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 · Jan 1984
[Laryngeal anomalies in newborn infants. Apropos of 687 cases].
Congenital laryngeal anomalies are a frequent cause of obstructive dyspnea in neonates and young infants, and raise diagnostic and emergency treatment problems. Clinical symptomatology includes stridor of variable severity, obstructive dyspnea and deglutition disorders, but a less typical picture may be seen of apnea, cyanotic episodes, bradycardia and even cardiac arrests. ⋯ Lesions included essential congenital laryngeal stridor (laryngomalacia) in 378 cases (50%), of which 15% were severe with respiratory distress and/or deglutition disorders; laryngeal palsy in 161 cases (23%), bilateral in 56 and unilateral in 105 cases; laryngeal incoordination in 23 cases; laryngeal stenosis: 79 cases (11%) including 58 subglottic and 18 dysphragmatic stenoses and 3 atresias; subglottic hematoma: 49 cases; ary-epiglottic or glosso-epiglottic cyst: 15 cases; laryngeal diastema: 11 cases; and bifid epiglottis: 1 case. Clinical, radiologic and endoscopic findings, and the principal therapies used, are discussed for each anomaly.
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Ann Otolaryngol Chir Cervicofac · Jan 1984
[Use of the pectoralis major myocutaneous flap in transmaxillary buccopharyngectomy].
Pectoralis major musculocutaneous flaps were used for reconstruction after transmaxillary buccopharyngectomy to treat 22 patients with large oropharyngeal tumors. Short and medium term results are discussed. Large excisions such as these raise many functional problems, even though the use of a musculocutaneous flap for reconstruction is a valid procedure from the anatomical point of view. The cancer prognosis must still be reserved as follow up is still limited for these cases.
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Ann Otolaryngol Chir Cervicofac · Jan 1984
[The jugular foramen, the inferior bulb of the jugular vein and their surgical approach].
Anatomical features of the sigmoid sinus and internal jugular vein and their connections are described. The jugular foramen is really only the opening of a bony canal between occipital and temporal bones, and is equivalent to a connective opening between the occipital vertebra and petrosal bone. The junction between the sigmoid sinus and internal jugular vein has the form and probably also the function of a siphon, but one in which the two arms are at right-angles. ⋯ The facial nerve in its bony canal is situated immediately adjacent to the jugular sinus and must be displaced to reach the vein. The sinus is almost always approached for jugular glomus tumors, which are very hemorrhagic lesions. To prevent blood loss, the sigmoid sinus and then the external carotid are linked to the jugular vein.(ABSTRACT TRUNCATED AT 250 WORDS)
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Ann Otolaryngol Chir Cervicofac · Jan 1983
[Criteria for choice of an anesthetic technic for laryngeal laser microsurgery using the laser in adults].
Laryngeal microsurgery by means of the laser involves anesthetic constraints regarding mainly the mode of ventilation during operation. The principal techniques and different anesthetic protocols are discussed. The two main criteria for the choice of method appear to be the permeability of the laryngeal passage and the patient's general condition and history. The two principal methods proposed are high frequency jet ventilation and ventilation controlled by a protected intubation tube.
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Ann Otolaryngol Chir Cervicofac · Jan 1983
Comparative Study[Intubation or tracheotomy in severe subglottic laryngitis].
A retrospective study to assess safety of nasotracheal intubation for subglottic laryngitis in children was conducted in 44 cases treated in the Intensive Care Unit of Hôpital Bretonneau, France between 1971 and 1981. Intubation had been performed in 40 children, and immediate tracheotomy in the other 4. ⋯ The catheter employed in the 3 tracheotomized children with morbilous laryngitis was too large, and laryngeal stenosis developed in 2 of them. These findings demonstrate that when a catheter of correct size (1/2 size below that indicated by the weight and age of the child) is employed, nasotracheal intubation for severe subglottic laryngitis is a safe procedure.