[Method for stimulation and rehabilitation with a multichannel implant. Results in sensorineural deafness].
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Biomedical subjects
Publications and source records attributed to J Prades.
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The authors describe the various routes of approach to the deep recesses of the pterygo-maxillary fossa. A brief historical review indicates the importance of the work of Golding-Wood who started this type of surgery. Description of the personal technique of the authors via a trans-maxillary approach. Review of the endo-nasal approach of Poch-Vinals by cryotherapy and of M. Port mann by electro-coagulation. A parallel is then drawn between the trans-maxillary approach and the endo-nasal approach of Prades by dissection from the spheno-palatine orifice. The respective indications are discussed.
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In the period between May 1975 and 1976, 196 operations were carried out with an approach via the pterygomaxillary fossa, the majority for neurectomy of the vidian nerve in cases of vasomotor rhinitis or ethmoid polyposis. Other cases included neurectomy of the nerve of Bock in cases of obstructive tubaritis. The ease, precision and minimal operative trauma of this approach in comparison with the transmaxillary was the motive which led to an increase in our indications for surgery of the pterygomaxillary fossa. The experience acquired has led to the development of a routine procedure. This routine method is limited in the sense that note must be taken of a surgical field which is too narrow to work blind. It involves three risks: uncontrollable bleeding, functional failure if the nerve is not sectioned and possible ophthalmological complications.