[Classification of injuries to the maxillofacial area].
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The authors condensed their knowledge of physical injuries of skeletal muscle, particularly injuries caused by mechanical energy, atmospheric pressure, radiation, extremes of temperature and electricity. The possible perils, outcomes and consequences are discussed. Special attention is given to the military medical projections.
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Arteriographic appearances suggestive of Buerger's disease may be seen in patients considerably beyond the usual age of onset of the disease. Eliminating cases possibly resulting from an embolic process and diabetics, 9 patients were evaluated in the present study. Combined review of arteriographic, clinical, capillaroscopic and histological data led to the identification of 3 patient groups: Buerger's disease with ageing: 3 cases, intermediate or transitional forms: 4 cases, Finally, certain cases of arterial disease related to cold damage should be viewed in the context of the preceding forms: 2 cases.
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Four patients with subacute cold injury of the fingers have been examined by dynamic fluorescence videomicroscopy after intravenous bolus injection of Na-fluorescein. Avascular skin areas with no perfused capillaries were detected, a finding best explained by destruction of the microvessels induced by cold injury. Microvascular spasms play an additional role. Transcapillary diffusion of the fluorescent tracer seems to be enhanced in some preserved capillary groups. Cold injury induces microangiopathy characterized by spasms of precapillary vessels, destruction of capillaries in large skin areas, and increased permeability of microvessels still perfused.
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