Transcranial magnetic stimulation is a new method for objective evaluation of the facial nerve without constraints for the patient. By the first time, especially cortical lesions can be detected objectively. Using this method, a permanent disturbance of the ramus marginalis mandibularis after operative treatment of fractures of the mandibular condyle could be certainly excluded. Therefore, because of the clear presentation and the possibility of enlargement, the deep submandibular approach, using a correct operative technique, can be strictly recommended.

Electromagnetic Fields↗

PubMed1995

[Equipment and transducer-independent 3D ultrasound in the maxillofacial area].

AIM: The use of a new 3D ultrasound system should reduce the drawbacks of former 3D workstations (long image generation time, limited use due to the need for special 3D transducers), so that it is now applicable in daily clinical routine. METHOD: An ultrasound 3D workstation was used based on a pentium PC platform, employing a magnetoelectronic position detection system for spatial reconstruction of conventional 2D B-scan image sequences. RESULTS: Better assessment of topographico-anatomical spatial relationships was achieved when presenting pathological findings, especially in assessing lymph nodes and salivary stones. Pathological processes in the maxillofacial area occurring during a period of five months were visualised. CONCLUSION: The method of 3D reconstruction of standard two-dimensional electronic scans, as presented here, is the first method of its kind enabling applicability in daily clinical routine thanks to rapid imaging. The images can be produced with any ultrasound unit or transducer. First clinical results in maxillofacial surgery clearly show improved diagnostic possibilities although there still room for an improvement of the image quality. The possibility of semi-automatic exact volumetry appears meaningful especially in the investigation of lymph nodes. Integration of colour duplex sonography will further enhance the diagnostic value of this method.

Humans↗

PubMed1995

[New possibilities in computer-assisted image processing for ultrasound diagnosis in mouth-jaw-facial surgery].

The use of a digital image processing system in ultrasound diagnostics offers not only the advantage of a space-saving archiving without loss of quality, but also a clearly higher efficacy of the examination is achieved. An interactive of system findings leads to a more complete examination and evaluation, thus increasing the reliability and the objectivity of the examination. The standardized findings by use of text components mean at the same time a clear saving of time. Moreover, this system is very comfortable not only for the comparison of different images, but also for the scientific evaluation and processing of the image data. By digitalizing the sonographic images the visual data can be processed in a personal computer. Thereby, for maxillofacial surgery a simple and fast dynamic-functional evaluation of the temporomandibular joint was made possible. By archiving without loss of quality and by higher reliability, objectivity and efficacy of the sonographic examination important preconditions for quality care in ultrasound diagnostics have been achieved.

Head and Neck Neoplasms↗

PubMed1994

[High-frequency videocinematograpphy for the objective imaging of the velopharyngeal closure mechanism in cleft palate patients].

The use of high-frequency video cineradiography makes possible an objective and dynamic rendering of the individual velopharyngeal closer pattern. The high resolution and the depiction of the finest mucosal structures while in motion achieved by this technique opens up the possibility of exact and objective 3-dimensional evaluation of the velopharyngeal gap. Following secondary velopharyngoplasty on 80 cleft palate patients, the velopharyngeal closure was studied by means of high-frequency video cineradiography and this rendering was then compared to results obtained by nasoendoscopy and to the clinical findings. It became definitely apparent that the radiological technique is markedly superior in relation to clearness of depiction and ease of use, especially in young children. This imaging technique can be recommended without reservation for pre- and postoperative control of speech-improving procedures.

Adolescent↗

PubMed1994

[Functional and esthetic results after reconstruction of orbital walls].

From 1985 to 1992 40 patients with large defects of the orbital wall were operated by reconstructive surgery. Defects were caused by trauma (35), facial cleft (3), tumor (1) and osteoradionecrosis (1). Small defects were covered with lyophilised dura mater or thin PDS-film, larger defects with autogenous or xenogenous cartilage, PDS-plates, ceramic plates or titanium micro mesh. After tumor surgery and osteoradionecrosis the orbital wall was reconstructed with free resp. microvascularised bone. In all cases a clear improvement of the initial position was possible. Dislocation of the zygomatic bone should be corrected by osteotomy in order to reconstruct as much as possible of the orbital wall with local bone.

Esthetics↗

PubMed1993