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Schlecht heilende Wunden im Periorbitalbereich

Therapeutischer Einsatz von Maden

Poorly healing periorbital wounds

Therapeutic use of maggots

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Zusammenfassung

Die Behandlung schlecht heilender Wunden – obwohl im Periorbitalbereich sicher kein typisches Problem – wird durch die Option der Biochirurgie, der therapeutischen Applikation von Larven der Goldfliege (Lucilia sericata), bereichert.

Abstract

The treatment of poorly healing wounds, although not a typical problem in the periorbital area, has been enriched by the option of biosurgery, the therapeutic application of larvae of the blow fly (Lucilia sericata).

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Literatur

  1. Baer WS (1931) The treatment of chronic osteomyelitis with the maggot (Larva of blow fly). J Bone Joint Surg 13:438–475

    Google Scholar 

  2. Rufli T (2002) Biochirurgie. Ein bewährtes Verfahren in der Wundbehandlung. Dtsch Arztebl 99:A2038–A2039

    Google Scholar 

  3. Sherman RA (2009) Maggot therapy takes us back to the future of wound care: new and improved maggot therapy for the 21st century. J Diabetes Sci Technol 3:336–344

    PubMed  Google Scholar 

  4. Edwards J, Stapley S (2010) Debridement of diabetic foot ulcers. Cochrane Database Syst Rev: CD003556

    Google Scholar 

  5. Andersen AS, Sandvang D, Schnorr KM et al (2010) A novel approach to the antimicrobial activity of maggot debridement therapy. J Antimicrob Chemother 65:1646–1654

    Article  PubMed  CAS  Google Scholar 

  6. Cerovsky V, Slaninova J, Fucik V et al (2011) Lucifensin a noval insect defensin of medicinal maggots: synthesis and structural study. Chembiochem 12:1352–1361

    Article  PubMed  CAS  Google Scholar 

  7. Thomas S, Andrews AM, Hay NP, Bourgoise S (1999) The anti-microbial activity of maggot secretions: results of a preliminary study. J Tissue Viability 9:127–132

    PubMed  CAS  Google Scholar 

  8. Kawabata T, Mitsui H, Yokota K et al (2010) Induction of antibacterial activity in larvae of the blowfly Lucilia sericata by an infected environment. Med Vet Entomol 24:375–381

    Article  PubMed  CAS  Google Scholar 

  9. Blake FAS, Abromeit N, Bubenheim M et al (2007) The biosurgical wound debridement: experimental investigation of efficiency and practicability. Wound Rep Reg 15:756–761

    Article  Google Scholar 

  10. Horobin AJ, Shakesheff M, Pritchard DI (2006) Promotion of human dermal fibroblast migration, matrix remodelling and modification of fibroblast morphology with a novel 3D model by lucilia sericata larval secretions. J Invest Dermatol 126:1410–1418

    Article  PubMed  CAS  Google Scholar 

  11. Gericke A, Hoffmann EM, Pitz S, Pfeiffer N (2007) Maggot therapy following orbital exenteration. Br J Ophthalmol 91:1715–1716

    Article  PubMed  Google Scholar 

  12. Gericke A, Pitz S (2008) Maggot therapy for periocular skin graft failure in the immunocompromised patient. Br J Ophthalmol 92:860–861

    Article  PubMed  CAS  Google Scholar 

  13. Sherman RA (2002) Maggot therapy for foot and leg wounds. Int J Low Extrem Wounds 16:50–53

    Google Scholar 

  14. Whitaker IS, Twine C, Whitaker MJ et al (2007) Larval therapy from antiquity to the present day: mechanism of action, clinical applications and future potential. Postgrad Med J 83:409–413

    Article  PubMed  Google Scholar 

  15. Jukema GN, Menon AG, Bernards AT et al (2002) Amputation-sparing treatment by nature: „surgical“ maggots revisited. Clin Infect Dis 35:1566–1571

    Article  PubMed  CAS  Google Scholar 

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Correspondence to S. Pitz.

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Dieser Beitrag wurde erstpubliziert in J Ästhet Chir 2011, 4:181–184.

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Pitz, S., Renieri, G. & Gericke, A. Schlecht heilende Wunden im Periorbitalbereich. Ophthalmologe 109, 450–453 (2012). https://doi.org/10.1007/s00347-012-2610-3

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  • DOI: https://doi.org/10.1007/s00347-012-2610-3

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