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2 mus[le Transplantatian Edited by 6. Freilinger, J. Holle, and B. M. Carlson Springer-Verlag Wien New York

3 Prof. Dr. Gerhard Freilinger Doz. Dr. Jiirgen Holle Department of Plastic and Reconstructive Surgery, Second Surgical University Clinic of Vienna, Austria Prof. Dr. Bruce Martin Carlson Department of Anatomy, University of Michigan, Ann Arbor, Michigan, U.S.A. This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks by Springer-Verlag/Wien Softcover reprint of the hardcover 1st edition 1981 With 161 partly colored figures lsbn-13: e-lsbn-13: DOl: /

4 Preface It was a long and troublesome history but an inspiring and excltmg one too-from the time of Zielonko, a Russian pathologist who in 1874 first transplanted muscles, to the present day microneurovascular muscle graft. Today we know that for functional recovery of muscle tissue vascularisation and neurotisation are of equal importance. With the establishment of microsurgery of small vessels and nerves, its application for myopias tic operations has gained increasing interest. It was my intention to bring together leading authorities from all over the world in the field of muscle transplantation. Open questions and unsolved problems had to be discussed between research workers in the basic medical sciences and our clinical colleagues; in this way progress can best be accomplished. This publication is the result of the "Vienna Muscle Symposium" (June 13-14, 1980). It gives an up-to-date viewpoint and should act as a stimulus to all who are interested in this particular field. I wish to express my sincere thanks to those who have contributed to this publication, to the two co-editors J. Holle and B. M. Carlson for their effective cooperation, and to Springer-Verlag Wien for their prompt and most efficient work. Vienna, June 1981 G. Freilinger

5 Contents Muscle Transplantation and Regeneration Carlson, B. M.: The Biology of Muscle Transplantation... 3 Discussion Mayr, R.: The Muscle Satellite Cell and Its Role in Muscle Transplantation (A Short Review) Aloisi, M., Mussini, I.: Number of Satellite Cells and Muscle Regeneration Discussion Bertrand, C., Plaghki, 1., Marechal, G.: The Functional Recovery of Minced Muscles Faulkner, J. A., Markley, J. M., jr., White, T. P.: Skeletal Muscle Transplantation in. Cats.With and Without Nerve Repair DIscussIOn Summary Muscle Transplantation in Experimental Surgery Hakelius, L.: Experimental Basis for Free Muscle Transplantation Discussion Frey, M., Gruber, H., Holle, J., Kleinpeter, G., Freilinger, G.: Experimental Studies on Factors Influencing Muscle Transplantation Discussion Miller, T. A., Das, S. K.: An Early Report of Free Muscle Grafts in Rabbits Discussion Benatar, D., Terzis, J., Williams, B.: The Relevance of Preliminary Denervation in Muscle Transplantation Discussion Meissl, G.: Experimental Investigations Concerning Muscle Function Discussion Brunelli, G.: Tissue Tolerance and Muscular Degeneration and Regeneration After Ischemia Discussion Frey, M.: Stimulation of Striated Muscles for Biological Energy Supply Thoma, H.: Methods of Muscular Electrostimulation Discussion Myoplastic Operations in Facial Palsy Freilinger, G.: Dynamic Reanimation for Facial Paralysis-A Survey Discussion

6 VIII Contents Harii, K.: Free Skeletal Muscle Transfer With Microneurovascular Anastomoses 145 Discussion Botta-Kauer, Y., Montandon, D.: Our Experience With Free Muscle Nerve Graft in Facial Palsy Discussion Thompson, N., Wynn Parry, C. B.: Restoration of Emotional Expression to the Unilaterally Paralysed Face Discussion... ' Miyake, I.: Experience With Thompson's Free Muscle Grafts Tolhurst, D. E.: The Treatment of Facial Palsy With Free Revascularised and Reinnervated Muscle Grafts Discussion Aichmair, H.: Muscular Neurotisation in Ophthalmology-A New Method to Treat Pareses of Extraocular Muscles Nicolai, J.-P. A., Robinson, P. H.: Negative Experiences With Free Muscle Grafts to the Cheek in Patients With Facial Paralysis Hakelius, L.: Treatment of Facial Paralysis With Free Autogenous Muscle Transplants Mazzola, R. F.: Use of Muscle in Head and Neck Reconstruction Discussion Summary Myoplastic Operations for Sphincter Reconstruction, Upper Extremity and Other Regions Hakelius, L.: Treatment of Anal and Urinary Incontinence With Free Muscle Transplants Discussion Holle, J.: Myoplastic Operations for Anal Sphincter Reconstruction Discussion Schmidt, E., Bruch, H.-P., Rothhammer, A., Skrobek, W.: Free Smooth Muscle Transplantation Discussion Bruch, H.-P., Schmidt, E., Kern, E.: Sphincter Substitutes in Ostomies-Indications, Technique, Results Grim, M., Dittertova, L., Vejsada, R., Hnik, P., Smetana, K., jr., Haninec, P.: Experimental and Anatomical Basis for Reconstruction of Anal Sphincter Muscula~re r:mploying Gracilis Muscle Grafts With Intact Neurovascular Supply DIScuSSIon Sche~ck, ~. R.: Transplantation of the Rectus femoris Muscle DIScuSSIon Millesi, H., Walzer, L.: Problems of Direct Neurotization Discussion Brunelli, G.: Direct Neurotization of Severely Damaged and Denervated Muscles 283 Brunelli, G., Li Bassi, G.: A Proposal for the Use of the Tensor fasciae latae Muscle as a Free Microneurovascular Graft Discussion Bruck, H. G.: Muscle Plastic in Subcutaneous Mastectomies by Use of the Latissimus dorsi Muscle Lupo, G.: Pressure Sores and Myocutaneous Flaps Subject Index

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