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Biomedical subjects

W Heppt

Publications and source records attributed to W Heppt.

29 records · Page 2Linked to original sources

[Oncogenes and their significance for head and neck cancers].

During the past few decades medical science has accepted the concept that cancer is a fundamental disorder of cellular growth control. A disorder can originate in some cells through changes in genes (DNA level: gene amplification, mutation and rearrangement) or their expression (RNA and protein levels), and stimulates growth in contrast to surrounding cells. Over the last decade genes affected in the cancer cell have been identified as well as the nature of changes undergone. Only a few of the known oncogenes play a role in head and neck cancer. These are epidermal growth factor receptor, c-myc, the ras gene family, int-2, hst-1 and bcl-1. In some clinical disorders, such as childhood neuroblastoma and breast cancer, oncogenes have been shown to play an important role in tumor staging or as a prognostic parameter. The aim for future therapy is the effective application of oncogenes (or "gene therapy") in clinical practice.

Animals↗

[Osteoma of the mid-face area--a rare site].

Osteomas are benign, symptomless, slowly growing tumors that are usually found incidentally. The most frequent site of origin is a paranasal sinus. We report a 17 year old man with an osteoma of the middle face. The history, clinical findings and surgical procedure are described. Aetiological factors and possible complications of paranasal osteomas are discussed.

Adolescent↗

[Laryngeal obstruction due to familial Recklinghausen's disease].

A case of familial multiple neurofibromatosis with laryngeal involvement is described. The patient required surgical treatment because of rapid tumour growth associated with dyspnoea, dysphonia and dysphagia. Whereas the extensive growth prevented entire removal of all tumour lumps, endolaryngeal microsurgery resulted in an important improvement of laryngeal symptoms and of the quality of life.

Child↗

[Diagnostic value of sialochemistry. Results of an albumin study].

In 196 patients suffering from disease of the cephalic salivary glands and in 57 healthy controls the concentration of albumin in parotid and submandibular saliva was measured by the immunodiffusion technique. To summarize the results, albumin seems to be a reliable marker of inflammations of the salivary glands even in the early stages and is therefore recommended for the primary diagnostic and the follow-up of acute and chronic inflammatory conditions of the major cephalic salivary glands. In combination with the evaluation of the flow rate, other sialochemic parameters like phosphohexose isomerase and kallikrein activity, B-mode sonography and fine needle aspiration biopsy the frequency of x-ray examination of the radiosensitive salivary glands may be reduced.

Adolescent↗

[Endoscopic B-mode ultrasonography in the diagnosis of head-and-neck tumors].

Examination of 40 patients with malignant laryngeal and/or pharyngeal tumours shows the possibility of utilising endoscopic B-mode-sonography in ENT. The currently available devices enhance diagnostic certainty of the established radiographic methods only in cases involving oropharyngeal or certain recurrent tumours and blood vessel infiltration. The pros and cons of endoscopic ultrasonography as well as case studies are discussed.

Endoscopy↗

[Retrotonsillar abscess. Diagnosis by flexible endosonography].

A retrotonsillar abscess is a dangerous complication of acute tonsillitis that can be fatal if treatment is delayed. We report the pre-operative findings of flexible endosonography and transcutaneous sonography of a patient with retrotonsillar abscess. The results show, that the new digitally guided, flexible probes of endosonography improve the diagnosis of paratonsillar abscess and are superior to transcutaneous sonography especially for delineating retrotonsillar spread.

Diagnosis, Differential↗

[Nasalance: a new concept for objective analysis of nasality].

None of the methods described in the literature on the objective analysis of nasality has so far been introduced in routine diagnosis. The present study describes initial experiences with the nasometer in german language and presents nasalanz as a new term for objective analysis of nasality in german-speaking countries. Typical cases are demonstrated via a rhinophonia test designed for the use of the nasometer. Results obtained in 75 subjects show that nasalanz provides a valid parameter of objective measurement of closed and open rhinophonia and emphasize the value of the nasometer in follow-up studies of surgery as well as in biofeedback therapy of patients suffering from rhinophonia. Fundamental aspects of nasality with reference to the obtained results are discussed.

Computer Graphics↗

[Use of B-mode sonography in the diagnosis of laryngocele].

A case of a combined laryngocele is presented, including clinical features, the histopathological findings, and the treatment of the disease. The article stresses the value of imaging methods such as CT-scan and high-resolution real-time sonography for preoperative diagnosis. Especially note-worthy is the fact that the internal and external parts of laryngoceles, filled with fluid and with air, can be shown by sonography.

Hernia↗

[Detection and assessment of cervical lymph node metastases in head-neck tumors. A comparison of methods].

From 1984 to 1987, seventy-two patients with squamous cell carcinomas involving oropharynx, hypopharynx, larynx and cervical lymph nodes, who underwent surgery, were examined to determine the value of computed tomography (CT), magnetic resonance (MR), high-resolution real-time sonography (US) and palpation in preoperative staging of cervical nodal metastases. The clinical staging was compared with the microscopic findings in the neck specimens and with operative reports. For the identification and description of cervical lymph node metastases, US and CT are more valuable than MR and palpation. In comparison to CT, however, US has advantages in most cervical areas as a dynamic method with variable representation of interesting regions. False positive errors are related to confusion with inflammatory nodes in all examinations. Metastatic infiltration of surrounding tissue especially of neck vessels, are best recognised by means of US and MR. However, the high rates of sensitivity and low rates of specificity of all methods point to the possibility of a great number of false positive errors in demonstrating tissue infiltration.

Angiography↗

[Detection of muscle, vein and artery infiltrations of cervical lymphatic metastases].

In a prospective study, 15 patients with squamous cell carcinomas of head and neck and clinical fixed cervical lymph node metastases were examined to determine the value of computed tomography, magnetic resonance imaging and high resolution real time ultrasonography in preoperative recognition of muscle and vessel infiltration. The preoperative findings were compared with the microscopic results of neck specimens and the operative reports. For each diagnostic method sensitivity, specificity, and effectivity were calculated. Ultrasonography, magnetic resonance imaging and computed tomography can assess muscle infiltrations as well. Metastatic infiltrations of carotid arteries are best recognised by ultrasonography and magnetic resonance imaging. Both methods are more valuable than computed tomography. All methods are unsuccessful in detecting infiltrations of the jugular vein. In conclusion, metastatic infiltrations of surrounding tissue, as described by imaging methods, are rarely confirmed by histological results.

Carcinoma, Squamous Cell↗

[Tonsillolith: clinical picture and mineralogic analysis].

We report the clinical appearance and mechanism of origin of a tonsillolith 7 g in weight, found in a 77-year-old patient and simulating a tumour of the oropharynx. Mineral analysis showed the main ingredients to be CaO and P2O5. Only trace amounts of SiO2, MgO, Na2O and K2O were found.

Aged↗