[Clinical aspects and treatment of tracheal and laryngotracheal stenosis after tracheotomy].
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Biomedical subjects
Publications and source records attributed to J E Demaldent.
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The authors report 2 cases of haemangiopericytoma, one cervical and the other endolaryngeal. They emphasise the value of precise histological study which is alone capable of confirming the diagnosis. But in fact the existence of transitory forms leaves many incertainties with regard to the prognosis of these tumours and it is difficult to adopt a coherent therapeutic attitude.
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Some facts relating to the numerous uncertainties concerning sudden deafness, which is often attributed to vascular or viral causes without convincing proof. The possible role of a cochlear hydrops, electrolyte disturbances, or rupture of the fenestra. This critical study includes many observations but the list is not exhaustive.
What should one do when a patient presents with a potentially dangerous chronic otitis, and the other ear is absent? An analysis of such dangerous cases with a cholesteatoma, more especially those with a labyrinthine fistula. Responsibility has to be taken. Medico-legal problems are evoked.
Report on a case of histoplasmosis with laryngeal symptoms only, affecting no other organ, especially the lungs, which is rare. Diagnosis was made by histological identification of the intracellular mycosis without culture. Immunological reactions were positive against American forms whereas the patient had lived in Africa. Healing occurred after intravenous amphotericin.