Laryngo- rhino- otologie
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Laryngo- rhino- otologie · Jun 2002
Case Reports[Infantile myofibromatosis of the tongue - a case-report].
We report a case of infantile myofibromatosis of the tongue in a 5 month old female child. The parents reported discovering the tumor in the musculature of the tongue and the tumor had largely grown in size in the space of 4 weeks. The child's health was not impaired at any time. After a specimen was removed for a histological examination, an infantile myofibromatosis was diagnosed. ⋯ The occurrence of these tumors in neonates and young children in the oral cavity and in particular in the tongue is rarely reported. Development of the benign tumor disease depends on the form of the tumor, which can be distinguished between a solitaire, a multiloculaire and a generalized form. In contrast to the other two forms, cases of generalized infantile myofibromatosis involve the visceral organs and have a poor prognosis with a mortality rate of 75 %. Spontaneous remission is often reported in the solitaire and multiloculaire varieties of infantile myofibromatosis.
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Laryngo- rhino- otologie · Jan 2002
Historical Article[Diagnosis and therapy of diseases of the larynx in the history of medicine].
FIRST CLINICAL APPROACHES. Bozzini in Frankfurt, Germany, in 1806 constructed the first endoscope, by which cavities of the human body could be inspected through a tube, but he was hardly able to demonstrate the larynx. His attempts were continued by Avery in London in 1840 with special view to the larynx but were not successful. Babington in London in 1829 constructed a glottiscope combining an angled mirror with a depressor for the tongue. He will probably have been able to inspect the larynx in some cases, but he did not continue these studies. Liston in London in 1837 reported that he had seen pathological findings of the larynx in a few cases by means of an angled mirror. ⋯ PHYSIOLOGY OF THE VOICE. Ferrein in Paris in 1741 was the first to carry out experiments on human larynges. These were continued in a systematic way by the physiologist Johannes Müller in Berlin in 1837 analysing the movements of the vocal cords. Manuel Garcia, a Spanish singing teacher, first in Paris, later in London, had studied the anatomy of the larynx very carefully, especially the muscle fibres. In 1855 he succeeded in inspecting his own larynx by means of an angled mirror and observed and described the movements of the vocal cords in great detail. At first his discovery did not arouse great attention, but later he was honoured very much as the inventor of laryngoscopy. SYNTHESIS OF PHYSIOLOGY AND CLINIC: Vienna 1857/58: The physiologist Carl Ludwig was preparing the second edition of his textbook on physiology, in which he extensively referred to Garcia's technique of laryngoscopy. His collegue Ernst Brücke was working on the physiological basis of phonetics. Johann Nepomuk Czermak, also a physiologist, was a guest of Brücke's and Ludwig's in Vienna during the winter 1857/58 and was inspired by the research work of his hosts. The neurologist Ludwig Türck had made experiments to visualize the human larynx in bodies and patients without knowing of Garcia's achievements. Since he used sun light only he had interrupted his studies in autumn 1857 and had lent his instrument, a mirror similar to that used by Garcia, to Czermak. Czermak used artificial light and the perforated concave mirror that had recently been introduced into ophthalmology. He was at once successful in inspecting his own larynx. He reported on this as early as March 1858 without informing Türck, although he mentioned him and the mirror that he had lent him. There was a public dispute about the priority between Türck and Czermak which drew wide attention to the invention of laryngoscopy which now was readily introduced in practical medicine forming the new discipline of laryngology. This development is delineated with many anecdotal details.
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Laryngo- rhino- otologie · Dec 2001
[Oromandibular dystonia. Clinical forms, diagnosis and examples of therapy with botulinum toxin].
The present study reports on our experience with clinical aspects and therapy of oromandibular dystonia (OMD) with botulinum toxin A. OMD is a very rare form of focal dystonias. The clinical symptoms can vary considerably, depending on the musculature affected. ⋯ The therapy for OMD using botulinum toxin A has proved to be successful, the amount of improvement in this form of dystonia is, however, lower in comparison to other forms of mobility disorders in the head and neck region.
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Laryngo- rhino- otologie · Nov 2001
Comparative Study[Is the rigid hypopharyngo-esophagoscopy for suspected foreign body impaction still up to date?].
The increasing use of flexible esophagoscopes leads to controversies regarding the current status of rigid hypopharyngo-esophagoscopy in case of suspected foreign body impaction. ⋯ The superior diagnostic and therapeutic properties of the classical rigid endoscopy in this area underlines its still actual status in patients with suspected foreign body impaction.
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Laryngo- rhino- otologie · Oct 2001
Case Reports[Infected epidermoid cyst as cause of peripheral facial palsy. A case report].
Extratemporal processes are rare causes of peripheral facial palsy. Only 17 cases of facial palsy in association with a suppurative or necrotic parotitis are reported in the literature. ⋯ As the facial nerve was not enclosed by the abscess formation the palsy must have been caused indirectly. It may be assumed the inflammation spread into the Fallopian canal through the stylomastoid foramen and caused a metabolic imbalance similar to the supposed vicious circle for Bell's palsy. Due to the relapse tendency of inflammations of epidermoid cysts it is recommended to remove the entire cyst.