[Plastic surgery for reconstruction of the mandibular region].
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Biomedical subjects
Publications and source records attributed to W Esswein.
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In the last four years 27 patients with edentulous lower jaw were treated with implantation of rows of tantalum needles; 25 of them were followed up clinically and radiologically. After an average of two years and seven months where the success rate was found to be 72%. Reasons for failure were thought to be mistakes in operative technique, insufficient oral hygiene of the patients and less than optimal aftercare. These needle implants have proved their value also in cases with marked atrophy of the lower jaw where other prosthetic-surgical methods aimed at improving the prosthesis site have failed.
The clinical and histological picture of a rare gingival disease, i.e. idiopathic gingival hyperplasia, is discussed in detail on the basis of a case of our own Comprehensive diagnostic measures were taken to exclude other possible causes of a hyperplasia of the gingiva. Despite a rapid recurrence after gingivectomy, a "wait and see" attitude is assumed and the next therapeutical procedure is planned only after completion of puberty.
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The use of an injectable combination of a local anaesthetic (Xylestesin) and a beta-receptor-blocker (Betadrenol) during maxillo-facial surgery is described in this paper. The statistical analysis of pulse and blood pressure recordings of 30 patients demonstrated no significant blood pressure changes; there was a significant decrease of the cardiac rate, however. It was noted that the negative chronotropic effect was the greater the higher the rate rate was before injection. The local anaesthetic described is of great therapeutic value, in particular for apprehensive patients and patients with tachycardia.
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