[Cranial trauma: remote dislocation of the incus and multiple middle ear lesions].
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Biomedical subjects
Publications and source records attributed to J Gaillard.
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This work was performed on samples from 30 patients requiring lung removal. One dose of 2 g of cefradin was injected intravenously before operation. Titrations of the antibiotic was performed simultaneously on large pieces of the excised lung and on the serum.
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The Pectus excavatum (P.E.) or funnel shaped thorax is a relatively frequent malformation of the chest wall. After a survey of references, the authors recall the main elements of an affection with functional results sometimes important. The results of surgical treatment are analized in relation with the kind of intervention and the age of the patients. Modelling sternochondroplasty with temporary retrosternal support for the deep funnels, the subcutaneous filling of the deformity in slight P.E. should at present be recommended. Definitive results can only be appreciated after 3 to 5 years.
The authors report four cases of carcinoma of the oesophagus developing at the site of old burns. They review the classical features of this type of lesion, found in their own cases: the role of trauma from dilatations and the very long time elapsing before malignant change occurs (29 to 57 years, according to the individual cases). They discuss the prophylactic value of oesophagectomy with oesophagoplasty following severe burns with stenotic scarring. Finally, they note that whilst the treatment of these forms of carcinoma of the oesophagus is in general palliative, curative surgery may nevertheless be envisaged.