[Primary and secondary treatment in chin defect fractures].
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Biomedical subjects
Publications and source records attributed to J Reuther.
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The causes of TMJ ankylosis after collum mandibulae fractures in the early childhood are discussed and two different surgical treatment approaches are presented. In cases of unilateral involvement it often suffices to separate the ankylosed area while the rest of the joint is spared; where as in cases of pronounced bilateral ankyloses wide reactions with temporary implantation of bone cement are carried out.
The basic principles of anatomy and materials science, forming the foundation for the application of the Würzburg titanium miniplate system, are described in detail. Based on 252 midfacial fractures and 315 mandibular fractures treated with this Miniplate system between 1984 and 1987, the clinical results of using this system in traumatology are discussed.
165 patients with carcinomas of the oral cavity or oropharynx, clinically appearing operable, were treated between 1985 and 1987 within the framework of a prospective multicenter study. The treatment concept consisted in preoperative irradiation with 32 Gy, cisplatin sensitization with 5 X 20 mg per m2 body surface area and subsequent radical removal of the primary tumor and the regional cervical lymph nodes. Regarding recurrence and survival rates the patient data were analyzed using one- and multi-dimensional statistical methods. The observed survival rates were compared with those assessed with the aid of the treatment-dependent prognosis index TPI (Platz et al. 1982). After 1 years the survival rates under the selected combination therapy were 12% and after 2 years 19% above the assessed survival rates under radical surgery alone.