Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.10.001
E.E.M. Nao, A. Tall, M. Ndiaye, C. Ndiaye, M.S. Diouf, A. Thiam, A.B. Djafarou, B.K. Diallo, I.C. Ndiaye, R. Diouf, E.M. Diop
Objective
To illustrate the rarity and difficulty diagnosing maxillary sinus neurofibroma through a case report.
Patients and methods
A 35-year-old female consulted our department for left cheek swelling evolving over 6 months, upper gum swelling, and a dental occlusion disorder.
Results
A computed tomography scan showed a tumor of the left maxillary sinus with bone destruction. Histological examination of a biopsy fragment found an in situ carcinoma. A maxillary resection was performed to excise the tumor. Histological examination of the specimen showed a neurofibroma. No sign of recurrence was noted after 8 months of follow-up.
Conclusion
The difficulty diagnosing maxillary sinus neurofibroma is related to its nonspecific clinical and radiological signs. Consequently, the otorhinolaryngologist must keep this rare histological variety in mind within the range of tumors of the paranasal sinuses.
{"title":"Neurofibrome isolé du sinus maxillaire","authors":"E.E.M. Nao, A. Tall, M. Ndiaye, C. Ndiaye, M.S. Diouf, A. Thiam, A.B. Djafarou, B.K. Diallo, I.C. Ndiaye, R. Diouf, E.M. Diop","doi":"10.1016/j.aorl.2009.10.001","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.10.001","url":null,"abstract":"<div><h3>Objective</h3><p>To illustrate the rarity and difficulty diagnosing maxillary sinus neurofibroma through a case report.</p></div><div><h3>Patients and methods</h3><p>A 35-year-old female consulted our department for left cheek swelling evolving over 6 months, upper gum swelling, and a dental occlusion disorder.</p></div><div><h3>Results</h3><p>A computed tomography scan showed a tumor of the left maxillary sinus with bone destruction. Histological examination of a biopsy fragment found an in situ carcinoma. A maxillary resection was performed to excise the tumor. Histological examination of the specimen showed a neurofibroma. No sign of recurrence was noted after 8 months of follow-up.</p></div><div><h3>Conclusion</h3><p>The difficulty diagnosing maxillary sinus neurofibroma is related to its nonspecific clinical and radiological signs. Consequently, the otorhinolaryngologist must keep this rare histological variety in mind within the range of tumors of the paranasal sinuses.</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 256-258"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91686266","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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.08.001
R. Breheret , A. Bizon , J.-Y. Tanguy , L. Laccourreye
Objectives
A persistent stapedial artery is a rare vascular malformation. This diagnosis is based on CT scan and intraoperative findings.
Material and methods
The case of a 19-year-old woman with a persistent stapedial artery found during stapes surgery is reported. This vascular malformation was explored with a CT scan showing the bilaterality of this anatomical variation and signs of associated otosclerosis.
Results
This malformation was successfully coagulated with laser allowing the stapedotomy to be completed.
Conclusions
A persistent stapedial artery is not a contraindication to stapedotomy because it can be safely coagulated during the same procedure.
{"title":"Artère stapédienne persistante et ankylose stapédovestibulaire","authors":"R. Breheret , A. Bizon , J.-Y. Tanguy , L. Laccourreye","doi":"10.1016/j.aorl.2009.08.001","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.08.001","url":null,"abstract":"<div><h3>Objectives</h3><p>A persistent stapedial artery is a rare vascular malformation. This diagnosis is based on CT scan and intraoperative findings.</p></div><div><h3>Material and methods</h3><p>The case of a 19-year-old woman with a persistent stapedial artery found during stapes surgery is reported. This vascular malformation was explored with a CT scan showing the bilaterality of this anatomical variation and signs of associated otosclerosis.</p></div><div><h3>Results</h3><p>This malformation was successfully coagulated with laser allowing the stapedotomy to be completed.</p></div><div><h3>Conclusions</h3><p>A persistent stapedial artery is not a contraindication to stapedotomy because it can be safely coagulated during the same procedure.</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 259-263"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91686265","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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.10.002
S. Kerrary, H. Drissi, A. Abouchadi, M. Nassih, A. Rzin
{"title":"Cas de rhinopoïese par lambeau frontal en trois temps après morsure animale","authors":"S. Kerrary, H. Drissi, A. Abouchadi, M. Nassih, A. Rzin","doi":"10.1016/j.aorl.2009.10.002","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.10.002","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 269-271"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91634284","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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.09.002
C. Dubreuil , J.-C. Chobaut , J.-P. Marie , J.-M. Triglia
{"title":"Les poches de rétraction","authors":"C. Dubreuil , J.-C. Chobaut , J.-P. Marie , J.-M. Triglia","doi":"10.1016/j.aorl.2009.09.002","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.09.002","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 294-299"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90002030","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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.10.003
P. Schultz , D. Vautier , A. Dupret-Bories , C. Debry , A. Charpiot
Objective
To review the main studies and the recent surgical procedures in tracheal reconstruction.
Material and method
The literature search was conducted using the key words “tracheal reconstruction”, “grafts”, and “tissue engineering” and by selecting references from the articles reviewed as well as the experience of the authors in this field.
Results
Surgical reconstruction for tracheal replacement without using biomaterials involves tissue grafts (auto- or allografts) and tissue engineering. Among the many procedures already described, three new techniques have emerged these past few years employing autologous mesenchymal stem-cell-derived chondrocytes, autologous cultured epithelial cells, and a matrix derived from tracheal graft; costal cartilage, recipient mucosa, and local or free flaps, and an aortic graft. These procedures have been proposed in humans with apparently good results but with a still limited follow-up.
Conclusions
Tracheal reconstruction techniques have recently progressed and replacing a long segment of trachea can be envisaged for the future. Moreover, these reconstructions, in conjunction with biomaterial development, would facilitate the design and the implantation of a laryngeal prosthesis.
{"title":"Remplacement de trachée par reconstructions chirurgicales : état actuel de la recherche","authors":"P. Schultz , D. Vautier , A. Dupret-Bories , C. Debry , A. Charpiot","doi":"10.1016/j.aorl.2009.10.003","DOIUrl":"10.1016/j.aorl.2009.10.003","url":null,"abstract":"<div><h3>Objective</h3><p>To review the main studies and the recent surgical procedures in tracheal reconstruction.</p></div><div><h3>Material and method</h3><p>The literature search was conducted using the key words “tracheal reconstruction”, “grafts”, and “tissue engineering” and by selecting references from the articles reviewed as well as the experience of the authors in this field.</p></div><div><h3>Results</h3><p>Surgical reconstruction for tracheal replacement without using biomaterials involves tissue grafts (auto- or allografts) and tissue engineering. Among the many procedures already described, three new techniques have emerged these past few years employing autologous mesenchymal stem-cell-derived chondrocytes, autologous cultured epithelial cells, and a matrix derived from tracheal graft; costal cartilage, recipient mucosa, and local or free flaps, and an aortic graft. These procedures have been proposed in humans with apparently good results but with a still limited follow-up.</p></div><div><h3>Conclusions</h3><p>Tracheal reconstruction techniques have recently progressed and replacing a long segment of trachea can be envisaged for the future. Moreover, these reconstructions, in conjunction with biomaterial development, would facilitate the design and the implantation of a laryngeal prosthesis.</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 272-277"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28523369","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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.09.001
R. Zaatar , A. Biet , A. Smail , V. Strunski , C. Page
Objectives
The purpose of this study was to evaluate the advantages of surgery for diagnosis and treatment of cervical lymph node tuberculosis.
Material and methods
This was a retrospective study from 1st January 1998 to 31st December 2007 including 30 patients with cervical lymph node tuberculosis. The population included 60% autochthones with a mean age of 47.1 years and a female predominance (73.33%).
Results
The lymph nodes were most often supraclavicular, unilateral, firm, and a mean 3 cm at its largest span. Lymph nodes were excised for diagnosis in 22 patients, which demonstrated specific granulomatous and giant cell lesions with caseous necrosis in 21 patients out of 22. Five abscessed adenopathies required surgical drainage, and three cases required repeated lymph node cleaning after well-conducted medical treatment.
Conclusion
Surgery retains an important place in the diagnosis and treatment of cervical lymph node tuberculosis.
{"title":"Tuberculose lymphonodale cervicale : prise en charge diagnostique et thérapeutique","authors":"R. Zaatar , A. Biet , A. Smail , V. Strunski , C. Page","doi":"10.1016/j.aorl.2009.09.001","DOIUrl":"10.1016/j.aorl.2009.09.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of this study was to evaluate the advantages of surgery for diagnosis and treatment of cervical lymph node tuberculosis.</p></div><div><h3>Material and methods</h3><p>This was a retrospective study from 1st January 1998 to 31st December 2007 including 30 patients with cervical lymph node tuberculosis. The population included 60% autochthones with a mean age of 47.1 years and a female predominance (73.33%).</p></div><div><h3>Results</h3><p>The lymph nodes were most often supraclavicular, unilateral, firm, and a mean 3<!--> <!-->cm at its largest span. Lymph nodes were excised for diagnosis in 22 patients, which demonstrated specific granulomatous and giant cell lesions with caseous necrosis in 21 patients out of 22. Five abscessed adenopathies required surgical drainage, and three cases required repeated lymph node cleaning after well-conducted medical treatment.</p></div><div><h3>Conclusion</h3><p>Surgery retains an important place in the diagnosis and treatment of cervical lymph node tuberculosis.</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 250-255"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28442168","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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.09.004
B. Mehdi , C.-M. Codreanu , C. Hautefort , P. Tran Ba Huy
{"title":"Comment prendre en charge les sténoses acquises du conduit auditif externe","authors":"B. Mehdi , C.-M. Codreanu , C. Hautefort , P. Tran Ba Huy","doi":"10.1016/j.aorl.2009.09.004","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.09.004","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 5","pages":"Pages 278-282"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90002029","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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.08.002
A. Karkas , C.-A. Righini , L. Spinato , V. Lefournier , S. Schmerber
{"title":"Lésions de l’apex pétreux","authors":"A. Karkas , C.-A. Righini , L. Spinato , V. Lefournier , S. Schmerber","doi":"10.1016/j.aorl.2009.08.002","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.08.002","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 283-293"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90002031","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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.09.003
É. Truy , D. Bossard , J.-L. Coudert , S. Aslam , P. Froehlich , F. Trunde , F. Disant
Objective
Evaluate the contribution of original 3D reconstruction software based on the principle of region growing segmentation of CT images to diagnosis of ossicular malformations of the middle ear.
Method
Prospective study on a population of ten patients presenting uni- or bilateral transmission deafness. Twenty ears were studied using multislice CT. All the data were treated using original software segmentation based on the principle of region growing segmentation. The 3D images were compared with the original CT slices to judge the software's potential contribution to the management of these patients.
Results
All the images obtained were deemed of sufficient diagnostic quality. The two normal ears on the CT slices were also found to be normal on the 3D images. Typical CT images of otospongiosis found in two patients were not visible on the 3D images. The 18 ossicular malformations were well analyzed on the images obtained, which also provided better visualization of the abnormalities and associated lesions (particularly the anomalies in facial nerve position), thus providing quality surgical planning as judged by the surgeon.
Conclusion
The image reconstruction method studied, using region growing segmentation seems to be, in this limited sample, a useful complement to classical CT images in the study of constitutional abnormalities of the middle ear.
{"title":"Évaluation d’un logiciel de reconstruction 3D à l’étude TDM des malformations de l’oreille moyenne","authors":"É. Truy , D. Bossard , J.-L. Coudert , S. Aslam , P. Froehlich , F. Trunde , F. Disant","doi":"10.1016/j.aorl.2009.09.003","DOIUrl":"10.1016/j.aorl.2009.09.003","url":null,"abstract":"<div><h3>Objective</h3><p>Evaluate the contribution of original 3D reconstruction software based on the principle of region growing segmentation of CT images to diagnosis of ossicular malformations of the middle ear.</p></div><div><h3>Method</h3><p>Prospective study on a population of ten patients presenting uni- or bilateral transmission deafness. Twenty ears were studied using multislice CT. All the data were treated using original software segmentation based on the principle of region growing segmentation. The 3D images were compared with the original CT slices to judge the software's potential contribution to the management of these patients.</p></div><div><h3>Results</h3><p>All the images obtained were deemed of sufficient diagnostic quality. The two normal ears on the CT slices were also found to be normal on the 3D images. Typical CT images of otospongiosis found in two patients were not visible on the 3D images. The 18 ossicular malformations were well analyzed on the images obtained, which also provided better visualization of the abnormalities and associated lesions (particularly the anomalies in facial nerve position), thus providing quality surgical planning as judged by the surgeon.</p></div><div><h3>Conclusion</h3><p>The image reconstruction method studied, using region growing segmentation seems to be, in this limited sample, a useful complement to classical CT images in the study of constitutional abnormalities of the middle ear.</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 243-249"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28510128","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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.03.003
A. Werner, O. Laccourreye
{"title":"Qui suis-je ? V…","authors":"A. Werner, O. Laccourreye","doi":"10.1016/j.aorl.2009.03.003","DOIUrl":"https://doi.org/10.1016/j.aorl.2009.03.003","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 5","pages":"Pages 302-303"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90002027","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}
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