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Biomedical subjects

H Anderl

Publications and source records attributed to H Anderl.

7 recordsLinked to original sources
PubMed1992

[Cortisone jet injection as therapy of hypertrophic scars and keloids].

Intralesional steroid injection in the treatment of hypertrophic scars and keloids has been well known for many years. In order to determine whether this therapy can still be recommended, 57 patients with hypertrophic scars or keloids received high-pressure injections of triamcinolon acetonide (Dermojet). 50% of the cases showed significant improvement with respect to scar color, itching and scar elevation. Thus, triamcinolon acetonide therapy is indicated in particular cases.

Adolescent↗
PubMed1979

Free vascularized groin fat flap in hypoplasia and hemiatrophy of the face (a three years observation).

Two female patients with facial malformation are presented: one with microsomia (17 years old) and the other (35 years old) with a very severe form of Rhomberg-Parry facial hemiatrophy. The defect in one side of the face was augmented in both cases by means of a free inguinal fat flap connected to the local vascular system with microvascular anastomoses. After a follow up of three years (first patient) and 18 months (second patient) no sign of resorption could be observed and the fat shows a normal histological structure. The arterial flow is proved with the Doppler flowmeter and in one patient with arteriography. The operative technique is described, the advantages and disadvantages in contrast to other procedures are discussed.

Adipose Tissue↗
PubMed1979

Cross-face nerve transplant.

The two stage principle is one of the most important features of the procedure. It allows starting the operation at a very early stage (one to six months). The donor area in the periphery is very well supplied, therefore as many facial fascicles as necessary can be sacrificed on the healthy side. We have never noticed any functional disturbances. The nerves leading to the buccinator muscle and those which innervate the lateral pull of the mouth are especially suitable. This weakening of the strong pull of the mouth is of great value for symmetry but unfortunately relapse to the original state is common. The selection of the nerve fascicles on the healthy side must be executed in a deep layer below the muscles because all large branches are located here. The end of the sural grafts should positioned far back on the paralyzed side to enable easy anastomoses at the second stage. A face lift incision on the paralyzed side and tightening of the skin are of additional value and provide some support to the elongated muscles. The combination of cross-face nerve transplant with other substitutional methods in which muscles are used for reinnervation is very promising. In our experience physiotherapy is a very important measure. It should be started after the onset of the palsy and continued until restoration of the face is complete. It is usually applied three times a week with exponential current and at a strength of 20 to 60 milliamperes. Each group of muscles receives a 2 to 3 minutes dosage. It is helpful if the patient can use a stimulation apparatus at home daily for short treatments.

Action Potentials↗
PubMed1977

[Surgical treatment of malignant skin epitheliomas. Principles, methods, results].

From personal experience in the treatment of 655 patients with malignant epitheliomas of the skin, treated from 1966 to 1973 at the Department of Plastic and Reconstructive Surgery at the University Hospital, Innsbruck, the basic principles, methods, and results of treatment are reported. An adequate resection and a primary reconstruction is the method of choice. The clinical data and follow-up observations are analyzed and special types of treatment and indications are discussed. With it the 5-year-cure-rate of basal-cell carcinomas was 92%, of squamous-cell carcinomas 83%.

Aged↗
PubMed1975

[Skin replacement on the penis (author's transl)].

For skin replacement on the penis and scrotum, only a free split-skin graft (about 0.45 mm in thickness) can be considered in cases where local flaps are not available. The transplant is fixed on the denuded penis with a special thermoplast splint, which ensures healing in. Additional sedation is necessary. Pedicle flaps taken from some distance away are too voluminous for the penis and not adequate. Cases with eschars and granulation tissue must be carefully cleaned to avoid hypertrophic scars. Covering can also be achieved with mesh-grafts in these cases.

Humans↗