title: [Hereditary telangiectasia, recurrent laryngeal nerve paralysis, tumor in the neck area. When you need the expertise of an ENT specialist].
abstract: Numerous internal diseases can express themselves in the form of ENT manifestations. Epistaxis is one of the most common emergencies seen by the ENT specialist. Possible underlying systemic etiologies may be hypertension, systemic anticoagulation or even rare entities such as hereditary hemorrhagic telangiectasia. Internal-medical conditions underlying hoarseness are usually injuries to the recurrent nerve with lesions of the thyroid gland and mediastinum being prominent. Modern electrophysiological techniques permit early prognostication of the chances of healing a vocal cord paresis. A number of surgical procedures for improving vocal problems in the treatment of irreversible paresis are available. Unclear cervical swellings prompt a wide range of possible differential diagnoses that differ dramatically in terms of both treatment and outcome. For this reason, a rational, interdisciplinary diagnostic work-up is essential. In light of the risk of delaying the diagnosis and worsening the outcome, uncritical primary sampling of such tissue must be avoided.
authors.affiliation: Klinik und Poliklinik für Hals-, Nasen und Ohrenheilkunde, Universität des Saarlands. christian.sittel@uniklinik-saarland.de
authors.forename: Ch
authors.initials: Ch
authors.lastname: Sittel
authors.forename: U W
authors.initials: UW
authors.lastname: Geisthoff
authors.forename: P K
authors.initials: PK
authors.lastname: Plinkert
mesh_terms: D003937:Diagnosis, Differential; D005194:Family Practice; D006801:Humans; D010036:Otolaryngology; D010039:Otorhinolaryngologic Neoplasms / Q000175:diagnosis* / Q000628:therapy; D010348:Patient Care Team; D012017:Referral and Consultation; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000175:diagnosis* / Q000628:therapy; D014826:Vocal Cord Paralysis / Q000175:diagnosis* / Q000628:therapy