Gluck

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Gluck, Themistocles (Themistokles)Biblio.com

Ueber Transplantation Regeneration und entzündliche Neubildung pp.896-915 Taf. XIII Fig.7-14.

Gluck, Themistocles (Themistokles) & Zeller, ABiblio.com

Ueber Exstirpation der Harnblase und Prostata pp.916-924 3 Abb.

1882345961882. Arch. klin. Chir. 26. - Berlin Verlag von August Hirschwald 1882 8° VI 1011 pp. Holzschnitte 16 lith. Taf. Portrait von B.v.Langenbeck Halbledereinband der Zeit. First Edition! "In 1881 Foulis reported on 27 recorded cases of total laryngectomy. Half of these patients died of pneumonia and other infections within the first week after surgery. Another 25% died of tumor recurrence within ten months. In the same year Gluck recommended that in laryngectomized patients the bottom of the pharynx be completely sewn up in order to obviate the greatest hazard of laryngectomy aspiration pneumonia. By the beginning of the 20th century Gluck reported the mortality of laryngectomy being just 8.5%. This is extremely low considering the major problems that occurred in those days with anesthesia wound infection and shock. For example in 1906 the mortality rate for radical neck dissections was still 13%." "Gluck's modification of the surgical technique of laryngectomy in 1881 - closure of the pharyngostoma in order to decrease the risk of aspiration pneumonia - ruled out internal reed mechanisms. After all the trachea was completely severed from the pharynx in these patients. Accordingly a pneumatic mechanical voice source was devised by Stork in l877 following Czermak's lead. It was based on a similar yet external metal reed connected by an external tube with the patient's tracheal cannula and the sound conveyed into the mouth by another external tube. Between 1892 and 1918 this external pneumatic mechanical voice source was further refined by Hochenegg Gluck Gottstein Tapia Onodi and Stockman. Respectively their modifications consisted of a pair of bellows for a patient that was unable to exhale with sufficient strength a reed concealed in the patient's nose or upper denture an inflatable cuff for the tracheal cannula a reed connected to the tracheal cannula by way of a side butt to make non-phonatory breathing easier and a battery-powered compressor as air supply for the reed. In the 1920s MacKenty together with two scientists of the Western Electric Company Fletcher and Lane developed an external pneumatic mechanical voice source that was soon superseded by the Western Electric No° 2 type larynx. It comprised a soft-rubber tracheal pad to strap over the tracheostoma a flexible tube a slightly curved bronze reed in a silver cylinder and a mouthpiece attachable to this reed box . It was successfully marketed from 1930 to 1959 by the Western Electric Company and the Bell Telephone Laboratories: 5500 No° 2 type larynges were sold." "The first electrolarynx was devised by Gluck in 1910 and comprised an Edison type portable phonograph connected with a telephone receiver in the patient's nose or mouth. On the cylinder of the phonograph a vowel produced by a singer had been recorded. The electric current from the phonograph was converted by the telephone receiver to sound which was propagated in the buccal cavity air. There the representation of the singer's voice was given the timbre belonging to the patient's vocal tract. For demonstration purposes Gluck not only used a recorded vowel but also a phonograph containing a Waltz." Marein van der Torn : A sound-producing voice prosthesis. ACADEMISCH PROEFSCHRIFT Utrecht 2005 See - Gluck T.: Flüstersprache und Phonationsapparate. Berliner klinische Wochenschrift 36 1899 pp.215-216. Gluck T.: Patienten mit Totalextirpation des Pharynx Larynx und Oesophagus denen eine künstliche Stimme durch einen automatisch arbeitenden Apparat geliefert wird. Berliner klinische Wochenschrift 47/1 1910 pp.33-35. Gottstein G.: Pseudo-Stimme nach Totalexstirpation des Larynx. Archiv für die klinische Chirurgie 62 1900 pp.126-46. Tapia A.: Presentacion de un laringuectomizado hablando con un sencillisimo aparato artificial. Revista Espanola de Laringologia 5 1914 pp.48-55. Onodi A.: Ergebnisse der Abteilung für Hör- Sprach- und Stimmstörungen und Tracheotomierte vom Kriegsschauplatz. Monatsschrift für Ohrenheilkunde 52 1918 p. 85. Riesz R.: Description and demonstration of an artificial larynx. Journal of the Acoustical Society of America 1 pp.273-9. unknown

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