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Biomedical subjects

W Millesi

Publications and source records attributed to W Millesi.

67 records · Page 4Linked to original sources
PubMed1990

Diagnostic imaging of tumor invasion of the mandible.

Several imaging techniques, such as conventional radiography, sonography, computed tomography, isotope scanning and magnetic resonance tomography are used for evaluation of malignant tumors in the region of the floor of the mouth and the tongue. At present, conventional radiography, as well as computed tomography and isotope scanning are the techniques preferred for examination of the mandible. In this study, the results of conventional radiographic examination, computed tomography, ultrasound and Tc scanning in detecting tumor invasion of the mandibular bone, are documented and correlated to surgical and histological findings. The results suggest that ultrasound--our primary diagnostic imaging technique for evaluation of tumors of the floor of the mouth and the tongue--not only provides excellent imaging of tumor extension in soft tissue but also allows accurate diagnosis of osteodestructions of the mandible. In most regions ultrasound had the same accuracy in detecting tumor invasion of the mandible. In the alveolar process, however, sonography was superior to other imaging techniques. The lingual surface of the mandibular ramus can not be screened by the extraoral sonography.

Carcinoma, Squamous Cell↗
PubMed1990

[Midfacial and mandibular fractures during the growth period].

This study investigated the occurrence of primary and secondary complications following conservative versus surgical intervention in the treatment of midface and lower jaw fractures. Follow-up studies were undertaken on 81 patients who had been admitted to the above clinic with such fractures during their adolescence. It was found that more complications developed after surgical intervention.

Adolescent↗
PubMed1989

[Sonographic detection of osteodestruction of the mandible].

32 patients with osseous destruction of the mandible were examined sonographically. The results were compared with those of plain radiographs. In 30 patients, discontinuation of the cortex was clearly evident. Sonography could detect osteolytic lesions in the corpus region, in the angle and on the buccal side of the rami of the mandible. 2 cases of osteodestruction on the lingual side could not be seen.

Aged↗
PubMed1989

[A sub-pectoral gliding flap for covering the lateral triangle of the neck].

The subpectoral connective tissue can be isolated and transferred on a vascular pedicle (pectoral branch of the thoracoacromial artery). It was demonstrated by cadaver dissection that this flap covers the fossa supraclavicularis and can reach the mandibular angle and in some cases the cheek. This flap was used clinically to envelope the fibrotic brachial plexus after neurolysis, in the treatment of a pain syndrome in which several simple neurolyses had previously failed.

Aged↗
PubMed1988

Traumatic lesion of the optic nerve.

The problems of therapy are described by comparing a retrospective (17 cases) to a prospective (12 cases) study of cases of traumatic lesions of the optic nerve. Intensive cooperation between specialists and a quick diagnosis facilitate the decision regarding treatment and lead to better results. Indication for surgical treatment-transcranial or transethmoidal approach-should be confined to posttraumatic deterioration of optic nerve function in combination with fractures of the optic canal, and to its deterioration in spite of proper conservative treatment-shock treatment and cortisone infusions-.

Accidents, Traffic↗
PubMed1988

Sonoanatomy of the muscles of facial expression.

Primary anatomic studies served for identification and differentiation of the individual mimetic muscles. As a second step, we investigated the clinical potential of ultrasound imaging to visualize the mimetic musculature in 15 volunteers. This examination technique was used to diagnose pathological alterations, especially associated with facial palsy. The excellent sonographic visualization of the mimetic musculature indicates that this technique may be a valuable adjunct in the diagnosis and differentiation of facial palsy, as well as in planning plastic surgery and reconstructive procedures, and in follow-up care.

Adolescent↗
PubMed1988

Photogrammetry of the muscles of facial expression.

The present study has attempted to determine the volume, square measure as well as length, width and thickness of the individual muscles of facial expression by photogrammetry. 15 fresh male head specimens were employed for a careful dissection of muscle layers. The volume was measured using the immersion procedure. The mean values of each parameter together with the standard deviation were summarized. The results suggest that this novelty in the representation of the mimetic muscles will facilitate the planning of corrective interventions in plastic surgery. Moreover, photogrammetry offers additional information on the required size and measurements of donor muscles.

Aged↗
PubMed1988

[Needle electromyography with sonographic control of needle position].

High resolution ultrasound provides excellent imaging of mimic muscles. In contrast to clinical examination, single muscles can be well defined and by real time imaging be observed during function. Since an EMG-needle electrode is also visible the puncture of small muscles or muscle-segments can be achieved with great exactness under sonographic control. The result of the electromyographic studies can, therefore, be related to individual muscles or muscle-segments.

Blepharoptosis↗
PubMed1988

[Clinical imaging of the mimetic muscles using high resolution ultrasound].

In comparison to other techniques, high resolution ultrasound has proved to be a good method for clinical imaging of muscles. By free selection of the scan plane and multidimensional viewing it is possible to represent each muscle from origin to insertion and to observe them during function. Pathology produces different types of echogenity. By imaging an EMG needle electrode the exact position within the muscle can be demonstrated. The result of the EMG study can therefore be related to small individual muscles or muscle segments, which are below the size suitable for clinical examination.

Electromyography↗
PubMed1986

[Central localization of motor components in the internal branch of the superior laryngeal nerve: a horseradish peroxidase study in the rat].

The central organisation of the internal branch of the superior laryngeal nerve was examined in the rat using the technique of intraaxonal transport of horseradish peroxidase (HRP). Application of HRP to the internal branch resulted in anterograde labelling of afferent nerve fibres as well as in retrograde labelling of perikarya within both motor nuclei of the vagus, i.e. the nucleus ambiguus and the dorsal motor nucleus. The location of retrogradely labelled neurons is confined to an area of 700 microns length near the rostral extremities of both nuclei. The internal laryngeal branch, therefore, is not entirely sensory, but contains general and special visceral efferent fibres arising in the dorsal motor nucleus and in the nucleus ambiguus, respectively. Dorsal motor neurons of the internal branch represent preganglionic parasympathetic neurons projecting to the mucous glands of the larynx, whereas efferents from the nucleus ambiguus supply striated muscle fibres of the larynx. The arytenoid and aryepiglotticus are discussed as potential targets of the internal branch of the superior laryngeal nerve.

Animals↗