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Two particularly problematic clinical entities are chosen from the many possible causes of the pathophysiology of subglottic tracheal stenoses in childhood: malformations of the "hard" and "soft" types of stenosis occurring typically as primary lesions; and stenoses caused by trauma (following intubation or faulty tracheostomy) as the most common secondary(More)
On the basis of the results in 3 own observations the endoscopic picture of the intramural oesophageal diverticulosis has been described in detail. It is characterized by an increased tonus of the oesophagus inlet musculature, a conspicuously non-irritant oesophageal mucosa, the absence or only a slightly indicated and irregular course of the expansion(More)
4 deaths due to aspiration of a nasal pack with a similar sequence of events are reported to draw attention to the increased risk of nasal packing under general anaesthesia. The legal questions of anticipating the problems, avoidance of the incident, observance of the required degree of care and the distribution of the responsibility between the surgery and(More)
Among 587 children at an age from 5 to 14 years, examined in the university clinic of O.R.L. Essen in a 10 years period because of dizziness, 201 times the subjective sensations could be objectified by a vestibular nystagmus. After elimination of all cases with a pathologic ear state 39 times a posture or positioning nystagmus was recorded. The examination(More)
Illness or injury prompting respiratory support, choice of size of the endotracheal tube, the extent of mechanical mucous membrane damage, the duration of intubation as well as additional bacterial and chemical toxins are the main factors for the development of subglottic stenosis following prolonged intubation. All this has to be considered when(More)