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Biomedical subjects

J Bouche

Publications and source records attributed to J Bouche.

94 records · Page 6Linked to original sources
PubMedDate not supplied

[Treating patients who have failed with desensitization therapy for naso-sinus allergies by surgical section of vidian nerve (author's transl)].

From about thiry cases of surgical section of the Vidian nerve in allergic patients, the ten most long-standing patients were collected. These were severely allergic patients, often with superinfected polyps, diagnosed clinically, tested (especially with cutaneous tests) and desensitized. Specific desensitization was persevered with for a long time before finally failure was recognized in these cases. These patients were then operated by the Lima technique with section of the Vidian nerve by the trans-maxillary route. The results are analyzed after a delay of between two and three and a half years and each case is analyzed symptom by symptom. The results ae excellent in four cases, good in two cases, satisfactory in two cases, and poor or nil in two cases.

Adult↗
PubMedDate not supplied

[Our attitude toward so-called essential severe epistaxis. The problem of vascular ligatures].

The authors describe their therapeutic attitude over the past few years towards severe epistaxis. In an emergency, anterior and posterior tamponage using thick tents is the main treatment used. Double balloon probes have been discontinued, in spite of the fact that they were well-tolerated, on account of the disappointing results they gave. In cases of relapse, when the posterior tampon is removed after 48 hours, systematic ligature of the sphenopalatine artery is carried out on arteriosclerosis patients aged about fifty who have high blood pressure. In other cases, the authors wait to see the effect of leaving a second tampon in place for a further 48 hours. In patients suffering from renal inadequacy, reabsorbable tents are preferable, prevention being the main aim, avoiding all treatment liable to counteract haemostasis. Generally speaking, ligature of the external carotid is often ineffective. It is the sphenopalatine artery which should be tied off (100 cases in the O.-R.L. Dept. of the Hôpital Foch). Ligature of the ethmoid is rarely indicated.

Epistaxis↗