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Biomedical subjects

J Van den Eeckhaut

Publications and source records attributed to J Van den Eeckhaut.

At least 19 recordsLinked to original sources

[Exudative laryngeal diseases of Reinke's space].

Exudative laryngopathies are represented by the nodule, the polyp and the Reinke's oedema. Their origin is found in exudative processes located in the Reinke's space. Evolution towards one or another lesion depends on the etiological factor (vocal abuse, tobacco, alcohol, acute vocal fold trauma) and can happen according three modalities: oedema, fibrosis and angiectasies development. Apparition of fibrosis inside the lesion or too important haemorrhage require microsurgical treatment in addition to the medical treatment and the speech therapy.

Humans↗

[Permanent tracheotomy in respiratory insufficiency].

Assisted ventilation at home for breathing insufficiencies requires long-term tracheotomy. Standard tracheotomy is frequently complicated by granuloma and tracheostomy stenosis. We have designed a permanent opening technique that we report on 9 patients. The technique prevents, as far as possible, granuloma and stenosis formation and provides a sufficiently large opening to reduce irritation during tracheotomy tube change. Surgery must be done under general anesthesia. High-dose long-term corticosteroid treatment can induce skin breakdown.

Adolescent↗

[CO2 laser treatment of the glottic sulcus and of epidermoid cyst. Technic and results].

The CO2-lasers of the new generation are equipped with milliwatts, super-pulse, small spot size (700 U or less). These technical improvements safe permit in resection of vocal fold benign lesions like polyps, nodules, or even sulcus glottidis. Our resection technique for sulcus glottidis and epidermoïd cysts is presented in 18 cases. If very strict rules of microsurgical treatment are respected, the functional results are as good as those with conventional techniques (93% of good results).

Adult↗

[Abscess of the larynx resembling a tumor].

The authors report a case of laryngeal abcess due to Pseudomonas Aeruginosa, of the preepiglottic space with destruction of the epiglottis and granulomatous reaction of the epiglottic endolaryngeal side. The differential diagnosis of the endoscopic image includes neoplasm, granulomatous diseases and laryngeal abscess. Biopsies revealed the diagnosis of laryngeal abscess without habitual causing factors. The treatment consisted in CO2 laser microsurgery with debulking, as complete as possible, of the granulomatous reaction in association with adapted antibiotherapy.

Abscess↗

Failure of tonsil and nose surgery in adults with long-standing severe sleep apnea syndrome.

Seven adult patients with a severe form of sleep apnea syndrome (mean apnea index, 47) underwent surgery for significant structural abnormalities at nose and/or throat level (septal deviation, turbinal hypertrophy, enlarged tonsils, long uvula, pharyngeal tumor). Although a subjective benefit was claimed by most patients, the polygraphic data showed no improvement or only a modest improvement in breathing pattern, oxyhemoglobin saturation, or general sleep architecture except in one patient. In this patient the evolution of the syndrome was recent (3 years) and surgical management of a parapharyngeal tumor resulted in a cure. We conclude that in adults with sleep apnea syndrome of long-standing, surgical correction of nasal or pharyngeal abnormalities should not be expected to normalize sleep and breathing. This contrasts with the known benefits achieved by the same type of surgery in children. Surgery might nevertheless be necessary in some adults to permit the application of other therapeutic means (ie, nasal continuous positive airway pressure).

Adult↗

[ORL manifestations of AIDS].

The authors report their ENT observations in 20 patients suffering from AIDS. They point out the frequency of finding Kaposi sarcoma, cervical lymph nodes, oral mycosis in these cases, and they compare their results with those of other recent publications.

Acquired Immunodeficiency Syndrome↗

[Mannequin syndrome].

Describe since the beginning of the fifties, the mannequin syndrome consists of anorexia, amenorrhea and swelling of the parotid glands. This variety of symptoms is usually found in young female patients who want to remain thin. In fact, this syndrome has been several times diagnosed in fashion models or airhostesses;hence the term "mannequin syndrome".

Adult↗

[Disorders of glucose tolerance and pathology of the labyrinth].

A prolonged oral glucose tolerance test (OGTT) was performed on 59 patients who presented audio-vestibular disturbances. The group was compared to a control group of 22 patients. 67.7% of the symptomatic group had a pathologic OGTT; of these, 16.9% had a glucose intolerance and 50.8% a reactive hypoglycemia; in the latter case, a statistically significant difference with the control group was found.

Adult↗

[Personal experience with a myocutaneous flap of the greater pectoralis muscle in reconstructive cervicofacial surgery. Apropos of 27 flaps].

The authors review 27 pectoralis major myocutaneous flaps in head and neck cancer surgery. The indications and applications are discussed. Some technical aspects are pointed out. The results are analyzed and compared with data in the published literature. Because of its numerous advantages, the pectoralis major musculocutaneous flap does establish a real progress in the surgical treatment of head and neck cancer.

Adult↗

[Personal experience in reconstructive subtotal laryngectomy using a sliding epiglottoplasty].

Seven near total reconstructive laryngectomies with epiglottoplasty have been performed by the members of the Saint-Luc ( UCL ) Department of Otolaryngology. The technical aspects are described and the indications and limitations of this procedure are discussed. There is no postoperative complications and the functional results are excellent. The authors think that this procedure must find a place for surgical treatment of laryngeal neoplasms.

Aged↗

[Radiology of the sinuses].

Radiology is by far the most precise indirect sinus investigation. The handicaps of the current radiology methods and the different standard positionings, eg. the confusing bone superposition and the exact state of a poorly illuminated sinus are eliminated by tomographies. Tomodensitometry, characterised by a strongly increased contrast, allows to perform axial sections and should be preferred in facial traumatology and tumors.

Humans↗