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Biomedical subjects

J M Duchon-Doris

Publications and source records attributed to J M Duchon-Doris.

3 recordsLinked to original sources

[Value of hyomandibulopexia in the surgical treatment of snoring in patients with sleep apnea].

The authors report their experience with hyomandibulopexia for lingual repositioning in patients with the sleep apnea syndrome. The technique was used 12 times in 11 men and 1 woman and a maximum follow-up of 3.4 years. Hypomandibulopexia was performed as first intention therapy 7 times with or without uvulo-palato-pharyngoplasty. Video-fibroscopy of the pharynx and cephalic magnetic resonance imagery revealed retrobasilingual narrowing in all 7 of these cases. Hyomandibulopexia was performed 5 times for recurrent sleep apnoea syndrome after prior surgery. In two cases, pre-operative evaluation did not reveal any topographic abnormality. Polysomnography studies showed clear improvement with a decreased apneic index and desaturation values. A second fixation of the hyoid was success fully in one case. Hyomandibulopexia is a simple and reliable technique which is useful in patients with sleep apnea syndrome with good to excellent medium term results.

Adult

[Residual cholesteatoma: its prevention by surgery with endoscopic guidance].

In comparing two series of 72 operated cholesteatomas covered by a systematic surgical second look between 12 and 18 months, the authors have observed a distinct regression of residual cholesteatomas since oto-endoscopy came into use (from 47.7% to 10.7%). This new approach, with a minimum amount of practice, makes it possible to perform true endoscopy-guided surgery of the entire tympanic cavity, and reduces the indications of later tympanotomy.

Cholesteatoma

[Endoscopic ear surgery. Initial evaluation].

The authors describe an endoscopic procedure of surgery of the ear and report on their experience in surgery for cholesteatoma with a closed procedure in the first step and the systematic second-look. The use of such a system is an essential complement for the surgical microscope to control some regions of the middle ear such as the sinus tympani. The study deals with 72 cases of cholesteatoma operated successively. The number if residual cholesteatomas is analyzed. The merits of controlling assemblies in some ossiculoplasties with an endoscopic system are discussed.

Adult