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  • 1995-1999  (2)
  • Discus-articularis-Verlagerungen  (1)
  • Mesocosms  (1)
  • 1
    ISSN: 1434-3924
    Keywords: Schlüsselwörter ; Discus-articularis-Verlagerungen ; Arthroskopie ; Lysis & Lavage ; Key words ; Discus articularis ; Displacement ; Arthroscopy ; Lysis & Lavage
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Displacement of the discus articularis with and without repositioning represents a common pathological alteration of the temporomandibular joint (tmj). The primary clinical symptoms are pain and reduced jaw movement. Particularly in cases of long-term complaints, conservative treatment methods such as splint and physiotherapy often do not produce the desired results. For these patients, arthroscopy combined with lysis and lavage is the treatment of choice for diagnostic as well as therapeutic purposes. In our department we performed this surgery on a total of 23 patients with discus displacement. With this low-risk procedure we achieved a definite improvement in symptoms in 20 patients; 11 of those patients were eventually complaint-free. Additionally, we can report a general improvement in opening the mouth. Except for a slight postoperative soft-tissue swelling, no complications developed. Thus, we can conclude that arthroscopic lysis and lavage, a low-risk and minimally invasive procedure, should be preferred to open arthrotomy in the primary treatment of tmj-displacements.
    Notes: Verlagerungen des Discus articularis mit und ohne Reposition stellen eine oft zu beobachtende pathologische Veränderung des Kiefergelenks dar. Klinisch stehen dabei Schmerzhaftigkeit und Einschränkungen der Unterkieferbewegungen im Vordergrund. Häufig können diese Beschwerden gerade bei längerem Bestehen durch konservative Behandlungsmaßnahmen wie eine Schienen- oder Physiotherapie nur geringfügig beeinflußt werden. Die Arthroskopie eröffnet hier in Kombination mit einer Lysis und Lavage sowohl diagnostische als auch therapeutische Möglichkeiten. An unserer Klinik wurden insgesamt 23 Patienten mit einer Diskusluxation arthroskopiert. Bei 20 Patienten konnte mit diesem risikoarmen Eingriff eine deutliche Besserung der Symptomatik, bei 11 davon sogar eine subjektive Beschwerdefreiheit erzielt werden. Auch funktionell konnte z. B. eine generelle Verbesserung der Mundöffnung erzielt werden. Abgesehen von geringfügigen postoperativen Weichteilschwellungen waren keine Komplikationen zu verzeichnen. Als Konsequenz unserer Ergebnisse sollten die arthroskopische Lysis und Lavage als risikoarmes, minimalinvasives Verfahren bei Diskusluxationen des Kiefergelenks primär einer offenen Arthrotomie vorgezogen werden.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1939
    Keywords: Carbon dioxide enrichment ; Feeding preference ; Leaf quality ; Mesocosms ; Spodoptera eridania
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract Results from laboratory feeding experiments have shown that elevated atmospheric carbon dioxide can affect interactions between plants and insect herbivores, primarily through changes in leaf nutritional quality occurring at elevated CO2. Very few data are available on insect herbivory in plant communities where insects can choose among species and positions in the canopy in which to feed. Our objectives were to determine the extent to which CO2-induced changes in plant communities and leaf nutritional quality may affect herbivory at the level of the entire canopy. We introduced equivalent populations of fourth instar Spodoptera eridania, a lepidopteran generalist, to complex model ecosystems containing seven species of moist tropical plants maintained under low mineral nutrient supply. Larvae were allowed to feed freely for 14 days, by which time they had reached the seventh instar. Prior to larval introductions, plant communities had been continuously exposed to either 340 μl CO2 l−1 or to 610 μl CO2 l−1 for 1.5 years. No major shifts in leaf nutritional quality [concentrations of N, total non-structural carbohydrates (TNC), sugar, and starch; ratios of: C/N, TNC/N, sugar/N, starch/N; leaf toughness] were observed between CO2 treatments for any of the species. Furthermore, no correlations were observed between these measures of leaf quality and leaf biomass consumption. Total leaf area and biomass of all plant communities were similar when caterpillars were introduced. However, leaf biomass of some species was slightly greater-and for other species slightly less (e.g. Cecropia peltata)-in communities exposed to elevated CO2. Larvae showed the strongest preference for C. peltata leaves, the plant species that was least abundant in all communites, and fed relatively little on plants species which were more abundant. Thus, our results indicate that leaf tissue quality, as described by these parameters, is not necessarily affected by elevated CO2 under relatively low nutrient conditions. Hence, the potential importance of CO2-induced shifts in leaf nutritional quality, as determinants of herbivory, may be overestimated for many plant communities growing on nutrient-poor sites if estimates are based on traditional laboratory feeding studies. Finally, slight shifts in the abundance of leaf tissue of various species occurring under elevated CO2 will probably not significantly affect herbivory by generalist insects. However, generalist insect herbivores appear to become more dependent on less-preferred plant species in cases where elevated CO2 results in reduced availability of leaves of a favoured plant species, and this greater dependency may eventually affect insect populations adversely.
    Type of Medium: Electronic Resource
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