Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.11.001
H. Laccourreye
{"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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.03.002
A. Werner, O. Laccourreye
{"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}
Pub Date : 2009-11-01DOI: 10.1016/j.aorl.2009.07.001
C. Poncet-Wallet , Y. Ormezzano , E. Ernst , C. Toffin , R. Dhote , E. Harboun-Cohen , B. Frachet
Objective
An observation of a difficult-to-diagnose complication of the cochlear implant: recurring cutaneous extrusion of a cochlear implant is reported.
Patients and methods
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.
Results
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.
Conclusion
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.
{"title":"Extrusion cutanée à répétition d’un implant cochléaire","authors":"C. Poncet-Wallet , Y. Ormezzano , E. Ernst , C. Toffin , R. Dhote , E. Harboun-Cohen , 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}
Pub Date : 2009-09-01DOI: 10.1016/j.aorl.2009.06.001
A. El Ayoubi , F. Poizat , R. Garrel , V. Costes , B. Guerrier , L. Essakalli , M. Kzadri , L. Crampette
Objectives
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.
Patients and methods
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 log-rank test.
Results
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 (p = 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.
Conclusion
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.
{"title":"Les adénocarcinomes nasosinusiens revisités. Intérêt pronostique de la classification histologique OMS 2005","authors":"A. El Ayoubi , F. Poizat , R. Garrel , V. Costes , B. Guerrier , L. Essakalli , M. Kzadri , 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}
Pub Date : 2009-09-01DOI: 10.1016/j.aorl.2009.06.004
N. Day , J.-L. Mainardi , D. Malinvaud , P. Bonfils
Objectifs
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.
Patients et méthodes
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.
Résultats
Quarante-huit patients (80 %) avaient des germes pathogènes, essentiellement un Staphylococcus aureus (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.
Conclusion
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.
Objective
To compare the bacteriological and clinical findings in ethmoid specimens from patients with nasal polyposis after radical ethmoidal surgery.
Patients and methods
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.
Results
Pathogenic bacteria were isolated in 48 patients (80%) including predominantly Staphylococcus aureus (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.
Conclusion
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.
目的对鼻鼻窦炎手术患者的民族切开术腔标本进行前瞻性分析，以确定这些腔中发现的菌群类型，并将这些结果与患者的临床状况联系起来。患者和方法在2008年6月至11月期间，在一所大学医院连续60例鼻-鼻窦息肉切除术患者被纳入前瞻性研究。对于每个患者，用棉絮从每个民族切除术腔中提取两份样本，并培养好氧和厌氧细菌以及真菌。对所有分离菌株进行抗生素敏感性研究。结果48例患者(80%)为致病菌，主要为金黄色葡萄球菌(60%)或革兰氏阴性杆菌。微生物一般对抗生素敏感，特别是对氨基糖苷。最后，临床状况与致病菌的存在没有显著关系。结论在本研究中，大量患者感染致病菌。致病菌的存在与患者的临床状况无关。目的:比较根治性ethmoidal手术后鼻息肉患者ethmoid标本的细菌学和临床发现。患者和方法2008年6月至11月，预计纳入60例患者。对于每个患者，取两个ethmoidal腔样本。对各分离菌株的好氧和厌氧细菌培养和真菌培养进行了处理，并评价了抗生素敏感性。结果48例患者(80%)分离出致病细菌，主要为金黄色葡萄球菌(60%)或革兰氏阴性细菌。= =地理= =根据美国人口普查，这个县的面积为，其中土地和(1.1%)水。相关between the presence of No pathogenic细菌and the clinical status of the was找到病人。本研究的结论是，大量患者感染了致病性细菌。然而，致病性细菌的存在与患者的临床状况不相关。
{"title":"Étude bactériologique des cavités d’ethmoïdectomie chez des patients ayant une polypose naso-sinusienne opérée","authors":"N. Day , J.-L. Mainardi , D. Malinvaud , 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}
Pub Date : 2009-09-01DOI: 10.1016/j.aorl.2009.06.002
A. Bozec , G. Poissonnet , E. Chamorey , A. Sudaka , C. Laout , J. Vallicioni , F. Demard , O. Dassonville
Objective
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.
Material and methods
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.
Results
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.
Conclusion
This double surgical approach without mandibulotomy in selective cases can replace the transmandibular approach in locally advanced oropharyngeal cancer surgery.
{"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 , G. Poissonnet , E. Chamorey , A. Sudaka , C. Laout , J. Vallicioni , F. Demard , 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}
Pub Date : 2009-09-01DOI: 10.1016/j.aorl.2009.05.002
J.-P. Trijolet , D. Bakhos , P. Lanotte , S. Pondaven , E. Lescanne
Objective
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.
Methods
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.
Results
Forty-four children had acute mastoiditis. All but one (temporozygomatic swelling) had postauricular swelling. The culture was positive in 78% of cases. Streptococcus pneumoniae 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.
Conclusion
In the absence of intracranial complications and suspicion of Fusobacterium necrophorum, 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.
{"title":"Mastoïdite aiguë extériorisée chez l’enfant : la mastoïdectomie peut-elle être évitée ?","authors":"J.-P. Trijolet , D. Bakhos , P. Lanotte , S. Pondaven , 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}
Pub Date : 2009-09-01DOI: 10.1016/j.aorl.2009.02.006
A. Werner, O. Laccourreye
{"title":"Qui suis-je ? T…","authors":"A. Werner, 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}
Pub Date : 2009-09-01DOI: 10.1016/j.aorl.2009.06.006
M. Foucher , G. Poissonnet , J.-P. Rame , B. Toussaint , P.-O. Védrine , O. Dassonville , D. de Raucourt , A. Cosmidis
Objective
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.
Methods
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.
Results
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 (p = 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.
Conclusion
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.
{"title":"Cancers de l’hypopharynx T1-T2 « N0 » traités par chirurgie exclusive. Étude GETTEC","authors":"M. Foucher , G. Poissonnet , J.-P. Rame , B. Toussaint , P.-O. Védrine , O. Dassonville , D. de Raucourt , 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}
Pub Date : 2009-09-01DOI: 10.1016/j.aorl.2009.03.008
F. Kolb
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