Purpose: Optical image enhancement techniques are widely used in endoscopy to improve the visualization of blood vessels for diagnostic and therapeutic purposes. These techniques are monitor-based and therefore not available for direct microscopy. In this study, a novel optical microscope filter, Hemoglobin absorption spectral imaging (H.
View Article and Find Full Text PDFIn 1864, the worldwide oldest journal in an area of the later established specialty of otorhinolaryngology was founded as the German Archiv für Ohrenheilkunde ("Archive of Otology") by its first editors Anton von Tröltsch (Würzburg), Adam Politzer (Vienna), and Hermann Schwartze (Halle/S.). Ear, nose, and throat (ENT) topics had previously been published in universal medical journals.
View Article and Find Full Text PDFIn 1864, the worldwide oldest journal in an area of the later established specialty of otorhinolaryngology was founded as the German Archiv für Ohrenheilkunde ("Archive of Otology") by its first editors Anton von Tröltsch (Würzburg), Adam Politzer (Vienna), and Hermann Schwartze (Halle/S.). Ear, nose, and throat (ENT) topics had previously been published in universal medical journals.
View Article and Find Full Text PDFBackground: In Germany, about 5 million people of all ages suffer from dysphagia. Due to demographic change and improved medical care, the incidence of swallowing disorders is expected to increase. Dysphagia is associated with an increased morbidity and mortality and leads to a considerable financial burden on the health systems.
View Article and Find Full Text PDFObstructive sleep apnea (OSA) has a relatively high prevalence of 3-7% in the general population in western industrialized countries. The prevalence is higher in older patients and in patients with cardiac or metabolic disorders. In the general surgical population patients with OSA are often unrecognized prior to surgery so that unexpected problems can occur due to the higher risk of airway collapse.
View Article and Find Full Text PDFLaryngorhinootologie
January 2012
Background: Description of ultrasound guided port placement in the subclavian vein in ENT and discussion of clinical advantages and disadvantages.
Materials And Methods: 50 Patients underwent ultrasound guided port placement. The catheter tip was placed over subclavian vein or jugular vein between the superior vena cava and the right atrium.
Background: In Germany there is currently no national standard for the management of patients with obstructive sleep apnea syndrome (OSAS). The object of this survey was to obtain information on the treatment concept for patients with OSAS and to report on the current practice in Germany.
Methods: Data collection was obtained through an online questionnaire.
The clinical diagnosis and treatment of midfacial fractures have been optimized by modern computer tomography and the development of plate osteosynthesis. Even complex fractures involving the orbit and scull base can be accurately reconstructed and stabilized. The use of titanium mini- and micro-plates as well as resorbable materials allows customized treatment of this esthetically and functionally important area.
View Article and Find Full Text PDFIntroduction: Tracheobronchoscopy allows endoscopic inspection and management of the tracheobronchial system.
Material: The recommendation was developed in 1997 and updated in 2004 and 2009.
Results: The recommendations comment on indications and contra-indications, instruments, anesthesia and complications of endoscopic tracheobronchoscopy.
Introduction: Esophagoscopy allows endoscopic inspection and management of the esophagus and stomach.
Material: The recommendations were developed in 1997 and updated in 2004 and 2009.
Results: The recommendations comment on indications and contra-indications, instruments, anesthesia and complications of esophagoscopy.
Eur Arch Otorhinolaryngol
February 2010
Rigid and flexible bronchoscopies and upper aerodigestive endoscopy are important diagnostic and therapeutic tools in ENT. The use of flexible upper aerodigestive endoscopy allows simultaneous percutaneous endoscopic gastrostomy (PEG) placement. Based on a similar study analyzing endoscopies performed in 1995, an anonymous questionnaire was developed by the Arbeitsgemeinschaft Endoskopie of the German Society of Oto-Rhino-Laryngology Head and Neck Surgery to determine current trends in the use of bronchoscopy and upper aerodigestive endoscopy.
View Article and Find Full Text PDFPositive airway pressure (PAP) is the therapy of choice for most sleep-related breathing disorders. A variety of PAP devices exist (continuous PAP, bi-level PAP, automatic PAP, adaptive servo-ventilation) and must be carefully considered before application. The data presented are from an ENT sleep laboratory perspective and are designed to help the inexperienced ENT practitioner support patients before and after PAP therapy has begun.
View Article and Find Full Text PDFBackground: The accidental application of cyanacrylate (superglue) into the outer ear canal requires different treatments depending on location and extent.
Methods: Two case studies are presented. Treatment included surgical removal, with or without prior conservative treatment, for complete canal obstruction, as well as conservative treatment for partial ear canal obstruction.
Background: Contaminated medical products may be vectors for infections. A safe disinfection method for the optical instruments used by ENT specialists is undoubtedly needed. So far, a standard method that sufficiently covers the risk of infection for patients and medical staff alike, while serving the need of practicability in daily routine, has not been established.
View Article and Find Full Text PDFPlasmocytomas are non-Hodgkin's tumors which occur with an incidence of 4/100,000. Malignant plasma cells in bone marrow produce monoclonal antibodies which are typically found in urine and blood samples. In rare instances plasmocytoma occur exclusively in extramedullary locations preferring head and neck region.
View Article and Find Full Text PDFGMS Curr Top Otorhinolaryngol Head Neck Surg
November 2011
Positive airway pressure (PAP) is the therapy of choice for most sleep-related breathing disorders (SRBD). A variety of PAP devices using positive airway pressure (CPAP, BiPAP, APAP, ASV) must be carefully considered before application. This overview aims to provide criteria for choosing the optimal PAP device according to severity and type of sleep-related breathing disorder.
View Article and Find Full Text PDFBackground: Computer-assisted cardiopulmonary polysomnography is generally required to differentiate common snoring from serious sleep-related breathing disorders (SRBD) such as sleep apnea.
Methods: This study investigates data from 2,683 diagnostic and therapeutic cardiopulmonary polysomnographies of 1,087 patients over the period 2003-2004. Indications and efficacy of therapy using positive airway pressure (PAP) in SRBD are analyzed as well as alternative procedures.
Background: Education in laser microsurgery is generally acquired under the supervision of an experienced surgeon. During training phases, however, increased complication rates may occur. Viable models for training are therefore important.
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