摘要:

In the limbus of human foetus at term the following anatomic data can be pointed out: (1) the fibrils constituting Huscke’s teeth seem to continue into those of the tectorial membrane over the limbus; (2) between the limbus and the tectorial membrane there is a formation, planum limbi, constituted by the cytoplasm of the most superficial interdental cells separated by the above-mentioned fibrils. An important function in the metabolism of the endolymph may be attributed to the planum limbi.

ISSN:0301-1569    

DOI:10.1159/000274886

出版商:S. Karger AG    

年代:1969

数据来源: Karger

摘要:

The results of 700 interventions for otosclerosis were examined by means of superimposable punched cards. So different correlations were examined i.e. the relations between age and sex, the influence of menstruation and pregnancy on the evolution and the results according to the various surgical techniques. The relation between the results obtained and the age of the patient at the time of operation was determined even as the maximal postoperative improvement. The authors want to show, by these few examples, the possibilities and the necessity of an adequate card system.

ISSN:0301-1569    

DOI:10.1159/000274887

出版商:S. Karger AG    

年代:1969

数据来源: Karger

摘要:

Long term follow up control in 40 cases of Bell’s Palsy which had been treated by decompressive surgery of the facial nerve in its intratemporal course have led us to the following conclusions: Electromyography (EMG) is actually the only method allowing an objective and reliable control of the nervous disfunction during and after its full development as well as during the course of recovery. For this reason every case of Bell’s Palsy ought to be controlled in regular intervals (1–2 weeks) electromyographically from the very beginning of the paresis. Evaluation of operative results following decompression of the facial nerve should be based on the results of repeated EMG-studies and no longer upon the subjective impression of the surgeon following up the patient. EMG examinations performed immediately after the onset of an idio-pathic facial paralysis reveal only one reliable symptom indicating the necessity of a decompression at an early stage: the occurrence of fibrillation potentials. The present study does not give any evidence in favour of the hypothesis that postoperative functional results may be improved by an emergency operation, i.e. by performing the decompression as soon as possible after the onset of the paresis. The majority of total or subtotal facial paralysis recover spontaneously by the end of the 4th week. As long as fibrillation potentials are absent, there is no indication for a decompression during the first 4 weeks. In cases showing no symptoms of spontaneous recovery at the end of the 4th week (e.g. polyphasic muscle action potentials) decompression of the nerve is absolutely indicated, because the chances of a spontaneous recovery during the following weeks or months are extremely small. For this reason no precious time should be wasted. If during the first 10 days, EMG examinations reveal the presence of fibrillation potentials, immediate decompression is indi

ISSN:0301-1569    

DOI:10.1159/000274888

出版商:S. Karger AG    

年代:1969

数据来源: Karger

摘要:

In most of all cases of tympanoplasty a radical mastoidectomy is needed. In addition to the destruction which is caused by the chronic discharged process the radical procedure involves more destruction. Prevention of those destructions is the aim of the so-called conservative radical mastoidectomy. History of this procedure including the authors technique of ‘Posterior Tympanotomy’ is descri

ISSN:0301-1569    

DOI:10.1159/000274889

出版商:S. Karger AG    

年代:1969

数据来源: Karger

摘要:

During the past 10 years many authors have reported a steady increase in the incidence of laryngeal injuries. There is general agreement that even minor laryngeal trauma may result in persistent symptoms. In the absence of visible pathologic changes, stroboscopic, cinematographic, acoustic and aerodynamic investigations are of great value in determining the cause and extent of the vocal impairment. Electronic stroboscopy supplies valuable information regarding laryngeal vibrations and serves as a useful screening procedure. The cinematographic approach provides an important diagnostic method for comparative studies of the complex movements during phonation. A sound-spectrogram of the voice reveals the presence of irregularities in the acoustic signal, and indicates the degree of hoarseness. Aerodynamic studies provide important data for an objective evaluation of laryngeal function during phonation. A correlation of the results represents an objective and reliable method for the determination of laryngeal function and vocal impairment after laryngeal trauma. Minor structural or functional changes in the larynx may effect the vocal quality for months or years, even after complete resolution of the clinical findings.

ISSN:0301-1569    

DOI:10.1159/000274890

出版商:S. Karger AG    

年代:1969

数据来源: Karger

摘要:

In 1966 Asai described an operation method for the restoration of the voice, following a total laryngectomy, by means of a plastic construction of a prepharyngeal air passage between trachea and oral cavity. With regard to my own experiences made in 7 cases, a thorough investigation of the indication is postulated. The indication for the operation is described in detail and, at the same time, a simplifying modification of the procedure after the approved pharynx plasty by Gluck and Soerensen is presented. The disadvantages of this method (necessity of permanent use of cannulae, possibility of saliva and food particles entering into the lower air passages, the relatively long interval between the treatment of the main disease and the ray therapy which usually is necessary later) should save us from transforming a possibility beneficial in appropriate cases into a rule which, in other cases, is contrary to the basic principles of the treatment of carcinoma.

ISSN:0301-1569    

DOI:10.1159/000274891

出版商:S. Karger AG    

年代:1969

数据来源: Karger

摘要:

Seventy-three patients suffering from different forms of maxillary sinusitis were treated by instillation of Terracortril Gel. While the application is very practical and without danger to the patient, a high rate of rapid recovery can be proved in all forms.

ISSN:0301-1569    

DOI:10.1159/000274892

出版商:S. Karger AG    

年代:1969

数据来源: Karger

摘要:

The anatomo-pathological study of the tonsils of 5,840 operated cases of chronic tonsillitis revealed: 5,807 cases (99.3%) of chronic tonsillitis of which 253 cases (43.5‰) with acute infection and 160 cases (27.5‰) with cartilaginous or bone metaplasia; 24 cases (4.1‰) with tuberculous tonsillitis. This percentage diminishes in parallel with the reduction of bovine tuberculosis; 4 cases of malignant affections of the tonsils which could not otherwise be diagnosed and treated in time except by systematic histological st

ISSN:0301-1569    

DOI:10.1159/000274893

出版商:S. Karger AG    

年代:1969

数据来源: Karger