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Biomedical subjects

B Minnigerode

Publications and source records attributed to B Minnigerode.

At least 37 records · Page 2Linked to original sources
PubMed1985

[Tracheobronchial dyskinesia of the newborn infant and infant].

Basing on 57 own observations the pathophysiology and clinical phenomenology of the different forms (tracheobronchial collaps, tracheobronchial prolaps) of tracheobronchial dyskinesia in newborn and infants are described. The tracheo bronchial collaps apparently prevails at this early age of life. Prognostically it is assessed most favourable. Contrarely to the tracheobronchial prolaps it generally does not need a thorough going treatment and disappears until the end of the second year of life nearly in all cases. Indications are given as the most rational therapeutical behaviour in both phenomenological forms of the tracheobronchial dyskinesia in newborn and infants.

Bronchi↗
PubMed1984

[Cerebral anoxia with a fatal sequela caused by aspiration of a nasal tamponade].

4 deaths due to aspiration of a nasal pack with a similar sequence of events are reported to draw attention to the increased risk of nasal packing under general anaesthesia. The legal questions of anticipating the problems, avoidance of the incident, observance of the required degree of care and the distribution of the responsibility between the surgery and the anaesthetist are discussed.

Brain↗
PubMed1983

Microlaryngoscopy in local anesthesia using Brünings' counterpressor.

Disadvantages of instruments and methods of the usual microlaryngoscopic examination procedure carried out under general anesthesia are offset in an almost optimal way when Brünings' counterpressure device is employed and the operation is carried out under local anesthesia. Some notes concerning the method, which are based on 10 years' experience, are given.

Adolescent↗
PubMed1983

[Deviations of the larynx and trachea in intrathoracic diseases].

Changes of the static-dynamical balance inside the thorax by pressure or traction of pathologic processes effect dislocation of the trachea and the larynx. Basing on the clinical symptoms of 45 patients the results are stated of experiments on cadavers and on isolated, at the hyoid bone fixed laryngotracheal preparations. Opposite displacements of the larynx and the trachea, especially in mediastinal processes, are to be observed among predominant equilateral dislocations to the side of the thorax process, concerning primarily the trachea and only in increasing pressure or traction also the larynx. The findings are collated with earlier researches to the same subject. They have a bearing on the interpretation and the attachment of the symptoms of stenosis.

Humans↗
PubMed1983

[Transitory postural and positional nystagmus in children and its diagnostic significance].

Among 587 children at an age from 5 to 14 years, examined in the university clinic of O.R.L. Essen in a 10 years period because of dizziness, 201 times the subjective sensations could be objectified by a vestibular nystagmus. After elimination of all cases with a pathologic ear state 39 times a posture or positioning nystagmus was recorded. The examination was regularly effected by a systematic search for spontaneous and provoked nystagmus by Frenzel's luminous glasses and was completed by an experimental excitability test of the labyrinth according to Hallpike. The nystagmus findings are divided form analytically in transitory directional appointed, irregular and regular direction changing posture resp. positioning nystagmus with and without latency or contrary course. An etio-pathogenetic explanation is given.

Adolescent↗
PubMed1983

[Refusal of information from a legal and medical viewpoint].

Actual or implied refusal by the patient to accept an explanation of his illness is discussed with respect to its legal admissibility and the legal uncertainties for the attending physician. Refusal by the patient to accept information does not absolutely release the doctor from providing an explanation but only from that part which exceeds what is medically appropriate.

Germany, West↗
PubMed1982

[5-years of experience with tranquilizing-analgesics in laryngo-tracheo-bronchoscopic procedures in newborns and infants ].

Tranquilizing-analgesics (diazepam-ketamine combination anaesthesia) and O2-injector respiration has proved during a period of 5 years in 270 laryngo-tracheo-bronchoscopies of newborns and infants to be an outstandingly well-controllable anaesthesia applicable by the intravenous route which could be applied without danger of depression of breathing or circulation and without injury of the laryngeal protection reflex in this early period of life by means of a balanced cooperation between operator and anaesthesiologist. No serious complications have been observed. The authors' own experiences in handling of the method are described.

Analgesia↗
PubMed1982

[Regional lymph node metastases in carcinoma of the larynx and it valuation for the indication of partial laryngectomy].

The defluxion conditions of lymphatic current, bounded close to the interrelation of anatomical larynx structure and intralaryngeal propagation of cancer, come together the boundary of still authorized and as yet exceeded indication of partial laryngectomy, so that there is to require a strict selection of the particular case. Infinitely good formula and specific loosenings are consequently to refuse for the decision of indication. Referring to the valuation of regional lymph node metastases for the decision of operation in partial resections of the larynx the own experiences directed to the following guiding principles: 1. Early metastases exclude a partial laryngectomie since they announce an already happened exceeding of the organ limits even in make-believe defined neoplasms of the interior of the larynx. 2. The problems of latent metastases can only be prevented by a systematical prophylactic neck dissection, which should be performed principally in case of doubt on the side of the predominant tumour growth. 3. The appearing of late metastases exhibits retrospective the doubtfulness of the effected partial resection and necessitates an essential neck dissection of both sides and if necessary an additional total laryngectomy.

Humans↗
PubMed1982

[Is Minnigerode's sign still valid in early diagnosis of oesophageal wall perforation?].

Basing on the pathophysiologic phenomena in oesophagus wall perforation, the authors examine the question whether contrast radiography, increasingly performed of late, deserves preference over Minnigerode's sign in early diagnosis. Although these diagnostic methods do not compete with each other, since they are equivalents, own experience shows that contrast radiographs should be performed sparingly and, moreover, only if mediastinotomy or intrathoracic oesophagotomy could be practised immediately.

Diagnosis, Differential↗
PubMed1981

[The burden's allotment of assertion, of argumentation and of proof in the medical liability process (author's transl)].

The actual principles of the burden's allotment of assertion, of argumentation and of proof in medical liability process are particularized as they are handled at present by the Western Germany jurisdiction. The importance of conscientious medical records is emphasized within this complex of questions. A further modification of the legal conception can not be excluded.

Germany, West↗
PubMed1980

[Extension of traumatic mucosal changes and their relevance in reconstructive surgery in laryngeal and tracheal stenoses following long-term intubation (author's transl)].

Serial light and electron microscopy studies done to determine the earliest that significant mucosal changes occur after translaryngeal intratracheal long-term intubation show that, as well as a penetrating lesion at the site of the pressure effect of the tube, there is a mucosal injury which extends up and down away from the focus of the lesion. This is a consequence of trauma, and away from the site of the trauma, three differing zones of mucosal change can be identified. Cognisance of this explains the healing problems that can occur following reconstructive surgery, particularly in the border area between seemingly undamaged tissue and preserved or directly grafted tissue. Instructions in regard to avoiding unsatisfactory surgery is given.

Animals↗
PubMed1980

[The faulty expert's opinion in medical liability process (author's transl)].

The expert's opinion in medical liability process differs from other medical certificates by the particularity, that the facts of a case of the injury becomes object of the examination and enlightment by the medical expert. This supposes a medical scientific correct reply of the questions of the court of the justice, which must be verifiable with the way of thinking conventional in the jurisdiction and which has to adjust to these trains of thought. Proceeding on a revision of the expert opinions collected in the liability evidence archiv of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery a series of continual recurrent mistakes is pointed out, which could cause a defective expert opinion and thereby possibly a wrong judical decision.

Expert Testimony↗
PubMed1979

[Function returning without and with recovery nystagmus after sudden unilateral isolated vestibular loss (author's transl)].

The restoration of peripher labyrinthine excitability after sudden unilateral isolated vestibular loss shows a different behaviour: It can happen with or without recovery nystagmus with a numerical nearly equal frequency. In a follow-up of 44 patients with unilateral vestibular loss of vascular genetics the objective and subjective characteristics of both states are described. In explanation of it a lesion of variable etiology in the region of the vestibular artery and a supposition of a not yet or already occured compensation of the disturbed tonus balance in the nuclear area are not sufficient. Rather the origin of the different clinical states of recovery phenomenon must be presumed in all probability as the result of a primary and secondary retrograde degeneration of the vestibular neurons. Thereby the distance of the lesion from the Scarpa ganglion is presumably of decisive importance.

Electronystagmography↗
PubMed1978

[Spontaneous and provoked nystagmus as a criterion of the duration of effect of hypnotics and narcotics in ambulant surgery (author's transl)].

A testing of usefulness of systematic search for spontaneous and provoked nystagmus relative to the duration of effect of several hypnotics and narcotics showed in 83% positive vestibular findings in 150 non-selected, ear sound patients. Vestibular nystagmus was still detected 2 hour p.o. in 74%, 3 hours p.o. in 30% and 4 hours p.o. in 7% of cases. 78 times (52%) a convergent or divergent posture nystagmus was recorded and 47 times (31%) a vertical nystagmus. The subjective sensations of the test persons are out of proportion to the objective findings. The localisation of the pharmacotoxic lesion is discussed.

Adult↗