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Biomedical subjects

J Delaire

Publications and source records attributed to J Delaire.

At least 73 records · Page 4Linked to original sources

[Agenesis of the superior central incisor. Its relation to pituitary nanism].

Two cases of agenesis of the upper central incisor were treated in the Department of Stomatology and Maxillofacial Surgery, Nantes, France. A review of the pertinent published literature showed that although this type of agenesis could be an isolated phenomenon, it could also (as with certain median structure anomalies) be associated with pituitary dwarfism, a not uncommon situation since this was the case in 8 out of 18 cases reported.

Adolescent↗

[Sagittal osteotomy of the mandibular ramus. Anatomical and technical considerations. Apropos of 2 complications].

Two patients developed complications, one a facial palsy and one a carotid artery pseudo-aneurysm, following sagittal osteotomy of the rami of the mandible, as previously described by Trauner - Obwegeser and Dalpont . The responsibility of compressive phenomena provoked by mandibular retraction in the appearance of these complications is evoked, together with the risk of recurrence. To avoid this compression of retromandibular soft tissues a technique of sagittal osteotomy of the rami of the mandible is performed, based on the lines first described by Dalpont in 1961 and adopted by Epker in 1977. This well-founded procedure is a result of applying the anatomical structure of the mandible and its muscle insertions to the development of the surgical procedure.

Adolescent↗

[Anesthetic aspects of the primary treatment of labio-maxillo-palatal clefts].

This study of 97 operations discusses our anaesthetic experience for labio-maxillary clefts and the problems which arise for the anaesthetist during pre-inter and post surgical periods. This type of functional surgery is carried out on children between 4 and 23 months old, of which 22% presented with associated malformations. Paediatric anaesthetic characteristics in a maxillo-facial context are discussed in detail. We indicate the importance of installing the different surveillance elements before placement of the surgical fields. We treat the problems of drug interactions between the halogenic anaesthetics and vasoconstrictor used for local haemostasis, the limits of spontaneous ventilation and the secondary metabolic consequences of prolonged fasting.

Abnormalities, Multiple↗

[Pitfalls in the interpretation of cephalometric teleradiography].

The most important and least recognized errors in the interpretation of cephalometric teleradiographs include: 1) the consequences of lack of recognition of a dissymmetry of the base of the skull in sagittal facial measurements, 2) the serious inconveniences of recording teleradiographs on a single reference point, for the understanding of facial growth, and 3) the inconveniences of the choice of certain conventional landmarks in this comprehension.

Cephalometry↗

[Adenomatoid odontogenic tumor].

A case of odontogenic adenomatoid tumor is presented in which it is stressed that conservative surgical enucleation of the lesion is the treatment of choice. The clinical, radiographic and histopathologic features of this tumor are discussed. Close attention and supervision of the developing dentition allows early diagnosis and treatment thus avoiding the needless sacrifice of adjacent teeth and bone.

Adolescent↗

[Romberg's syndrome. Progressive facial hemiatrophy].

Romberg's syndrome or progressive facial hemiatrophy is a rare affection that may nevertheless be encountered by stomatologists during the course of their professional life. Diagnosis is simple if clinical and radiographic signs are recognized, an effective iconography being of particular value. This report is concerned mainly with the latter feature, and also includes a description of the principal characteristics of the affection and an extensive bibliography.

Adolescent↗

[The place of condylectomy in the treatment of hypercondylosis].

Condylectomy is an indication of choice for unilateral hypercondylia, whatever the age of the patient, and should be conducted as early as possible and associated with intermaxillary elastic traction. Complementary one- or two-stage operations for mandibular correction are necessary in severe advanced cases. Complementary maxillary osteotomies are very rarely required.

Adult↗

[Anatomic and physiopathological basis for the surgical treatment of temporomandibular ankylosis].

Lack of application of anatomical and physiopathological features leads to incomplete results following wide resection of an ankylosed bone block, the use of an intra-articular interposition with the single objective of interfering with postoperative synostosis, forced mobilization with the open mouth, and complementary surgical acts to improve esthetic results only. These results can be transformed by ensuring good postoperative functional dental occlusion and adequate functioning of the lateral meniscopterygoid-condylar apophysis system, but this is not always possible. When this system (mobilizer of the mandible) is not recoverable, other means of mandibular mobilization must be attempted, particularly a good muscular interposition, mechanotherapy in propulsion and retropulsion, and early sufficient lengthening of the ascending mandibular rami. Early surgery is always beneficial in children as it reduces constraints which limit growth and lowering of the body of the mandible. One of the most important steps in the progress of this surgery is the procedure for lengthening the condylar segment (after freeing or resection of the ankylosed condyle), and the use of a chondrocostal graft. Care must be taken in all cases to restore good occlusal function, the best means of improving articular function and the persistence of a good buccal opening.

Adolescent↗

[Temporomandibular arthoplasty for ankylosis. Apropos of 4 cases].

Four patients with temporomandibular ankylosis were treated according to the same therapeutic concepts, and good results were obtained. This was due to the surgical technique employed which respects meniscal elements and conserves or reconstructs the ascending ramus length, and to postoperative mobilization in mandibular propulsion and lateropulsion (by means of elastic tractions or palatine plate) over a period of several months.

Adolescent↗

[Sagittal osteotomy of the horizontal branch of the mandible in the treatment of mandibular retrognathism with severe incisor supraocclusion].

Three patients with mandibular retrognathia and marked incisor supraocclusion were treated by sagittal osteomy of the mandibular body. The technique employed is described, and possible indications in certain cases of this type discussed, these including particularly patients in whom molar articulation must not be modified, and when the height of the lower region of the face contraindicates segmental osteotomy.

Adult↗

[Mandibular hypercondylosis. Signs and diagnosis].

Mandibular condyle hyperplasia is typically characterized by an hypertrophy and an increased growth activity of one of the mandibular condyles (except, in the rare cases of bilateral involvement). The homo-lateral descent of the molar occlusal plane, leads to generalised adaptive alterations of the maxilla and the entire facial skeleton, which justifies pre-pubescent condylar surgery. Thus, the early diagnosis of the affliction is preferable, based on a thorough knowledge of these clinical signs.

Adolescent↗