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Biomedical subjects

W Gubisch

Publications and source records attributed to W Gubisch.

At least 55 records · Page 3Linked to original sources
PubMed1990

[Reconstruction of the nasal ala with a glabella flap].

Reconstruction of the nasal ala demands a two-layer reconstruction with or without a cartilaginous support. Many techniques are described: most of them need several stages either by a delayed procedure or by secondary thinning. Often the external skin is taken from the surrounding area, but the texture of the skin is different and obvious scars may result. Therefore, we suggest using a rotation flap from the glabella combined with a trap-door flap from the nose or the septum. A thin, well-shaped nasal ala can thus be rebuilt without additional obvious scars.

Humans↗
PubMed1990

[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↗
PubMed1989

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↗
PubMed1989

[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↗
PubMed1989

[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↗
PubMed1989

[The dorsum of the nose as a problem in secondary rhinoplasties].

The dorsum of the nose plays an important role in rhinoplasty. The specific texture of the skin, the cartilageneous structures, and the bony frame have to be regarded in operative procedures. According to the literature up to 15 percent revisions become necessary after rhinoplasty, mostly due to failures during the first operation. Therefore exact analysis and accurate planning as well as careful operation techniques are essentials to obtain good results.

Adult↗
PubMed1989

[Cleft nose correction in unilateral cleft formation].

There is much controversy in the literature concerning how to handle the nasal deformity in patients with cleft lip. This is a challenging problem that needs an exact analysis, careful planning and an atraumatic operative technique. We present our experience of 239 patients with cleft noses, treated from 1980 to 1988, and suggest a new technique for the correction of the asymmetrical alae. Symmetrical nostrils are achieved by two local flaps, either by the external or the intranasal approach.

Adult↗
PubMed1988

[The difficult septum].

Septal corrections are one of the most common operations in the ENT field but even today severely deviated septa remain a problem. In such cases we suggest removal and replantation of the septum.

Airway Obstruction↗
PubMed1986

[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↗
PubMed1986

[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↗