St. Georg, Germany
St. Georg, Germany

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Schreiber S.,University of Leipzig | Ehrensperger C.,University of Leipzig | Koscielny S.,UKJ | Boehm A.,University of Leipzig | And 8 more authors.
Laryngo- Rhino- Otologie | Year: 2013

Use of Cancer Support Groups by Laryngectomees in Central Germany Background: Cancer support groups provide information and coping resources as well as represent patients' interests. To date it is unknown how often cancer patients post-laryngectomy use support groups and in which parameters users of support groups differ from non-users. Material and Methods: In a multicentre study, 224 laryngectomees were asked about their support group membership. Further, possible predictors for membership one year post-surgery were assessed. Data were collected with a semi-structured interview and standardized instruments. Results: Overall, 23% of the laryngectomized patients are actively involved in cancer support groups. The probability of a membership increases if patients are well-educated, are living in good economic conditions and in a partnership, if they perceive low family support and wish additional counselling with a physician. Conclusion: A cancer support group seems to "buffero" family support perceived to be insufficient. However, support group users are living more frequently in a partnership and in good economic conditions compared to non-users. Physicians and speech therapists are important mediators to cancer support groups. They particularly should inform laryngectomees who are living in bad economic conditions and who are not living in a partnership about the availability of cancer support groups. © Georg Thieme Verlag KG Stuttgart · New York.


Singer S.,University Medical Center Mainz | Keszte J.,University of Leipzig | Dietz A.,University of Leipzig | Kluge A.,Oncology | And 13 more authors.
Laryngo- Rhino- Otologie | Year: 2013

Vocational Rehabilitation after Total Laryngectomy Background: Aim of this study was to find out how many patients after a total laryngectomy (TLE) return to work successfully and what factors support vocational rehabilitation. Patients and methods: Laryngectomees (n=231) aged up to 60 years completed questionnaires and structured interviews before TLE (t1), before rehabilitation (t2), at the end of rehabilitation (t3), 1 year after TLE (t4), 2 years after TLE (t5), and 3 years after TLE (t6). Results: Prior to TLE, 38% of all respondents were employed, 34% were unemployed, 23% received disability-related and 3% age-related pension retirement. One year after TLE, 13% were employed, 15% 2 years and 14% 3 years after TLE. Unemployed were 10% (t4), 5% (t5), and 7% (t6) of the patients. For 59% of all respondents it was very important to have a job. Predictors of successful vocational rehabilitation were employment prior to TLE, age <50 years, being self-employed or clerical employee, good physical functioning, good speech intelligibility, high motivation to go back to work, and support from colleagues. Conclusion: Only few laryngectomees return to work. However, even before TLE only a third of the patients was employed, another third was unemployed. Most of the patients receive pension retirement after TLE. As return to work is important for many patients, patient consultations should consider possibilities to support vocational rehabilitation before offering to apply for retirement. © Georg Thieme Verlag KG Stuttgart. New York.


Bast F.,Charité - Medical University of Berlin | Schrom T.,Klinik fur Hals Nasen
Monatsschrift fur Kinderheilkunde | Year: 2013

Teeth and lip injuries caused through falls are not uncommon especially in young children and elderly people. Broken teeth and parts of dental prostheses are mostly found outside the body or are removed at once when penetrating facial and oral tissues. In the present case a 17-year-old girl presented by chance with a suspicious mass in the lower lip. Due to several falls caused by previously diagnosed epilepsy the suspicious mass had always been interpreted as scar tissue due to lip biting in the course of epileptic seizures. After further diagnostics a tooth fragment was found and removed surgically. The case presented reveals that in the presence of persistent, unclear masses of the lip further diagnoses and examinations should be conducted. Even with an uneventful medical history as in this report a lip mass can be caused by a tooth fragment. © 2012 Springer-Verlag Berlin Heidelberg.


Seyring C.,Universitatsklinikum der Jena | Bitter T.,Universitatsklinikum der Jena | Boger D.,Klinik fur Hals Nasen | Buntzel J.,HNO Klinik | And 6 more authors.
Laryngo- Rhino- Otologie | Year: 2012

Background: Although modern minimal-invasive paranasal sinus surgery is an integral part of clinical routine of otorhinolaryngologic surgeons, there are no population-based data on incidence and efficiency of this surgery published. Material and Methods: 1 582 patients underwent paranasal sinus surgery in the 8 Thuringian departments of otorhinolaryngology in 2005. All patients were analysed regarding patients' characteristics, therapy, complications and further course of disease. Results: The incidence of paranasal sinus surgery was 46/100 000 for women and higher for men with 72/100 000. Median age was 48 years. Chronic sinusitis was the main reason for surgery (94%; including 33% with nasal polyps) and was performed dominantly as endoscopic sinus surgery (96%). Surgery was performed bilaterally in 75% of the cases and as primary surgery. In most cases at least 2 paranasal sinuses per side were approached. Relevant complications were observed in 4% of patients. During the follow-up time of 45-51 months a recurrence was observed in 9% of cases. Using a multivariate regression analysis, revision surgery, allergic subject and diagnosis of a malignant tumor were significant independent risk factors to predict a recurrence. Older age and longer time of surgery were significant independent risk factors for a complication. Conclusion: This population based analysis is showing that modern paranasal sinus surgery is performed in high incidence, effectively and with low-risk on a large scale in daily routine of rhinologic surgeons. © Georg Thieme Verlag KG Stuttgart · New York.


Sittel C.,Klinik fur Hals Nasen
Laryngo- Rhino- Otologie | Year: 2014

Pathologies of the Larynx and Trachea in Childhood Pathologies in the larynx and trachea in the pediatric age can be characterized in 4 main groups: airway stenosis, acute infections, benign neoplasia and foreign body aspiration. In this review main diagnostic strategies and therapeutic options are presented. Laryngomalazia is the most frequent condition of supraglottic stenosis. The term supraglottoplasty summarizes all different techniques used for it's repair using an endoscopic approach. Glottic stenosis is rare in children. Usually a compromise between voice preservation and airway restoration has to be sought. Type of reconstruction and timing are varying considerably in individual cases, endoscopic approaches should be preferred. Subglottic stenosis remains the largest group in paediatric airway pathology, with cicatrial stenosis being predominant. Today, cricotracheal resection is the most successful treatment option, followed by the classical laryngotracheal reconstruction with autologous cartilage. In early infancy subglottic stenosis is particularly demanding. Endoscopic treatment is possible in selected patients, but open reconstruction is superior in more severe cases. Tracheostomy is not a safe airway in early infancy, it's indication should be strict. Foreign body aspiration needs to be managed according to a clear algorhythm. Recurrent respiratory papillomatosis should be treated with emphasis on function preservation. The role of adjuvant medication remains unclear. Infectious diseases can be managed conservatively by a pediatrician in the majority of cases. © Georg Thieme Verlag KG Stuttgart · New York.

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