C. Schinkel
Ruhr University Bochum
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Featured researches published by C. Schinkel.
Unfallchirurg | 2009
Marcel Dudda; T.M. Frangen; G. Muhr; C. Schinkel
ZusammenfassungVerletzungen der Trachea bei einem Kombinationstrauma der oberen HWS sind selten und können zu bedrohlichen Atemwegsverlegungen führen. Daher ist es wichtig, diese Weichteilverletzungen neben den knöchernen Verletzungen zu erkennen und adäquat zu therapieren. Wir berichten über einen Fall, bei dem es verzögert zu einer hochgradigen Trachealstenose gekommen ist, die letztlich nur durch eine Notfalltracheotomie und Tracheaquerresektion zu beherrschen war.Die 25-jährige Patientin erlitt nach einem Verkehrsunfall eine komplexe Fraktur der oberen HWS mit einer Jefferson-Fraktur, einer Densfraktur sowie einer HWK6/7-Luxationsfraktur. Bereits unmittelbar posttraumatisch war ein Stridor aufgetreten. Im Verlauf der Behandlung kam es zu einer Zunahme der Trachealstenose. Die Biopsie zeigte in der histologischen Aufarbeitung reines Granulationsgewebe. Auch wenn die knöcherne Pathologie schnell und effizient operativ behoben wird, kann bei schwerem Trauma der HWS nicht ausgeschlossen werden, dass auch Weichteilverletzungen gerade an der Trachea auftreten können.Daher ist es von enormer Wichtigkeit, solche Patienten engmaschig nachzuuntersuchen, damit der Zeitpunkt für ein sicheres operatives Verfahren zur Behebung von Tracheaverletzungen festgelegt werden kann.AbstractCombined injuries of the upper cervical spine are rare and can lead to life-threatening positional changes of the respiratory tract. Hence, it is very important to recognize tracheal and soft tissue injuries and to treat these adequately. We report on the clinical course and outcome of a case with a delayed high-grade tracheal stenosis after cervical spine injury, which could only be treated by emergency tracheotomy and partial transverse trachea resection.The 25-year-old female suffered a complex dislocated upper cervical spine fracture with a Jefferson fracture, an odontoid fracture and a dislocated C6/7 luxation fracture after a motor vehicle accident. Immediately after trauma inspiratory stridor was reported. Postoperatively, the tracheal stenosis increased and the histological examination of tissue collected during emergency bronchoscopy showed granulation tissue.Even if fractures of cervical spine injuries are treated successfully, soft tissue and tracheal injuries cannot be precluded. Therefore, it is most important that such patients are followed-up closely to classify the problem and to determine the ideal time for surgical treatment of tracheal injuries and stenoses.Combined injuries of the upper cervical spine are rare and can lead to life-threatening positional changes of the respiratory tract. Hence, it is very important to recognize tracheal and soft tissue injuries and to treat these adequately. We report on the clinical course and outcome of a case with a delayed high-grade tracheal stenosis after cervical spine injury, which could only be treated by emergency tracheotomy and partial transverse trachea resection.The 25-year-old female suffered a complex dislocated upper cervical spine fracture with a Jefferson fracture, an odontoid fracture and a dislocated C6/7 luxation fracture after a motor vehicle accident. Immediately after trauma inspiratory stridor was reported. Postoperatively, the tracheal stenosis increased and the histological examination of tissue collected during emergency bronchoscopy showed granulation tissue.Even if fractures of cervical spine injuries are treated successfully, soft tissue and tracheal injuries cannot be precluded. Therefore, it is most important that such patients are followed-up closely to classify the problem and to determine the ideal time for surgical treatment of tracheal injuries and stenoses.
Unfallchirurg | 2009
Marcel Dudda; T.M. Frangen; G. Muhr; C. Schinkel
ZusammenfassungVerletzungen der Trachea bei einem Kombinationstrauma der oberen HWS sind selten und können zu bedrohlichen Atemwegsverlegungen führen. Daher ist es wichtig, diese Weichteilverletzungen neben den knöchernen Verletzungen zu erkennen und adäquat zu therapieren. Wir berichten über einen Fall, bei dem es verzögert zu einer hochgradigen Trachealstenose gekommen ist, die letztlich nur durch eine Notfalltracheotomie und Tracheaquerresektion zu beherrschen war.Die 25-jährige Patientin erlitt nach einem Verkehrsunfall eine komplexe Fraktur der oberen HWS mit einer Jefferson-Fraktur, einer Densfraktur sowie einer HWK6/7-Luxationsfraktur. Bereits unmittelbar posttraumatisch war ein Stridor aufgetreten. Im Verlauf der Behandlung kam es zu einer Zunahme der Trachealstenose. Die Biopsie zeigte in der histologischen Aufarbeitung reines Granulationsgewebe. Auch wenn die knöcherne Pathologie schnell und effizient operativ behoben wird, kann bei schwerem Trauma der HWS nicht ausgeschlossen werden, dass auch Weichteilverletzungen gerade an der Trachea auftreten können.Daher ist es von enormer Wichtigkeit, solche Patienten engmaschig nachzuuntersuchen, damit der Zeitpunkt für ein sicheres operatives Verfahren zur Behebung von Tracheaverletzungen festgelegt werden kann.AbstractCombined injuries of the upper cervical spine are rare and can lead to life-threatening positional changes of the respiratory tract. Hence, it is very important to recognize tracheal and soft tissue injuries and to treat these adequately. We report on the clinical course and outcome of a case with a delayed high-grade tracheal stenosis after cervical spine injury, which could only be treated by emergency tracheotomy and partial transverse trachea resection.The 25-year-old female suffered a complex dislocated upper cervical spine fracture with a Jefferson fracture, an odontoid fracture and a dislocated C6/7 luxation fracture after a motor vehicle accident. Immediately after trauma inspiratory stridor was reported. Postoperatively, the tracheal stenosis increased and the histological examination of tissue collected during emergency bronchoscopy showed granulation tissue.Even if fractures of cervical spine injuries are treated successfully, soft tissue and tracheal injuries cannot be precluded. Therefore, it is most important that such patients are followed-up closely to classify the problem and to determine the ideal time for surgical treatment of tracheal injuries and stenoses.Combined injuries of the upper cervical spine are rare and can lead to life-threatening positional changes of the respiratory tract. Hence, it is very important to recognize tracheal and soft tissue injuries and to treat these adequately. We report on the clinical course and outcome of a case with a delayed high-grade tracheal stenosis after cervical spine injury, which could only be treated by emergency tracheotomy and partial transverse trachea resection.The 25-year-old female suffered a complex dislocated upper cervical spine fracture with a Jefferson fracture, an odontoid fracture and a dislocated C6/7 luxation fracture after a motor vehicle accident. Immediately after trauma inspiratory stridor was reported. Postoperatively, the tracheal stenosis increased and the histological examination of tissue collected during emergency bronchoscopy showed granulation tissue.Even if fractures of cervical spine injuries are treated successfully, soft tissue and tracheal injuries cannot be precluded. Therefore, it is most important that such patients are followed-up closely to classify the problem and to determine the ideal time for surgical treatment of tracheal injuries and stenoses.
Unfallchirurg | 2009
Marcel Dudda; T.M. Frangen; G. Muhr; C. Schinkel
ZusammenfassungVerletzungen der Trachea bei einem Kombinationstrauma der oberen HWS sind selten und können zu bedrohlichen Atemwegsverlegungen führen. Daher ist es wichtig, diese Weichteilverletzungen neben den knöchernen Verletzungen zu erkennen und adäquat zu therapieren. Wir berichten über einen Fall, bei dem es verzögert zu einer hochgradigen Trachealstenose gekommen ist, die letztlich nur durch eine Notfalltracheotomie und Tracheaquerresektion zu beherrschen war.Die 25-jährige Patientin erlitt nach einem Verkehrsunfall eine komplexe Fraktur der oberen HWS mit einer Jefferson-Fraktur, einer Densfraktur sowie einer HWK6/7-Luxationsfraktur. Bereits unmittelbar posttraumatisch war ein Stridor aufgetreten. Im Verlauf der Behandlung kam es zu einer Zunahme der Trachealstenose. Die Biopsie zeigte in der histologischen Aufarbeitung reines Granulationsgewebe. Auch wenn die knöcherne Pathologie schnell und effizient operativ behoben wird, kann bei schwerem Trauma der HWS nicht ausgeschlossen werden, dass auch Weichteilverletzungen gerade an der Trachea auftreten können.Daher ist es von enormer Wichtigkeit, solche Patienten engmaschig nachzuuntersuchen, damit der Zeitpunkt für ein sicheres operatives Verfahren zur Behebung von Tracheaverletzungen festgelegt werden kann.AbstractCombined injuries of the upper cervical spine are rare and can lead to life-threatening positional changes of the respiratory tract. Hence, it is very important to recognize tracheal and soft tissue injuries and to treat these adequately. We report on the clinical course and outcome of a case with a delayed high-grade tracheal stenosis after cervical spine injury, which could only be treated by emergency tracheotomy and partial transverse trachea resection.The 25-year-old female suffered a complex dislocated upper cervical spine fracture with a Jefferson fracture, an odontoid fracture and a dislocated C6/7 luxation fracture after a motor vehicle accident. Immediately after trauma inspiratory stridor was reported. Postoperatively, the tracheal stenosis increased and the histological examination of tissue collected during emergency bronchoscopy showed granulation tissue.Even if fractures of cervical spine injuries are treated successfully, soft tissue and tracheal injuries cannot be precluded. Therefore, it is most important that such patients are followed-up closely to classify the problem and to determine the ideal time for surgical treatment of tracheal injuries and stenoses.Combined injuries of the upper cervical spine are rare and can lead to life-threatening positional changes of the respiratory tract. Hence, it is very important to recognize tracheal and soft tissue injuries and to treat these adequately. We report on the clinical course and outcome of a case with a delayed high-grade tracheal stenosis after cervical spine injury, which could only be treated by emergency tracheotomy and partial transverse trachea resection.The 25-year-old female suffered a complex dislocated upper cervical spine fracture with a Jefferson fracture, an odontoid fracture and a dislocated C6/7 luxation fracture after a motor vehicle accident. Immediately after trauma inspiratory stridor was reported. Postoperatively, the tracheal stenosis increased and the histological examination of tissue collected during emergency bronchoscopy showed granulation tissue.Even if fractures of cervical spine injuries are treated successfully, soft tissue and tracheal injuries cannot be precluded. Therefore, it is most important that such patients are followed-up closely to classify the problem and to determine the ideal time for surgical treatment of tracheal injuries and stenoses.
Unfallchirurg | 2006
T.M. Frangen; T. Kälicke; M. Gottwald; S. Andereya; Hans-Joachim Andress; O. Russe; E. J. Müller; G. Muhr; C. Schinkel
Unfallchirurg | 2006
T.M. Frangen; T. Kälicke; M. Gottwald; S. Andereya; Hans-Joachim Andress; O. Russe; E. J. Müller; G. Muhr; C. Schinkel
Unfallchirurg | 2007
C. Schinkel; T.M. Frangen; A. Kmetic; Hans-Joachim Andress; G. Muhr; Ag Polytrauma der Dgu
Unfallchirurg | 2007
C. Schinkel; T.M. Frangen; A. Kmetic; Hans-Joachim Andress; G. Muhr; Ag Polytrauma der Dgu
Orthopade | 2006
C. Schinkel; R. Greiner-Perth; Schwienhorst-Pawlowsky G; T.M. Frangen; G. Muhr; H. Böhm
Orthopade | 2007
T.M. Frangen; Sibylle Ruppert; G. Muhr; C. Schinkel
Current Pain and Headache Reports | 2008
C. Schinkel; Martin H. Kirschner