Abstract:
:The translaryngeal tracheotomy (TLT) according to Fantoni with rigid endoscopy is well known and easy to execute. In our department we have used this method since 2002. In 17 patients suffering from carcinomas of the upper aerodigestive tract, we performed a TLT. Peri- and postoperative complications were examined. In 17 patients there were no intraoperative complications. As an early complication we found in one case a dislocation of the tracheostomy tube postoperatively. In one patient we observed metastases in the prior TLT stoma as a major late complication. Another patient also probably suffered from metastases in the prior TLT stoma. We did not find tracheoesophageal fistulas or stenosis of the trachea. Iatrogenic neoplastic seeding of squamous cell carcinomas of the upper aerodigestive tract is a serious complication. Our experience with these two cases and a review of the literature indicates that in patients with head and neck cancer, pull procedures for placement of TLT tubes may induce metastases by direct implantation of tumor cells because of contact between the TLT tube and the primary tumor cells. TLT according to Fantoni cannot be recommended for the treatment of cancer of the upper aerodigestive tract. Methods of tube insertion that avoid such contact, e.g., Ciaglia, surgical tracheostomy, should be preferred.
journal_name
HNOjournal_title
HNOauthors
Aust W,Sandner A,Neumann K,Löwe S,Knipping S,Bloching Mdoi
10.1007/s00106-006-1436-1subject
Has Abstractpub_date
2007-02-01 00:00:00pages
114-7issue
2eissn
0017-6192issn
1433-0458journal_volume
55pub_type
临床试验,杂志文章相关文献
HNO文献大全abstract:BACKGROUND:Transoral laser microsurgery (TLM) is the method of choice for partial laryngectomy in Germany. In advanced stages, chemoradiotherapy is increasingly indicated for organ preservation. OBJECTIVE:This report considers the indications for and outcomes of supracricoid partial laryngectomy (SPL), also known as c...
journal_title:HNO
pub_type: 临床试验,杂志文章
doi:10.1007/s00106-015-0071-0
更新日期:2015-11-01 00:00:00
abstract::Surgery of the maxillary sinus is one of the commonest in otorhinolaryngology. The classical Caldwell-Luc procedure however is not infrequently followed by infraorbital or some other facial neuralgia or discomfort. In 1976,246 patients were assessed for revision maxillary sinus surgery, and the symptomatology, clinica...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1978-09-01 00:00:00
abstract:BACKGROUND:The Oldenburg children's rhyme test (OlKi) was designed and optimized for speech intelligibility measurements for primary school pupils in silence [8, 3]. In the optimization, the intelligibility of the particular test words was equalized. METHODS:The evaluation of the test with 147 primary school pupils wi...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-005-1304-4
更新日期:2006-03-01 00:00:00
abstract::As immunotherapy is becoming increasingly important in the treatment of head and neck cancer, a fundamental understanding of the immunological relationships in the tumor microenvironment is required. The importance of tumor-infiltrating B cells (TIL-B) has been largely neglected so far. In the current literature, howe...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-018-0494-5
更新日期:2018-04-01 00:00:00
abstract::We report two cases of chemodectoma of the larynx. A 70-year-old man underwent a laryngectomy in April 1984 for a tumor diagnosed as a squamous cell carcinoma but which postoperatively proved to be a chemodectoma. Ipsilateral cervical metastases appeared 2 years later and were removed by local excision. Shortly therea...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1988-04-01 00:00:00
abstract::Due to late diagnosis and poor treatment response, advanced head and neck squamous cell carcinoma (HNSCC) belongs to the tumor diseases with highest mortality worldwide. Although many biomarkers have been investigated over the past years, none have yet become established in clinical practice. There is thus an urgent n...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-019-00806-y
更新日期:2020-02-01 00:00:00
abstract::The diagnosis of foreign bodies in the gastrointestinal (G-I) tract can sometimes be difficult. Esophageal foreign bodies are dangerous and should be extracted as soon as possible whereas foreign bodies in the stomach usually pass through the GI-tract without complications. Exceptions are large, sharp or potentially t...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-012-2488-z
更新日期:2012-09-01 00:00:00
abstract::Ionomeric bone bond cement (Ionocem) is a new alloplastic bone replacement material, which was used by us for functional and aesthetic purposes in surgery of the head and neck. We have used the cement 44 times (in 43 patients) for repair of skull and mid-face trauma, reconstruction of defects after tumor removal and f...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract::Besides image-guided biopsy techniques, the emphasis in the interdisciplinary cooperation between head and neck surgery and neuroradiology is on vessel-occluding and preserving measures. Knowledge of dangerous anastomoses between extracranial and intracranial vessels is crucial. The principles of vessel-occluding proc...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-011-2283-2
更新日期:2011-04-01 00:00:00
abstract::During cochlear implant (CI) surgery, audiological-technical diagnostics is required which includes the proof of the implant function as well as the verification of its physiological coupling to the auditory nerve in order to undertake required interventions before the end of the surgery in case of need. The technical...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-014-2936-z
更新日期:2014-10-01 00:00:00
abstract::The Freiburg speech intelligibility test according to DIN 45621 was introduced around 60 years ago. For decades, and still today, the Freiburg test has been a standard whose relevance extends far beyond pure audiometry. It is used primarily to determine the speech perception threshold (based on two-digit numbers) and ...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-016-0150-x
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Intraoperative measurements of local intracapillary hemoglobin oxygenation of the human cochlea via the round window membrane have been shown to be possible using the Erlangen microlight-guided spectrophotometer. The aim of the present study was to develop a new microlight guide suitable for measurements in ...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s001060050112
更新日期:1997-05-01 00:00:00
abstract::The Groningen voice prosthesis is a self-retaining silicone device, placed in the tracheooesophageal wall as a primary procedure during laryngectomy or some time after surgery. Prosthetic vocal rehabilitation was successful in 80% of the patients. Indications, contra-indications, advantages, disadvantages and complica...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1985-05-01 00:00:00
abstract:BACKGROUND:Counselling is a basic psychological intervention for chronic tinnitus the effectiveness of which has not yet been evaluated. SCIENTIFIC QUESTION:The therapeutic effect of counselling was compared to that of a self-help manual. Outcome was analysed for tinnitus disability, tendency to become chronic, and ac...
journal_title:HNO
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00106-005-1350-y
更新日期:2006-08-01 00:00:00
abstract::Idiopathic facial palsy (IFP), or Bell's palsy, is an acute peripheral unilateral paresis of the facial nerve with an abrupt onset of unknown origin. Primary infection or reactivation of the Herpes simplex virus is suggested as a possible mechanism in some but not all patients. Since IFP is a diagnosis of exclusion, a...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-010-2099-5
更新日期:2010-05-01 00:00:00
abstract::The branchio-oto-renal syndrome (BOR syndrome) is characterized by auricular abnormalities, lateral cervical fistulas and preauricular tags. The hearing impairment may be a conductive, a sensorineural or a mixed hearing loss. The renal disease is oligomeganephronia, a bilateral, congenital renal abnormality with reduc...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s001060050671
更新日期:2000-11-01 00:00:00
abstract::A 50-year-old male patient demonstrated an existing left proptosis for several weeks. The patient was suffering from physical exhaustion and had lost considerable weight. Furthermore, we observed greatly enlarged parotid and submandibular glands on both sides. MRI of the neck showed multiple, sharply circumscribed les...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-012-2522-1
更新日期:2012-12-01 00:00:00
abstract::Thirty-two patients described in the literature between 1947 and 1977, together with a personal one, with spontaneous cerebrospinal fluid rhinorrhoea are presented. These 32 patients are assessed and the different aspects of their problems discussed. There is a striking female to male preponderance of 5:1. ...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1979-07-01 00:00:00
abstract::A review is made of the difficulties of audiometric diagnosis resulting from inadequate anatomical, physiological and pathological knowledge of the auditory system and from discrepancies in audiometric technique. Even with a broad battery of tests there is in 20-40% of cases an inconsistent audiometric pattern, which ...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1977-05-01 00:00:00
abstract::The development of a middle ear cholesteatoma is usually associated with chronic inflammation and displacement of the mucosa present by the invading squamous epithelium. To analyze the clinically different behaviors of both epithelia, we used immunohistochemical methods to study the distribution and expression of inte...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s001060050138
更新日期:1997-08-01 00:00:00
abstract::Autologous transplantation is regarded as the gold standard in the treatment of congenital or acquired deformities. However, the availability of autologous tissue for transplantation is often limited. Regenerative medicine aims to activate individuals' own intrinsic regenerative mechanisms and embraces tissue engineer...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-007-1604-y
更新日期:2008-03-01 00:00:00
abstract::Acute sinusitis is a frequent complication in ventilated intensive care patients and may be a possible source of pneumonia or septicemia. A study of 49 ventilated intensive care neurosurgical patients without previously known disease of the paranasal sinuses or midface fractures was conducted retrospectively from 1989...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::We report the rare development of a myoepithelial carcinoma in a pleomorphic adenoma involving the minor salivary glands in the buccal mucosa of a 78-year-old female. Tumor presented as a small asymptomatic left buccal mass. The initial dominant component of the neoplasm was a pleomorphic adenoma, while the minor comp...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s001060050200
更新日期:1998-01-01 00:00:00
abstract::Susac's syndrome is a rare disease characterized by encephalopathy, retinal artery occlusion, and a sensorineural hearing loss. Diagnosis may be difficult since most specialists are not familiar with this angiopathy. However, the typical symptom complex can mimic different pathologies, therefore requiring the attentio...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-005-1261-y
更新日期:2006-04-01 00:00:00
abstract::Solid tumors show an altered metabolism with respect to glycolysis in comparison to normal tissue. Recently, the determination of different glycolytic metabolites for tumor diagnosis and therapeutic decision-making became the focus of interest for various research groups. In particular an increased lactate concentrati...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-009-2030-0
更新日期:2010-01-01 00:00:00
abstract::We report the case of a 69-year-old male patient who appeared in our clinic with persistent swelling on the right middle nasal bridge of 3 months' standing following blunt trauma. On physical examination the swelling was pulsatile and a flow was identified on color Doppler sonography. MRT of the head demonstrated an a...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-010-2220-9
更新日期:2010-12-01 00:00:00
abstract::Two types of growth can be observed clinically in cholesteatoma: an aggressive and a less aggressive type. In this study monoclonal antibodies to Ki-67 proliferation antigen, epidermal growth-related factor (EGFR) and collagen type IV were used to examine cholesteatoma specimens from 36 patients undergoing tympanomast...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract::Three patients with CSF-rhinorrhea following frontobasal skull and brain injury were treated with lumbar CSF drainage. Rhinorrhea was successfully stopped in one patient few hours after onset of the drainage while a pneumatocephalus developed in each of the remaining patients during the first post-trauma week. We beli...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1980-04-01 00:00:00
abstract::Wullstein, the founder of modern microscopic ear surgery, already used an oto-endoscope intraoperatively. However, it is only after the recent development of modern video-endoscopy with high-definition, 4K, and 3‑dimensional imaging that endoscopically guided surgery of the middle ear is gaining some importance. Key v...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-016-0268-x
更新日期:2017-01-01 00:00:00
abstract::The Chordoma is a fully malignant tumor deriving from remnants of the chorda dorsalis. In ENT it mainly appears as nasopharyngeal or parapharyngeal mass, growing slowly and only very late giving rise to severe symptoms by invading the skull base and the vertebra, thus making an effective treatment sometimes almost imp...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1983-10-01 00:00:00