Pub Date : 2009-04-01DOI: 10.1016/j.aorl.2009.02.007
S. Ayache
Objectives
The thyroglossal duct cyst (TDC) is a frequent pathology in head and neck surgery whose diagnosis and treatment are well known. Hereditary forms are very rare. In a case report, the author describes the familial cases in the international literature and discusses the genetic inheritance patterns.
Material and method
The author reports the clinical case of a 7-year-old girl, operated on for a TDC, with a familial history of this disease. After a review of the international literature in PubMed, the features of the reported families are described and the genetic inheritance theories are discussed.
Results
This is the first report of a French familial form of TDC. Described in four members of the same family over three generations, the genetic transmission seems to follow the rules of autosomic dominant inheritance. The female preponderance suggests a genetic imprinting theory.
Conclusion
The genetic inheritance patterns of familial TDC are unclear. The dominant autosomic transmission with incomplete penetrance might be the most likely. Another theory of genetic imprinting might explain the female preponderance, but this theory remains complex and highly debated. However, the search for a familial history of TDC must be part of the initial consultation, a procedure that is not widely known among ENT surgeons.
{"title":"Forme familiale de kyste du tractus thyréoglosse","authors":"S. Ayache","doi":"10.1016/j.aorl.2009.02.007","DOIUrl":"10.1016/j.aorl.2009.02.007","url":null,"abstract":"<div><h3>Objectives</h3><p>The thyroglossal duct cyst (TDC) is a frequent pathology in head and neck surgery whose diagnosis and treatment are well known. Hereditary forms are very rare. In a case report, the author describes the familial cases in the international literature and discusses the genetic inheritance patterns.</p></div><div><h3>Material and method</h3><p>The author reports the clinical case of a 7-year-old girl, operated on for a TDC, with a familial history of this disease. After a review of the international literature in <em>PubMed</em>, the features of the reported families are described and the genetic inheritance theories are discussed.</p></div><div><h3>Results</h3><p>This is the first report of a French familial form of TDC. Described in four members of the same family over three generations, the genetic transmission seems to follow the rules of autosomic dominant inheritance. The female preponderance suggests a genetic imprinting theory.</p></div><div><h3>Conclusion</h3><p>The genetic inheritance patterns of familial TDC are unclear. The dominant autosomic transmission with incomplete penetrance might be the most likely. Another theory of genetic imprinting might explain the female preponderance, but this theory remains complex and highly debated. However, the search for a familial history of TDC must be part of the initial consultation, a procedure that is not widely known among ENT surgeons.</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 61-64"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.02.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28092105","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 : 2009-04-01DOI: 10.1016/j.aorl.2009.02.005
F. Hoareau-Gruchet , R. Rtail , H. Sulaj , A. Khirnetkina , E. Reyt , C.A. Righini
Objectives
To review the occurrence of early and delayed complications after insertion of a totally implantable venous access port (Tivap) in patients treated with chemotherapy for head and neck squamous cell carcinoma.
Material and methods
Monocentric prospective study (2005–2008) undertaken in a tertiary referral center. In all cases, the inserted Tivap was a Celsite ST301 (Braun®) model. The insertion procedure was performed in operating room conditions under local anesthesia using a surgical cut-down method. No antibiotic prophylaxis or long-term anticoagulant medications were administered. Two groups were made between experienced and in-training surgeons. All complications occurring from the date of Tivap insertion to the date of its removal or until the closure of the study were included.
Results
The study comprised of 122 patients including 103 males and 19 females; the patients’ mean age was 58.5 years (range, 36–80). Twelve (9.8%) had a tracheotomy or tracheostomy and 41 (33.6%) underwent cervical radiotherapy before Tivap insertion. In 63 cases (51.6%), the procedure was performed by a senior surgeon. The inserted vessel was the cephalic vein (84.4%), the external jugular vein (11.5%) or the internal jugular vein (2.5%). Overall, the total number of days of Tivap implantation was 51,403. Altogether, 11 complications (9%) were listed: two (1.6%) early complications and nine (7.4%) delayed complications. We did not uncover a significant statistical relation between complication onset and experience of the operating surgeon, sex, implanted side, tracheotomy, previous radiotherapy, or number of days of Tivap port.
Conclusion
Our study suggests that: (1) complications are rare provided careful implantation and manipulation methods are followed by health personnel; (2) surgical cephalic cut-down is a very reliable method; and 3) antibiotic prophylaxis or long-term anticoagulant medications are not mandatory.
{"title":"Complications d’un dispositif intraveineux implantable pour chimiothérapie dans les cancers des voies aérodigestives supérieures","authors":"F. Hoareau-Gruchet , R. Rtail , H. Sulaj , A. Khirnetkina , E. Reyt , C.A. Righini","doi":"10.1016/j.aorl.2009.02.005","DOIUrl":"10.1016/j.aorl.2009.02.005","url":null,"abstract":"<div><h3>Objectives</h3><p>To review the occurrence of early and delayed complications after insertion of a totally implantable venous access port (Tivap) in patients treated with chemotherapy for head and neck squamous cell carcinoma.</p></div><div><h3>Material and methods</h3><p>Monocentric prospective study (2005–2008) undertaken in a tertiary referral center. In all cases, the inserted Tivap was a Celsite ST301 (Braun<sup>®</sup>) model. The insertion procedure was performed in operating room conditions under local anesthesia using a surgical cut-down method. No antibiotic prophylaxis or long-term anticoagulant medications were administered. Two groups were made between experienced and in-training surgeons. All complications occurring from the date of Tivap insertion to the date of its removal or until the closure of the study were included.</p></div><div><h3>Results</h3><p>The study comprised of 122 patients including 103 males and 19 females; the patients’ mean age was 58.5 years (range, 36–80). Twelve (9.8%) had a tracheotomy or tracheostomy and 41 (33.6%) underwent cervical radiotherapy before Tivap insertion. In 63 cases (51.6%), the procedure was performed by a senior surgeon. The inserted vessel was the cephalic vein (84.4%), the external jugular vein (11.5%) or the internal jugular vein (2.5%). Overall, the total number of days of Tivap implantation was 51,403. Altogether, 11 complications (9%) were listed: two (1.6%) early complications and nine (7.4%) delayed complications. We did not uncover a significant statistical relation between complication onset and experience of the operating surgeon, sex, implanted side, tracheotomy, previous radiotherapy, or number of days of Tivap port.</p></div><div><h3>Conclusion</h3><p>Our study suggests that: (1) complications are rare provided careful implantation and manipulation methods are followed by health personnel; (2) surgical cephalic cut-down is a very reliable method; and 3) antibiotic prophylaxis or long-term anticoagulant medications are not mandatory.</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 43-52"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28075772","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 : 2009-04-01DOI: 10.1016/j.aorl.2009.02.002
H. Mirghani , A. Francois , G. Landry , S. Hans , M. Menard , D. Brasnu
Objective
To assess the incidence of permanent recurrent laryngeal nerve paralysis and permanent hypoparathyroidism after central neck lymph node compartment (level VI) reoperation.
Methods
Retrospective study including 18 patients who had undergone reoperative central compartment dissection between 1999 and 2008 for recurrent thyroid carcinoma or lymph node metastasis. All patients had been previously treated by total thyroidectomy for a thyroid cancer in another institution.
Resultats
Twenty-two central neck compartment reoperations were performed. Four patients needed a second reoperation for carcinoma recurrence. All patients had histologic evidence of metastatic lymph nodes or recurrent thyroid carcinoma. Two patients developed permanent hypoparathyroidism and four patients had postoperative permanent recurrent laryngeal nerve paralysis. All of them had normal preoperative parathyroid and laryngeal function. In three cases, the recurrent laryngeal nerve disorder was intentionally resected for oncologic reasons. The fourth case occurred in a patient who needed a second reoperation with a sternotomy and mediastinal dissection.
Conclusion
A central lymph node compartment reoperation can be performed with minimal morbidity when the recurrent laryngeal nerve is not invaded: 5.2% resulted in permanent recurrent laryngeal nerve paralysis and 9% in permanent hypoparathyroidism. Careful identification and exposure of the inferior laryngeal nerve in a previously undissected area is recommended.
{"title":"Reprise chirurgicale du compartiment ganglionnaire central dans les cancers thyroïdiens","authors":"H. Mirghani , A. Francois , G. Landry , S. Hans , M. Menard , D. Brasnu","doi":"10.1016/j.aorl.2009.02.002","DOIUrl":"10.1016/j.aorl.2009.02.002","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the incidence of permanent recurrent laryngeal nerve paralysis and permanent hypoparathyroidism after central neck lymph node compartment (level VI) reoperation.</p></div><div><h3>Methods</h3><p>Retrospective study including 18 patients who had undergone reoperative central compartment dissection between 1999 and 2008 for recurrent thyroid carcinoma or lymph node metastasis. All patients had been previously treated by total thyroidectomy for a thyroid cancer in another institution.</p></div><div><h3>Resultats</h3><p>Twenty-two central neck compartment reoperations were performed. Four patients needed a second reoperation for carcinoma recurrence. All patients had histologic evidence of metastatic lymph nodes or recurrent thyroid carcinoma. Two patients developed permanent hypoparathyroidism and four patients had postoperative permanent recurrent laryngeal nerve paralysis. All of them had normal preoperative parathyroid and laryngeal function. In three cases, the recurrent laryngeal nerve disorder was intentionally resected for oncologic reasons. The fourth case occurred in a patient who needed a second reoperation with a sternotomy and mediastinal dissection.</p></div><div><h3>Conclusion</h3><p>A central lymph node compartment reoperation can be performed with minimal morbidity when the recurrent laryngeal nerve is not invaded: 5.2% resulted in permanent recurrent laryngeal nerve paralysis and 9% in permanent hypoparathyroidism. Careful identification and exposure of the inferior laryngeal nerve in a previously undissected area is recommended.</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 37-42"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28079203","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 : 2009-04-01DOI: 10.1016/j.aorl.2009.02.003
L. Laccourreye , A. Werner , R. Cauchois , O. Laccourreye
Objective
A prospective analysis of patient memorization and perception of the preoperative information provided on the surgical risks related to parotidectomy for benign tumor.
Patients and methods
A prospective study conducted in an academic tertiary care referral center. An inception cohort of 51 patients with a benign tumor of the parotid gland consecutively informed by the same surgeon over the period from 2003 to 2006. Analysis of the consequences of the preoperative information on the surgery-related risks, in terms of patient perception of the information and the degree of memorization.
Results
After being informed on the risks related to surgery, 15.6% of patients declined surgery and 9.1% elected to wait 6 months on average before undergoing surgery. Among the patients who had a parotidectomy performed, 83.3% had a positive opinion and 33.3% had a negative opinion regarding the preoperative information delivered regarding the surgical related risks; 26.8% of patients simultaneously expressed a positive and a negative opinion. None of the patients remembered more than four out of the five main surgical risks; 64.3% of the patients remembered only one or two surgery-related risks, and 7.1% of the patients did not remember a single surgery-related risk. In addition, 83.3% of patients remembered the risk of facial nerve paralysis, 40.4% the risk of death, and 23.8% the risk of Frey's syndrome, while 14.2 and 2.3% of patients remembered the common risks related to surgery and the risk of neuroma, respectively. In univariate analysis, no significant statistical relation was noted between the variables under analysis and either patient memorization or perception of the various surgery-related risks related to parotidectomy.
Conclusion
Patient information regarding the surgical risks resulted in substantial stress for the patient and modified the patient–surgeon relation. This information caused a certain number of patients to decide not to follow the surgeon's advice.
{"title":"Interprétation et mémorisation de l’information pour parotidectomie","authors":"L. Laccourreye , A. Werner , R. Cauchois , O. Laccourreye","doi":"10.1016/j.aorl.2009.02.003","DOIUrl":"10.1016/j.aorl.2009.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>A prospective analysis of patient memorization and perception of the preoperative information provided on the surgical risks related to parotidectomy for benign tumor.</p></div><div><h3>Patients and methods</h3><p>A prospective study conducted in an academic tertiary care referral center. An inception cohort of 51 patients with a benign tumor of the parotid gland consecutively informed by the same surgeon over the period from 2003 to 2006. Analysis of the consequences of the preoperative information on the surgery-related risks, in terms of patient perception of the information and the degree of memorization.</p></div><div><h3>Results</h3><p>After being informed on the risks related to surgery, 15.6% of patients declined surgery and 9.1% elected to wait 6 months on average before undergoing surgery. Among the patients who had a parotidectomy performed, 83.3% had a positive opinion and 33.3% had a negative opinion regarding the preoperative information delivered regarding the surgical related risks; 26.8% of patients simultaneously expressed a positive and a negative opinion. None of the patients remembered more than four out of the five main surgical risks; 64.3% of the patients remembered only one or two surgery-related risks, and 7.1% of the patients did not remember a single surgery-related risk. In addition, 83.3% of patients remembered the risk of facial nerve paralysis, 40.4% the risk of death, and 23.8% the risk of Frey's syndrome, while 14.2 and 2.3% of patients remembered the common risks related to surgery and the risk of neuroma, respectively. In univariate analysis, no significant statistical relation was noted between the variables under analysis and either patient memorization or perception of the various surgery-related risks related to parotidectomy.</p></div><div><h3>Conclusion</h3><p>Patient information regarding the surgical risks resulted in substantial stress for the patient and modified the patient–surgeon relation. This information caused a certain number of patients to decide not to follow the surgeon's advice.</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 53-60"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.02.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28093600","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 : 2009-04-01DOI: 10.1016/j.aorl.2009.01.004
R. Mani , M. Belcadhi , H. Chahed , A. Ben Abdelkader , K. Bouzouita
Objective
Carcinoid tumors are among the exceptional neoplasms of the larynx. The literature is reviewed and the problems with diagnosis and management of this rare tumor are discussed.
Methods
The authors report a case of a carcinoid tumor of the larynx.
Results
This paper describes the case of a well-differentiated carcinoid tumor of the aryepiglottic fold in a 59-year-old woman who presented with hoarseness lasting eight months. After surgical excision, the patient developed recurrence of the disease 14 years later.
Conclusion
Carcinoid tumors require accurate diagnosis because of their varied clinical behavior and prognosis. The typical carcinoid treatment of choice is conservative surgery.
{"title":"Tumeur carcinoïde du larynx","authors":"R. Mani , M. Belcadhi , H. Chahed , A. Ben Abdelkader , K. Bouzouita","doi":"10.1016/j.aorl.2009.01.004","DOIUrl":"10.1016/j.aorl.2009.01.004","url":null,"abstract":"<div><h3>Objective</h3><p>Carcinoid tumors are among the exceptional neoplasms of the larynx. The literature is reviewed and the problems with diagnosis and management of this rare tumor are discussed.</p></div><div><h3>Methods</h3><p>The authors report a case of a carcinoid tumor of the larynx.</p></div><div><h3>Results</h3><p>This paper describes the case of a well-differentiated carcinoid tumor of the aryepiglottic fold in a 59-year-old woman who presented with hoarseness lasting eight months. After surgical excision, the patient developed recurrence of the disease 14 years later.</p></div><div><h3>Conclusion</h3><p>Carcinoid tumors require accurate diagnosis because of their varied clinical behavior and prognosis. The typical carcinoid treatment of choice is conservative 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 2","pages":"Pages 71-74"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28028236","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 : 2009-04-01DOI: 10.1016/S0003-438X(09)00068-1
{"title":"Page Annonce","authors":"","doi":"10.1016/S0003-438X(09)00068-1","DOIUrl":"https://doi.org/10.1016/S0003-438X(09)00068-1","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":"Page 97"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0003-438X(09)00068-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136847877","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 : 2009-03-01DOI: 10.1016/j.aorl.2008.12.001
K. Hammoudi , A. Manceau , N. Cazeneuve , D. Poulain , J. Buis , C. Soin
Objective
To report a clinical case of acute otitis media in a child, complicated by septic temporomandibular arthritis and to present a review of the literature.
Patient and methods
We report a case of a 7-year-old boy who presented an altered general condition, major hyperthermia, associated with a left temporozygomatic mass in a context of recurrent bilateral acute otitis media lasting for 2 months. Emergency computed tomodensitometry (CT scan) showed left temporomandibular joint arthritis. Treatment consisted of a parenteral double antibiotic therapy and prevention of temporomandibula (TM) ankylosis.
Results
After 20 months of follow-up, the child showed a normal ORL examination with no maxillofacial sequelae.
Conclusion
All temporozygomatic masses presenting in a septic context should suggest the diagnosis of TM arthritis; computed tomodensitometry should be done immediately.
{"title":"Arthrite septique temporomandibulaire de l’enfant","authors":"K. Hammoudi , A. Manceau , N. Cazeneuve , D. Poulain , J. Buis , C. Soin","doi":"10.1016/j.aorl.2008.12.001","DOIUrl":"10.1016/j.aorl.2008.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>To report a clinical case of acute otitis media in a child, complicated by septic temporomandibular arthritis and to present a review of the literature.</p></div><div><h3>Patient and methods</h3><p>We report a case of a 7-year-old boy who presented an altered general condition, major hyperthermia, associated with a left temporozygomatic mass in a context of recurrent bilateral acute otitis media lasting for 2<!--> <!-->months. Emergency computed tomodensitometry (CT scan) showed left temporomandibular joint arthritis. Treatment consisted of a parenteral double antibiotic therapy and prevention of temporomandibula (TM) ankylosis.</p></div><div><h3>Results</h3><p>After 20<!--> <!-->months of follow-up, the child showed a normal ORL examination with no maxillofacial sequelae.</p></div><div><h3>Conclusion</h3><p>All temporozygomatic masses presenting in a septic context should suggest the diagnosis of TM arthritis; computed tomodensitometry should be done immediately.</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 1","pages":"Pages 18-21"},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27997864","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 : 2009-03-01DOI: 10.1016/j.aorl.2009.01.001
H. Haddad, N. Sellal, Z. Bourhaleb, N. benchakroun, H. Jouhadi, N. Tawfiq, S. Sahraoui, A. Benider
Objective
Description of a rare complication of radiation therapy for nasopharyngeal carcinomas and the therapeutic value of surgical endoscopic desobstruction.
Case report
A choanal stenosis observed in an 8-year-old boy, 3 years after radiation therapy and chemotherapy for a voluminous nasopharyngeal carcinoma. No initial involvement of the nasal fossa was observed. Concomitant relapse was excluded after clinical and histological examination.
Results
A good functional result was achieved after the choana was unblocked in videoendoscopic surgery. After 9 months of follow-up, the breathing and odor functions remained intact.
Conclusion
Choanal stenosis is a rare complication of radiotherapy for nasopharyngeal carcinoma. Relapse should be excluded with biopsies beyond the stenosis. Treatment is based on endoscopic surgery.
{"title":"Sténose choanale post-radique","authors":"H. Haddad, N. Sellal, Z. Bourhaleb, N. benchakroun, H. Jouhadi, N. Tawfiq, S. Sahraoui, A. Benider","doi":"10.1016/j.aorl.2009.01.001","DOIUrl":"10.1016/j.aorl.2009.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>Description of a rare complication of radiation therapy for nasopharyngeal carcinomas and the therapeutic value of surgical endoscopic desobstruction.</p></div><div><h3>Case report</h3><p>A choanal stenosis observed in an 8-year-old boy, 3<!--> <!-->years after radiation therapy and chemotherapy for a voluminous nasopharyngeal carcinoma. No initial involvement of the nasal fossa was observed. Concomitant relapse was excluded after clinical and histological examination.</p></div><div><h3>Results</h3><p>A good functional result was achieved after the choana was unblocked in videoendoscopic surgery. After 9<!--> <!-->months of follow-up, the breathing and odor functions remained intact.</p></div><div><h3>Conclusion</h3><p>Choanal stenosis is a rare complication of radiotherapy for nasopharyngeal carcinoma. Relapse should be excluded with biopsies beyond the stenosis. Treatment is based on endoscopic 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 1","pages":"Pages 22-24"},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27997865","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 : 2009-03-01DOI: 10.1016/j.aorl.2009.01.002
S. Kacha , R. Jankowski , T. Georgel , P. Henrot , B. Grignon
Objectives
The aim of this article is to report two cases illustrating the origin of woodworkers’ adenocarcinoma in the olfactory cleft and to discuss screening, prevention, and surgical approaches.
Material and method
Retrospective study of the charts of two cases of adenocarcinoma of the olfactory cleft revealed by a loss of the sense of smell.
Results
Of 30 consecutive cases of woodworkers’ adenocarcinoma of the olfactory cleft observed during the last 3 years, the two cases revealed by anosmia were diagnosed as small tumors located in one olfactory cleft.
Conclusion
In light of these two cases, we discuss anosmia in the diagnostic screening of this tumor and its consequences in the olfactory cleft: flexible endoscopic examination of the olfactory cleft seems preferable to rigid endoscope examination of the middle meatus at screening; endoscopic resection of the olfactory cleft seems preferable to resection through external approaches; and nasal lavages seem preferable to the Proetz technique for preventive sinus lavage. The new knowledge on adenocarcinoma of the olfactory cleft should be familiar to occupational health physicians, general practitioners, and otorhinolaryngologists because of its practical consequences for screening, diagnosis, prevention, and surgical treatment.
{"title":"Anosmie révélatrice d’un adénocarcinome nasal chez les travailleurs du bois","authors":"S. Kacha , R. Jankowski , T. Georgel , P. Henrot , B. Grignon","doi":"10.1016/j.aorl.2009.01.002","DOIUrl":"10.1016/j.aorl.2009.01.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this article is to report two cases illustrating the origin of woodworkers’ adenocarcinoma in the olfactory cleft and to discuss screening, prevention, and surgical approaches.</p></div><div><h3>Material and method</h3><p>Retrospective study of the charts of two cases of adenocarcinoma of the olfactory cleft revealed by a loss of the sense of smell.</p></div><div><h3>Results</h3><p>Of 30<!--> <!-->consecutive cases of woodworkers’ adenocarcinoma of the olfactory cleft observed during the last 3<!--> <!-->years, the two cases revealed by anosmia were diagnosed as small tumors located in one olfactory cleft.</p></div><div><h3>Conclusion</h3><p>In light of these two cases, we discuss anosmia in the diagnostic screening of this tumor and its consequences in the olfactory cleft: flexible endoscopic examination of the olfactory cleft seems preferable to rigid endoscope examination of the middle meatus at screening; endoscopic resection of the olfactory cleft seems preferable to resection through external approaches; and nasal lavages seem preferable to the Proetz technique for preventive sinus lavage. The new knowledge on adenocarcinoma of the olfactory cleft should be familiar to occupational health physicians, general practitioners, and otorhinolaryngologists because of its practical consequences for screening, diagnosis, prevention, and surgical treatment.</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 1","pages":"Pages 6-10"},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2009.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27997868","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 : 2009-03-01DOI: 10.1016/j.aorl.2008.10.005
H. Dhouib , M. Mnejja , L. Ayadi , B. Hammami , T. Boudawara , A. Ghorbel
Introduction
Basosquamous carcinoma is a rare entity that essentially affects the head and neck region in male patients. The authors present the clinical signs and progression as well as the therapeutic consequences of this disease through two observations.
Case report 1
A 41-year-old man presented with basosquamous carcinoma of the right temporoparietal region treated initially with surgery alone. Five years later, he was operated on for a local and lymph node recurrence followed by radiation therapy, stabilizing the disease for 4 years; subsequently a second recurrence with metastasis to the chest area occurred. The patient died 10 years after the onset of his disease of diffuse pneumopathy with severe septicemia.
Case report 2
A 71-year-old man presented retroauricular basosquamous carcinoma at first treated with wide resection, but the surgical limits were invaded. He developed local recurrences treated with surgical resection until total petrosectomy, but the surgical limits were always invaded. Radiotherapy was delivered. Seven years after the end of treatment, he developed a local recurrence invading the brain, which was deemed untreatable.
Discussion
Basosquamous carcinoma is characterized by its severe aggression and its tendency to recur. Treatment is essentially surgical. Radiotherapy is an adjuvant for the cases with high risk of recurrence. The role of chemotherapy is not yet proved.
{"title":"Carcinome basocellulaire métatypique","authors":"H. Dhouib , M. Mnejja , L. Ayadi , B. Hammami , T. Boudawara , A. Ghorbel","doi":"10.1016/j.aorl.2008.10.005","DOIUrl":"10.1016/j.aorl.2008.10.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Basosquamous carcinoma is a rare entity that essentially affects the head and neck region in male patients. The authors present the clinical signs and progression as well as the therapeutic consequences of this disease through two observations.</p></div><div><h3>Case report 1</h3><p>A 41-year-old man presented with basosquamous carcinoma of the right temporoparietal region treated initially with surgery alone. Five years later, he was operated on for a local and lymph node recurrence followed by radiation therapy, stabilizing the disease for 4<!--> <!-->years; subsequently a second recurrence with metastasis to the chest area occurred. The patient died 10<!--> <!-->years after the onset of his disease of diffuse pneumopathy with severe septicemia.</p></div><div><h3>Case report 2</h3><p>A 71-year-old man presented retroauricular basosquamous carcinoma at first treated with wide resection, but the surgical limits were invaded. He developed local recurrences treated with surgical resection until total petrosectomy, but the surgical limits were always invaded. Radiotherapy was delivered. Seven years after the end of treatment, he developed a local recurrence invading the brain, which was deemed untreatable.</p></div><div><h3>Discussion</h3><p>Basosquamous carcinoma is characterized by its severe aggression and its tendency to recur. Treatment is essentially surgical. Radiotherapy is an adjuvant for the cases with high risk of recurrence. The role of chemotherapy is not yet proved.</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 1","pages":"Pages 25-28"},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28021788","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}
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