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 · Mar 2000
[Prognostic influence of cutaneous involvement in malignant tumors of the oral cavity].
The aim of this study was to assess the prognostic influence of cutaneous involvement in T4 squamous cell carcinoma of the oral cavity. The population was a homogeneous group of 137 patients. ⋯ Local control at 5 years was achieved in 68.5 % of the patients. Carcinologic failure rate was 55 % and 27.3 % in patients with and without cutaneous involvement respectively (p =0. 013). 5-year survivor rate was also correlated with cutaneous involvement: 10 % versus 32.2 % (p <0.0001).
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To accurate the diagnosis and treatment of retropharyngeal hematoma. ⋯ The retropharyngeal hematomas use to be spontaneously uptaken so that treatment may be observation. Sometimes, a surgical drainage is needed. Etiology, clinical signs, diagnosis and surgical indications are reviewed.
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Ann Otolaryngol Chir Cervicofac · Sep 1999
[Semiology and etiology of anosmia: apropos of 306 patients].
Chemosensory dysfunction is relatively common. This article describes a series of 306 patients who presented with anosmia. We divided olfactory disorders into those associated with interruption of the transport of stimulus and those associated with damage to either peripheral or central nervous system structures. ⋯ They are generally older, with a mean age of 58 years and are predominantly female (78%). The loss of smell is sudden and anosmia is often accompanied by troublesome parosmias (50%). CT-scan is necessary for the evaluation of a smell dysfunction.
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Ann Otolaryngol Chir Cervicofac · Jun 1999
[Postoperative pain assessment in head and neck cancer surgery: benefit of patient controlled analgesia (PCA)].
Acute postoperative pain has seldom been assessed in head and neck cancer surgery. The estimation of actual pain is more difficult when communication is impaired by tracheotomy or tracheostomia. The aim of the present prospective study was the assessment of analgesia level during the first 48 postoperative hours after head and neck cancer surgery. ⋯ No case of respiratory depression was even seen. It can be concluded that PCA seems to be an efficient procedure for controlling postoperative pain in head and neck cancer surgery. This technique proved to be better than delivering analgesia on requirement.
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Ann Otolaryngol Chir Cervicofac · Jan 1997
[Inhalation burns: apropos of 198 cases. Incidence of laryngotracheal involvement].
Inhalation burns and laryngotracheal involvement were studied in a retrospective series of 635 patients hospitalized for skin burns at the Center for Burn Treatment from January 1993 to January 1997. Inhalation burns were observed in 31.1% of the cases. Exclusive laryngeal involvement occurred in 19.6% of the inhalation burns. ⋯ Tracheotomy was required in case of severe inhalation burns and the predictable duration of intubation was over 8 days. Laryngotracheal stenosis occurring after inhalation burns is complex and extensive, with great variability over time. Laryngotracheal calibration is indicated as first intention therapy.