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Computer-assisted documentation and analysis of wound healing of the nasal and oesophageal mucosa

Published online by Cambridge University Press:  29 June 2007

R. Weber*
Affiliation:
Department of Otolaryngology, Head, Neck and Facial Plastic Surgery, Communication Disorders, Fulda Hospital, Academic Teaching Hospital of the University of Marburg, Fulda, Germany
R. Keerl
Affiliation:
Department of Otolaryngology, Head, Neck and Facial Plastic Surgery, Communication Disorders, Fulda Hospital, Academic Teaching Hospital of the University of Marburg, Fulda, Germany
D. Jaspersen
Affiliation:
Department of Gastroenterology, Fulda Hospital, Academic Teaching Hospital of the University of Marburg, Fulda, Germany
A. Huppmann
Affiliation:
Department of Gastroenterology, Fulda Hospital, Academic Teaching Hospital of the University of Marburg, Fulda, Germany
B. Schick
Affiliation:
Department of Otolaryngology, Head, Neck and Facial Plastic Surgery, Communication Disorders, Fulda Hospital, Academic Teaching Hospital of the University of Marburg, Fulda, Germany
W. Draf
Affiliation:
Department of Otolaryngology, Head, Neck and Facial Plastic Surgery, Communication Disorders, Fulda Hospital, Academic Teaching Hospital of the University of Marburg, Fulda, Germany
*
Address for correspondence: Dr Rainer Weber, Department of Otolaryngology, Head, Neck and Facial Plastic Surgery, Commmunication Disorders, Hospital Fulda, Pacelliallee 4, D 36043 Fulda, Germany. Fax: 0049-661-842583

Abstract

Our aim was to analyse the dynamics of healing processes in the nose and oesophagus by videoendoscopic examination and reconstruction of the natural dynamics and continuity of a process using modern computer technology and so-called morphing software. Thirteen patients were followed-up for six months after sinus surgery and three weeks after oesophagitis. Four overlapping and meshing phases of wound healing following sinus surgery with significant interindividual differences. Topical budesonide shortened the duration of wound healing phases. Healing of oesophagitis occurred approximately symmetrically from the wound edges to the centre with constant velocity. Computer-assisted morphing enables dynamic analysing of mucosal processes under the following preconditions: Availability of a valid imaging method for documentation and measurement with the generation of congruent images. The process under analysis must run without sudden leaps and there must be adequate choice of timing of single measurement procedures.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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References

Draf, W. (1983) Endoscopy of the Paranasal Sinuses. Springer, New York, pp 1102.CrossRefGoogle Scholar
Draf, W. (1991) Endonasal micro-endoscopic frontal sinus surgery: the Fulda concept. Operative Techniques in Otolaryngology, Head and Neck Surgery 2: 234240.CrossRefGoogle Scholar
Draf, W., Weber, R. (1993) Endonasal micro-endoscopic pansinusoperation in chronic sinusitis. I. Indications and operation technique. American Journal of Otolaryngology 14: 394398.CrossRefGoogle ScholarPubMed
Fuller, G. C., Cutroneo, K. R. (1992) Pharmacological interventions. In Wound Healing. (Cohen, I. K., Diegelmann, R. F., Lindblad, W. J., eds.), W. B Saunders, Philadelphia, pp 305315.Google Scholar
Hosemann, W., Wigand, M. E., Goede, U. (1991) Normal wound healing of the paranasal sinuses: clinical and experimental investigations. European Archives of Otorhinolaryngology 248: 390394.CrossRefGoogle ScholarPubMed
Keerl, R., Weber, R., Huppmann, A. (1995) Darstellung zeitabhängiger Veränderungen der Nasenschleimhaut unter Einsatz modernster Morphsoftware. Laryngo-Rhino-Otoogie 74: 413418.CrossRefGoogle Scholar
Kennedy, D. W., Zinreich, S. J., Rosenbaum, A. E., Johns, M. E. (1985) Functional endoscopic sinus surgery. Theory and diagnostic evaluation. Archives of Otolaryngology Head and Neck Surgery 111: 576582.CrossRefGoogle ScholarPubMed
Messerklinger, W. (1978) Endoscopy of the Nose. Urban and Schwarzenberg, München. pp 1180.Google Scholar
Oliver, D., Anderson, S., Zigon, B., McCord, J., Gumes, S. (1993) Tricks of the Graphics Gurus. Sams Publishing, Indianpolis. pp 135175.Google Scholar
Reed, B. R., Clark, R. A. (1985) Cutaneous tissue repair. Journal of the American Academy of Dermatology 13: 919941.CrossRefGoogle ScholarPubMed
Silverstein, F. E., Tytgat, G. N. (1994) Gastroenterologische Endoskopie. Thieme, Stuttgart, pp 1303.Google Scholar
Toffel, P. H. (1995) Secure endoscopic sinus surgery with middle meatal stenting. Operative Techniques in Otolaryngology, Head and Neck Surgery 6: 157162.CrossRefGoogle Scholar
Weber, R., Keerl, R., Huppmann, A., Draf, W., Saha, A. (1995) Wound healing after paranasal sinus surgery by video time lapse sequences. Operative Techniques in Otolaryngology, Head and Neck Surgery 6: 237240.CrossRefGoogle Scholar