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S Reinert

Publications and source records attributed to S Reinert.

61 records · Page 4Linked to original sources
PubMed1989

[Synovial chondromatosis of the temporomandibular joint--a differential diagnosis to parotid gland tumor].

Synovial chondromatosis of the temporomandibular joint is an uncommon disease of cartilaginous transformation of synovial membrane with formation of loose bodies within the joint space. The stimulus for synovial chondromatosis at this site is unknown. Symptoms frequently include pain and preauricular swelling with occasional snapping during jaw movements. Radiographs of the TMJ may be normal or show multiple, partially calcified loose bodies within the joint. Treatment consists of removal of the loose bodies together with all affected synovium. In this paper a case of synovial chondromatosis affecting the temporomandibular joint is reported and the literature of 38 cases is reviewed.

Chondroma↗
PubMed1986

Sustained efficacy of percutaneous transluminal coronary angioplasty.

To determine whether the immediate efficacy of percutaneous transluminal coronary angioplasty (PTCA) is sustained, follow-up data were obtained in 183 patients who had undergone PTCA at least 1 year earlier. The duration of follow-up ranged from 1 to 5 years. Subjective clinical information was obtained in each patient and objective functional information, determined by exercise stress testing, was obtained in 91. PTCA was initially successful in 141 patients (79%). Of the 42 patients in whom PTCA was unsuccessful, 26 underwent coronary artery bypass graft surgery (CABG), while 16 were maintained on medical therapy (MED). When compared to the MED patients at time of follow-up, successful PTCA patients experienced less angina (13% vs 47%; p = 0.003), used less nitroglycerin (25% vs 73%, p = 0.003), were hospitalized less often for chest pain (8% vs 31%; p = 0.02), and subjectively felt their condition had improved (96% vs 20%; p less than 0.001). Furthermore, during exercise testing, the prevalence of angina was reduced (9% vs 43%; p = 0.05), and exercise duration was greater (8.2 minutes vs 5.8 minutes, p = 0.05) among PTCA patients. There were no significant differences in the incidence of subsequent myocardial infarction, mortality, or need for coronary artery bypass surgery. For these variables, no differences were seen between the CABG and PTCA groups. Thus, successful PTCA results in long-term relief of subjective and objective manifestations of myocardial ischemia, superior to that of medical therapy and comparable to CABG.

Angina Pectoris↗
PubMed1986

Prediction of long-term clinical outcome with final translesional pressure gradient during coronary angioplasty.

The final translesional pressure gradient measured during coronary angioplasty correlates with immediate angiographic and clinical results. Whether the pressure gradient is of value in predicting late clinical outcome has not been determined. We therefore obtained complete follow-up information on 159 patients with single-vessel disease who underwent successful coronary angioplasty. Mean follow-up time was 15 +/- 10 months. The occurrence of repeat angioplasty, coronary bypass surgery, recurrent anginal chest pain, or a positive postangioplasty stress test were considered clinical events indicative of late failure. Of the variables age, gender, initial and final translesional pressure gradient, extent of initial and final arterial narrowing, site of dilatation, type of balloon catheter used, number of inflations, and maximal inflation pressure, only the final translesional pressure gradient was predictive of late failure when analyzed by multivariate techniques. Thus, the final translesional pressure gradient is of value in predicting both immediate and late outcome after coronary angioplasty.

Aged↗
PubMed1985

[Operation indications of blow-out and midface fractures].

89 patients with fractures of the orbital floor - both in isolation (blow-out fractures) and combined with a complex fracture of the midregion of the face - were followed up for an average of 5 years. Particular attention was paid to the quantitative evaluation of binocular fusion, diplopia and enophthalmos. Comparison of operated and conservatively treated patients with blow-out fractures led to the following conclusions with regard to indications for surgery: 1. It is not justified to regard either surgery or its postponement pending developments as obligatory in all cases. 2. Surgery is indicated by clinical, orthoptic and roentgenological findings as follows: a) In case of enophthalmos or roentgenological demonstration of prolapse, surgery is indicated independent of diplopia. b) Diplopia outside the main field of view does not, in general, necessitate surgery. c) If there is diplopia within the main field of view, surgery is indicated. It is generally accepted that orbital-floor fractures associated with complex mid-face fractures require early surgical treatment. The present investigation confirms this view.

Convergence, Ocular↗
PubMedDate not supplied

[Color Doppler ultrasonography--a new imaging procedure in maxillofacial surgery].

Colour Doppler ultrasonography shows blood flow in real time and colour by combining the features of real time B mode ultrasound and Doppler. At each point in the image the returning signal is interrogated for both amplitude and frequency information. The resulting image shows all non-moving structures in shades of gray and moving structures in shades of red or blue depending on direction and velocity. The technique of colour Doppler ultrasonography and our experiences in 63 examinations are described. The clinical application of this new simple non-invasive method in maxillo-facial surgery is discussed.

Cerebrovascular Circulation↗