Accident surgery of face and neck

Denecke, H. J.

doi:10.1007/bf00445731

Cited by 32 publications

(3 citation statements)

References 326 publications

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“…Operated tracheas were on an average 7 -8 mm wide, with an airway resistance ranging from 27.1 to 34.5 mm H20/fia'sec. Almost none o f our patients experienced this remaining stenosis as an impairment (see also Denecke, 1968). Limitations were set only on maximal physical exercise.…”

Section: Discussionmentioning

confidence: 99%

Indirect Measurement of Laryngeal and Tracheal Resistance

Schumann¹,

Beck²,

Mann³

1978

ORL

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We used a body plethysmograph to determine airway resistances in 485 cases of laryngeal and tracheal stenoses. 143 cases who had resistances exceeding 60 mm H₂O/l·a·sec underwent surgery. A vocal cord was laterally fixed in 49 patients suffering from bilateral recurrent paralysis. Optimal results were obtained at a postoperative resistance level of 30 mm H₂O/l·a·sec (standard value: 14.77 ± 6.53 – n = 387). The patients could carry out work of medium intensity and had a steady voice. We performed tracheal interventions in 94 cases of tracheal stenoses. A mean postoperative resistance of 29.9 mm H₂O /l·a·sec, with a tracheal diameter of 7–8 mm was attained. In practice, only a few patients found the remaining obstruction a hindrance, during work of maximal intensity. No recurrences were observed after treatment. Airway resistances exceeding 150 mm H₂O /l·a·sec were found in 13 new admissions and 73 times in those undergoing therapy. In these cases, asphyxiation threatens. These patients must be tracheo-tomized or intubated immediatly.

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Section: Discussionmentioning

confidence: 99%

Indirect Measurement of Laryngeal and Tracheal Resistance

Schumann¹,

Beck²,

Mann³

1978

ORL

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“…chirurgischen Eingriffen im Gesicht ganz besondere Aufgaben, die einmal darin bestehen, daB durch die erforderlichen chirurgischen MaBnahmen keine gravierenden Veranderungen entstehen, die von dem Betroffenen gar als Entstellung empfunden werden könnten, zum anderen kommt es dem plastischen Chirurgen zu, bestehende Defekte oder eingetretene Storungen wieder zu beseitigen Incision-and Suture-techniques in Plastic Surgery of the Face In plastic and reconstructive surgery of the face it is very important to consider the RSTL (1,3) for getting satisfactory scar postoperatively. Sometimes it is necessary to regard the so-called esthetic units of the face (2) especially in free grafting.…”

Section: Dem Operateur Erwachsen Deshalb Beiunclassified

Schnittführungen und Nahttechniken im Gesichtsbereich

W¹

1980

Laryngo-Rhino-Otol

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Zusammenfassung Gerade im Gesichtsbereich sind dem plastischchirurgisch tatigen Operateur besondere Aufgaben gesteilt, die sowohi funktionelle wie ästhetische Gesichtspunkte zu berucksichtigen haben. Er mufl Kenntnis haben von den sog. ästhetischen Einheiten der Gesichtsregionen, besonders wenn es gilt, groI3ere Defekte auszugleichen; er muB aber auch die Bedeutung der Hautspannungslinien (RSTL) im Gesicht kennen, wenn er die kosmetisch gunstigsten Narben erhalten will. Auf die Schnittfuhrung zur Z-Plastik und für W-Plastiken wird hingewiesen; auch werden die gebrauchlichsten Nahttechniken beschrieben und geeignetes Nahtmaterial empfohlen.

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“…The trachea is then incised ventrally; the incision must include the stenotic area and extends close to the bifurcation. To keep the opened stenotic area wide, a pedicle skin flap is sutured into the gaping central wall of the trachea (Denecke, 1968). A wide cannula is inserted deeply into the dilated trachea.…”

Section: Operation)mentioning

confidence: 99%

Therapeutic Problems in Laryngo-Tracheal Stenoses

Lange¹,

Ziegler²

1975

ORL

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History revealed iatrogenic injury (tracheostomy, intubation, artificial respiration) to be the reason for tracheal stenosis in each of our 32 cases (18 female, 14 male). So far 23 cases have been treated successfully and they live without a cannula; seven are still under treatment, while two patients died (severe heart-attack, spontaneous pneumothorax) and one refused further treatment. We were relatively successful in six cases of sleeve resection. All other 26 cases were treated by creating a tracheal groove, in which tracheal mucosa and skin of the neck were joined and the caudal end mostly kept open by using a pedicle skin flap. Intrathoracic stenoses require a sternotomy. An additional thyroidectomy and lateral traction to the tracheal walls by using loops out of the sternomastoid muscle became necessary in many cases and we obligatorily used tamponades of plastic inlay bolts, the average time of treatment being 8 months.

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Accident surgery of face and neck

Cited by 32 publications

References 326 publications

Indirect Measurement of Laryngeal and Tracheal Resistance

Indirect Measurement of Laryngeal and Tracheal Resistance

Schnittführungen und Nahttechniken im Gesichtsbereich

Therapeutic Problems in Laryngo-Tracheal Stenoses

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