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Biomedical subjects

A Jortay

Publications and source records attributed to A Jortay.

41 records · Page 3Linked to original sources

[Lymph node tumors of the neck].

An overview of the neck node pathology is presented with on the one hand inflammatory diseases of various origins such as tuberculosis, viruses and parasites and on the other hand neoplasms involving nodes. These are either primary tumors such as lymphomas or metastatic carcinomas originating mostly from upper digestive and respiratory tract. Are also evoked diagnostic problems and treatment approach of the neck lymphadenopathy.

Head and Neck Neoplasms↗

[Cervicofacial extranodal non-Hodgkin lymphomas. Apropos of 82 cases].

Eighty-two patients with a head and neck extranodal lymphoma were treated and followed up by the same medical team during the period 1952-1981. Most of these tumors, which frequently originated from the Waldeyer ring, evolved by nodal infiltration, first in the neck and later in the abdomen. Association of a GI tract lymphomatous process with a head and neck lymphoma is of particular interest specially regarding gastric localizations (7/82). The treatment of choice is irradiation which is able to control initial head and neck disease, but local recurrences are frequent and represent 25% of the cases. Considering 5 year survivals, it is 49% on the whole series, 57% for the 31 stage I, 41.5% for the 21 stage II; only one patient over the five stage III and IV survived 5 years. For patients with lymphoma of diffuse type, adjuvant polychemotherapy should be considered at the start of management.

Adult↗

Use of osteomuscular free flaps after extended maxillectomy and craniofacial resection. About two cases.

A composite free flap with the lower part of the scapula and the serratus muscle has been used in two clinical cases for reconstruction after extensive maxillectomy and craniofacial resection. The palatal defect was reconstructed with the lower part of the scapular bone and the bone and the serratus muscle was used to restore facial contour. This type of osteomuscular free flap based on the thoracodorsal artery and veins provides a one-stage reconstruction of complex facial defects, including bone and soft tissue. The main advantages of this flap are the configuration of its bony component that closely matches the hard palate and its versatility that allows other regional flaps such as the latissimus dorsi and/or the serratus to be raised on the same vascular pedicle.

Aged↗