{"title":"[Screening tests in childhood. Hearing screening--a necessity?].","authors":"H J Radü","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The incidence of hearing loss in early childhood is not exactly defined in the Federal Republic of Germany. There are only some publications on this problem giving incidental information. By analysing this sparse data we tried to determine whether in incidence of hearing loss also applies to the German region. It appears necessary that hearing loss is screened in Germany, considering that other diseases having a lower incidence are also screened.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 6","pages":"304-6"},"PeriodicalIF":0.0,"publicationDate":"1988-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14531185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The history of tracheotomy].","authors":"T Brusis, H Luckhaupt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tracheotomy is one of the oldest operations in medicine. The development of tracheotomy from antiquity to our time is reported. After the beginnings of the operation in Greek and Roman medicine, the operation was called laryngotomy or bronchotomy. It was Heister who coined the name \"tracheotomy\". Tracheotomy is still an important operation even after more than 2000 years. In recent years there has been a change from simple tracheotomy to plastic tracheostomy.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 5","pages":"251-4"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14175438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Angiodynography: a new imaging procedure in the ENT field].","authors":"V Jahnke, U Flesch, H Witt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A new diagnostic imaging is presented which demonstrates the blood flow in addition to the usual ultrasonic image. Motion pictures show both the direction of the blood flow in different colours and the speed in variable intensity of the colour. Thus vessels of only 0.5 mm diameter may be identified. In otorhinolaryngology, the vascular supply of space-occupying lesions can be determined quantitatively in a noninvasive way. Lymphomas may be differentiated from vascular tumours and malformations. Preoperatively, vessels adjacent to the tumour may be identified. This method is particularly useful in the evaluation of thyroid and salivary gland disorders.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 5","pages":"217-20"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14175435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Distribution of lymph vessels in the plica vocalis of the human. A light microscopy, enzyme histochemistry and electron microscopy study].","authors":"J A Werner, M Schünke, B Tillmann, H Rudert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Results of studies on the presence of lymphatic capillaries in the plica vocalis are shown, using improved methods of preparation. Immediately after laryngectomy, followed by immediate fixation of the non-pathological plicae vocalis, large lymphatic capillaries can be easily identified in the specimen. Lymphatic capillaries, which cannot be seen in conventional light microscopy, are now histochemically demonstrated with a marker of 5' nucleotidase. These histochemical results are confirmed by electron microscopy. Using a combination of both methods, a different quantity of subepithelial lymphatic capillaries can be visualised over the whole length and width of the plica vocalis. Lymphatic capillaries below the stratified squamous epithelium in the region of the anterior commissure grow gradually more numerous up to the folds of the arytenoid cartilage. Hence, in contrast to previous studies, the superficial lymphatic capillary system of the laryngeal mucosae is not separated into a supraglottic and subglottic lymphatic net of the vocal cord.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 5","pages":"226-31"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13979292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Differential echographic diagnosis of salivary gland tumors].","authors":"R Bleier, R Rochels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>76 patients with tumorous swellings of the salivary glands were examined by means of standardized A-scan and B-scan sonography. B-scan echography allowed a differentiation between benign and malignant tumours in all cases. Analysis of the various A-scan criteria (internal structure, reflectivity, borders, consistency and sound attenuation) provided a pathognomonic combination of these criteria for each lesion, enabling further histological diagnosis.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 5","pages":"202-10"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14175433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Nuclear magnetic resonance tomography in diseases of the parotid gland].","authors":"G Gademann, J Haels, W Semmler, G van Kaick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical experience with Magnetic Resonance Imaging in parotid gland diseases of 13 patients in discussed. An excellent visualization of the surrounding anatomy, the intrinsic structures of the gland. such as the facial nerve and the lesion, which can be achieved by MRI only, will provide more detailed information for the surgeon and thus for the prognosis. On the other hand, the differentiation of the diseases is not yet improved and MRI will certainly not replace the clinical examination including aspiration cytology.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 5","pages":"211-6"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14529696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Impression of the thyroid cartilage lamina--differential diagnosis in hyperplasia of the ventricular fold].","authors":"G Friedrich, J Kainz, G H Schneider","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Impression of the thyroid lamina is presented by means of CT examinations of the larynx and in correlation with the clinical features and with serial sections of the larynx in the horizontal plane. This anomaly of the thyroid lamina produces the laryngoscopic aspect of a hyperplastic false vocal cord. Measurements proved that the horizontal extension of the convex thyroid lamina is always longer than the lamina of the other side. The pathogenetic mechanism in the development of this anomaly lies--in our opinion--in the irregular increase in size that probably begins at the onset of puberty. The impression of the thyroid lamina is predominantly found in men and mainly on the left side. In its effects this anomaly must be classified as a dysplastic dysphonia and as such it reduces the capacity of the vocal organ and predisposes to the development of functional dysphonia. There should be careful differentiation between the impression of the thyroid lamina and the \"genuine\" hyperplastic ventricular fold, because these clinical syndromes are completely different from each other in aetiology, therapy and consequences.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 5","pages":"232-9"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14529699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Movements of stapes-piston prostheses in changes in static air pressure].","authors":"K B Hüttenbrink","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The displacements of stapes piston prostheses, induced by variations of static air pressure from 0 to +/- 400 mm H2O, were examined in 9 temporal bone preparations by a microscopic measuring method. In the normal middle ear, the gliding incudo-malleal joint, serving as a protective mechanism, confined these movements to a mean of 232 microns. These in- and excursions could exceed 0.5 mm, however, with an ankylosed incudo-malleal joint. Arthrosis of this joint is not rare in otosclerosis. In view of these excessive displacements, compared to inner ear dimensions, piston prostheses should always dip into the vestibulum in the lower half of the footplate, far from endolymphatic membranes. A simple technique may intraoperatively reveal the gliding or ankylosed condition of incudo-malleal joint surfaces, prior to adapting the length of the prosthesis.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 5","pages":"240-4"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14529700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Ultrasonic diagnosis of the salivary glands].","authors":"W Mann, W Wachter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sonography of the salivary glands is a valuable diagnostic tool in acute and chronic sialadenitis, sialadenoses, lymphadenopathies and tumours lesions. A new examination technique is presented: ultrasound-guided fine needle biopsy. We report on our experience in 308 patients with parotid and in 47 patients with submaxillary gland diseases examined between 1982 and 1987. The diagnostic accuracy and limitations of sonography are discussed compared with sialography, computed tomography and magnetic resonance imaging.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 5","pages":"197-201"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14175432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Reconstruction of the lower third of the face--microsurgical monobloc transfer with vascularized bone].","authors":"B Mayer, T M Nassif, P B Bijos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors present two microsurgical options of the reconstruction of the lower third of the face. They outline a systematisation of indications and techniques and emphasise versatility and flexibility of free flaps compared to pedicled flaps, and describe the advantages of the vascularisation and the techniques of the iliac crest osteocutaneous flap and the parascapular cutaneous-latissimus dorsi osteomyocutaneous flap which was developed by Nassif.</p>","PeriodicalId":76098,"journal":{"name":"Laryngologie, Rhinologie, Otologie","volume":"67 5","pages":"245-50"},"PeriodicalIF":0.0,"publicationDate":"1988-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14175437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}