Biomedical subjects
Publications and source records attributed to J Schrudde.
Six patients with voluminous cavernous hemangiomas on the face are reported. After devascularization according to the method of Djindjian the hemangiomas were removed surgically. The time interval between embolization and operation ranged from 2 to 7 days according to the hemodynamic situation of the angioma. The postoperative results are reported.
Of 187 patients with silicone breast implants 14% developed a capsular formation as late complication needing surgical therapy. Apparently neither the volume and type of prosthesis nor the operative proceeding had any influence on the formation of a constrictive capsule. No significant difference between augmentation plasty by hypo- and aplasia respectively and breast reconstruction after subcutaneous or radical mastectomy could be noticed. There has been no explanation for unilateral hypertrophic capsule formation after simultaneously performed bilateral prosthesis implantation. Compared with other authors we had a smaller incidence of the IIIrd and IVth stage capsular formation. This is caused by: 1. The advantage of a two-stage proceeding over the simultaneous one after subcutaneous mastectomy or subsequently to reconstruction by a flap plasty after radical mastectomy. 2. Systematic drainage of the bed of the prosthesis to avoid any hematoma or big liquid accumulations. Diffusion of silicone in the tissues by spontaneous rupture of the prosthesis as further late complication is discussed in 2 cases.
From 1972 to 1977 we operated on 40 patients with complete or incomplete facial palsy. There were only such cases in which a spontaneous or operative reinnervation could not be expected. Anamneses between appearance of the facial palsy and its operation was 11,8 years on an average. Different substitute operations for aesthetic and functional improvement were applied. Only a combination of different operation methods leaded to a satisfying result.
A family, in which 12 patients through 5 generations had bilateral symmetrical anomalies of the external ears is reported. Assessment of the pedigree shows an autosomal dominant inheritance.
Lokalized fat can be removed for pathologic but also for purely aesthetic reasons. Lipexhaeresia is a method that enables one to do this without leaving any significant scars. Certain principles of approach must be observed if aesthetically satisfactory results are to be obtained. Experience shows that there are no limits as to indication. Combination with dermolipectomy in the area of the buttocks increases the range of application.
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