[Postoperative complications of acoustic neurinoma surgery by the posterior fossa: apropos of 60 cases].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to A M Cros.
Explore the source record for details and available documents.
A comparative study is undertaken in 36 cases of sudden deafness in order to appreciate the efficiency of three therapies: vaso-active drug and steroid administered through continuous perfusions, normovolemic hemodilution, and hyperbaric oxygen therapy. Groups are homogeneous with respect to age, time elapsed between onset of deafness and treatment, occurrence of vertigo, degree of hearing loss, and audiometric pattern. Results are expressed in terms of pure tone threshold improvement (dB), audiometric ratio recovery taking into account initial hearing loss, and effects upon tinnitus. These data are complemented with electrophysiological measures (click-evoked electrocochleography and auditory brainstem responses). Analysis of variance does not show significant differences among the three procedures. Mechanisms and possible usefulness are discussed, keeping in mind the difficulty of ascertaining the real efficiency of therapies with respect to spontaneous recovery.
The technique of hemodilution was assessed in 12 cases of sudden hearing loss as it is known to improve peripheral circulation. Good results were obtained in nine patients. The immediacy of the effects suggests the real efficacy of hemodilution as opposed to spontaneous recovery. Hemodilution is supposed to improve oxygenation in the cochlea. This technique is very simple and quick to perform.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
One of these two cases (1 h 30 and 48 hours) was permanent. The cause of the paralysis seems to be either from compression of the nerve between the endotracheal tube cuff and the cricoid, or from compression between the thyroid ala and a dislocated arytenoid cartilage from use of an unnecessarily large tube. An anatomical study has helped to confirm this hypothesis and shows the presence of an ischaemic aera overlying the nerve at the level of its entrance into the larynx due to the endotracheal cuff.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.