[Leiomyoblastoma of the tongue. A case report].
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Biomedical subjects
Publications and source records attributed to J Labayle.
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The numerous surgical procedures proposed for the treatment of bilateral recurrent laryngeal nerve paralysis, since the operation first described by Rethi, are reviewed. Because of the principle involved and the simplicity of Loboryles operation it is the preferred method, and the technique employed is described in detail. Results have been satisfactory in a series of patients treated by this procedure and its further development is justified.
The authors give here their conception of physiology of nerves of larynx. They think that among the bilaterals paralysies of vocal cords, the paralysie of dilators is the most frequent one. They offer a technical surgery which consist of linking the muscle thyro-hyoïdien to the vocal cord on both sides. Two cases operated have given a normal functioning of vocal cords and, in consequence, a very good phonetic and a satisfactory breathing.
The technique, indications, and results of the surgical operation known as reconstructive laryngectomy are described. The intervention involves the performance of a supracricoid subtotal laryngectomy with conservation of an arytenoid, followed by a cricohyoidopexy. This allows re-establishment of the triple function of the aerodigestive junction : phonatory, respiratory, and deglutition; a permanent tracheotomy thus not being necessary. Analysis of results of 103 operations of this type demonstrated that, when conducted under very precise conditions concerning the indications for surgery and the technique employed (conservation of recurrent nerve function of one side), the percentage of permanent tracheotomies following laryngectomy diminished from 72 to 33 p. cent.
The thoracic canal is one of the risks of cervical surgery. This preliminary survey aims at the statement of a coloring technic "in vivo" which will allow to discover it during the operation. This will avoid to injure it.
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The authors present an observation of epithelial tumor with double composent glandular and epidermoid. The true name is adenosquamous carcinoma. Here, it's a case of parotid Tumor. This tumor is very exceptional and very severe.
The authors propose an original easy technic of hemi-facial spasm. They take a drain on the emergence of facial nerve (stylo mastoïd hole). The, they proceed at successif alcoholizations. The first results are more favorable than formes tecnicals.
The use of a 1% fluore gel, for ten minutes every day during the irradiation period and after that twice a week, constitutes an excellent protection for the good teeth located in the Tele-Coblat irradiation area. This will avoid the systematic ablation of the good teeth.
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