Revue de laryngologie - otologie - rhinologie
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Rev Laryngol Otol Rhinol (Bord) · Jan 1995
[Vocal pathology in teachers: a videolaryngostroboscopic study in 1046 teachers].
It is well known the vocal pathology occurs more frequently in professionals using their voice than in the general population. Teachers form a particular group. ⋯ The results obtained evidence 218 cases of pathological exploration, i.e. 20.84% with a predominance of vocal nodules (43%) and Reinke oedema (18%). The analytical method and the results obtained are presented.
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Between 1983 and 1990 the authors treated 193 patients with laryngo-tracheal stenoses of diverse etiology. In 119 cases the stenoses was in the trachea. In 36 the stenoses extended to the subglottic region and in 1 case the carina was involved. ⋯ When the lesion included the subglottic area a partial resection of the cricoid cartilage and the damaged trachea was used. Associated surgical procedures had to be performed in order to close tracheo-esophageal fistulas, 2 cases, fixation of one of the vocal cords, 9 cases. Tracheal stenoses were cured in 90% of the cases with one surgical procedure, when the stenoses extended to the subglottic region, the cure rate was only 88.6%.
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Rev Laryngol Otol Rhinol (Bord) · Jan 1993
[Calibration of laryngotracheal stenoses using a Montgomery tube: indications and results].
Montgomery T-tube is a stent which have been used to calibrate 54 patients having a laryngotracheal stenosis. Indications, insertion techniques, and care of tracheal T-tube are exposed. ⋯ No fatal complication was observed. In our experience, Montgomery T-tube is a valuable tool to treat laryngotracheal stenosis.
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Rev Laryngol Otol Rhinol (Bord) · Jan 1992
[Laryngeal and tracheal complications of prolonged intubation].
Based on a retrospective study of 595 patients having undergone prolonged intubation, the authors present the main complications encountered and, in particular, the mucous ulceration which appears to be systematic and is itself at the origin of secondary stenosizing or granulomatous sequelae. Research is still needed concerning the follow-up of the intubated patients in order to limit the pressures exerted between the cordal mucosa or the tracheal mucosa in contact with the endotracheal tube. A systematic check upon removal of the tube decreases the secondary sequelae by starting adapted antacid, anti-inflammatory and antibiotic treatments, as well as certain acts of laryngeal microsurgery and, in some cases, laryngeal rehabilitation for both the voice and deglutition.
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Rev Laryngol Otol Rhinol (Bord) · Jan 1991
[Severe subglottic hemangioma in the infant: corticotherapy, intubation or surgery?].
In the case of sub-glottic hemangioma, with serious immediate or cortico-resistant dyspnea, it is not always possible to wait for the growth of the laryngo-tracheal skeleton and the spontaneous involution of the angioma. On the basis of a series of 25 cases, we propose in these serious forms the following therapeutic escalation: very high dose corticotherapy, with betamethasone at 0.12 to 0.48 mg/kg/day for 15 days, followed by a degressive treatment over 6 weeks to 3 months; intubation to overcome a difficult stage in the event of aggravation of the angioma with a rhinopharyngitis. Embolization and the use of the laser proved unsatisfactory in the extensive forms of angiomas. In the event of failure of the preceding treatment, we perform a tracheotomy, the duration of which can be reduced by the surgical exeresis of the angioma with a widening of the larynx.