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

{"title":"Éditorial","authors":"H. Laccourreye","doi":"10.1016/j.aorl.2009.11.001","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.11.001","url":null,"abstract":"","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":"126 5","pages":"Page 241"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136552952","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}

{"title":"Qui suis-je ? U…","authors":"A. Werner, O. Laccourreye","doi":"10.1016/j.aorl.2009.03.002","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.03.002","url":null,"abstract":"","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":"126 5","pages":"Pages 300-301"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90002028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extrusion cutanée à répétition d’un implant cochléaire","authors":"C. Poncet-Wallet ,&nbsp;Y. Ormezzano ,&nbsp;E. Ernst ,&nbsp;C. Toffin ,&nbsp;R. Dhote ,&nbsp;E. Harboun-Cohen ,&nbsp;B. Frachet","doi":"10.1016/j.aorl.2009.07.001","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>An observation of a difficult-to-diagnose complication of the cochlear implant: recurring cutaneous extrusion of a cochlear implant is reported.</p></div><div><h3>Patients and methods</h3><p>The history of an adult patient with total deafness is reported. She received an implant in her right ear in 1988, which was then explanted because of absence of hearing results. She received a second implant in her left ear in 2002, which was then explanted in 2007 because of cutaneous extrusion. In 2008, a second implant of a different brand was placed in her left ear, with the central part placed away from the first site, but extrusion recurred. A new attempt to encapsulate the central part with a hydroxyapatite box also ended in extrusion and was explanted in 2008.</p></div><div><h3>Results</h3><p>Various diagnoses to explain these cutaneous problems were suggested during this clinical progression: infection, allergy, and a reaction to a foreign body. No hypothesis could be clearly ruled out.</p></div><div><h3>Conclusion</h3><p>Cutaneous complications after cochlear implant are exceptional. As soon as cutaneous disorders appear, a rigorous diagnostic process must be followed so that the patient can be recommended a long-lasting solution to restore quality hearing.</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":"126 5","pages":"Pages 264-268"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91634287","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}

{"title":"Les adénocarcinomes nasosinusiens revisités. Intérêt pronostique de la classification histologique OMS 2005","authors":"A. El Ayoubi ,&nbsp;F. Poizat ,&nbsp;R. Garrel ,&nbsp;V. Costes ,&nbsp;B. Guerrier ,&nbsp;L. Essakalli ,&nbsp;M. Kzadri ,&nbsp;L. Crampette","doi":"10.1016/j.aorl.2009.06.001","DOIUrl":"10.1016/j.aorl.2009.06.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The WHO 2005 histological classification separates sinonasal adenocarcinoma (ADC) into three classes: intestinal-type adenocarcinoma (ITAC), low-grade sinonasal ADC and high-grade sinonasal ADC. The goal of this study was to check the relevance of this classification on the prognosis of patients treated for ADC.</p></div><div><h3>Patients and methods</h3><p>All the files of patients treated consecutively in the ENT department of the Montpellier University Hospital for ADC between 1980 and 2003 were retrospectively re-examined. Each case was reviewed for anatomical and pathological data based on the immunohistochemistry results according to the WHO 2005 classification, with a study of a panel of markers: cytokeratin 7 (CK7), cytokeratin 20 (CK20), Villin, CDX2 and EGFR. The epidemiologic data, the methods of treatment and the follow-up were studied. The survival probabilities were calculated using the Kaplan-Meier method and the survival graphs were compared using a <em>log-rank</em> test.</p></div><div><h3>Results</h3><p>Sixty-two files were reviewed. Twelve patients were reclassified into the adenoid cystic carcinoma category and excluded from the study. In the 50 remaining cases, there were 36 ITAC cases, four low-grade ADC cases and 10 high-grade dedifferentiated carcinomas. For all of the ADC cases, the total survival at 5 years and without recurrence was 64 and 52%, respectively. The analysis of the three subgroups showed a total survival of 72.2% for ITAC, 100% for low-grade and 20% for high-grade ADC with a significant difference (<em>p</em> <!-->=<!--> <!-->0.044). This immunohistochemical distinction was mainly based on the expression of CK20 found in 98% of the ITAC cases and absent in low- and high-grade ADC patients.</p></div><div><h3>Conclusion</h3><p>The WHO 2005 classification for sinonasal ADC provides a valuable prognosis by showing a difference in the progression profile between ITAC, low-grade ADC and high-grade ADC. Moreover, broader studies should be conducted to investigate the different subtypes of ITAC.</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":"126 4","pages":"Pages 175-181"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28298344","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}

{"title":"Étude bactériologique des cavités d’ethmoïdectomie chez des patients ayant une polypose naso-sinusienne opérée","authors":"N. Day ,&nbsp;J.-L. Mainardi ,&nbsp;D. Malinvaud ,&nbsp;P. Bonfils","doi":"10.1016/j.aorl.2009.06.004","DOIUrl":"10.1016/j.aorl.2009.06.004","url":null,"abstract":"<div><h3>Objectifs</h3><p>Faire une analyse prospective de prélèvements effectués dans les cavités d’ethmoïdectomie chez des patients opérés de polypose naso-sinusienne afin de déterminer le type de flore retrouvée dans ces cavités et de corréler ces résultats avec l’état clinique des patients.</p></div><div><h3>Patients et méthodes</h3><p>Soixante patients consécutifs opérés d’ethmoïdectomie totale pour une polypose naso-sinusienne dans un hôpital hospitalo-universitaire ont été inclus en prospectif entre juin et novembre 2008. Pour chaque patient, deux prélèvements par écouvillon dans chaque cavité d’ethmoïdectomie ont été réalisés et mis en culture pour la recherche de bactéries aérobies et anaérobies ainsi que pour la recherche de champignons. Une étude de la sensibilité aux antibiotiques a été réalisée sur toutes les souches bactériennes isolées.</p></div><div><h3>Résultats</h3><p>Quarante-huit patients (80 %) avaient des germes pathogènes, essentiellement un <em>Staphylococcus aureus</em> (60 % des patients) ou un bacille à Gram négatif. Les microorganismes étaient dans l’ensemble sensibles aux antibiotiques, en particulier aux aminosides. Enfin, il n’existait pas de lien significatif entre l’état clinique et la présence de bactéries pathogènes.</p></div><div><h3>Conclusion</h3><p>Dans cette étude, un nombre important de patients sont colonisés avec des germes pathogènes. La présence de germes pathogènes n’est pas corrélée avec l’état clinique des patients.</p></div><div><h3>Objective</h3><p>To compare the bacteriological and clinical findings in ethmoid specimens from patients with nasal polyposis after radical ethmoidal surgery.</p></div><div><h3>Patients and methods</h3><p>From June to November 2008, 60 patients were prospectively included. For each patient, two samples for each ethmoidal cavity were taken. Aerobic and anaerobic bacterial cultures and fungal cultures were processed and the antibiotic susceptibility was evaluated for each isolated bacterial strain.</p></div><div><h3>Results</h3><p>Pathogenic bacteria were isolated in 48 patients (80%) including predominantly <em>Staphylococcus aureus</em> (60%) or a Gram-negative bacterium. The microorganisms were nearly all susceptible to antibiotics, including the aminoglycosides. No correlation between the presence of pathogenic bacteria and the clinical status of the patients was found.</p></div><div><h3>Conclusion</h3><p>In this study, a great number of patients was colonized with pathogenic bacteria. However, the presence of pathogenic bacteria was not correlated with the clinical status of the patients.</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":"126 4","pages":"Pages 196-202"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28299979","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}

{"title":"Voie d’abord transorale et cervicale sans mandibulotomie dans les cancers de l’oropharynx avec réparation par lambeau libre fasciocutané antébrachial","authors":"A. Bozec ,&nbsp;G. Poissonnet ,&nbsp;E. Chamorey ,&nbsp;A. Sudaka ,&nbsp;C. Laout ,&nbsp;J. Vallicioni ,&nbsp;F. Demard ,&nbsp;O. Dassonville","doi":"10.1016/j.aorl.2009.06.002","DOIUrl":"10.1016/j.aorl.2009.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the role of a combined transoral and cervical approach without mandibulotomy for surgery of oropharyngeal cancer with fasciocutaneous radial forearm free flap reconstruction.</p></div><div><h3>Material and methods</h3><p>All patients who underwent this type of surgery between 2003 and 2007 were included in this retrospective study. We analyzed postoperative outcomes, surgical margins (histological study) and the oncological and functional results.</p></div><div><h3>Results</h3><p>A total of 24 patients were included in this study. There was no free flap failure. Surgical margins were negative for 23 of the 24 patients. At 3 years, overall, cause-specific, and disease-free survival rates were 73, 76 and 68%, respectively. A good functional result (normal or slightly impaired function) was obtained for oral diet, speech, mouth opening and esthetic outcome in 78, 82, 92 and 86% of the patients, respectively.</p></div><div><h3>Conclusion</h3><p>This double surgical approach without mandibulotomy in selective cases can replace the transmandibular approach in locally advanced oropharyngeal cancer surgery.</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":"126 4","pages":"Pages 182-189"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28299978","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}

{"title":"Mastoïdite aiguë extériorisée chez l’enfant : la mastoïdectomie peut-elle être évitée ?","authors":"J.-P. Trijolet ,&nbsp;D. Bakhos ,&nbsp;P. Lanotte ,&nbsp;S. Pondaven ,&nbsp;E. Lescanne","doi":"10.1016/j.aorl.2009.05.002","DOIUrl":"10.1016/j.aorl.2009.05.002","url":null,"abstract":"<div><h3>Objective</h3><p>Mastoidectomy is the standard management for exteriorized mastoiditis. The objective of this study was to assess the results of conservative management of acute mastoiditis and to study the types of bacteria isolated and their sensitivity to antibiotics.</p></div><div><h3>Methods</h3><p>A retrospective study including children admitted with acute mastoiditis was conducted between 1994 and 2007. Intravenous antibiotics were systematic. Since 2002, mastoidectomy has been replaced by retroauricular puncture and grommet tube insertion.</p></div><div><h3>Results</h3><p>Forty-four children had acute mastoiditis. All but one (temporozygomatic swelling) had postauricular swelling. The culture was positive in 78% of cases. <em>Streptococcus pneumoniae</em> was the most common bacteria identified. Twenty-six subperiosteal abscesses were found on the CT scan. Mastoidectomy was performed in 17 cases, 16 of which took place before 2002. The hospital stay has been decreased by six days with retroauricular puncture and grommet tube insertion management.</p></div><div><h3>Conclusion</h3><p>In the absence of intracranial complications and suspicion of <em>Fusobacterium necrophorum</em>, a retroauricular puncture and grommet tube insertion associated with antibiotic therapy is an effective alternative to mastoidectomy in the treatment of acute mastoiditis with subperiosteal abscess.</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":"126 4","pages":"Pages 169-174"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28241121","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}

{"title":"Qui suis-je ? T…","authors":"A. Werner,&nbsp;O. Laccourreye","doi":"10.1016/j.aorl.2009.02.006","DOIUrl":"10.1016/j.aorl.2009.02.006","url":null,"abstract":"","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":"126 4","pages":"Pages 236-237"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.02.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28445275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancers de l’hypopharynx T1-T2 « N0 » traités par chirurgie exclusive. Étude GETTEC","authors":"M. Foucher ,&nbsp;G. Poissonnet ,&nbsp;J.-P. Rame ,&nbsp;B. Toussaint ,&nbsp;P.-O. Védrine ,&nbsp;O. Dassonville ,&nbsp;D. de Raucourt ,&nbsp;A. Cosmidis","doi":"10.1016/j.aorl.2009.06.006","DOIUrl":"10.1016/j.aorl.2009.06.006","url":null,"abstract":"<div><h3>Objective</h3><p>Consider whether surgery alone in the treatment of early cancers of the hypopharynx can give identical or better results in terms of survival and local control than radiotherapy.</p></div><div><h3>Methods</h3><p>Forty-five patients were operated on during the years 1991–2004. Surgical treatment consisted in a resection by the transoral approach in four patients and 41 patients had a partial pharyngolaryngectomy. An elective neck dissection was performed on 43 patients.</p></div><div><h3>Results</h3><p>The 1-, 3-, and 5-year overall survival rates were 100, 95, and 75%. The 1-, 3-, and 5-year locoregional control rates were 93, 88, and 82% and were influenced by the presence of dysplasia on surgical margins (<em>p</em> <!-->=<!--> <!-->0.027). The oncological occurrences observed were five local recurrences, two nodal recurrences, ten second primary cancers, and two metastases. Five locoregional failures out of seven were controlled after a second treatment.</p></div><div><h3>Conclusion</h3><p>Surgery alone gives completely satisfactory results in terms of survival and locoregional control. In case of recurrence, this makes it possible to operate on patients in nonirradiated areas with lower morbidity and mortality and better results. These results must be confirmed by a randomized trial.</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":"126 4","pages":"Pages 203-207"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.06.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40008099","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}

{"title":"Lambeaux libres et reconstruction en carcinologie cervicofaciale : état des lieux après 20 ans","authors":"F. Kolb","doi":"10.1016/j.aorl.2009.03.008","DOIUrl":"10.1016/j.aorl.2009.03.008","url":null,"abstract":"","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":"126 4","pages":"Pages 226-235"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.03.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28461644","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}