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3页

Endostenting par prothèse en Y sur hématome après chirurgie de l’aorte thoracique 胸主动脉手术后血肿Y型假体支架

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-09-01 DOI: 10.1016/j.aorl.2009.04.001

D. Elgandli , F. Perottino , M. Bouchene , M. Poupart , J.-C. Pignat , O. Merrot

{"title":"Endostenting par prothèse en Y sur hématome après chirurgie de l’aorte thoracique","authors":"D. Elgandli , F. Perottino , M. Bouchene , M. Poupart , J.-C. Pignat , O. Merrot","doi":"10.1016/j.aorl.2009.04.001","DOIUrl":"10.1016/j.aorl.2009.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the diagnostic and therapeutic management of extrinsic tracheobronchial compression after thoracic aorta surgery.</p></div><div><h3>Patient and methods</h3><p>We report the case of a female patient with Marfan syndrome.</p></div><div><h3>Results</h3><p>A 27-year-old woman with Marfan syndrome presented respiratory distress after type III dissecting aneurysm of the descending aorta from extrinsic compression (hematoma) of the lower third of the trachea and the left bronchial stump. We placed a Y-stent (Y-Tracheobronxane<sup>®</sup>, Novatech SA, France), thus restoring a satisfactory channel. A few days later, the patient developed right congestive heart failure from compression of the left pulmonary artery secondary to the progression of the hematoma. Medical treatment for this cardiological complication and the progressive resorption of the hematoma made it possible to remove the stent after 21 days with no dyspneic recurrence.</p></div><div><h3>Conclusion</h3><p>Placing a Y-stent is possible and effective and has few iatrogenic consequences in cases of extrinsic tracheobronchial compression from a hematoma occurring during heavy thoracic vascular surgery. With surgical revision impossible given the risks, stent placement allows progressive resorption of the hematoma, thus ending the compression of the bronchial tree.</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 221-225"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28270626","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

Complications postopératoires dans la thyroïdectomie totale pour maladie de Basedow : comparaison avec la chirurgie des goitres non basedowiens 基底病全甲状腺切除术术后并发症:与非基底甲状腺肿手术的比较

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-09-01 DOI: 10.1016/j.aorl.2009.06.003

A. Biet, R. Zaatar, V. Strunski, C. Page

{"title":"Complications postopératoires dans la thyroïdectomie totale pour maladie de Basedow : comparaison avec la chirurgie des goitres non basedowiens","authors":"A. Biet, R. Zaatar, V. Strunski, C. Page","doi":"10.1016/j.aorl.2009.06.003","DOIUrl":"10.1016/j.aorl.2009.06.003","url":null,"abstract":"<div><h3>Objectives</h3><p>To study and compare postoperative complications of total thyroidectomy for Graves disease and multinodular benign goiters.</p></div><div><h3>Material and methods</h3><p>A retrospective study on 176 patients (37 with Graves disease and 139 with multinodular benign goiters) over a period of 41 months was conducted. Postoperative calcemia and laryngeal palsy as well as hemorrhagic and infectious complications were studied and statistically compared using the Kruskal-Wallis test.</p></div><div><h3>Results</h3><p>There was no statistical difference concerning the occurrence of postoperative laryngeal palsy, hypoparathyroidism or hemorrhagic complications between these two groups of patients. Only a more frequent immediate postoperative hypocalcemia (day 1) in the Graves disease group was found.</p></div><div><h3>Conclusion</h3><p>Total thyroidectomy in the surgical management of Graves disease, after a cautious medical preoperative preparation, appears to be a safe technique. Total thyroidectomy must be performed instead of subtotal thyroidectomy in order to avoid recurrences.</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 190-195"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28301574","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: 4

La tuberculose primitive ORL extraganglionnaire 原始结核菌ORL外缘

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-09-01 DOI: 10.1016/j.aorl.2009.06.007

A. El Ayoubi, A. Benhammou, F. El Ayoubi, A. El Fahssi, S. Nitassi, A. Kohen, N. Nazih, A. Benbouzid, M. Kzadri

{"title":"La tuberculose primitive ORL extraganglionnaire","authors":"A. El Ayoubi, A. Benhammou, F. El Ayoubi, A. El Fahssi, S. Nitassi, A. Kohen, N. Nazih, A. Benbouzid, M. Kzadri","doi":"10.1016/j.aorl.2009.06.007","DOIUrl":"10.1016/j.aorl.2009.06.007","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this sinusonasal study was to study several locations of ENT extranodal tuberculosis.</p></div><div><h3>Material and methods</h3><p>Our study focused on eight cases of tuberculosis in the cervicofacial region gathered in the ENT department of the Rabat Specialization Hospital (Morocco) between August 2004 and August 2006. They comprise two cases of rhinopharyngeal tuberculosis, two cases of tuberculosis, two cases of endobuccal tuberculosis (mandibular and lingual locations), and two cases of glandular tuberculosis (thyroid and parotid locations).</p></div><div><h3>Results</h3><p>These locations are rarely affected by tuberculosis. The clinical signs as well as radiology and endoscopy are not specific. The final diagnosis is based on histology. Bacillus cultures are necessary when caseum tuberculosis is not found, causing problems of differential diagnosis with granulomatous and malignant lesions. PCR provides quick bacterial antigen detection when cultures are negative. The treatment provides a quick and complete recovery while recurrences are infrequent.</p></div><div><h3>Conclusion</h3><p>ENT tuberculosis is rare if excluding the nodal locations. It should be mentioned as a differential diagnosis, especially in endemic areas. Most often, this is a surprise diagnosis.</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 208-215"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.06.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40012628","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: 12

Informations 资料

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-09-01 DOI: 10.1016/j.aorl.2009.06.005

引用次数: 0

Tumeurs brunes maxillomandibulaires révélant un adénome parathyroïdien 上颌下颌棕色肿瘤显示甲状旁腺瘤

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-09-01 DOI: 10.1016/j.aorl.2009.05.003

A. Benhammou, M. Meziane, N. Dib, N. Nazih, M. Boulaadas, L. Essakali, M. Kzadri

{"title":"Tumeurs brunes maxillomandibulaires révélant un adénome parathyroïdien","authors":"A. Benhammou, M. Meziane, N. Dib, N. Nazih, M. Boulaadas, L. Essakali, M. Kzadri","doi":"10.1016/j.aorl.2009.05.003","DOIUrl":"10.1016/j.aorl.2009.05.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Through a novel observation of parathyroid adenoma revealed by brown tumors of the jaws and a review of the literature, the authors describe this rare mode of primary hyperparathyroidism discovery.</p></div><div><h3>Material and methods</h3><p>The patient was a 23-year-old woman who consulted for a recurrent tumefaction of the maxillary; histology showed reparative giant cell granuloma.</p></div><div><h3>Results</h3><p>The clinical examination found an osseous tumefaction in continuity with the zygomatic bone and a gingival tumefaction on the mandible symphysis. The radiological findings showed two osteophytic lesions: mandibular and maxillary. The phosphocalcic metabolism was disturbed and the parathormone rate was high. The etiologic search consisted of a MRI of the neck, which showed a mass behind the thyroid gland, suggesting a parathyroid adenoma. The diagnosis was confirmed at surgical exploration. After removal of this tumor, the blood calcium rate dropped sharply and the bone tumefaction progressively regressed.</p></div><div><h3>Conclusion</h3><p>Brown tumors are a rare mode of parathyroid adenoma discovery, and the jaw location is exceptional. The diagnosis is based on the parathormone rate, and radiological exams generally find the etiology. Treatment is based on surgery of the parathyroid adenoma.</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 216-220"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28241120","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: 15

Envahissement et résection mandibulaire dans le traitement des cancers de la cavité orale 下颌浸润与切除在口腔癌治疗中的应用

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-06-01 DOI: 10.1016/j.aorl.2009.04.003

F. Jegoux , C. Bedfert , N. Alno , B. Godey , G. Le Clech

引用次数: 0

L’insuffisance vélopharyngée chez l’enfant 儿童自行车咽部功能不全

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-06-01 DOI: 10.1016/j.aorl.2009.03.006

I. Rouillon , N. Leboulanger , G. Roger , S. Marlin , E.N. Garabédian

引用次数: 5

Comment faire une adénoïdectomie chez l’enfant ? 如何做小儿腺样体切除术?

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-06-01 DOI: 10.1016/j.aorl.2009.03.007

D. Bakhos , S. Pondaven , M. Devault , E. Lescanne

引用次数: 5

Association d’un kyste arachnoïdien et d’une hétérotopie de tissu glial dans le méat auditif interne [蛛网膜囊肿与内耳道异位神经胶质组织的关系]。

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-06-01 DOI: 10.1016/j.aorl.2009.03.001

K. Aubry , M. Wassef , J.-P. Guichard , P. Herman , P. Tran Ba Huy

{"title":"Association d’un kyste arachnoïdien et d’une hétérotopie de tissu glial dans le méat auditif interne","authors":"K. Aubry , M. Wassef , J.-P. Guichard , P. Herman , P. Tran Ba Huy","doi":"10.1016/j.aorl.2009.03.001","DOIUrl":"10.1016/j.aorl.2009.03.001","url":null,"abstract":"<div><h3>Objectives</h3><p>We report a case of an association of an arachnoid cyst with heterotopic neuroglial tissue in the internal auditory canal.</p></div><div><h3>Material and methods</h3><p>A 66-year-old woman consulted for cochleovestibular syndrome.</p></div><div><h3>Results</h3><p>MRI demonstrated a lesion with spontaneous hypersignal on T1- and T2-weighted images, instigating surgical exploration. We discovered a hematic arachnoid cyst associated with heterotopic neuroglial tissue arising in the internal auditory canal.</p></div><div><h3>Conclusion</h3><p>An arachnoid cyst arising within the cerebellopontine angle or the internal auditory canal is a rare occurrence. Clinical manifestations are identical with those produced by a cochleovestibular schwannoma. MRI usually demonstrates a nonenhancing isointense cystic mass with cerebrospinal fluid on all sequences (hypointense on T1-weighted and hyperintense on T2-weighted images). These lesions are usually monitored. Spontaneous hypersignal on T1- and T2-weighted images makes diagnosis difficult, as in our case, leading to surgical exploration.</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 3","pages":"Pages 133-137"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28262368","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: 5

Abcès rétro- et parapharyngés de l’enfant : facteurs prédictifs d’échec du traitement médical 儿童逆行和副咽脓肿:药物治疗失败的预测因素

Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris Pub Date : 2009-06-01 DOI: 10.1016/j.aorl.2009.03.004

R. Wagner , F. Espitalier , A. Madoz , G. Picherot , P. Bordure , O. Malard

{"title":"Abcès rétro- et parapharyngés de l’enfant : facteurs prédictifs d’échec du traitement médical","authors":"R. Wagner , F. Espitalier , A. Madoz , G. Picherot , P. Bordure , O. Malard","doi":"10.1016/j.aorl.2009.03.004","DOIUrl":"10.1016/j.aorl.2009.03.004","url":null,"abstract":"<div><h3>Objective</h3><p>To consider the predictive factors of failure after medical treatment (intravenous antibiotics) first initiated in children with retro- and parapharyngeal abscess, without life-threatening complications.</p></div><div><h3>Patients and methods</h3><p>Retrospective study between 1998 and 2006 of 45 children treated at the Nantes University Hospital for a retro- and paraphayngeal abscess.</p></div><div><h3>Results</h3><p>Median age was 3.8 years. Thirty (66%) patients required surgical management. Significant predictive factors of failure of initial medical therapy were: patients under 3 years of age, symptoms more than 3 days before intravenous antibiotic therapy, leukocyte count higher than 22,000 per millimeter cube, hypodensity diameter greater than 20mm, and abscess demonstrated on CT scan. Previous antibiotic therapy at home was not significantly related to medical treatment failure. Broad-spectrum antibiotic therapy associations did not improve medical outcome.</p></div><div><h3>Conclusion</h3><p>The predictive factors of failure after initial medical therapy for retro- and/or parapharyngeal abscess in children are underlined; these factors help determine the clinical approach.</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 3","pages":"Pages 112-119"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28139960","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: 7