[Questions of olfactology and gustation from the point of view of occupational medicine].
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Biomedical subjects
Publications and source records attributed to R Fikentscher.
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The sensation of taste was tested in 280 normal people of all ages and both sexes. The sensitivity for the basic tastes decreased with increasing age, but more in men than in women; there was no sex difference in people under the age of 40. The different smoking habits of men and women did not explain this finding. It is suggested that there is a sex-specific decrease in the taste sensitivity with aging.
Using the anamneses of 1231 patients with laryngeal carcinoma, who were treated in the ORL-clinic at the University om Halle, we investigated the relations among the duration of the anamneses, the place and the stage (TNM-system) of the tumor at the first registration. The causes of the neglection by the patient, the family doctor and the medical specialist are pointed at, and the possibilities for a modern laryngological diagnosis are given. An improvement of the early registration of patients with laryngeal carcinoma cannot be proved in the area of this clinic during the period from 1940 to 1974.
At the ENT-Univ. Clinic Halle/Saale 1231 patients suffering from an histological verified cancer of the larynx have been observed over the last 33 years. The numbers of male cases have been trebled within the last 30 years. This trend could not be observed in women. The increase is connected with a remarcable concentration of the supraglottic localisation. Despite of intensive information of the population most of the patients only turn to our clinic in the stage II and III (TNM-system). Only in 9.9% of the cases their fate remained unknown.
Among 1231 patients with laryngeal carcinoma were 48 women. These were compared with male patients showing laryngeal carcinoma with respect to nine various groups of criteria. There was no significant difference in: Histological Diagnosis, the first symptom, the second tumor. In opposition to male patients with laryngeal carcinoma the number of women's carcinoma has not increased since 1940. Women are relatively more frequently taken ill at a younger age, they show a longer anamnese and relatively more frequently suffer from an inner carcinoma than men. Although the female patients with laryngeal carcinoma were attended relatively frequently at a rather favourable stage, we were not able to notice any better results after the five years' survival in comparison with the male patients.
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The authors report a case of post-traumatic anosmia. Without any therapy the sense of small returned after 1 3/4 years.
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