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":"Qui suis-je ? S…","authors":"A. Werner, O. Laccourreye","doi":"10.1016/j.aorl.2009.02.004","DOIUrl":"10.1016/j.aorl.2009.02.004","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 3","pages":"Pages 165-166"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131744135","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":"Corticothérapie préopératoire et polypose naso-sinusienne","authors":"J. Giordano,&nbsp;J. Darras,&nbsp;D. Chevalier,&nbsp;G. Mortuaire","doi":"10.1016/j.aorl.2009.03.005","DOIUrl":"10.1016/j.aorl.2009.03.005","url":null,"abstract":"<div><h3>Objectifs</h3><p>Les risques chirurgicaux de l’ethmoïdectomie endonasale (EEN) sont en partie liés à la visibilité du champ opératoire. Notre but était d’évaluer l’impact d’une corticothérapie per os préopératoire sur le saignement et les conditions d’intervention au cours de l’EEN pour polypose naso-sinusienne (PNS).</p></div><div><h3>Matériel et méthodes</h3><p>Avant EEN, deux groupes de patients suivis pour PNS primitive étaient identifiés. Le groupe B (<em>n</em> <!-->=<!--> <!-->21) composé de patients préparés par une corticothérapie (1<!--> <!-->mg/kg par jour prednisolone) pendant les sept jours précédant l’intervention par EEN et le groupe A (<em>n</em> <!-->=<!--> <!-->19) composé de patients témoins non préparés. Étaient comparées la perte sanguine et la durée d’intervention.</p></div><div><h3>Résultats</h3><p>Les deux groupes étaient homogènes sur le plan épidémiologique et clinique (score endoscopique de Lidholdt). Il n’existait pas de différence en termes de perte sanguine entre les deux groupes alors que le score tomodensitométrique de Lund-Mackay était statistiquement plus élevé dans le groupe B (19/24 versus 21/24, <em>p</em> <!-->=<!--> <!-->0,05). La durée d’intervention était plus courte dans le groupe B (72<!--> <!-->minutes versus 85<!--> <!-->minutes, <em>p</em> <!-->=<!--> <!-->0,05).</p></div><div><h3>Conclusion</h3><p>Une préparation préopératoire par corticoïdes ne semble pas diminuer le saignement per-opératoire, mais elle pourrait améliorer les conditions d’intervention en limitant les phénomènes inflammatoires permettant ainsi de réduire la durée d’intervention.</p></div><div><h3>Objectives</h3><p>Impairment of the surgical view by bleeding in endoscopic ethmoidectomy for chronic rhinosinusitis with nasal polyps (CRSwNP) contributes to the risk of skull base injuries. The aim of this study was to investigate the effect of a short course of a systemic corticoid treatment on bleeding and surgical field quality during endoscopic ethmoidectomy for CRSwNP.</p></div><div><h3>Methods</h3><p>A prospective study was conducted on 40 patients. Before surgery, 21 of them (group B) were treated with 1<!--> <!-->mg/kg per day of prednisolone for seven days. They were compared with the 19 other patients (group A) on intraoperative blood loss and surgery duration.</p></div><div><h3>Results</h3><p>The two groups shared identical clinical features (Lidholdt endoscopic grading). There was no statistical difference in terms of bleeding, although the Lund-Mackay CT score was higher in group B (19/24 vs. 21/24, <em>p</em> <!-->=<!--> <!-->0.05). The surgical procedure was shorter in group B (72<!--> <!-->min vs. 85<!--> <!-->min, <em>p</em> <!-->=<!--> <!-->0.05).</p></div><div><h3>Conclusion</h3><p>Preoperative treatment with systemic corticosteroids does not seem to reduce surgical blood loss. However, we noted a decrease in the procedure's duration. By reducing mucous inflammation, this treatment could improve the local condit","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 120-124"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28125042","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":"Reconstruction mandibulaire en cancérologie : état actuel et perspectives","authors":"F. Jegoux ,&nbsp;C. Bedfert ,&nbsp;N. Alno ,&nbsp;G. Le Clech ,&nbsp;G. Daculsi","doi":"10.1016/j.aorl.2009.04.004","DOIUrl":"10.1016/j.aorl.2009.04.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Mandibular reconstruction in head and neck oncology uses a number of techniques whose results are inconsistent and whose indications do not benefit from consensus.</p></div><div><h3>Materials and methods</h3><p>A review of the literature allowed us to assemble the available knowledge on current mandibular reconstruction techniques, their functional results, and the research perspectives.</p></div><div><h3>Results and discussion</h3><p>Marginal resections lead to dental rehabilitation problems, which can be palliated by alveolar enhancement techniques but whose results have not been validated in cases subjected to irradiation. Reconstruction of segmental substance loss is warranted by the repercussions on the vital prognosis when it is anterior and on the quality of life when it is posterior. The ideal means of reconstruction is the free fibular flap, which is limited by cost, morbidity of the donor site, and selection of the patient's surgical team. For these reasons, it may be necessary to turn to pedicled osteo-myocutaneous flaps, abandoned because of their reputedly very high failure rate, but few have been reported in the literature.</p></div><div><h3>Conclusion</h3><p>Poor functional results of mandibular reconstruction plates make this a last-resort solution. Tissue engineering is currently the most promising line of research. It runs counter to the principles of oncology itself because postoperative radiotherapy reduces the osteoinduction potential of the biomaterials proposed.</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 138-148"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28192040","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":"Informations","authors":"","doi":"10.1016/j.aorl.2009.01.005","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.01.005","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 3","pages":"Page 167"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.01.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136934357","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":"Information Internet en langue française en oncologie ORL","authors":"A.-S. Evrard ,&nbsp;L. Guertin ,&nbsp;M. Remacle ,&nbsp;J. Jamart ,&nbsp;M. Lévêque","doi":"10.1016/j.aorl.2009.05.001","DOIUrl":"10.1016/j.aorl.2009.05.001","url":null,"abstract":"<div><h3>Objective</h3><p>Internet has become the first place where patients go when seeking information on their disease. The type and the quality of the medical information available on French-language websites is poorly known, especially in the field of head and neck surgery. The purpose of this study was to evaluate the quality of these sites.</p></div><div><h3>Materials and methods</h3><p>We entered six keywords—“<em>cancer du larynx</em>”, “<em>cancer de l’amygdale</em>”, “<em>cancer de la thyroïde</em>”, “<em>carcinome papillaire de la thyroïde</em>”, “<em>cancer de la langue</em>”, and “<em>cancer de la parotide</em>”—in two different search engines and, for each keyword, the first 50 websites were reviewed using the tool called DISCERN. With two head and neck surgeons, we rated their contents in terms of quality and comprehension.</p></div><div><h3>Results</h3><p>On 600 websites only 95 (16%) contained information that proved to be somewhat useful to patients. According to our scoring system, 8% of websites were found to be excellent, 24% good, 14% fairly good, 15% mediocre, 27% poor, and 12% very poor. Just over 60% of the websites were found to be clear. The study also showed that the order in which these websites were ranked in the search engine, their affiliation, the target population, or who financed them had little impact on quality. The websites were more likely to be high quality if they were managed by doctors and had bibliographical references as well as a date indicating a recent website update.</p></div><div><h3>Conclusion</h3><p>This study again shows that the search for medical information on the Internet is time-consuming and often disappointing: very few websites provide information that is both clear and exhaustive. However, we also found that very few websites contained information that was seriously inaccurate. Given the growing popularity of the Internet, a high-quality French-language website specializing in head an neck surgery would be highly beneficial to patients, as would an ENT portal that would take them to selected websites, saving time and providing a guarantee of quality.</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 99-111"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28310571","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":"Résultats préliminaires des trachéotomies percutanées","authors":"B. Luna Azoulay,&nbsp;A. Béquignon,&nbsp;E. Babin,&nbsp;S. Moreau","doi":"10.1016/j.aorl.2009.04.002","DOIUrl":"10.1016/j.aorl.2009.04.002","url":null,"abstract":"<div><h3>Objectives</h3><p>Percutaneous tracheotomy (PT) is an alternative to surgical tracheotomy (ST). We describe our procedure and discuss the current status of PT through a retrospective study of our first 30 cases.</p></div><div><h3>Material and methods</h3><p>Thirty patients had a PT between October 2006 and March 2008 in the intensive care units of Caen University Hospital (France). Twenty-eight were done with the Ciaglia Blue Rhino (CBR) and two with the Percutwist. Each PT was endoscopically guided. We retrospectively collected preoperative data and most of the intraoperative as well as early postoperative complications.</p></div><div><h3>Results</h3><p>No death was reported with the PT application. Twenty-two (73.3%) PTs had neither preoperative nor early postoperative complications. Eight complications were observed, half preoperative and half early postoperative. The most frequent complication was minor bleeding in three cases (10%), the most important one was the intraoperative appearance of a tracheoesophageal fistula with the CBR.</p></div><div><h3>Discussion</h3><p>The principal advantages of PT are safety attributable to simultaneous endoscopic guidance as well as shorter operative time and lower cost in comparison with the ST technique.</p></div><div><h3>Conclusion</h3><p>PT is a safe and valid alternative procedure to ST. Initially performed by intensivists, it should be part of the ENT/head and neck surgeon's repertory as the upper airway specialist.</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 125-132"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28193605","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":"Adénocarcinome papillaire sur tissu thyroïdien ectopique","authors":"N. Dib ,&nbsp;A. Benhammou ,&nbsp;M. Meziane ,&nbsp;A. Harmouch ,&nbsp;N. Nazih ,&nbsp;L. Essakali ,&nbsp;M. Kzadri ,&nbsp;S. Sefiani","doi":"10.1016/j.aorl.2009.02.001","DOIUrl":"10.1016/j.aorl.2009.02.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To report a case of papillary adenocarcinoma occurring on ectopic thyroid tissue in the hyoid bone region.</p></div><div><h3>Material and methods</h3><p>A 57-year-old patient consulted for a cervical mass appearing 1 year before, with no signs of compression. The thyroid function was normal.</p></div><div><h3>Results</h3><p>The examination showed a firm tumefaction, fixed on the hyoid bone, with undetermined limits, measuring approximately 8<!--> <!-->cm. The thyroid gland was in the normal pretracheal position. The cervical tomodensitometry objectified an osteolytic process centered on the hyoid bone with a fleshy zone of tissue density and calcifications. Cervical MRI provided a more precise assessment of the extension of the mass and confirmed the integrity of the other structures, in particular the endolarynx. The tumor was totally resected via a cervical approach. The pathologic study suggested a papillary adenocarcinoma on ectopic thyroid tissue. The treatment was completed by a total thyroidectomy with normal histological results.</p></div><div><h3>Conclusions</h3><p>Papillary adenocarcinoma on ectopic thyroid is a very rare situation. Its diagnosis is histological. Its treatment is primarily surgical, sometimes associated with radioiodine I-131 therapy.</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 2","pages":"Pages 65-70"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28053417","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":"La chirurgie thyroïdienne endoscopique par techniques vidéo-assistées et totalement endoscopiques","authors":"R.E. Kania ,&nbsp;M. Parodi ,&nbsp;A. Coste ,&nbsp;P. Herman ,&nbsp;P. Tran Ba Huy ,&nbsp;J.-F. Papon","doi":"10.1016/j.aorl.2009.01.006","DOIUrl":"10.1016/j.aorl.2009.01.006","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 2","pages":"Pages 82-93"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.01.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28152356","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 : R","authors":"A. Werner,&nbsp;O. Laccourreye","doi":"10.1016/j.aorl.2007.06.007","DOIUrl":"10.1016/j.aorl.2007.06.007","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 2","pages":"Pages 94-95"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2007.06.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123379226","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":"Pathologie maligne de la parotide","authors":"M. Makeieff ,&nbsp;B. Guerrier ,&nbsp;J.-M. Prades ,&nbsp;E. Reyt ,&nbsp;M. Zanaret","doi":"10.1016/j.aorl.2009.01.003","DOIUrl":"10.1016/j.aorl.2009.01.003","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 2","pages":"Pages 75-81"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28059354","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}