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293 results on '"Eckel, H E"'

7. Onkologie I: Klinik

Author

Popella, Ch., Glanz, H., Kleinsasser, O., Kiefer, J., Knecht, R., Baum, R. P., Hertel, A., Steinhart, H., Heide, M., Zech, M., Heppt, W. J., Issing, W. J., Jungehülsing, M., Eckel, H. E., Volling, P., Smolarz, K., Stennert, E., Schicha, H., Heinritz, H., Nitsche, N., Hoffmann, K., Iro, H., Eßer, D., Meyer, W.-D., Willgeroth, Ch., Motsch, Ch., Reißer, Chr., Haberkorn, U., Strauss, L. G., Herter, M., Scheel, M., Kwok, P., Hauser, R., Strutz, J., Feyh, J., Haas, I., Bier, H., Harder, Th., Lippert, B. M., Werner, J. A., Rudert, H., Baumgart, F., Gewiese, B., Axhausen, M., Jäckel, M., Tausch-Treml, R., Köpf-Maier, P., Schröder, M., Kautzky, M., Schenk, P., Waldecker-Herrmann, P., Fritz, P., Maier, H., Feldmann, Harald, and Herberhold, Claus

Published
1993
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8. Anatomie

Author

Riederer, A., Grevers, G., Zietz, Ch., Knipping, St., Agha-Mir-Salim, P., Merker, H.-J., Nitsche, N., Hilbert, M., Tümmler, H. P., Weber, P., Pastyr, O., Eckel, H. E., Jerke, A., Stennert, E., Claassen, H., Werner, J. A., Franz, P., Aharinejad, S., Shvalev, V. N., Lantsow, A., Shvalev, Y., Albegger, K., Hauser-Kronberger, C., Hacker, G. W., Feldmann, Harald, and Herberhold, Claus

Published
1993
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46. Voice restoration

Author

Hilgers, F. J. M., Balm, A. J. M., van den Brekel, M. W. M., Tan, Bing I., Remacle, M., Eckel, H. E., ACLC (FGw), Faculteit der Geneeskunde, and Ear, Nose and Throat

Abstract

Surgical prosthetic voice restoration is the best possible option for patients to regain oral communication after total laryngectomy. It is considered to be the present "gold standard" for voice rehabilitation of laryngectomized individuals. Surgical prosthetic voice restoration, in essence, is always achievable in patients fit enough to tolerate total laryngectomy and motivated to regain optimal oral communication. Surgical prosthetic voice restoration requires a multidisciplinary team approach (physician, speech therapist, oncology nurse) to obtain optimal results. If a good prosthetic voice deteriorates, the underlying problem most likely requires prompt clinical consultation, and patients should be instructed accordingly. Most of the problems with prosthetic voice restoration are relatively simple and immediately solvable. If there is no immediate explanation for the inability to voice, a further search more often than not clarifies the cause and shows the way to solve the problem. Reconstruction of the pharynx with, for example, free revascularized or pedicled flaps does not preclude surgical p rosthetic voice restoration.

Published
2010

49. Influence of formalin fixation on tissue dimensions in palatal tonsils

Author

Vent, J., Zimmermann, Ch., Drebber, U., Wedemeyer, I., Eckel, H. E., Huettenbrink, K. B., Preuss, S. F., Vent, J., Zimmermann, Ch., Drebber, U., Wedemeyer, I., Eckel, H. E., Huettenbrink, K. B., and Preuss, S. F.

Abstract

Aim: To investigate the change of tissue dimensions after formalin fixation, and to determine the optimal time of fixation. Hypothesis: Formalin fixation may lead to shrinkage in tissue dimensions and may thus alter tumor stages. Background: It is often observed in tumor surgery that the dimensions in vivo seem larger than after resection, and tissue appears to shrink further after formalin fixation. This might alter dimensions and assessment of spread of the tumor and thus lead to a lesser tumor classification and stage. In cases where the decision for adjuvant chemoradiation is based upon the stage, it may thus be of relevance for the patient to evaluate the pathologic and not the in vivo dimensions of the tumor. Material and methods: In order to obtain comparable tissues, we investigated 100 palatal tonsils after cold steel dissection tonsillectomy for chronic tonsillitis. There were four time points investigated: directly after excision in the operating room and after four, 24 and 72 h of fixation in formaldehyde (4% Formaldehyde in phosphate buffer pH 7.4). The tissue was measured in the following dimensions: volume (ml), weight (g) and length, broadness and width (mm). Results: The tissue size did not change significantly in dimensions except for an increase in length. The time of fixation did not influence the size. Discussion: Formalin fixation does not significantly influence the tissue dimensions of palatal tonsils in comparison to direct ex vivo measurements. A minimal time of fixation of 20 h is required in order to stop all degenerative processes; however, longer fixation does not change the dimensions of the specimen. Conclusion: The null hypothesis has to be withdrawn that tissue dimensions are altered by formalin fixation. Thus, the histopathological measurements do not influence TNM staging. 2013 Elsevier GmbH. All rights reserved.

Published
2014

50. Risk of late fatal secondary hemorrhage in laser surgery of the larynx

Author

Kremer, Bernd, Rinkel, R. N.P.M., Eckel, H. E., Schlöndorff, G., Chevalier, D., Remacle, M., Werner, J. A., Zbären, P., Otolaryngology / Head & Neck Surgery, and CCA - Cancer Treatment and quality of life

Subjects
Laser surgery, Larynx, medicine.medical_specialty, business.industry, medicine.medical_treatment, medicine.disease, Tonsillectomy, Surgery, Lingual tonsils, medicine.anatomical_structure, Otorhinolaryngology, Accidental, Edema, medicine, Carcinoma, medicine.symptom, business, Secondary hemorrhage
Abstract

Objectives: Since 1979, a number of publications have appeared regarding complications of laser surgery of the larynx. Most publications focus on complications such as accidental burns, rouse of the ventilation tube, anesthesiologic problems, edema of the mucosa, and abnormal scar formation. Secondary hemorrhage has played a subordinate role and cases demanding postoperative treatment have only been reported sporadically. All cases occurred within the first postoperative week, and no case resulting in death has been reported. The aim of the article is to draw attention to the fact that after laser surgery of the larynx, late lethal secondary hemorrhage may occur. Material and Patients: We review the literature and describe a patient in whom a lethal secondary hemorrhage occurred 10 days after laser supraglottic laryngectomy. The case is analyzed and similarities to hemorrhages associated with tonsillectomy and laser surgery of the lingual tonsil are shown. Results and Conclusions: The risk of very late severe secondary hemorrhage after laryngeal laser surgery is considered to be very seldom and comparable with that after tonsillectomy. Due to the increase in laser application in the treatment of laryngeal carcinoma, secondary hemorrhage may be encountered. Consequences for preoperative information and postoperative control of the patients have to be discussed.

Published
2002
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