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Biomedical subjects

D Schettler

Publications and source records attributed to D Schettler.

89 records · Page 5Linked to original sources
PubMedDate not supplied

[Inverted papilloma: implications for the oral and maxillofacial surgeon].

7 patients with inverted papillomas of the maxillofacial area were subjected to a post-treatment evaluation. Inverted papillomas were found in maxillary and frontal sinuses, ethmoid cells, nasal septa and as isolated lesions in the mucosa of the mandibular alveolar process. Apart from an inverted papilloma, one patient also had a mucoepidermoid carcinoma. The tendency to recur correlated well with the surgical approach. Radical removal of the mucosa must be called for as primary therapy in the paranasal sinus area. In order to safely exclude a concurrent carcinoma, the entire resected material must be examined histologically.

Adult↗
PubMedDate not supplied

[Clinical features and treatment of cutaneous carcinoid].

An exemplary case of a 67-year-old patient with multiple cutaneous metastases of a pulmonary carcinoid primary tumor is presented. The cardinal symptom was severe painfulness of the skin tumors. With chemotherapy the tumor disease advanced. In presenting this case and providing a review of the literature, the primary importance of surgery even in the case of a metastasizing carcinoid is emphasized.

Aged↗
PubMedDate not supplied

[Odontogenic brain abscess. 2 case reports].

The odontogen brain abscess is a relatively rare, but very serious complication of an infection of the teeth. Frequently the bacteria found by aspiration of the brain abscess are the only indication of a dental focus. The diagnostic problems in confirming a covert dental infection as the cause of the brain abscess are illustrated.

Adult↗
PubMedDate not supplied

[Aspects of systemic analgesia in patients with incurable oral cancer].

When pain occurs in the final stage of a tumor disease, the administration of analgetic drugs in effective dosages may often be the most important treatment measure. In the years 1982 to 1987 a total of 83 oral cancer patients from our clinic died, 16 of them during their last stay in hospital. These histories have been evaluated in retrospective. Central and peripheral analgesics and neuroleptics had been applied. 25% of the patients required no analgetic drugs. Prediction of the analgesic dosage required was impossible, because of the variables tumor expansion, localization, lymph node involvement and the treatment provided. Individual analgesia using low-dose oral morphine on a step by step scheme remains indispensable.

Analgesics↗
PubMedDate not supplied

Concept of surgical and implant-supported prostheses in the rehabilitation of patients with oral cancer.

Thirteen irradiated and 14 nonirradiated patients were treated after resection of a malignant oral lesion. With a follow-up period of 26 months, 3 of 48 implants in nonirradiated patients and 4 of 57 implants in irradiated patients failed. In comparison to implant-tissue-supported prostheses, exclusively implant-supported prostheses demonstrated better results with regard to soft tissue trauma and function of the prosthesis.

Adult↗
PubMedDate not supplied

Titanium implants in the zygoma as retaining elements after hemimaxillectomy.

Obturator prostheses require anchoring elements in the partially resected maxilla to provide stability and oronasal separation. Anchoring elements are usually overstressed because of the lack of collateral support. Intraoral titanium implants can provide additional retention and avoid mechanical overstress of the anchoring elements in the residual maxilla. Treatment with intraoral implants into the zygoma for the support of an obturator prosthesis is reported.

Dental Implantation, Endosseous↗
PubMedDate not supplied

Implant-supported telescopic restorations in maxillofacial prosthetics.

Eight partially irradiated oral cancer patients were treated using either mandibular implant and mucosa-supported telescopic coping prostheses or a restoration that was completely implant-supported with telescopic copings. Both types of restorations provided sufficient positional stability and peri-implant hygiene, and functional and esthetic improvement. However, only the completely implant-supported telescopic prosthesis avoided soft tissue ulcers that had the potential for the development of osteoradionecrosis. This type of restoration can especially be recommended for irradiated patients.

Cranial Irradiation↗