Pub Date : 2008-09-01DOI: 10.1016/j.aorl.2008.05.003
M.B. Harding-Kaba , M. Mobio , B. Ouattara , D. Batifol , K.P.F. Aka Gblanh , Y.J.-J. Angoh , S. Gadegbeku
Introduction
Onset of cerebral thrombophlebitis following parotidectomy in a child is reported.
Observation
A seven-year-old boy presenting apparently benign tumefaction in the right parotid gland area had undergone a conservative right total parotidectomy. The histological examination of the operative specimen suggested a diffuse neurofibroma as part of a clinical picture of Recklinghausen's neurofibromatosis. The immediate postoperative follow-up was marked by a pyramidal syndrome in the left hemibody, with the CT scan showing thrombophlebitis. After treatment combining an anticoagulant, a vasodilator and an antibiotic, the patient progressed toward partial recovery of left hemibody motor activity.
Comments
This cerebral vascular accident is related to the angiodysplasia encountered in Recklinghausen's disease. Anticoagulants initialized rapidly are the only demonstrated therapy to improve the prognosis in this type of complication.
{"title":"Thrombophlébite cérébrale : complication d’une parotidectomie chez un enfant","authors":"M.B. Harding-Kaba , M. Mobio , B. Ouattara , D. Batifol , K.P.F. Aka Gblanh , Y.J.-J. Angoh , S. Gadegbeku","doi":"10.1016/j.aorl.2008.05.003","DOIUrl":"10.1016/j.aorl.2008.05.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Onset of cerebral thrombophlebitis following parotidectomy in a child is reported.</p></div><div><h3>Observation</h3><p>A seven-year-old boy presenting apparently benign tumefaction in the right parotid gland area had undergone a conservative right total parotidectomy. The histological examination of the operative specimen suggested a diffuse neurofibroma as part of a clinical picture of Recklinghausen's neurofibromatosis. The immediate postoperative follow-up was marked by a pyramidal syndrome in the left hemibody, with the CT scan showing thrombophlebitis. After treatment combining an anticoagulant, a vasodilator and an antibiotic, the patient progressed toward partial recovery of left hemibody motor activity.</p></div><div><h3>Comments</h3><p>This cerebral vascular accident is related to the angiodysplasia encountered in Recklinghausen's disease. Anticoagulants initialized rapidly are the only demonstrated therapy to improve the prognosis in this type of complication.</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":"125 4","pages":"Pages 204-207"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27597055","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.07.004
R. Jankowski , A. Coste , P. Verdalle
{"title":"Papillome inversé rhinosinusien","authors":"R. Jankowski , A. Coste , P. Verdalle","doi":"10.1016/j.aorl.2008.07.004","DOIUrl":"10.1016/j.aorl.2008.07.004","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":"125 4","pages":"Pages 224-233"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.07.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27663535","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.04.002
S. Kharoubi
Objectives
The aim of this case study was to report a rare case of acute miliary tuberculosis of the pharynx. The description of the various pathological forms of this disease and a review of the literature are included.
Methods
Report of a case of acute miliary tuberculosis of the pharynx in a 20-year-old female patient with chronic dysphagia and weight loss.
Results
Dysphagia with epistaxis and severe nutritional problems was noted. The pharyngeal examination showed diffuse granulation of the pharynx. The blood count showed an inflammatory syndrome. The tuberculin skin test was highly positive. A pharyngeal biopsy found caseous necrosis in giant cell granuloma. The prognosis was good with antituberculosis antibiotics.
Conclusion
Acute miliary tuberculosis of the pharynx is a rare entity. Many epidemiological studies have shown an increased frequency of this disease, which should therefore be kept mind.
{"title":"La tuberculose miliaire du pharynx ou maladie d’Isambert","authors":"S. Kharoubi","doi":"10.1016/j.aorl.2008.04.002","DOIUrl":"10.1016/j.aorl.2008.04.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this case study was to report a rare case of acute miliary tuberculosis of the pharynx. The description of the various pathological forms of this disease and a review of the literature are included.</p></div><div><h3>Methods</h3><p>Report of a case of acute miliary tuberculosis of the pharynx in a 20-year-old female patient with chronic dysphagia and weight loss.</p></div><div><h3>Results</h3><p>Dysphagia with epistaxis and severe nutritional problems was noted. The pharyngeal examination showed diffuse granulation of the pharynx. The blood count showed an inflammatory syndrome. The tuberculin skin test was highly positive. A pharyngeal biopsy found caseous necrosis in giant cell granuloma. The prognosis was good with antituberculosis antibiotics.</p></div><div><h3>Conclusion</h3><p>Acute miliary tuberculosis of the pharynx is a rare entity. Many epidemiological studies have shown an increased frequency of this disease, which should therefore be kept mind.</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":"125 4","pages":"Pages 218-223"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27506158","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.07.005
R. Jankowski , D. Ebbo , C. Parietti-Winkler
Ojectives
In normal and anosmic patients, l-menthol inhalation is responsible for the subjective sensation of increased nasal permeability, related to a stimulation of the internal nasal nerve (branch of trigeminal nerve) endings connected with cold pressor receptors. At present, routine assessment of nasal obstruction does not include the l-menthol test. The aim of this case report was to show the advantages of this test in chronic nasal obstruction evaluation.
Material and methods
The example of a patient with a medical history of facial trauma and anosmia for sequela is reported. This patient complained of chronic nasal obstruction that persisted despite several septorhinoplasties and that conflicted with clinical examination and rhinomanometry data.
Results
An l-menthol test did not induce any mint smell recognition, any improvement of nasal permeability sensation, or any freshness sensation.
Conclusion
The authors suggest that the nasal obstruction sensation could result, in this case, from post-trauma anesthesia of the trigeminal nerve, particularly its internal nasal nerve branch. The l-menthol test could be a predictive test that may prevent recurrent functional failures of surgical treatment proposed for nasal obstruction.
{"title":"Intérêt du test au l-menthol dans le bilan d’une obstruction nasale chronique","authors":"R. Jankowski , D. Ebbo , C. Parietti-Winkler","doi":"10.1016/j.aorl.2008.07.005","DOIUrl":"10.1016/j.aorl.2008.07.005","url":null,"abstract":"<div><h3>Ojectives</h3><p>In normal and anosmic patients, <span>l</span>-menthol inhalation is responsible for the subjective sensation of increased nasal permeability, related to a stimulation of the internal nasal nerve (branch of trigeminal nerve) endings connected with cold pressor receptors. At present, routine assessment of nasal obstruction does not include the <span>l</span>-menthol test. The aim of this case report was to show the advantages of this test in chronic nasal obstruction evaluation.</p></div><div><h3>Material and methods</h3><p>The example of a patient with a medical history of facial trauma and anosmia for sequela is reported. This patient complained of chronic nasal obstruction that persisted despite several septorhinoplasties and that conflicted with clinical examination and rhinomanometry data.</p></div><div><h3>Results</h3><p>An <span>l</span>-menthol test did not induce any mint smell recognition, any improvement of nasal permeability sensation, or any freshness sensation.</p></div><div><h3>Conclusion</h3><p>The authors suggest that the nasal obstruction sensation could result, in this case, from post-trauma anesthesia of the trigeminal nerve, particularly its internal nasal nerve branch. The <span>l</span>-menthol test could be a predictive test that may prevent recurrent functional failures of surgical treatment proposed for nasal obstruction.</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":"125 4","pages":"Pages 193-197"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.07.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27660597","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 : 2008-09-01DOI: 10.1016/j.aorl.2008.07.002
B. Hemmaoui, C. Winkler-Parietti, R. Jankowski
Objectives
The anterior ethmoidal artery represents a major danger in the dissection of the anterior ethmoid roof. In addition to hemorrhage, its injury exposes the patient to the risk of orbital haematoma and requires intraoperative and postoperative vigilance. The goal of this study was to describe the anatomical relationship between the frontal sinus ostium and the anterior ethmoidal artery, such as they are observed with the endoscope during nasalization.
Materials and methods
Consecutive patients with no surgical history or agenesia of the frontal sinuses, with an indication for ethmoidal complete exenteration with ablation of the mucous membrane (nasalization), were included in a prospective descriptive study. When dissection of the anterior ethmoidal roof was finished, the relationship between the frontal sinus ostium and the anterior ethmoidal artery were filmed and drawn on a diagram during surgery. A photograph of the relationship between the frontal sinus ostium and anterior ethmoidal artery was selected afterward from the film.
Results
Sixty-eight ethmoids were operated (30 bilateral, eight unilateral) with no complications. The anterior ethmoidal artery was visible in 60 cases (88%), 31 out of 34 cases on the left side (45%) and 29 out of 34 cases on the right side (43%); it was not visible in eight cases (12%), three cases on the left (4.5%) and five cases on the right (7.5%). In the most frequent anatomical configuration (45 cases, 66%), the frontal sinus ostium was separated from the anterior ethmoidal artery by a single ethmoidal cell. The other anatomical configurations were: presence of two cells between the frontal sinus ostium and the anterior ethmoidal artery in 11 cases (16%), and three cells in one case (1%) or absence of the ethmoidal cell between the frontal sinus ostium and the anterior ethmoidal artery (the anterior ethmoidal artery was located on the posterior wedge of the frontal ostium) in three cases (4%). The comparison of the 30 bilateral cases showed a symmetrical relationship between the frontal sinus ostium and the anterior ethmoidal artery in 20 cases (67%).
Conclusions
These data are addressed to surgeons seeking the anterior ethmoidal artery starting from the frontal sinus ostium. Localization of the frontal sinus ostium, which can be achieved by retrograde cannulation of the frontal sinus or using a transcutaneous frontal drain, appears to be a reliable technique to dissect the roof of the anterior ethmoid and locate the anterior ethmoidal artery.
{"title":"Rapports endoscopiques entre l’ostium du sinus frontal et l’artère ethmoïdale antérieure : implications chirurgicales","authors":"B. Hemmaoui, C. Winkler-Parietti, R. Jankowski","doi":"10.1016/j.aorl.2008.07.002","DOIUrl":"10.1016/j.aorl.2008.07.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The anterior ethmoidal artery represents a major danger in the dissection of the anterior ethmoid roof. In addition to hemorrhage, its injury exposes the patient to the risk of orbital haematoma and requires intraoperative and postoperative vigilance. The goal of this study was to describe the anatomical relationship between the frontal sinus ostium and the anterior ethmoidal artery, such as they are observed with the endoscope during nasalization.</p></div><div><h3>Materials and methods</h3><p>Consecutive patients with no surgical history or agenesia of the frontal sinuses, with an indication for ethmoidal complete exenteration with ablation of the mucous membrane (nasalization), were included in a prospective descriptive study. When dissection of the anterior ethmoidal roof was finished, the relationship between the frontal sinus ostium and the anterior ethmoidal artery were filmed and drawn on a diagram during surgery. A photograph of the relationship between the frontal sinus ostium and anterior ethmoidal artery was selected afterward from the film.</p></div><div><h3>Results</h3><p>Sixty-eight ethmoids were operated (30 bilateral, eight unilateral) with no complications. The anterior ethmoidal artery was visible in 60 cases (88%), 31 out of 34 cases on the left side (45%) and 29 out of 34 cases on the right side (43%); it was not visible in eight cases (12%), three cases on the left (4.5%) and five cases on the right (7.5%). In the most frequent anatomical configuration (45 cases, 66%), the frontal sinus ostium was separated from the anterior ethmoidal artery by a single ethmoidal cell. The other anatomical configurations were: presence of two cells between the frontal sinus ostium and the anterior ethmoidal artery in 11 cases (16%), and three cells in one case (1%) or absence of the ethmoidal cell between the frontal sinus ostium and the anterior ethmoidal artery (the anterior ethmoidal artery was located on the posterior wedge of the frontal ostium) in three cases (4%). The comparison of the 30 bilateral cases showed a symmetrical relationship between the frontal sinus ostium and the anterior ethmoidal artery in 20 cases (67%).</p></div><div><h3>Conclusions</h3><p>These data are addressed to surgeons seeking the anterior ethmoidal artery starting from the frontal sinus ostium. Localization of the frontal sinus ostium, which can be achieved by retrograde cannulation of the frontal sinus or using a transcutaneous frontal drain, appears to be a reliable technique to dissect the roof of the anterior ethmoid and locate the anterior ethmoidal artery.</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":"125 4","pages":"Pages 174-180"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27661099","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 : 2008-06-01DOI: 10.1016/j.aorl.2008.04.001
O. Laccourreye , P. Tran ba Huy
{"title":"Comment rédiger un compte rendu opératoire en otorhinolaryngologie et en chirurgie cervicofaciale ?","authors":"O. Laccourreye , P. Tran ba Huy","doi":"10.1016/j.aorl.2008.04.001","DOIUrl":"10.1016/j.aorl.2008.04.001","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":"125 3","pages":"Pages 164-167"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27470504","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 : 2008-06-01DOI: 10.1016/j.aorl.2008.01.003
A.-S. Ricard , J. Rivel , H. Demeaux , C. Majoufre-Lefebvre , F. Siberchicot , N. Zwetyenga
Objective
The aim of this preliminary retrospective study was to evaluate the prognostic value of tumor thickness in squamous cell carcinoma of the floor of the mouth.
Materials and methods
A total of 61 patients with previously untreated T1N0, T2N0 or T3N0 squamous cell carcinoma of the floor of the mouth were included in this preliminary study. An optical micrometer was used to determine the maximum of tumor thickness. We studied the relation between the overall survival at two and five years and tumor thickness.
Results
The cohort comprised 52 male and nine female patients. The mean and the median thickness were 7.2 and 6 mm, respectively. Overall survival was 79.5 and 36.7% at two and five years, respectively. There was no significant association between thickness and overall survival (p = 0.71) and between thickness and disease-free survival (p = 0.63).
Conclusion
The prognostic value of tumor thickness was not demonstrated in this preliminary study. We are currently conducting a study involving a larger patient population in our unit and we believe that tumor thickness should be considered in the management plan for patients with oral carcinoma.
{"title":"Valeur pronostique de l’infiltration des carcinomes épidermoïdes du plancher buccal","authors":"A.-S. Ricard , J. Rivel , H. Demeaux , C. Majoufre-Lefebvre , F. Siberchicot , N. Zwetyenga","doi":"10.1016/j.aorl.2008.01.003","DOIUrl":"https://doi.org/10.1016/j.aorl.2008.01.003","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this preliminary retrospective study was to evaluate the prognostic value of tumor thickness in squamous cell carcinoma of the floor of the mouth.</p></div><div><h3>Materials and methods</h3><p>A total of 61 patients with previously untreated T1N0, T2N0 or T3N0 squamous cell carcinoma of the floor of the mouth were included in this preliminary study. An optical micrometer was used to determine the maximum of tumor thickness. We studied the relation between the overall survival at two and five years and tumor thickness.</p></div><div><h3>Results</h3><p>The cohort comprised 52 male and nine female patients. The mean and the median thickness were 7.2 and 6<!--> <!-->mm, respectively. Overall survival was 79.5 and 36.7% at two and five years, respectively. There was no significant association between thickness and overall survival (<em>p</em> <!-->=<!--> <!-->0.71) and between thickness and disease-free survival (<em>p</em> <!-->=<!--> <!-->0.63).</p></div><div><h3>Conclusion</h3><p>The prognostic value of tumor thickness was not demonstrated in this preliminary study. We are currently conducting a study involving a larger patient population in our unit and we believe that tumor thickness should be considered in the management plan for patients with oral carcinoma.</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":"125 3","pages":"Pages 134-138"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91673208","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 : 2008-06-01DOI: 10.1016/j.aorl.2008.02.001
W. Kermani , M. Belcadhi , R. Mani , M. Abdelkéfi , B. Sriha , K. Bouzouita
Objectives
To describe a case of mucoepidermoid carcinoma of the parotid gland that caused obstruction of a salivary gland duct and manifested as a parotid retention cyst.
Patient and methods
A 21-year-old woman presented with a 5-cm cystic swelling in her left parotid region. Ultrasound examination and a computerized tomography scan showed a clearly outlined parotid cyst. Through a conventional parotidectomy incision, the cyst was excised with parotid gland tissue around the lesion. The patient had an uncomplicated recovery.
Results
Histopathological examination of the resected parotidectomy material showed a parotid retention cyst and a mucoepidermoid carcinoma measuring 5 mm in diameter.
Conclusion
Among acquired cysts of the parotid gland, retention cysts are the most frequent. They may be the presenting symptom in patients with occult cancer of the parotid. In this case report, a mucoepidermoid carcinoma played a significant role in the obstruction of a salivary gland duct and caused a parotid retention cyst. Thus, a wide excision of the parotid retention cyst is necessary, as is a careful review of the histology searching for malignant lesion.
{"title":"Kyste parotidien rétentionnel révélateur d’un carcinome mucoépidermoïde","authors":"W. Kermani , M. Belcadhi , R. Mani , M. Abdelkéfi , B. Sriha , K. Bouzouita","doi":"10.1016/j.aorl.2008.02.001","DOIUrl":"10.1016/j.aorl.2008.02.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe a case of mucoepidermoid carcinoma of the parotid gland that caused obstruction of a salivary gland duct and manifested as a parotid retention cyst.</p></div><div><h3>Patient and methods</h3><p>A 21-year-old woman presented with a 5-cm cystic swelling in her left parotid region. Ultrasound examination and a computerized tomography scan showed a clearly outlined parotid cyst. Through a conventional parotidectomy incision, the cyst was excised with parotid gland tissue around the lesion. The patient had an uncomplicated recovery.</p></div><div><h3>Results</h3><p>Histopathological examination of the resected parotidectomy material showed a parotid retention cyst and a mucoepidermoid carcinoma measuring 5<!--> <!-->mm in diameter.</p></div><div><h3>Conclusion</h3><p>Among acquired cysts of the parotid gland, retention cysts are the most frequent. They may be the presenting symptom in patients with occult cancer of the parotid. In this case report, a mucoepidermoid carcinoma played a significant role in the obstruction of a salivary gland duct and caused a parotid retention cyst. Thus, a wide excision of the parotid retention cyst is necessary, as is a careful review of the histology searching for malignant lesion.</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":"125 3","pages":"Pages 151-154"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2008.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27457942","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 : 2008-06-01DOI: 10.1016/j.aorl.2007.12.003
N. Morel, G. Dumas, C. Righini, A. Karkas, A. Hitter, S. Schmerber
Objectives
Vestibular neurotomy (VN) and chemical labyrinthectomy (CL) are the two most common techniques of vestibular deafferention to treat patients with intractable vertigo. A long-term evaluation of vestibular function has been performed with a variety of vestibular tests to find out whether there persisted any residual vestibular function after each technique.
Methods
We called in all patients who have been treated for the last 10 years and have no known vestibular disease in the non treated ear. Low frequencies were analyzed with caloric tests, medium frequencies with the head-shaking test and head-impulse test, and high frequencies with the skull vibration test. The otolithic function was explored with the subjective vertical visual analysis and otolithic myogenic evoked potentials. Nine patients treated with VN and 12 with CL presented to our department. We were thus able to compare VN and CL patients with a group of 10 normal patients and another group of nine patients that had had a translabyrinthine approach for an acoustic neuroma.
Results
We found out that vestibular responses did persist in seven out of nine (78 %) patients after VN and 11 out of 12 (92 %) patients after CL. On the other hand, no vestibular response was detected following resection of vestibular schwannoma through a translabyrinthine approach.
Conclusion
We came to the conclusion that the two latter techniques, unlike vestibulocochlear nerve section via the translabyrinthine approach, are only incomplete methods of vestibular deafferention.
{"title":"Étude vestibulaire multifréquentielle après neurotomie vestibulaire et labyrinthectomie chimique","authors":"N. Morel, G. Dumas, C. Righini, A. Karkas, A. Hitter, S. Schmerber","doi":"10.1016/j.aorl.2007.12.003","DOIUrl":"https://doi.org/10.1016/j.aorl.2007.12.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Vestibular neurotomy (VN) and chemical labyrinthectomy (CL) are the two most common techniques of vestibular deafferention to treat patients with intractable vertigo. A long-term evaluation of vestibular function has been performed with a variety of vestibular tests to find out whether there persisted any residual vestibular function after each technique.</p></div><div><h3>Methods</h3><p>We called in all patients who have been treated for the last 10 years and have no known vestibular disease in the non treated ear. Low frequencies were analyzed with caloric tests, medium frequencies with the head-shaking test and head-impulse test, and high frequencies with the skull vibration test. The otolithic function was explored with the subjective vertical visual analysis and otolithic myogenic evoked potentials. Nine patients treated with VN and 12 with CL presented to our department. We were thus able to compare VN and CL patients with a group of 10 normal patients and another group of nine patients that had had a translabyrinthine approach for an acoustic neuroma.</p></div><div><h3>Results</h3><p>We found out that vestibular responses did persist in seven out of nine (78 %) patients after VN and 11 out of 12 (92 %) patients after CL. On the other hand, no vestibular response was detected following resection of vestibular schwannoma through a translabyrinthine approach.</p></div><div><h3>Conclusion</h3><p>We came to the conclusion that the two latter techniques, unlike vestibulocochlear nerve section via the translabyrinthine approach, are only incomplete methods of vestibular deafferention.</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":"125 3","pages":"Pages 139-145"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.aorl.2007.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90013211","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 : 2008-06-01DOI: 10.1016/j.aorl.2008.03.001
M. Bertrand , J.-F. Mangez , O. Choussy , D. Dehesdin , J.-P. Marie
Introduction
During surgical procedure, antibioprophylaxis is known to decrease bacterial proliferation and limit postoperative complications such as infections. In France, antibiotic prescription guidelines have been established for ear surgery, but applied with discrepancies. The purpose of the study was to evaluate the necessity of antibioprophylaxis in ear surgery.
Material and methods
Retrospective study of two consecutives series of ear surgery with two different antibioprophylaxis protocols. In the first series (n = 100), antibioprophylaxis by amoxicillin and clavulanic acid was given only in cases of chronic otitis media with otorrhea and cholesteatoma (contaminated surgery). In the second series (n = 107), no antibiotic was administered. The number of infected complications was evaluated by reviewing medical charts.
Results
The percentage of infected complications was 5% versus 6.5% in the second series (with no antibioprophylaxis), for all types of ear surgery, 9.4% versus 4.2% after ear contaminated surgery. No statistical difference was observed between the two series.
Conclusion
In ear surgery, postoperative infected complications do not more frequently occur without antibioprophylaxis, either in otorrhea or in cholesteatoma surgery.
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