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Biomedical subjects

L Traissac

Publications and source records attributed to L Traissac.

At least 37 records · Page 2Linked to original sources
PubMed1997

Horizontal glottectomy: functional and oncological results.

The authors report on their experience with 25 cases of horizontal glottectomy and discuss the functional and oncological results of this operation. Indications for this procedure are T1a and T1b glottic carcinomas. The overall three-year and five-year survival was respectively 94 and 88 per cent. Distant metastasis appears to be the major long-term failure, three patients dying of lung carcinoma. Short functional rehabilitation was observed in all cases. Decannulation was achieved in 100 per cent of the cases and none of our patients had laryngeal stenosis. The average time of removal of the nasogastric tube was 11.8 days. Because of its high local control and reduced functional after effects, horizontal glottectomy appears to be a reliable and safe procedure for limited glottic carcinomas and must be included in their therapeutic management.

Adult↗
PubMed1997

[Is laryngeal papillomatosis always juvenile?].

After recording an increased frequency of adult-onset recurrent respiratory papillomatosis, the authors propose a multicentric investigation. The aim of the investigation is to determinate the frequency of the new cases and their clinical form. The preliminary results confirm the increased frequency of the adult-onset form and show the possibility of a clinical form change.

Adolescent↗
PubMed1997

[Laryngeal tuberculosis: a diagnosis not to be forgotten].

Tuberculosis of the larynx has become a rarity since the discovery of streptomycin in 1944. In this article a personal case history is described, together with a review of the literature and an analysis of the main clinical features of tuberculosis of the larynx. The pseudo-tumoural form of tuberculosis is often indicative of the presence of pulmonary tuberculosis, but may also occur in isolation. Histology is often the only definitive diagnostic test.

Adult↗
PubMed1996

[Primitive extracranial meningioma: a case report of intratemporal and naso-sinusal localization].

The authors report on the rare extracranial locations regarding a case of infratemporal fossa and paranasal sinus meningioma. These tumours formulate pathogenic questions, the hypothesis of which are exposed. Diagnosis gets difficult because of the atypical location of these meningiomas. Computerized tomography scan is the examination of choice for assessing the extension of these lesions. The only treatment is surgical.

Brain Neoplasms↗
PubMed1996

[Syncopal neuralgia of the glossopharyngeal nerve caused by tumoral invasiveness. Therapeutic management. Apropos of 2 cases].

Cases of glossopharyngeal neuralgia are relatively rare, and are occasionally secondary to an upper cervical carcinomatous invasion. The combination with syncopal episodes suggests the creation of a reflex pathway between the glossopharyngeal nerve and the vagus nerve by connections between the bulbar nuclei. The fact that the syncopal episode is systematically preceded by a neuralgic crisis enables its differentiation from other active vasomotor phenomena. Treatment is based essentially on pain-killers and occasionally, in the event of escape, by a neurosurgical resection of the root of the glossopharyngeal nerve and of the upper part of the vagus nerve. In the light of two recent cases, the authors recall the therapeutic management and the physiopathological mechanism of this particular form of neuralgia.

Analgesics, Opioid↗
PubMed1996

[Chondroma and chondrosarcoma of the larynx: apropos of 4 cases].

Chondroma and laryngeal chondrosarcomas, tumours of variable malignancy, are rare but a source of concern given their location and the surgery involved. Their anatomical limits and classification are still difficult, to the extent that the diagnosis of chondroma is often questioned. Of the four cases reported, two presented a high degree of malignancy, including one with metastasis. Two required a total laryngectomy, and two a partial laryngectomy with a costal cartilage graft in one case.

Aged↗
PubMed1996

[Vocal rehabilitation after total laryngectomy: 15 years' experience with phonation implant].

Progress in voice rehabilitation after total laryngectomy is probably the most significative event of the last 15 years. The first to realise this procedure in France, the authors describe the state of the art in this field with a study of 160 cases. The results are in the main very positive with approximately 85% of success with all rehabilitation technics used currently. The future is establishing total functional rehabilitation of the larynx with new techniques researched specially in Europe with several groups : GREL, EGFL, BIOMED I program of Europe "Artificial Larynx" and so on... The work goes on and we shall see whether the next 15 years will be as satisfying as the last 15 years.

Humans↗
PubMed1995

[External injuries of the larynx in the adult: apropos of a case].

Reporting one case of negliged laryngeal traumatism, the authors expose their laryngeal injuries attitude. They detail admitted classification and propose a management which is based on initial respiratory functions. In view of the case, as extreme situation, laryngeal subtotal surgery was the better management, because of association with polytraumatism, which not permitted earlier treatment.

Adult↗
PubMed1995

[Value and role of electromyography in the assessment and prognosis of disorders of laryngeal mobility].

Although it was described many years ago, laryngeal electromyography is of limited use. It can easily be performed in the doctor's surgery by the intercrico-thyroid approach. The author reports on 70 examinations, 64 for mobility disorders, 6 for abnormal spasmodic movements. 15 normal plots made it possible to correct a faulty diagnosis of palsy. The prognostic contribution is not so clear-cut and must take account of the clinical circumstances and the time elapsed before examination. EMG must be performed systematically before any irreversible therapeutic decision.

Electromyography↗
PubMed1993

Ethmoidal cancers: a retrospective study of 22 cases.

From April 1978 to June 1990, 22 patients with ethmoidal cancer were treated at Fondation Bergonié by a combination of surgery and radiation therapy. The mean age was 59.6 years (range 34-79 years) and the sex ratio is 2.7 (16 males/6 females). Histologic types were: adenocarcinoma, 13 cases; squamous carcinoma, 4 cases; undifferentiated carcinoma, 3 cases and esthesioneuroblastoma, 2 cases. Exposure to wood dust was encountered in 11 patients, especially in cases of adenocarcinoma: 10/13 (77%). Staging according to the classification of the University of Florida was: Stage I, 10 patients; Stage II, 5 patients and Stage III, 7 patients. Resection was considered as complete in 16 cases and only one orbital exenteration was performed. The postoperative radiation therapy delivered a mean given dose of 55.7 Gy (range 50-70 Gy) expressed to the hot spot using a technique adapted to tumor location and extension. Complete remission was achieved in 20 cases. Median follow-up is 28 months. The 5-year overall and disease-free survival are 44% and 38%, respectively. Analysis of recurrences according to staging gives: 5/10 Stage I, 2/5 Stage II and 5/7 Stage III. Recurrence is pejorative since death occurs in all cases within an average of 6 months following salvage treatment, except for three patients still alive within less than 6 months and in second remission. Prognosis of ethmoidal cancer depends on staging and local control.

Adenocarcinoma↗
PubMed1993

[Phonation implant in practice. A survey among users].

The sixty laryngectomees currently wearing a voice prosthesis in our service were subjected to some questions concerned with their voice rehabilitation, the customary conditions of use of the prosthesis or oesophageal voice, and their wish to wear a prosthesis if they had to choose again. This subjective study shows that 81% of prosthetic voices are sufficient to very good, and 29% of oesophageal voices are sufficient to good. The prosthesis is consistently more used than oesophageal voice. 79% of the patients would wish to have a voice prosthesis if they had not one.

Adult↗
PubMed1993

[ORL cancers in patients under the age of 45 years. Epidemiology, prognosis and treatment: apropos of 106 cases].

106 ENT localized carcinomas (97 men and 9 women) in adults under 45 years old are reviewed. The mean age was 40.0 years old and most suffered from an alcoholic and/or nicotine addiction. 89.6% expressed an epidermoid carcinoma and buccal cavity and larynx lesions represented the most frequent locations, followed by the pharynx. Overall survival does not differ from that of an older population but some locations seem to have a very poor prognosis: mobile tongue, vallecula, piriform sinus and amygdala. On the other hand, the laryngeal locations confirm their favorable prognosis.

Adult↗
PubMed1993

[Cleft palate and inflammatory diseases of the middle ear].

Based on a series of 57 children who were operated for velar clefts, the authors studied the different associated aspects of middle ear inflammatory pathology: physiopathology, occurrence, evolution, complications. Seromucous otitis was initially found in 87% of the cases. Three years after surgery, it persisted in 70% of the cases. These children should be monitored on a long-term basis for timely detection of any and all evolution towards chronic otitis or even cholesteatomas.

Audiometry↗
PubMed1993

[Seromucous otitis. Treatment and long-term development].

The course of otitis media with effusion was analysed on two groups of children, the first one of 133 serous otitis found at the same time as other troubles, the second one of 127 children all treated by tympanotomy tubes, in association with other treatments. In the first group, the cure rate is just better than one half. A normal control one month after surgery has some prognostical value, this results remaining in 3 cases on four. The great size of removed adenoïds has prognostical value too, further surgeries for transtympanic tubes being less frequent. In the second group, we can see likely good mean or long term result of tympanic tubes, most of the complications happening on cleft palate cases. The various treatments: adenoïdectomy, antibiotics, steroïds, thermalism, eustachian tube physiotherapy, mucolytics, decongestants and anti-histaminics are discussed in regard to recent studies.

Adenoidectomy↗