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Biomedical subjects

E W Kummer

Publications and source records attributed to E W Kummer.

6 recordsLinked to original sources

[Reconstruction of the tibial plateau fracture with arthroscopic monitoring without arthrotomy].

In the period from October 1986 to November 1988 in the Medisch Spectrum Twente of Enschede, 25 patients were treated for a tibial plateau fracture by means of arthroscopic surgery. The mean hospital stay was 18 days. Active movement of the leg was prescribed from the fifth day. The results were very good in 23 and poor in 2 patients. Complications such as wound infections and skin necrosis were not seen. Additional meniscal lesions could be diagnosed and treated better using this surgical technique. In addition, the limited incisions and consequently the avoidance of extensive arthrotomy allowed faster rehabilitation and a higher probability of healing the chondral tissue.

Adolescent

Juxta-areolar mastitis.

The clinical picture of juxta- or subareolar mastitis is presented in 21 patients, whose data were compared with those of 111 patients with other forms of non-specific abscess-forming mastitis. The causal importance of ductectasia, obstruction of the collecting ducts, foreign-body reaction around particles of keratin and the possible role of anaerobic micro-organisms have been evaluated. The results were had after an expectant policy for spontaneous closure, employing only antibiotics and drainage procedures. Favorable results are achieved only after a combination of partial nipple excision and drainage.

Abscess

Carcinoma of the thyroglossal duct.

Based on the case histories of six patients with carcinoma of the thyroglossal duct, the literature on the origin and treatment of this disease was reviewed. As to the treatment of papillary adenocarcinoma there is some controversy, although in most cases treatment is limited to local excision as described by Sistrunk, provided that tumor growth is restricted to the cyst. The prognosis of this carcinoma seems favorable. Squamous cell carcinoma of the thyroglossal duct is rare; there is no uniform advice as to its treatment, and the prognosis is poor.

Adenocarcinoma, Papillary