Julius — the little helper for scar therapy

Julius has the answer


There are quite a few technical terms, some of which can be difficult to understand.
Find out what they mean in this glossary from A to Z.

A Acute An illness with a quick onset
Acute stress reaction Collective term for non-typical reactions triggered by a past or current event.
Adhesion Adherence
Albumin Major protein in blood plasma
Allograft Transplantation from one individual to another of the same species
Amnion Egg membrane, innermost layer of the placenta surrounding the embryo
Analgesic Painkiller
Anaesthesia Insensitivity to pain induced by a physician
Arthrodesis Surgical artificial stiffening of a joint
Artificial coma A medically induced loss of consciousness. In this condition the patient can no longer be woken by strong external stimuli such as repeated pain stimuli
Atrophic scar This is what a sunken scar resulting from poor wound healing is called. It results from an inadequate production of connective tissue fibres.
Atrophy Wasting away of tissue as a result of a decrease in cell size and cell count
Autologous transplant A transplant using the body's own cells, i.e. the donor and recipient are the same person

B Barbiturate Sedative, but also an anaesthetic
Basal layer Layer of the epidermis where new cells are continuously produced
Biopsy Collection of a tissue sample
Bobath Special neurological treatment method used in physiotherapy
Brachial plexus Nerve supply of the arm and the shoulder muscles originating from the cervical vertebrae (C5-T1)
Burn Injury by fire
Burn severity Depth of the burn

C Camouflage Special makeup technique for covering skin irregularities such as scars
Capillary Extremely small blood vessels
Capsular contracture Contraction of a joint capsule, which leads to a restriction in movement
Case history Establishing the patient’s prior medical history
Cervical Neck area
Chronic Persistent, ongoing, long-lasting, opposite of acute
Circular burn Burn that extends around the body
Clinical Medical treatment
Collagen Protein that forms the elastic fibres in connective tissue
Compliance Establishment of a relationship (with positive or negative course)
Compression garment Pressure bandages in the form of a shirt, stocking, glove, etc.
Contamination Infection, soiling
Contracture Permanent shortening of muscles, tendons, or joint ligaments leading to stiffening
Contraindication Situation where a drug, procedure or surgery may be harmful
Corium Dermis
Correlate Be closely connected
Cryotherapy Treatment with cold
Cutis Combined term for the epidermis and dermis
Cutis Epidermis + dermis

D Debridement Cleaning of a wound
Defect Abnormal function
Dermabrasion Action of scraping off skin
Dermatogenic Originating from the skin
Dermatome Surgical instrument for collecting skin grafts
Dermis Layer of skin between the epidermis and subcutaneous tissues
Dermojet Treatment of scars using cortisone
Desensitize Stepwise exposure of a patient to their feared stimuli or memories, e.g. to alleviate anxiety symptoms
Dissociative amnesia Temporary total or partial loss of memory of a traumatic event
Diuresis Urination
Doppler sonography A special application of ultrasound
Dysphoria Dissatisfaction with life

E Emotional lability Rapid mood changes
Enteral Pertaining to the small intestine
Entity Fixed constant, entireness
Enuresis Bed wetting
Epidermis The outermost layer of the skin
Epithelial tissue Multilayer arrangement of cells covering the surface of the body
Erythema Redness of the skin
Eschar Wound scab
Escharotomy Surgical division of an eschar
E-technique Special neurological treatment technique
Excise, excision Cut out, remove, e.g. a scar
Expander Silicone pad that is placed under healthy skin and filled with fluid over an extended period of time via a valve located under the skin. This overstretches the healthy skin. The skin harvested is used as scar tissue.
Exposed Visible, noticeable
Extension Stretching, elongation
Extracorporeal Outside the body
Extremity Limb of the body
Extubation Removal of a breathing tube
Exudate Fluid and cells that have seeped out of tissue, blood vessels and lymphatic vessels as a result of inflammation

F Fascia Muscle cover
Fasciocutaneous Skin and fascia combined
Fibrin Activates the “adhesive” of blood clotting thereby enabling the wound to close
Fibrin adhesive 2-part adhesive, e.g. for securing skin grafts
Flap plasty Flap of tissue with all its vessels that is used to replace scar tissue
Flashback Sudden recollection of a traumatic situation
Flexion Bending
Fluctuating Changeable

G Globules Medication in a spherical form
Granulation Formation of grains
Granulation tissue Granular connective tissue formed on the wound during the healing process (hypergranulation = excessive granulation)

H Haematoma Bruising, “black and blue” mark, discoloration that disappears in a few days
Hyperemia Excess blood in a tissue
Hyperplasia Enlargement of tissue or an organ caused by an increase in cell volume (opposite of atrophy)
Hypertrophic Raised, enlarged, still active
Hypertrophic scar formation Excessive, proliferative scar formation
Hypertrophic scars Enlarged, raised, still active scars
Hypodermis Another term for the subcutaneous fatty tissue
Hypothermia Overcooling
Hypoxia Reduction of oxygen content in body tissues

I Immune system Biological defense system of the body
Individuation Conscious, individual personality
Infection Inflammation
Inflammability Combustibility
Infusion, infuse Introduction of a liquid into the body using a hollow needle
Inhalation trauma Damage to the lungs due to breathing in harmful substances
Instillation Dropwise introduction of liquids into an organism
Insufficient Not enough
Interaction level Environmental level
Interstitial space Space between the individual layers of tissue in the body
Intervention Procedure
Intestinal Pertaining to the intestinal tract
Intraoperative During an operation
Intravenous Into the vein
Intrusion Unwanted flashback of a traumatic event, which is often associated with anxiety and panic
Intubation Insertion of a special tube into the respiratory tract

K Keloid Raised, no longer active scar tissue resulting from an abnormal healing process
Keratinocytes Basal cells of the epidermis

L Langerhans cells Cells of the immune system that are located in the epidermis
Lesion Damage, injury
Localization Location, site
Lower lid ectropion Drooping and sometimes everted lower eyelid

M Manual therapy Joint and soft tissue technique used in physiotherapy
Mature scars Scars that no longer change under the application of pressure, are light in color and level with the skin
MCP joint Metacarpophalangeal joint
Mediators Hormone-like signal substances
Meek technique Perforated sheet grafts
Mentosternal Area between the chin and sternum
Mesh graft Skin graft in the form of a mesh
Meshing Increasing the size of a skin graft using a grid pattern
Metabolism Chemical transformations within cells
Microanastomosis Surgical connection of very small blood vessels
Mobility Ability to move
Monitoring Observing body functions using monitoring devices
Mucosa Membrane lining various cavities in the body
Myocutaneous Muscle and outer skin together

N Narcosis Anaesthesia, artificially induced sleep-like state with loss of consciousness to produce insensibility to pain
Narcotization To anaesthetize (see Narcosis)
Necrosectomy Removal of dead tissue
Necrosis Burnt, dead tissue

O Occupational therapy Therapy to relearn and build back lost physical, social or psychological functions. It provides targeted training to help patients master everyday activities such as washing, dressing, cooking, etc.
Oedema Swelling caused by the accumulation of fluid in the tissue
Organism System of organs of the human body
Orthotist Orthopedic technicians who manufacture medical aids, also compression garments

P Pad (pelotte) A “pelotte” is a ball-shaped, usually half-spherical pad generally used in medical applications for compression, or to press together or separate tissue.
Paediatric surgery Medical field specializing in the operative treatment of childhood illnesses
Parenteral Bypassing the alimentary tract, e.g. parenteral administration of a medication via a vein
Permeability disorder Loss of permeability of cell membranes
Phobia Pathological anxiety
Physiotherapy Movement therapy to maintain or restore physical function
Physiotherapy Treatment by physical methods
Plastic surgery Plastic surgery (Greek: plastikos - mold, give form) is any type of surgery that involves changes to organs or the surfaces of the body for functional or aesthetic/cosmetic reasons.
Platysma Broad sheet of muscle in the throat
Plexus Network of nerves
Pneumonia Inflammation of the lung
PNF Percutaneous needle fasciotomy - a special neurological treatment technique
Postoperative After the operation
Posttraumatic The prefix “post” means after, here: after trauma
Posttraumatic symptoms Psychological consequences of a traumatic experience that develop at a later time
Prevention Avoid or protect against something happening
Primary excision Cutting out of small scars for immediate, direct wound closure
Prognosis Expected course of the illness
Progredient Progressive
Project To carry over
Proliferation Rapid growth
Prolong To extend the duration of
Pruritus Itchiness
Psyche The sum total of all conscious and subconscious processes and mental functions
Psychic Relating to the psyche
Psychologist A psychologist practices psychology, which is defined as the scientific study of the experiences and behavior of humans
Psychosis So-called mental disorder
Psychosomatic Connection or interaction between the body and mind
Psychosomatic Interaction of body and mind

R Radialis flap Skin flap taken from an area of the forearm
Recell Skin that is sprayed on rather than applied
Reconvalescent Recovering from an illness, restoration
Recurrence Relapse
Recurrent Arising again
Regression Retreat to an earlier stage of development
Rehabilitation Follow-up treatment and best possible restoration of health
Relax Release tension
Relevant Important, significant
Respirator Breathing apparatus
Respiratory therapy Passive and active breathing exercises as a supportive measure after surgery, e.g. blowing bubbles in a glass of water using a straw
Retinaculum Reinforced strands of connective tissue
Retraumatization Repeat traumatization that may be brought about, amongst other things, by the treatment measures using in the intensive care phase (repeated loss of control)
Retrograde amnesia Inability to recall the events for a certain period of time preceding loss of consciousness
Reversible Able to be changed back, restored
Rule of nines Rule for calculating the burn surface area involving dividing the body into 9 percent compartments

S Scald Injury caused by hot liquids
Scar A scar constitutes the healed state of a skin injury. The connective tissue of the scar will, at first, be red, fairly inelastic and not very functional. As the scar matures it is possible for shrinking and hardening to occur.
Scar contracture release Scar removal by making zigzag incisions so the wound can be closed without tension
Scar hypertrophy An excessive production of collagen fibres leads to the irregular formation of connective tissue extending beyond the original wound area.
Scar massage Careful massaging with the aim of shrinking the scar tissue
Sedation Calming down by means of medications
Sedative Calming medication
Sepsis Decay, blood poisoning
Sheet Special material for covering over
Silicone Plastic
Silicone implant Plastic pouch filled with gel
Silicone patch Plastic patch for reducing hypertrophic scars
Skin bank Repository of skin cells for future use
Skin defect Missing skin tissue
Skin grafting Transfer of a full-thickness or split-thickness skin graft from one body region to another to cover exposed areas
Split-thickness skin graft Very thin layer of epidermis taken from an uninjured area of the body
Spontaneous remission Spontaneous healing
Stasis Zone of circulatory stagnation
Stigma Label, negative characteristic
Subcutis Another term for the subcutaneous fascia
Substitution Replace, fill up
Surgery A specialist medical field involving the diagnosis and then treatment of illnesses and injuries by operative means
Swab Collection of skin cells using a cotton swab to test for a bacterial infection or cell changes.
Symptoms Signs of illness, these signs being characteristic of a particular illness
Systemic Affecting the entire organism

T Take rate Number of healed grafts
Tangential excision Removal of burnt skin in thin layers
TBSA Abbreviation for total body surface area
Temperature sensors Cell unit for the perception of hot and cold
Therapist One who provides treatment
Therapy Treatment
Thermal The Greek prefix “therm” stands for “warm”
Thrombosed vessels Vessels blocked by blood clots
Thrombosis Blood clot that is blocking a vein thereby interrupting the blood flow
Trachea Windpipe
Transplantation Moving of tissue or organs to replace missing body tissue or organs
Trauma Violent forces from outside, psychological shock
Trigger Event that initiates something

V Vascularization Supply with blood vessels
Vojta Special neurological treatment method used in physiotherapy

X Xenograft Graft obtained from an animal

Z Z-plasty Breaking up of a scar by making Z-shaped incisions and then displacing and suturing the flaps in a tension free manner.

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