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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Lasers in medical science 15 (2000), S. 169-173 
    ISSN: 1435-604X
    Keywords: Keywords: Algometry; Analgesia; Low-level He-Ne laser; Pain threshold
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Physics , Technology
    Notes: Abstract . The aim of this double-blind study was to examine the effects of helium–neon laser irradiation on the mechanical (pressure algometry) and electrical (1 ms monophasic square-wave pulses, 50 Hz) pain threshold. 32 pain-free subjects were randomly assigned to either the experimental group (helium–neon laser stimulation: 5 mW, 10 min) or the placebo group (sham stimulation). Laser or sham stimulation and pain threshold ascertainment were carried out on the dorsal aspect of the forearm area. The contralateral arm served as an untreated control. The groups were compared with each other and with the control arm. No significant differences were found between the laser stimulation and the sham stimulation in changes of either the mechanical or the electrical pain threshold. There were no changes in the mechanical pain threshold through laser stimulation and sham stimulation with respect to the untreated contralateral arm. After laser stimulation electrical pain threshold was significantly higher (p〈0.01) in the treated arm than in the untreated contralateral arm, because this threshold decreased in the contralateral arm. This was not the case in sham treatment. The data suggest that helium–neon laser stimulation does not raise the experimental pain threshold in healthy subjects compared to placebo treatment. After helium–neon laser stimulation there was a decrease of the electrical pain threshold in the contralateral arm. To disclose the mechanism of this effect further experimental investigations under strict electrophysiological conditions are required.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1435-0130
    Keywords: Key words Mucosal prelamination ; Radial forearm flap ; Donor site morbidity ; Head and neck reconstruction
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  In order to reconstruct intraoral lining defects after radical tumor resection, mucosal prelamination of the fascia of the distal radial forearm flap was performed in ten patients. By this method a physiologic reconstruction with mucus-producing tissue could be achieved. Preservation of skin and subcutaneous tissue enabled primary closure of the donor site. The exposed median nerve and flexor tendons could be covered by well-vascularized tissue with, hopefully, less donor site morbidity. To investigate this, eight prelamination patients were compared to five patients in whom conventional fasciocutaneous distal radial forearm flaps were harvested. Follow-up was 6–25 months (mean 12.8 months). All patients with prelaminated forearm flaps revealed excellent functional and cosmetic results. Restricted hand function and a poor cosmetic result were found in 40% of the fasciocutaneous flap patients. Subjective cold intolerance could be objectified using thermography, but could not be confirmed, using rheography and photoplethysmography.
    Type of Medium: Electronic Resource
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