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Biomedical subjects

W Mühlbauer

Publications and source records attributed to W Mühlbauer.

At least 55 records · Page 3Linked to original sources
PubMed1989

Radical abdominoplasty, including body shaping: representative cases.

Even in the age of liposuction there exist certain situations for which abdominoplasty in its radical form is indicated--for example, redundant skin after radical weight loss, the stigmata of postpregnancy syndrome, and localized accumulation of adipose tissue--the lipodystrophies and resistant generalized obesity. Redundant skin after radical weight loss is resected simultaneously around the abdomen, the lumbar regions, the perineum, and the thighs. The typical stigmata of postpregnancy syndrome may be excised through an extended abdominoplasty combined with simultaneous excision and pexy of the inner aspects of the thighs leaving a "bikini" scar behind. A mastopexy may be added. Genetically predisposed localized lipodystrophies in the abdominal lumbar, and upper thigh region may be resected through a circular abdominoplasty with or without simultaneous resection of the perineum and inner thighs. Abdominal aprons often contain umbilical or ventral hernias that may need to be repaired simultaneously. Representative cases are presented and dangers and complications are discussed.

Abdomen↗
PubMed1989

[Plastic surgery correction of combination craniofacial malformations. A survey for the obstetrician].

Complex malformations of the skeleton of the cranium and face are mostly first discovered by the obstetrician. Almost all anomalies can be corrected already at infant age by means of update craniofacial surgery, provided they are diagnosed well in time and treatment is initiated directly. Surgery should be performed by a team that is well-versed in craniofacial surgery. A few examples are given to illustrate the most important malformations. Pointers to the best possible time of operation, indication and method are supplied.

Acrocephalosyndactylia↗
PubMed1989

[Surgical progress and quality of life--plastic surgery].

Since its beginnings, Plastic surgery has aimed to restore not only physical health but also self-esteem and thereby contribute to the patient's healthy frame of mind. Special attention is paid to restoring the psychosocial function of normal appearance. Plastic surgery also contributes to the quality of life by what has exaggeratedly been called "psychotherapy with the scalpel".

Adaptation, Psychological↗
PubMed1989

[Primary rehabilitation of the burn patient].

The treatment of burn victims in a specialized fully equipped center with specialized staff has as its goal the primary, definitive, somatic and psychosocial rehabilitation, of the patient. Not only are the chances of survival to be increased, but an optimal quality of life is to be restored.

Burns↗
PubMed1989

[Reconstruction of the cranial vault and soft tissues of the skull after electrotrauma].

Of 550 patients treated in our burn unit 5.1% had electrical injuries. Injuries of the skull and scalp were caused by entry of electrical current. The classic reconstruction of the scalp and skull is performed after sequestration of the necrotic bone, a time-consuming process which frequently has complications. An alternative is to induce regeneration of the vitalized bone by covering it early with a vascular tissue flap. Skeletal scintigraphy has the advantage of allowing early and safe assessment of the vitality of the injured bone and helps to control vitalization.

Bone Regeneration↗
PubMed1989

[Immediate functional reconstruction of the upper extremity after high voltage electric burns].

Large soft tissue defects on the upper arm and the forearm of a 14-year-old boy caused by electrical trauma were repaired with a free latissimus dorsi flap on the left forearm and a neurovascular lat. dorsi island flap to the right upper arm. Both extremities were saved, the defects covered and good functional repair was achieved. The latissimus dorsi flap is a save and easy procedure with a high variability. It is especially suitable for primary repair of large soft tissue defects.

Adolescent↗
PubMed1989

[Mastectomy and primary breast reconstruction].

Primary breast reconstruction after mastectomy may be proposed individually after careful consultation of the patient. Whereas postoperative chemotherapy or hormone therapy are not contraindications, radiotherapy is a relative contraindication. Methods include the submuscular silicone implant (+/- expansion), mobilisation of the abdominal skin or flap reconstruction (thoracoepigastric or latissimus flap). The indications, pros and cons, are discussed. Mastectomy and primary reconstruction are good alternatives to the so-called conservative treatment with irradiation.

Adult↗
PubMed1988

[Immediate plastic reconstruction following tumor removal in the area of the head and neck].

Primary reconstruction after tumour resection in the head and neck region is indicated to cover vital structures such as the eye, the nasal and oral cavities, nerves, blood vessels and skeleton for optimum reconstruction of functions and appearance. Local, regional and free flaps are applied. The special topographic requirements are illustrated with clinical cases.

Facial Neoplasms↗
PubMed1987

[Initial management of severe facial injuries].

Severe facial injuries may be treated within the first 12-h-period or delayed for several days while the patient is transferred to an appropriate hospital. The goal of treatment should be optimal primary reconstruction of all the damaged structures. Specialized experience, instruments and a well-equipped operative theatre are necessary. Adequate primary treatment may so prevent functional losses or deficits and mutilations and reduce secondary plastic surgical interventions to a minimum. Typical case examples are demonstrated.

Facial Bones↗
PubMed1987

[Primary management of large soft tissue injuries in the area of the face and skull].

The primary treatment even of extensive soft tissue lesions of the face and head after traffic or labour accidents should be immediate and definite reconstruction. The plastic surgeon called on the scene will evaluate the extent of tissue damage or loss and go ahead with his specific techniques to repair the injury in such a way that only minimal secondary interventions are necessary. Three characteristic cases document the thereby achievable primary and late results of the definite primary treatment.

Adult↗
PubMed1987

Radical treatment of craniofacial anomalies in infancy and the use of miniplates in craniofacial surgery.

The radical treatment of craniofacial anomalies in infancy is indicated for medical, technical, and psychosocial reasons. The major problems around the cranium, the orbits, and the face may be safely corrected by osteotomy, suture resection and disjunction, mobilization, repositioning, and reshaping of the various skeletal segments. This radical approach has been possible through the introduction of miniplate fixation. The plates and screws are removed after 3 to 6 months to take optimal advantage of the great formative power of the growing brain, which expands rapidly within the first 2 years of life. In infants, disjunction is more important than advancement, making this approach a dynamic one in contrast with the static procedures for the adolescents and adults. The complete, one-stage procedures are superior to a delayed or two-stage procedure. Experienced administration of pediatric anaesthesia and intensive care are mandatory.

Acrocephalosyndactylia↗
PubMed1986

Cloverleaf skull associated with Pfeiffer syndrome: pathology and management.

The clinical and radiological findings in an infant with severe cloverleaf skull associated with a Pfeiffer syndrome are presented. The skull anomaly resulted in raised intracranial pressure and proptosis of the right eye within several weeks of birth. The child died at 3 months of age after subtotal craniectomy. At autopsy a detailed macroscopical and histological analysis of the skull base was conducted. The timing and value of surgery are discussed as well as the pathology of the cloverleaf skull anomaly.

Brain↗
PubMed1986

[Mastopexy with few scars].

Conventional techniques of reduction mammaplasty result in obvious and sometimes unpleasant scars. G. Peixoto (1980, 1984, 1985) has developed a technique of mastopexy and reduction mammaplasty which leaves only minimal scars. Good results are to be achieved in younger females with contractile skin with breast asymmetry and moderate mammary hypertrophy and ptosis. Typical examples are demonstrated resulting only in a periareolar scar.

Breast↗
PubMed1986

[Direct closure of donor defects of the radial flap by preliminary stretching of the skin with a skin expander].

One of the disadvantages of the radial forearm flap is the donor defect covered by split skin grafts. The use of a tissue expander allows direct closure of smaller donor defects resulting in a cosmetically more acceptable linear scar. The skin expander must be implanted adjacent to the planned radial forearm flap in the epifascial plane for at least six weeks, preferably for two to three months. The operative technique is demonstrated at a typical clinical case and experiences with six further patients reported.

Adult↗
PubMed1986

[Profile rhinoplasty].

Profileplasty is an extension of rhinoplasty. It encompasses the minimal correction of the shape of the nose, correction of the upper and lower jaws, remodelling the contour of the neck as well as the reshaping of the entire neuro- and viscerocranium applying the techniques of craniofacial surgery. While the patient sets the indication, the surgeon acts as a consultant. Beside technical skills in performing a profileplasty, a good sense for harmonious proportions is more important than exact measurements. Rhino- and profileplasty come close to one of the essential goals of plastic surgery. Form, function and appearance of a person may be altered to his advantage without visible scars. Better appearance usually initiates a positive development of the personality.

Adolescent↗
PubMed1984

[Forearm flap with its various possibilities of application].

The authors describe the different possibilities of the forearm flap as a free and pedicle flap. The forearm flap is arterialized by the A. radialis, the venous outflow goes through the Venae comitantes of the A. radialis or the big veins of the forearm (V. cephalica and basilica). Sensation can be preserved through the three cutaneous forearm nerves. The advantage of the flap is based on the constant anatomy, the big vessels and nerves, the quality and quantity of the forearm skin as well as the relatively thin layer of subcutaneous fat.

Arteries↗