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Biomedical subjects

H Reichert

Publications and source records attributed to H Reichert.

At least 73 records · Page 4Linked to original sources

[Anastomosis of free flaps to the inferior epigastric artery].

The inferior epigastric vessels are a reliable and easily accessible vascular pedicle for free tissue transplantation to the perineum, genital area, and the abdominal wall. Two cases serve to illustrate the procedure: the first involves a post-radiation ulcer following recurring carcinoma of the vulva with loss of the symphysis; the second involves a reconstruction of the abdominal wall employing a two-fold latissimus dorsi flap in a patient with malignant fibrous histiocytoma.

Abdominal Muscles↗

Embryonic development and evolutionary origin of the Orthopteran auditory organs.

Two different types of ears characterize the order of Orthopteran insects. The auditory organs of grasshoppers and locusts (Caelifera) are located in the first abdominal segment, those of bushcrickets and crickets (Ensifera) are found in the tibiae of the prothoracic legs. Using neuron-specific antibody labelling, we describe the ontogenetic origin of these two types of auditory organs, use comparative developmental studies to identify their segmental homologs, and on the basis of homology postulate their evolutionary origin. In grasshoppers the auditory receptors develop by epithelial invagination of the body wall ectoderm in the first abdominal segment. Subsequently, at least a part of the receptor cells undergo active migration and project their out-growing axons onto the next anterior intersegmental nerve. During this time the receptor cells and their axons express the cell-cell adhesion molecule, Fasciclin I. Similar cellular and molecular differentiation processes in neighboring segments give rise to serially homologous sensory organs, the pleural chordotonal organs in the pregenital abdominal segments, and the wing-hinge chordotonal organs in the thoracic segments. In more primitive earless grasshoppers pleural chordotonal organs are found in place of auditory organs in the first abdominal segment. In bushcrickets the auditory receptors develop in association with the prothoracic subgenual organ from a common developmental precursor. The auditory receptor neurons in these insects are homologous to identified mechanoreceptors in the meso- and metathoracic legs. The established intra- and interspecies homologies provide insight into the evolution of the auditory organs of Orthopterans.

Animals↗

[The Tsuge suture. Experimental and clinical experiences].

Microangiographic studies in the flexor profundus tendon of the rabbit show the relationship between the gaps in tendon-stumps and tendon adhesions of the suture line. Reasonably low average gaps could be achieved by the Kirchmayr/Kessler-type and by the Tsuge-type of tendon suture, which have both the same principle of fixation: solid anchorage in a set distance from the suture line and axial traction of the thread. Clinical cases show the advantages of the Tsuge suture for flat and oval tendons especially for the flexor superficialis tendon and the extensor apparatus. For distal fixation of tendon sutures to bone, pulley and tendon insertion it has also proven to be a reliable and simple technique.

Animals↗

Six years' experience with free septum replantation in cleft nasal correction.

Cleft lip/nose/palates are almost always accompanied by typical deformity of the inner and outer nose. The septum, which is usually considerably misshapen also influences the degree of deformity of the external nares. With extreme septum deformation it has proved expedient to remove the septum in its entirety and to replant it after suitable straightening. This technique is described.

Cleft Lip↗

[Burn sequelae of the hand and face, when full-thickness skin transplant, when flap?].

Full-thickness skin grafts if possible and flap plasties if necessary are our common guideline for reconstruction of the face and hands after burns injuries. If the mobility of the lips, the eyelids or the fingers is limited by contracted scars, the interposition of full-thickness skin grafts is generally very helpful. This is also true for the face and the hands. Flaps are necessary for the hands if there are tendons to be covered or joints to be closed.

Adult↗

[Reimplantation of a free graft of the nasal septum. Technic and indications].

Severe nasal trauma produces concomitant lesions of the pyramid and septum. These functional and cosmetic sequelae are inseparable and must be treated during the same operative procedure. Among the procedures for nasal straightening, the method of choice is ablation of the septum, intra-operative reconstruction of a continuous plate followed by reimplantation in an intact perichondro-mucosal sleeve.

Humans↗

Three descending interneurons reporting deviation from course in the locust. II. Physiology.

The DNI, DNM and DNC descending interneurons all have very similar properties and are each at the convergence of visual, ocellar, wind-hair and other mechanoreceptor inputs. The 3 neurons respond almost exclusively to movement of the animal in space about its three axes of rotation. All are spatially and directionally selective. Movements in the preferred sense produce increasingly strong responses with amplitude and absolute position, while movements in the antipreferred sense usually elicit no response at all. Movements in the preferred sense, but towards, rather than away from, the normal flying position start to produce responses only as the animal approaches the normal flight position. The neurons function as feature detectors, responding only to specific sorts of deviation from course. DNI, DNM and DNC differ from one another principally in their directionality. DNI responds optimally to a diving banked turn to the ipsilateral side, DNM to downwards pitch, and the DNC to a diving banked turn to the contralateral side. The DN neurons contribute to the production of steering manoeuvres. They appear to be representatives of a larger class of descending interneurons bringing exteroceptive sensory input to the thoracic locomotory neuropil. The occurrence of this class of units in locusts and other insects is discussed.

Animals↗

Surgical treatment of pressure sores in paraplegics and possible prevention of their recurrence.

The surgical treatment of pressure sores in paraplegics was, and still is, a very difficult and not at all solved problem, since these necrotic ulcers are not caused by any disease of the local tissue, but by lack of sensibility due to interruption of the spinal cord at a much higher level. For this reason all our efforts must be aimed at attaining two goals. First, we must replace the pressure sore by a supple, well-nourished cushion of soft tissue, which can support the weight of the body for a limited period of time. Second, we must prevent new pressure sores from developing by ensuring even distribution of the weight of the body and frequent change of body position.

Humans↗

[Saddle nose--an esthetic and functional problem].

Twenty per cent of all deformities of the external nose are saddle noses; this common deformity is an aesthetic as well as a functional problem. These two factors must be respected in planning an operative correction. There are different methods applicable depending on the size of the defect and these will be demonstrated in this paper.

Airway Obstruction↗

[Problems of rhinoplasty in the elderly].

There is a reluctance amongst plastic surgeons to carry out a rhinoplasty in older patients. It is stated that many of these patients tend to be dissatisfied with their results. The noses of older people are characterized by a loss of skin elasticity often combined with a tendency for the nostrils to collapse. An analysis is made of the patients under our care relating to motives for surgery, indications, techniques, and the results are illustrated.

Aged↗

Integration of nonphaselocked exteroceptive information in the control of rhythmic flight in the locust.

The integration of exteroceptive information in the flight control system of the locust was studied by determining the cellular basis of ocellar- (simple eye) mediated control of flight. Neural interactions that transform phase-independent sensory input into phase-specific motor output were characterized. Ocellar information about course deviations during flight was conveyed to the segmental thoracic ganglia by three pairs of large fast multimodal descending neurons. These made connections with thoracic motoneurons directly, via short-latency mono-or disynaptic pathways, and indirectly, via a population of intercalated thoracic interneurons. The synaptic potentials caused in the motoneurons by the direct pathway occurred at short latency and were adequate for summation with other types of sensory input. However, the strength of the synaptic effects of this pathway was weak compared with the central flight oscillator drive to the same motoneurons. In contrast, synaptic potentials evoked by the descending neurons in the thoracic interneurons were often large and brought these cells close to threshold. In turn, these interneurons always had stronger synaptic effects on postsynaptic flight motoneurons than did the descending neurons alone. We conclude that the indirect interneuronal pathway is more powerful in its effects on motoneurons than the direct pathway. Premotor thoracic interneurons, which received ocellar input appropriate for a role in correctional steering, were also rhythmically modulated during flight motor activity in phase with either depressor or elevator motoneurons. This phasic modulatory drive occurred in deafferented preparations, indicating that its source is the central oscillator for flight. Presentation of ocellar stimulation during flight motor activity showed that the central oscillatory modulation of the thoracic interneurons gated the transmission of sensory information through these interneurons. Ocellar-mediated postsynaptic potentials influenced the firing of thoracic interneurons only if they arrived during the proper phase of rhythmic drive. Thus the transmission of ocellar information from interneuron to motor neuron is possible only during appropriate phases of the flight cycle.

Animals↗

Philtrum formation in cleft lip surgery.

This is a modification of Millard's rotation-advancement principle in closing unilateral lip clefts, published in 1971. In selected cases, if there is enough soft tissue at the base of the columella to fill the defect between the columella base and the rotated short part of the philtrum, a slightly curved scar will be formed resembling the normal philtral column. From 1967 till the end of 1981, out of a total number of 1305 unilateral cleft lip repairs, 189 were operated in this manner using the described modification of Millard's technique with good results. For most of the other cases and especially with wide clefts, the original method of Millard is preferred.

Adolescent↗