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H Ejnell

Publications and source records attributed to H Ejnell.

42 records · Page 3Linked to original sources
PubMed1981

Aspects on treatment principles of tongue carcinomas.

The present investigation of a retrospective series of patients with tongue cancers aimed at assessing the results of various treatment principles. We suggest that surgery must be taken into account particularly when large primary tumors as well as palpable regional nodes are found. Because of the unpredictable metastasis behavior, even in cases of small primary tumors without clinical evidence of regional spread, the potential risk of regional microdeposits must always be suspected. Therefore, irradiation of the neck field with fractionated doses of 5,000 rad, alone or in combination with surgery should be considered in all patients with tongue cancers.

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Acute temporary laterofixation for treatment of bilateral vocal cord paralyses after surgery for advanced thyroid carcinoma.

Four patients with breathing obstruction after surgery for advanced thyroid carcinoma were found to have bilateral vocal cord paralysis. They were treated with acute temporary laterofixation of one of the vocal cords. This measure established a stable airway in all the patients and maintained acceptable voices. None of the patients had aspiration problems. After 4 to 7 weeks the nonlaterofixated vocal cord had regained normal function in each patient, and the thread used for the laterofixation could be removed. In the two patients who had anatomically intact recurrent laryngeal nerves bilaterally, the previously laterofixated vocal cords displayed normal movements within another 8 weeks in one patient and 7 weeks in the other patient. This observation demonstrates that a temporary laterofixation can be done without lasting damage to the vocal cord. Acute temporary vocal cord laterofixation is a procedure that has the potential to minimize the morbidity and complications of bilateral vocal cord paralysis, and in most patients it can be done instead of tracheostomy.

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Laryngeal obstruction after Teflon injection.

Respiratory effects of injection of teflon were studied in twelve patients with unilateral vocal cord paralysis by determination of the orolaryngeal airway resistance (Rol). Ordinary spirometry and flow volume loops were also performed but were found to be less adequate than determination of Rol. Within the first week postoperatively, Rol increased by on average about 75%. Only one patient had clinical symptoms of laryngeal obstruction. One month after the injection of teflon, Rol was in all patients the same as preoperatively. It is concluded that teflon injection should be used with caution in patients with severe respiratory impairment but could be used without fear of induced future respiratory effects in patients with progressive pulmonary disease.

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PubMedDate not supplied

Laryngeal obstruction assessed by computed tomography.

The aim of this study was to find out if laryngeal obstruction could be assessed by measuring the glottic area using computed tomography (CT). Results from model studies were compared with those from twelve patients with laryngeal diseases. Determination of the orolaryngeal airway resistance (Rol) was used as a reference method. The correlation between airway resistance and area in both the model and among the patients was consistent, with a curvilinear relationship. The results indicate that it is possible to measure the area of a short obstruction by CT and that this area determines the degree of obstruction.

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