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Beiträge zur Gaumennath (4: pp.145-165, 6: 305-314, 8: 343-346, 451-455 10: 322-332, 2 lith. Taf.). + Die abgeänderte umschlungene Naht als schnelles Heilmittel bei Gesichtswunden (4: pp.129-14).
Hecker's Annalen, 4,6,8,10. - Berlin, Enslin, 1826-1828, 8, VIII, 528 pp., 3 lith. Taf. VIII, 512 pp. VIII, 480 pp. VIII, 512 pp., 4 Pappbände der Zeit mit roten Rückenschildern sehr gut erhaltenes Exemplar. Erste Ausgabe dieser sehr seltenen vollständig angebotenen klassischen Beiträge Dieffenbachs zur Gaumennath und "Die abgeänderte umschlungene Naht" den Beginn seines Interesses an der Plastischen Chirurgie!Beiträge zur Gaumenaht und dem Gauemsegel:1a) Beiträge zur Gaumennath (1826: pp.145-165, 1 lith. Taf. "Instrumente zur Gaumennath" (und Operation) mit 11 Fig.). 1b) Beiträge zur Gaumennath. Fall einer völlig gelungenen Vereinigung einer angeborenen Spaltung des Gaumensegels durch die Gaumennath (1826: pp.305-314). 1c) Beiträge zur Gaumennath (Fortsetzung). Zweiter Fall einer vollkommen gelungenen Vereinigung einer angeborenen Spaltung des weichen Gaumens (1827: pp.343-346). 1d) Beiträge zur Gaumennath (Fortsetzung). Dritter Fall einer vollkommen gelungenen Vereinigung einer angeborenen Spaltung des weichen Gaumens (1827: pp.450-455). 1e) Beiträge zur Gaumennath (Fortsetzung) (1828: pp.322-332). 2) Ueber das Gaumensegel des Menschen und der Säugethiere (1826: pp.298-317, 1 lith. Taf. mit 8 Abb.).Johann Friedrich Dieffenbach had already expressed the idea of closing palatal defects by mobilizing the edges of the bony defect (1826) in his translation of Ph. J. Roux's 'Mémoire sur la staphyloraphie' (1825)." "In 1826 Dieffenbach published his method for repair of clefts of the hard palate, thus extending the techniques of Joseph Roux (1780-1854) and von Graefe, who had treated defects of the soft palate. Dieffenbach was obviously familiar with von Graefe's work and also with that of Roux, whose articles he had translated into German medical literature. Dieffenbach's palatoplasty involved dissection of the mucosa, division, and immediate or gradual approximation of the bone by twisting silver or lead sutures passed through holes in the bone by needles of his design. He advised lateral relaxing incisions in 1826, but did not employ them until 1828." Robert M. Goldwyn Roux's "suture, probably a precursor of Veau's wire suture, was undoubtedly an advance. However, it produced severe, painful tension, which may have threatened the suture line in the sutured soft palate - particularly in patients with broad clefts. This changed with Dieffenbach's introduction of the lateral relaxation incision." "Dieffenbach also carried out the first attempt of total reconstruction of an almost completely absent soft palate from the buccal mucosa. This attempt failed, and a repetition of this operation, which was planned, did not take place." "Dieffenbach was an excellent observer. He had observed the stimulating effect of palates which bridged residual defects, and of obturators. He also noted that, in the course of time, the stimulating effect (in combination with the use of Cantharides-tincture) produced closure of residual openings as wide as a finger." Thorough as he was, Dieffenbach extensively studied the anatomical structures, including their comparative anatomy and their variations, to be able to arrive at conclusions on the basis of their functional effects he investigated also the problem of the development of cleft formation in embryos. With his friend Kleeberg, from Königsberg, he arrived at correct concepts regarding the time of cleft development, as well as its character as an inhibition-malformation of the palatine processes which had failed to unite." "Later, he also observed the favourable effect of staphylorraphy on decreased hearing. He was convinced that he cured patients who were deaf." cf. Eduard SchmidWeitere enthaltene Arbeiten von J.F. Dieffenbach:3) Die abgeänderte umschlungene Naht als schnelles Heilmittel bei Gesichtswunden (1927: pp.129-141)."Früheste Empfehlung der umschlungenen Naht mit Carlsbader Insektennadeln. Am Schluss dieses Aufsatzes fragt Dieffenbach, ob dieser Naht nicht bei Rhinoplastik, namentlich bei der deutschen Methode, mit Nutzen anwendbar sein sollte. An derselben Stelle machte er den Vorschlag, den vorderen Nasentheil, mindesten die Nasenflügel, aus der Oberlippe zu bilden, nicht etwas blos um Substanz zu gewinnen, als besonders um Nasenflügel zu bekommen, deren Ränder und äussere und innere Fläche behäutet ist". Zeis Nr. 511a "The earliest recommendation of the twisted suture with the 'Carlsbad insect needles'. At the end of this essay (p.141) Dieffenbach asks whether this type of suture could not be used in rhinoplasty, particularly in the German method. He also makes the suggestion that the upper lip should be used in the anterior part of the nose, at least for the ale, not only to gain extra tissue, but especially so that the alae would be covered with skin inside and out. This essay stems from the earlies time at which Dieffenbach began to take an interest in plastic surgery." T.J.S Patterson4) Ueber die Verschliessung des Afters (1826, pp.31-35).5) Ueber die Behandlung der Harnröhrenverengerungen durch den Schnitt (1826: pp.165-169, 1 lith. Taf. "Instrumente zur Erweiterung der Harnröhrenverengerungen" mit 8 Fig.).McDowell, The Source book of plastic surgery, p.180f., 183f. H.P. Schmiedebach, R. Winau, Rudolf Häring, Erste Operationen Berliner Chirurgen 1817-1931, p.161.Zeis Nr. 511a Zeis Index No.526 1657, 1658, 1659.
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