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Biomedical subjects

B Devauchelle

Publications and source records attributed to B Devauchelle.

46 records · Page 3Linked to original sources

[Wide excision in cancer of the tongue: the choice of approach, modalities of reconstruction].

Surgical treatment of extensive carcinoma of the tongue requires reconsideration at the present time: firstly, because the efficacy of other therapeutic measures is rapidly suppressed by the size of the tumors, and there is not theoretical reason for excluding extensive surgery, and secondly, because esthetic and functional sequelae of these bloody treatments have been totally modified by the introduction of new reconstructive techniques. Based on a series of 16 cases treated during a one-year period, the conditions for surgery of vast malignant tongue tumors (T3, T4, N indifferent) are analyzed, and findings emphasize the need for a wide approach. Clear exposure is obtained, the continuity of the mandibular arch is conserved, and effective anatomical and functional reconstruction obtained of tissues sacrificed by the musculocutaneous flaps.

Glossectomy↗

[Ectopic salivary gland tissue in the neck. Morphology, diagnostic and histogenetic problems. Apropos of 3 cases].

3 case reports of ectopic salivary gland tissue in the neck are presented. A localized swelling was found in the upper or the middle neck along the anterior border of the sternocleidomastoid muscle. It was not associated with any draining sinus opening on the skin. After surgical excision, the histopathological study demonstrated around a large "cystic" duct few or many lobules of salivary gland tissue containing serous acini and ducts. The embryogenesis of these heterotopies within remanants of the branchial apparatus could be demonstrated in one of our cases by the association of a true branchial cleft cyst with an ectopic salivary gland.

Adult↗

[Mandibular reconstruction by composite musculocutaneous flap in glossopelvimandibular excisions].

Results of 14 mandibular reconstruction by a composite muscular flap of the pectoralis major and trapezium muscles during widespread glossopelvimandibular excisions are described. The technique employed is outlined, emphasis being placed on the need to observe strict precautions during removal and application of the bone component, to avoid accidental avulsion during reconstruction which could compromise the musculoperiosteal vascularization of the graft. Results are sufficiently encouraging for this type of reconstructive surgery to be proposed in all cases where mandibular repair is necessary after interruption of continuity.

Glossectomy↗

[Problems presented to the surgeon, anesthetist and resuscitation personnel by fractures of the malar bone (study of 100 cases)].

The authors emphasize the difficulties encountered with fractures of the zygomatic bone, both from the technical operative points of view and conditions of anaesthesia and intensive care. They distinguish in both fields, the so-called simple zygomatic fractures from fractures associated with multiple injuries of the face or skull. After recalling the surgical techniques, they consider routine management, from diagnosis to recovery from the anaesthetic, emphasizing the problem of the time of the operation, of the method ensuring freedom of the airways and anaesthetic indications used together with problems of intensive care.

Adult↗