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Biomedical subjects

A Castermans

Publications and source records attributed to A Castermans.

54 records · Page 3Linked to original sources

[Facial injuries. Classification].

The present paper was intended as an introduction to the symposium organized in Paris on 4 October 1990 by the Royal Belgian Society for Surgery under the heading "Eurosurgery 90". The anatomical and functional properties of the facial bones and soft tissues were recalled. The face is the support of the main social functions of Man. The classification makes a distinction between fractures of the middle third and of the mandible. Among the formers, classical fractures of Le Fort I, II and III, are now less frequent than asymmetrical or complex fractures with multiple soft tissue lacerations. The main types of mandibular fractures are described. Part of these may show important displacements, due to the insertion of strong muscles. The aims of treatment are defined and to-day technology briefly described. Tendency is to shorten the duration of intermaxillary fixation thanks to the more recent procedures of internal fixation.

Facial Bones↗

[Facio-craniostenosis].

Facio-craniostenosis. Facio-craniostenosis is associated with premature stenosis of one or several cranial sutures. The clinical variety is defined by the affected suture. In the complex forms, major disturbances of the anterior fossa of the cranial base are observed. Intracranial hypertension sometimes observed may lead to impairment of the function of the brain or the eyes. The authors have observed 73 children with craniostenosis and have operated upon 49 of them. Three types of methods have been used. The stress is made on the latest one combining advancement of the orbito-frontal "bandeau" and the regularization of the vault. Operating early is essential for prevention of functional sequellae. The optimal age for surgical treatment seems to be between 3 and 6 months. Complications have been remarkable benign.

Age Factors↗

[In search of a surgical treatment of endocrinologic exophthalmia (author's transl)].

Surgical "decompression" of the orbit does not ensure correction of endocrinologic exophthalmia. This is due to profound changes in the deep orbital tissues. The authors have tried to solve the problem through a different approach: adapting the orbit to its pathological content. They developed an osteotomy that yields promising results: eight patients amounting to 15 orbits have been operated and exophthalmia was reduced in 12 (mean 3 mm).

Graves Disease↗

Primary reconstruction of the mandible after resection for oral cancer.

Forty-seven patients with cancer of the lower half of the oral cavity underwent primary restoration of mandibular continuity with a threaded wire after "en bloc" resection. The overall 3 years tolerance rate of the wire calculated according to the actuarial method is 0.29. Preoperative radiotherapy and inclusion of the wire into silastic reduced tolerance of the prosthesis. The occurrence of an oral fistula required removal of the wire.

Fistula↗