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Biomedical subjects

E Truy

Publications and source records attributed to E Truy.

63 records · Page 4Linked to original sources

[Value of collagen type IV in tympanoplasties. Animal experimentation in rats].

The authors recall the importance of collagen in the ultrastructure of the lamina propria and the properties of the type IV collagen concerning epidermic healing. Tympanomeatic graft composed of reticulated type IV collagen was used as a graft in rats. This experimental study demonstrated a good stability of the graft 40 days after operating. A new non toxic cross linking technique has been developed to stabilise of the biomaterial. The type IV collagen film shows good properties for the growth and the differentiation of epithelial cell like keratinocytes.

Animals↗

[2 cases of neurinoma of the mastoidal portion of the facial nerve: diagnostic contribution of MRI].

The authors report 2 cases of patients presenting a neurinoma of the 3rd portion of the facial nerve. In the 2 cases, the surgical observations correlated perfectly with the results of the radiological examinations (scanner and MRI). The clinical and paraclinical presentation of this rare tumor is recalled, emphasizing the additional contribution of imaging techniques: the scanner is indeed indispensable for evaluating the osseous destructions on the intrapetrous trajectory of the facial nerve, whereas MRI (in particular with injections of gadolinium) evaluates the exact tumoral limits as best as possible.

Adult↗

[Experimental study in dogs of a human reticulated placental IV collagen film for myringoplasty].

This experimental study involving dogs tested type IV human collagen as a biomaterial for use in the tympanic membrane reconstruction. A loss of substance was induced for the two tympanic membranes, and a type IV collagen graft made to one side. The kinetics of receiver fibroblast colonisation of the graft, as well as in the case of resorption, were studied. Anatomopathological examination revealed the process of reconstitution. This animal study prepares the way for studies on man.

Animals↗

[Reconstruction of the external ear in children. Contribution of the clay model cartilage sculpture].

The use of rib cartilage graft in ear reconstruction gives good cosmetic results after the age of 8. However three main conditions must be taken into account: 1) a perfect framework sculpture; 2) good quality of the skin in order to provide a soft tissue free of scars and able to drape the framework in all the details of the sculpture; 3) a soft but useful succion system allowing a good coaptation between the framework and the skin without vascular damage. Most of the surgical failures are due to skin scars which compromise the elasticity of the cutaneous pocket. The authors recommend to wait until the age of 8 before any surgery in order to keep the skin intact and to let the ribs grow. The problem of hearing can be treated as secondary.

Cartilage↗

[Use of human placental type IV collagen in tympanoplasty. Results of initial animal experimentation].

This study presents the use of human type IV collagen film in myringoplasty in dogs. Evaluation criteria were clinical (repeated otoscopies) and histological (histological analysis of cicatrised membranes). This new biomaterial should seem to be a technological advance on temporal bone aponevrosis or perichondria auto-grafts. This study constitutes the necessary preliminary research to any application in man.

Animals↗

Imaging plasticity in cochlear implant patients.

Auditory re-afferentation by cochlear implants (CI) offers a unique opportunity to study directly from within the auditory modality plastic changes taking place at organisational levels up to the supra- or polymodal level. These plastic changes resulting from deafness and chronic electrical stimulation can be studied using modern neuroimaging techniques. In this paper, we review the available techniques and the experimental approaches to human studies of plasticity, we discuss the different forms of plasticity that are associated with cochlear implantation and we point to the interest of imaging studies for providing a prognosis of functional outcome after implantation.

Brain↗

Experimental study of collagen as eardrum graft support in dogs.

This experimental study involving dogs tested type IV human collagen as a biomaterial for use in the tympanic membrane reconstruction. A loss of substance was induced for the two tympanic membranes, and a type IV collagen graft made to one side. The kinetics of receiver fibroblast colonisation of the graft, as well as in the case of resorption, were studied. Anatomopathological examination revealed the process of reconstitution. This animal study prepares the way for studies on man.

Animals↗

Contralateral suppression of transiently evoked otoacoustic emissions and tinnitus.

The present paper reports individual data obtained in three different patients who consulted for unilateral tinnitus in the Department of Otolaryngology. After pure tone and high-frequency audiometry, Audioscan audiometry was recorded, and tinnitus measurement which comprised a determination of pitch and loudness matches. Spontaneous, transient evoked and 2f1-f2 distortion product otoacoustic emissions at 65 dB SPL stimulus intensity were then determined. The functioning of the medial olivocochlear system (MOC) was also tested from a comparison between OAE input/output curves obtained in the presence and absence of 30 dB SL contralateral stimulation by a broadband noise: MOC global effectiveness was assessed through transient evoked emissions while those concerning distortion product emissions allowed a precise testing at the tinnitus frequency itself. The examples here displayed illustrate the diversity of results that can be found in such investigations, thereby preventing a general law to be established from the global testing of MOC functioning. On the contrary, the local testing at the precise frequency of tinnitus revealed the existence of an alteration of MOC functioning in at least one ear as shown by either a weak, null or inverse effect of contralateral stimulation. A better understanding of the sensorineural forms of tinnitus should come from the extensive investigation of MOC efficiency along the basilar membrane when routine clinical investigations lead one to suspect an involvement of this system, due to discordant damaging between inner and outer hair cells. Such studies would allow one to test the validity of hypotheses which invoke MOC-related mechanisms as an essential link for the emergence and persistence of tinnitus.

Acoustic Stimulation↗