Biomedical subjects

B von Westernhagen

Publications and source records attributed to B von Westernhagen.

At least 19 recordsLinked to original sources

PubMed1983

[Osteosarcoma of the larynx].

A case of osteosarcoma of the soft tissues of the larynx of a 65 years old man is presented. Adequate surgical excision of the tumour was impossible because the patient had advanced cerebral and coronary vascular disease. Radiation therapy produced no remission of the tumour. The light microscopic findings are described and discussed. This is the sixth recorded case of osteosarcoma of the larynx.

Aged↗

PubMed1983

[Surgical maxillary sinus restoration--a routine procedure?].

Between the years 1973-1979 173 operations were carried out at the ORL-Hospital Oldenburg for the rehabilatation of the maxillary sinus. Primary, only 48 patients had indications of Caldwell-Luc radical operation by either purulent or purulent-polypous sinusitis, but 43 cases were operated again because of different complications after primary operation in other hospitals. Due to this fact, the following questions were raised: 1. Were the indications to the intervention right? 2. What is the optimal technique of operation? 3. What are the reasons for complaints after the operation? Caldwell-Luc method is mainly used in tumors, dentigerous cysts, alveolar fistula and traumatic lesions, but in the case of purulent or purulent-polypous sinusitis, only after a very strong conservative treatment an endonasal approach is usually used at first. The operation by Caldwell-Luc must be performed very carefully and always together with a plastic of the anterior wall of the maxillary sinus. The complaints following a Caldwell-Luc operation are mainly due to a very small inferior nasal hole or a very large opening in the anterior wall of the maxillary sinus, that the new scar tissues cause irritation to the second trigeminal branch as well as the formation of a mucosal cyst after an incomplete mucous membrane exstirpation.

Cicatrix↗

PubMed1980

[Surgical treatment of the pharyngeal pouch by invagination (author's transl)].

The results of surgery on 20 patients with pharyngeal pouches are reported. The small pouch less than 2 cm long is treated by cricomyotomy only, the larger pouch up to 7 cm long is treated by cricomyotomy and invagination of the pouch, and those that are larger than this are excised. The skin incision used is in a natural skin crease at the level of the cricoid cartilage.

Diverticulum↗

PubMed1978

[The clinical presentation and management of otogenic intracranial disease (author's transl)].

Since the introduction of antibiotics in the treatment of ear infection the number of otogenic intracranial complications has decreased. Furthermore the clinical presentation of these complications has likewise since changed. The traditional symptoms and signs as mentioned in the literature are replaced by an indefinite inflammatory course, which is finally succeeded by rapid progress of the disease despite the use of antibiotics. Experiences with 22 patients are reported. Temporal lobe brain abscesses occurred in 11 patients, meningitis occurred in 3 others and lateral sinus thrombophlebitis occurred in 8, in 2 of whom meningitis also occurred. Five patients died as a result of the intracranial complication. After establishing the diagnosis the recommended treatment is the immediate surgical clearance of the primary aural abscess, together with if possible drainage of the intracranial abscess or evacuation of the lateral sinus disease under appropriate antibiotic cover. Whether the patient with intracranial disease is subsequently handled in the ORL or Neurosurgical wards depends upon ward facilities and interdepartmental liaison and cooperation.

Brain Abscess↗

PubMed1971