HNO
-
Facial paralysis caused by benign parotid gland disease in 2 patients is reported. In one patient there was an acute parotid inflammation and a parotid cyst, to the medial wall of which the facial nerve was adherent. In the other patient the paralysis was assumed due to the toxic effects of a necrotizing lymph node, which was adherent to the nerve.
-
Laryngeal ruptures are caused by vertical traction on the larynx and trachea, mainly by pushing the chin upon a dashboard or by so called whiplash trauma. Forteen cases could be classified in supraglottic ruptures, subglottic rupture and laryngotracheal ruptures. In supraglottic ruptures the epiglottis and parts of the ventricular folds are separated from the thyroid cartilage. ⋯ The most common type is the partial avulsion of the trachea from the cricoid cartilage. In all types the laryngotracheal axis is kinked and scar tissue grows into the larynx. To avoid consecutive stenosis of the larynx in every case a straight dilator should be introduced as an internal splint.
-
The obligation of the physician to inform the patient--which he has to prove in case of a suit--is based on the patient's right of self-determination. This self-decision information was subject of the panel discussion. Not discussed in detail were the information concerning diagnosis and prognosis, and the instruction of the patient regarding his conduct postoperatively and during medical treatment. ⋯ The value, the problems and even the risks of an information based only on forms or brochures is discussed in detail. The panel discussion from the four points of view of the organizers should be no means confuse the otorhinolaryngologist. It should inform him about the medicolegal aspects of his activity and protect him from avoidable burdens.
-
In the last of 5 articles on the benefits of applied phoniatrics hints are given on the differentiation between laryngeal inflammations and tumours. Voice rehabiliation after laryngeal surgery (laryngofissure, partial laryngectomy, total laryngetomy) is demonstrated. Disorders of voice caused by intubation are also described.