confirmed. The clinical relevance of this tissue was defined in nine patients. To avoid recurrent fibrosis after neurolysis of the structures of the brachial plexus in patients with recurrent pain syndromes, the envelopment of the neurolyzed nerves by a subpectoral gliding tissue flap was carried out and was successful in eight cases. After the transposition of the subpectoral gliding tissue flap, the remaining pectoralis major muscle showed only a small partial atrophy in the clavicular segment without any functional impairment; this was confirmed by physical examination and by electromyogram.

Adult↗
PubMed1992

Ankylosis of the temporomandibular joint. Follow-up of thirteen patients.

We undertook a postoperative clinical study of 13 patients with ankylosis of the temporomandibular joints. The study consisted of an evaluation of the surgical concepts of resection and subsequent surgical reconstruction by osteotomy in previous height of the joint space and lining of the glenoid fossa with lyophilized dura. Early mobilization and aggressive physiotherapy are mandatory postoperative measures. According to the theory of mandibular growth as a result of functional matrix, early surgical intervention to correct ankylosis should be performed, regardless of the age of the patient, to prevent recurrence and later asymmetry or distoclusion.

Adolescent↗
PubMed1988

[Training and conditioning in atopic patients following high altitude climate therapy].

The subjective and objective values have changed after a four weeks treatment in high mountain areas under cool climatic conditions. "Terrainkuren" (mountain walking under guidance of a therapist) under cool climatic- and body temperature conditions show besides training results (in sport medicine) also favourable thermoregulatory adaptations. Improvements of the endurance training can be objectivated by means of the reduced heart frequency and the decrease in lactit acid under standardized physical exercises. The simultaneous changes of thermoregulation can be looked upon as part of the reaction of the whole body (also called inurement). Both, the improvement of the training condition and the thermoregulatory change seem to support each other. Thus patients can train more effectively under the same standardized physical training, but cooler conditions. The decrease of comfort temperature of patients is due to the thermoregulatory adaptation. There is a considerable decrease in the sensibility to cold. The training in high mountain areas causes an improvement in the well being and behaviour of the atopic patients which can still be manifested three months after the therapy.

Acclimatization↗