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Biomedical subjects

E Zietek

Publications and source records attributed to E Zietek.

At least 55 records · Page 3Linked to original sources
PubMed1989

[Exploratory neck dissection in diseases of the cervical lymph nodes].

Explorative neck dissection documentations of 153 patients with chronic enlarged lymph nodes were analyzed. All patients were cured in the Provincial Hospital of Mecnes (Morocco) during 5 years period. In most cases (71%) TBC was diagnosed, in 18% malignant granuloma. The diagnostic procedure difficulties were discussed. The differences between the adenectomy and the explorative neck dissection were pointed out.

Adolescent↗
PubMed1989

[Rehabilitation in esophageal speech and its perceptive-acoustic features after total laryngectomy without pharyngo-esophageal plastic surgery].

The experiences with the plastic surgery of pharyngo-oesophageal sphincter during the laryngectomy were presented. The sphincteric forces were studied accordingly to the rehabilitation successes and also the acoustic and perceptive data of the oesophageal speech. The results were compared with these after the classical laryngestomy. It was pointed out that the sphincteroplasty lowered its tension and made the rehabilitation more easier. The oesophageal voice produced in this occasion is better than after the classical laryngectomy. The fundamental frequency is two times higher, the prosody and speech tempo more normal. These positive results were encountered in 76% of cases. However, in some cases the psychological and social difficulties were so great that we preferred the surgical rehabilitation with shunt formation.

Adult↗
PubMed1975

Arytenoid vocal shunt in laryngectomized patients.

A method is presented for forming short, mucosa-lined vocal shunt in cases of supracricoid laryngectomy with preservation of one or two arytenoids, or the interarytenoid fold alone. On the basis of radiologic and particularly radiocinematographic examinationion of the anterior pharyngeal wall is of paramount importance. In cases of complete absence of leakage, said wall lies in the plane of the arytenoids or somewhat posteriorly. After simple supracricoid laryngectomy it is possible to prevent aspiration also by translocation of the anterior pharyngeal wall into the plane of the cricoid cartilage plate. The clinical experience with this supracricoid shunt is still scanty. Of 25 cases with the arytenoid vocal shunt, phonation was possible in 22 cases under the expiratory pressure of 20-45 cm H2O; in one under the more elevated pressure, and in the last two the result is still not known. Loudness of speech was 70-100 db and its comprehensibility 73-90 percent. Complete absence of leakage was observed in 17 cases, "practical" prevention of aspiration (some drops of thin fluids, no saliva) in seven cases, profuse leakage in one case (ceased after correction), In the last 10 consecutive cases the problem of aspiration was completely eliminated. Advantages and disadvantages of our own method in comparison with Asai's method have been presented.

Deglutition↗