Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Société d'oto-laryngologie des hôpitaux de Paris
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Ann Otolaryngol Chir Cervicofac · Jun 2003
[Nasal obstruction and compliance to nasal positive airway pressure].
Obstructive sleep apnea syndrome is a very common disease. Nasal continuous positive airway pressure is a useful and efficient treatment but compliance depends on several factors including the degree of nasal obstruction. ⋯ An examination of the nose has to be performed before initiating nasal continuous positive airway pressure. If nasal continuous positive airway pressure cannot be tolerated because of nasal obstruction, surgery is required to improve compliance and tolerance to treatment.
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Ann Otolaryngol Chir Cervicofac · Feb 2003
[Management of head and neck Langerhan's cell histiocytosis in children].
Langerhan's cell histiocytosis is an uncommon disease characterized by abnormal proliferation of Langerhan's cells into different organs and tissues. Head and neck involvement is commonly described and presents a difficult management challenge. We report our experience at the Lille University Hospital and review the main features of this disease and current management strategies. ⋯ Current therapeutic approaches are in favor of a wait and see policy or chemotherapy instead of aggressive local treatments including surgery or radiotherapy.
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Ann Otolaryngol Chir Cervicofac · Feb 2002
Case Reports[How to treat a thyroid adenocarcinoma inside a branchial cyst].
The authors reported three cases of branchial cycts containing a thyroid adenocarcinoma. This rare condition imposed a search for the primary tumor. ⋯ Histological examination of the operative specimen after total blocking in paraffin helped discover microscopic foci of papillary carcinoma in the thyroid gland. These data justified this therapeutic attitude because the nature of the adenocarcinoma found in the branchial cyst is likely to be metastatic.
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Ann Otolaryngol Chir Cervicofac · Jun 2000
Case Reports[Pharyngo-esophagoplasty by right coloplasty for the treatment of post-caustic pharyngo-laryngeal-esophageal burns: a report of 13 cases].
We report a new technique of pharyngoesophagoplasty by right coloplasty, indicated in postcaustic severe pharyngeal stenosis, analyzing the anatomical and functional results in terms of respiratory tract and phonation as well as digestive tract outcome. We compared our results with those obtained with other procedures. Between March 1995 and September 1998, pharyngoesophagoplasty by right coloplasty was performed in 13 patients. ⋯ Three had mild dysphagia and the oral diet was supplemented by jejunostomy tube feedings. These results were most successful compared with those obtained with 29 other patients. Pharyngo-esophagoplasty by right colonic transposition appears to be the method of choice for the reconstruction of post-caustic pharyngeal and esophageal stenosis.