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Biomedical subjects

A R Chancholle

Publications and source records attributed to A R Chancholle.

15 recordsLinked to original sources
PubMed2004

[The treatment of cleft lip, cleft palate and other dysmorphisms: the ideal technic and therapeutic reality].

Good results in any surgical or orthodontic procedure require expert technique, well adapted to the problem and scrupulously executed. A technique that would achieve the best results can be described as "ideal" and can serve as a theoretical model for all similar cases. But, in dealing with apparently similar problems: cleft lips and palates, Class II or Class III cases... in reality, we are treating individual patients, none quite the same as any other. These differences derive from the varying characteristics of individual patients and from the varying and unpredictable responses of their tissues, and from their varying capacities to accommodate to and withstand insults, suffering, and the sensory-motor effects of their deformities and of the treatment they undergo, and, finally, from their variable readiness to submit to and to pay for treatment with their time and with their money. Any therapeutic technique must take into account these realities which sometimes oblige us to modify an ideal technique so that it will fit the specialized needs of a patient, an accommodation that can be defined as "therapeutic realism". When we ignore this reality, we risk the paradox of providing patients with technically ideal results that they find unsatisfactory or discover that what we thought was a technically mediocre outcome has delighted our patient: ultimately, it is the patient's judgment that determines the "therapeutic result" and is, in effect, the Final Evaluation of the technical result.

Adult↗
PubMed2002

[The whole treatment of cleft lip and/or palate by the team of Dr. Chancholle in Toulouse].

Our choice in the treatment of the C.L.P. child is that the child is accepted by his parents and by Society as well as possible. In this way, the most important points are: to inform parents and Society of the ability of the child to a normal and satisfactory life. This information must be based upon the exact knowledge of what is really the cleft disease, its causes, and not only the genetic ones, the whole troubles induced by the cleft, local and general, and their treatment: by neonatal operation and, however was the choice of operative technic, by educative and reeducative means based on an exact knowledge of the modified physiology of the child: above all, sensory-motricity coordination and early speech-therapy before speech. The follow-up of the child at the difficult time of school admission, and cooperation between all the members of the team and the teachers.

Cleft Lip↗
PubMed2000

[Ethics and best practice in the consulting management of children with cleft lip and palate, and their parents].

Surgical treatment is only one part of the management of the child with cleft lip and palate. This paper exclusively focuses on other important aspects of this management. This includes the information and psychological supports of the parents, whether the cleft lip is diagnosed prenatally or at birth, the practical aspects of the consultation within the team of the different specialists involved (surgeon, anesthetist, dentist, orthodontist, speech therapist, otorhinolaryngologist, geneticist, child psychologist). The school teacher must also be concerned at the beginning of the first school year.

Adolescent↗
PubMed1975

[Facial injuries].

In spite of a certain reduction in their numbers, facial injuries still raise frequent problems for general surgeons. Car accidents are now less commonly responsible than motorcycle accidents. In the most complex cases, one may find lesions of the soft parts and bony lesions in association. The wounds should be examined carefully, all foreign bodies removed and should only be sutured if one is certain tht the subjacent structures are undamaged, e.g. facial bony canals are often damaged in vertical wounds of the cheek situated behind the anterior border of the masseter muscle. As far as bony lesions are concerned, they rarely give rise to typical breakdowns of the suture lines described by Lefort, but more commonly cause true dislocations which are impossible to describe. Fractures are often undiagnosed owing to oedema which masks them, e.g. those of the malar bone and of the orbit and even those of the nose. This failure to diagnose them is serious for, at a later stage, surgical correction is more difficult and the prejudice is then not only esthetic but also functional, e.g. causing diplopia. Clinical examination of a patient with trauma of the face includes a series of simple gestures which a general surgeion should carry out in order to avoid failure to diagnose such lesions. Although he may not treat them all, he sould recognise them and decide which have priority in the treatment of multiple injuries. Careful inspection and palpation usually permit one to detect bony lesions which XRays then demonstrate only by careful choice of appropriate views.

Eyelids↗