Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris最新文献_第10页

Vertige positionnel paroxystique découvrant un kyste épidermoïde du quatrième ventricule 突发性位置性眩晕，发现第四脑室表皮样囊肿

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-06-01 DOI: 10.1016/j.aorl.2008.01.001

J.-P. Trijolet, S. Pondaven-Letourmy, A. Robier, S. Morinière

{"title":"Vertige positionnel paroxystique découvrant un kyste épidermoïde du quatrième ventricule","authors":"J.-P. Trijolet, S. Pondaven-Letourmy, A. Robier, S. Morinière","doi":"10.1016/j.aorl.2008.01.001","DOIUrl":"10.1016/j.aorl.2008.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>To report a case of atypical positional vertigo revealing a fourth ventricle epidermoid cyst.</p></div><div><h3>Material and methods</h3><p>We report a case of a thirty-year-old woman suffering from positional vertigo with downbeat nystagmus. Except for these symptoms, the physical examination was normal, apart from intermittent headaches. On videonystagmography, a decrease in the average speed of beats and lowered benefits obtained by slow motion were noted. MRI revealed a fourth ventricle epidermoid cyst.</p></div><div><h3>Results</h3><p>Physical examination may provide several signs that are likely to enable the examiner to distinguish between central nervous system or peripheral vertigos. Atypical symptoms such as a downbeat nystagmus, a lack of reversal in nystagmus beats when returning to the sitting position and a lack of a latency period in vertigo and nystagmus occurrence during the Dix-Hallpike maneuver suggest a central nervous system etiology.</p></div><div><h3>Conclusion</h3><p>With atypical symptoms noted when questioning the patient or during physical examination, a central nervous system etiology should be mentioned and explored with cerebral MRI.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 3","pages":"Pages 146-150"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27434857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Tuberculose épilaryngée : considérations épidémiologiques, cliniques et sanitaires 脱毛性结核病:流行病学、临床和卫生方面的考虑

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-06-01 DOI: 10.1016/j.aorl.2008.03.002

N. Saroul , J.-F. Vellin , O. Baud , O. Nohra , J.-L. Kemeny , L. Gilain

{"title":"Tuberculose épilaryngée : considérations épidémiologiques, cliniques et sanitaires","authors":"N. Saroul , J.-F. Vellin , O. Baud , O. Nohra , J.-L. Kemeny , L. Gilain","doi":"10.1016/j.aorl.2008.03.002","DOIUrl":"10.1016/j.aorl.2008.03.002","url":null,"abstract":"<div><h3>Objective</h3><p>To report a case of laryngeal tuberculosis and to consider tuberculosis management in ENT practice.</p></div><div><h3>Material and methods</h3><p>A 44-year-old man, a smoker with pulmonary sarcoidosis experienced dysphonia with dysphagia. Laryngeal fibroscopy revealed an ulcerated epiglottic lesion. Direct laryngoscopy was performed to detect carcinoma, laryngeal sarcoidosis or tuberculosis. The histologic study revealed granulomatosis with giant cells and caseous necrosis. Tissue culture identified <em>Mycobacterium tuberculosis</em>.</p></div><div><h3>Results</h3><p>Antituberculosis therapy decreased dysphonia and dysphagia. Isolated ulceration disappeared at three months. Pulmonary infiltration decreased in radiography. The discovery of this case of laryngeal tuberculosis instigated hospital and community tuberculosis surveillance.</p></div><div><h3>Conclusion</h3><p>The ENT specialist should be aware of laryngeal tuberculosis in suspicious lesions. Mandatory declaration of such cases can motivate setting up tuberculosis surveillance.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 3","pages":"Pages 155-159"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27486790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Kyste hydatique du massif facial 面部实体的水囊肿

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-06-01 DOI: 10.1016/j.aorl.2008.01.004

C. Hafsa , T. Ben Alaya , S. Kriaa , S. Jerbi , M. Golli , M.H. Hamdi , A. Gannouni

{"title":"Kyste hydatique du massif facial","authors":"C. Hafsa , T. Ben Alaya , S. Kriaa , S. Jerbi , M. Golli , M.H. Hamdi , A. Gannouni","doi":"10.1016/j.aorl.2008.01.004","DOIUrl":"10.1016/j.aorl.2008.01.004","url":null,"abstract":"<div><h3>Objective</h3><p>A maxillofacial location of a hydatid cyst is rare, accounting 2% of cases. The purpose of this study was to review clinical and radiological features by emphasizing diagnostic difficulties.</p></div><div><h3>Materials and methods</h3><p>Two observations of hydatid cyst with a maxillofacial location are presented. Two cases were investigated by panoramic dental radiography, an ultrasound and CT scan. MRI was done in one case.</p></div><div><h3>Results</h3><p>The first observation reports a 23-year-old woman who consulted for jugal tumefaction with pharyngeal extension evolving in spurts. The second observation was a 16-year-old girl, which consulted for a genian and masseter tumefaction with a tight trismus. In both cases, the imaging studies suggested the diagnosis of the hydatid cyst confirmed by the anatomopathologic exam.</p></div><div><h3>Conclusion</h3><p>The hydatid cyst is an endemic parasitic pathology involving most often the lung and the liver. The maxillofacial location is exceptional. In cases of a cyst mass in an endemic zone, the diagnosis of the hydatid cyst must be entertained. CT scan and MRI provided a complete lesion workup. Treatment is surgical.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 3","pages":"Pages 160-163"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27470503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Traitement endoscopique des diverticules de Zenker à la pince autosuturante 用自缝合钳内镜治疗Zenker憩室

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-06-01 DOI: 10.1016/j.aorl.2008.01.002

S. Tringali, P. Pierrillas, P. Céruse, C. Dubreuil

{"title":"Traitement endoscopique des diverticules de Zenker à la pince autosuturante","authors":"S. Tringali, P. Pierrillas, P. Céruse, C. Dubreuil","doi":"10.1016/j.aorl.2008.01.002","DOIUrl":"https://doi.org/10.1016/j.aorl.2008.01.002","url":null,"abstract":"<div><h3>Objective</h3><p>Retrospective study to evaluate the efficacy and safety of endoscopic stapled diverticulotomy of patients with Zenker's diverticulum.</p></div><div><h3>Methods</h3><p>Twenty-two patients with Zenker's diverticulum were evaluated. All patients had a preoperative barium swallow, which confirmed the Zenker diverticulum.</p></div><div><h3>Surgical procedure</h3><p>Patients underwent an attempted endoscopic resection of the Zenker diverticulum using the endoscopic stapling technique. If unsuccessful, an open approach was then taken. All patients were seen in follow-up within one and then at six months after surgery and had a barium swallow during the first month.</p></div><div><h3>Results</h3><p>The patient's mean age was 74 years. The operation lasted a mean of 20minutes. Conversion to open surgery was required in five patients, which lasted a mean 20minutes. No postoperative morbidity or mortality was recorded. In two patients with a small diverticulum (2cm), persistent discomfort with no dysphagia or regurgitation was noted. The barium swallow demonstrated a persistent diverticulum without a neck.</p></div><div><h3>Conclusion</h3><p>Endoscopic staple diverticulotomy is an excellent first-intention method to surgically correct Zenker's diverticulum in many patients. It is a technique with a significantly shorter operative time, hospital stay, time to resumption of oral feeding and lower mortality and fewer morbidity complications.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 3","pages":"Pages 128-133"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91673209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Quels critères alternatifs à la cytoponction d’un nodule thyroïdien ? 甲状腺结节细胞穿刺的替代标准是什么?

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-06-01 DOI: 10.1016/j.aorl.2008.02.002

R. Sfar , I. Lahmar , N. Driss , H. Essabbah

{"title":"Quels critères alternatifs à la cytoponction d’un nodule thyroïdien ?","authors":"R. Sfar , I. Lahmar , N. Driss , H. Essabbah","doi":"10.1016/j.aorl.2008.02.002","DOIUrl":"10.1016/j.aorl.2008.02.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To identify the clinical and paraclinical factors of thyroid nodule malignancy (in absence of ultrasound-guided fine needle aspiration biopsy data).</p></div><div><h3>Patients and methods</h3><p>This retrospective study was conducted on a cohort of 282 patients admitted for management of a thyroid nodule disease. All patients had undergone surgery and the specimen had been analyzed anatomically and pathologically. Forty-four patients had malignant disease. Epidemiological, clinical, and paraclinical data, as well as the anatomical and pathological characteristics of the specimen were collected for each patient.</p></div><div><h3>Results</h3><p>We showed that the epidemiological data (sex and age), the nodule's characteristics (consistency, irregularities of the edges and fixity to underlying structures, and size), the presence of adenopathies, signs of compression, and the presence of calcifications were the predictability criteria of malignant disease. However, the scintigraphic aspect, the echostructure, and the hormonal status were not significant.</p></div><div><h3>Conclusion</h3><p>This study underscores that a relevant clinical and paraclinical analysis remains highly contributive in the presurgical identification of factors predictive of malignancy of a thyroid nodule, notably in countries where technological tools are not always available.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 3","pages":"Pages 122-127"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27431005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Qui suis je : M 我是谁:M

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-06-01 DOI: 10.1016/j.aorl.2007.01.009

Alfred Werner, Ollivier Laccourreye

引用次数: 0

Comment faire une déclaration de maladie professionnelle liée au bruit ? 如何申报与噪音有关的职业病?

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-04-01 DOI: 10.1016/j.aorl.2007.09.001

A. Massardier-Pilonchéry, J.-C. Duclos

引用次数: 0

Un diverticule pharyngo-œsophagien de Zenker Zenker的咽食道憩室

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-04-01 DOI: 10.1016/j.aorl.2007.04.008

B. Barry , D. Chevalier , J. Lacau St-Guily , M. Makeieff , E. Reyt

引用次数: 0

Cholestéatome congénital localisé chez l’adulte 成人局限性先天性胆脂瘤。

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-04-01 DOI: 10.1016/j.aorl.2007.10.006

E. Mornet, C. Martins-Carvalho, G. Valette, G. Potard, R. Marianowski

{"title":"Cholestéatome congénital localisé chez l’adulte","authors":"E. Mornet, C. Martins-Carvalho, G. Valette, G. Potard, R. Marianowski","doi":"10.1016/j.aorl.2007.10.006","DOIUrl":"10.1016/j.aorl.2007.10.006","url":null,"abstract":"<div><h3>Purpose of the study</h3><p>Congenital cholesteatoma is a well-described anatomical and clinical entity. Adult forms are rare. We describe a posterosuperior encapsulated cholesteatoma and compare this case to other infantile and adult forms described in the literature.</p></div><div><h3>Material and methods</h3><p>A 25-year-old patient with no medical history consulted for left conductive hearing loss. A flat tympanogram was obtained. The temporal bone computed tomographic scan showed a soft tissue density lesion of the middle ear and anterior stapes erosion. A congenital cholesteatoma was discovered during surgical exploration. The lesion was removed and the ossicular chain was reconstructed with a Shea piston.</p></div><div><h3>Results</h3><p>The patient showed approximately 20dB conductive hearing improvement.</p></div><div><h3>Discussion</h3><p>Existence of congenital cholesteatoma is well established. Adult forms are exceptional and often diffuse. A localized, encapsulated form is described in this article. The specificity remains unknown. It is uncertain whether the adult and infantile forms have the same origin. A multifactorial or metaplastic mechanism could explain adult congenital cholesteatoma.</p></div><div><h3>Conclusion</h3><p>Pathogenic hypothesis for adult forms of congenital cholesteatoma are different from infantile forms.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 2","pages":"Pages 85-89"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2007.10.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27270703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Hémangiome caverneux de la fosse nasale 他吃鼻孔里的洞穴

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2008-04-01 DOI: 10.1016/j.aorl.2007.06.004

David Bakhos , Emmanuel Lescanne , Marc Legeais , Patrice Beutter , Sylvain Morinière

{"title":"Hémangiome caverneux de la fosse nasale","authors":"David Bakhos , Emmanuel Lescanne , Marc Legeais , Patrice Beutter , Sylvain Morinière","doi":"10.1016/j.aorl.2007.06.004","DOIUrl":"10.1016/j.aorl.2007.06.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To study the circumstances of diagnosis, imaging techniques and therapeutic management of cavernous hemangioma of the nasal cavity.</p></div><div><h3>Material and method</h3><p>We report the case of a 60-year-old woman, who presented epistaxis CT scan and nasal obstruction.</p></div><div><h3>Results</h3><p>Rhinoscopy showed a purplish, regular mass that filled the left nasal cavity. Computed tomographic and MRI images showed the tumor in contact close to the middle turbinate. An arteriography with selective embolization was performed. The lesion was completely removed by endonasal endoscopic surgery. The histological examination showed a cavernous hemangioma of the nasal cavity.</p></div><div><h3>Conclusion</h3><p>Even if cavernous hemangiomas are rare, the practitioner must suggest the diagnosis if the patient has a purplish bleeding mass of the nasal cavity. CT scan, MRI, and arteriography can help make the diagnosis. Before surgical management, embolization is recommended.</p></div>","PeriodicalId":75509,"journal":{"name":"Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris","volume":"125 2","pages":"Pages 94-97"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2007.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27270779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11