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Biomedical subjects

M Hamoir

Publications and source records attributed to M Hamoir.

At least 91 records · Page 5Linked to original sources
PubMed1985

Obstructive sleep apnea induced by a parapharyngeal cystic hygroma in an infant.

A 7-week-old infant with severe sleep apnea underwent polysomnography that revealed as many as 455 obstructive apneas per night; the apneic episodes had a mean duration of 34 s. A growing tumor in the neck, a parapharyngeal cystic hygroma, was discovered and surgically removed. The infant's condition improved dramatically, and a follow-up polygraphic recording was normal. During the following 10 months the child's condition remained stable. The case reported illustrates a rare cause of severe sleep obstructive apnea. It also reinforces the need for a complete medical approach to the diagnosis and treatment of obstructive sleep apnea in infants.

Head and Neck Neoplasms↗
PubMed1985

[Clinical aspects and surgical treatment of carotid body tumors].

The authors report their experience of three cases of carotid corpuscle tumors: two are bilateral and pertaining to the same family, one of them is associated with a bilateral tympano-jugular glomus. First they review the epidemiology and definitions of such tumors and then they develop the various clinical aspects and differential diagnosis of these tumors. They insist on the necessity of a CT scan examination and of an angiography. They give their experience of the preoperative embolization of the tumour vessels. They expose various aspects of the surgical technique, pointing out the interest of a large access, the need of a regular surgery and the necessary collaboration between head and neck surgeons and vascular surgeons. Finally they discuss the opportuneness to operate bilateral glomic tumors.

Adult↗
PubMed1985

[Mediastinal tracheotomy in cervicofacial oncologic surgery. Contribution of the pectoralis major myocutaneous flap].

Four cases of anterior mediastinal tracheostomy with myocutaneous Pectoralis Major flap are described. Resection of the manubrium, clavicular heads and the cartilages of the first and second ribs is necessary. The use of myocutaneous Pectoralis Major flap give good functional results. No infection or hemorrhage of mediastinal great vessels occurred. The indications of Anterior mediastinal tracheostomy are discussed. Stomal and peristomal recurrences following laryngectomy for carcinoma represents the indication of choice. Stomal recurrences are difficult to treat and the prognostic is poor. Prevention of the stomal recurrences is discussed.

Aged↗
PubMed1985

[Our experience in the study and treatment of medullary carcinomas of the thyroid. Apropos of 2 familial cases].

Between July 1976 and July 1984, 1106 cold thyroid nodules have been operated on UCL. Teaching Hospital; 128 were diagnosed as carcinoma (11,5%) and 15 were diagnosed as medullary carcinoma of the thyroid gland (1,3% of all the cold nodules and 12% of all carcinomas of the thyroid). This article presents the case of two families exhibiting a characteristic clinical history of Medullary Carcinoma of the thyroid or CMT. The authors describe briefly the clinical signs; they point out that it is absolutely necessary to ask for a blood calcitonine level control in case of cold thyroid nodule or cervical lymphadenopathie. Once the diagnosis of Medullary Carcinoma of the thyroid gland is reached, screening of the Family, at least the first degree relatives should be undertaken, in order to reveal subclinical cases, which could be detected by laboratory investigations at an early subclinical stage. The treatment of the CMT is always surgery; it consists of total thyroidectomy with a modified neck dissection or a radical neck dissection, if lymph nodes are more than 3 cm or are fixed. Any way the recurrent nerve nodes have to be looked for, and if positive a Mediastinal lymph node dissection should be carried out. A control of the calcitonine hormone blood level should be asked for twice a year to detect any metastases or recurrence.

Adult↗
PubMed1984

[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↗
PubMed1984

Management to prevent high-sited recurrence of pharyngo-laryngeal cancers.

The development of reconstructional techniques in cervico-facial surgery has led to the proposal of surgical solutions, in conjunction with radiotherapy, for the extensive epidermoid carcinomas of the oropharynx and hypopharynx that were formerly rejected by the surgeon. However these stage III or IV epidermoid carcinomas carry a heavy proportion of "high" recurrences, i.e. situated in the parapharyngeal, oropharyngeal and rhinopharyngeal regions. The reasons for this are: the lymphatic continuity between the oro- and hypopharynx and the parapharyngeal regions and the base of the skull; the limitation of neck dissections higher up at the tip of the mastoid and the lower parotid border; the limitation of postoperative irradiation directed upwards. Therefore for these lesions we propose an extended therapeutic programme comprising pre-operative chemotherapy based on cisplatinum, bleomycin and methotrexate, an adequately wide surgical resection followed by reconstruction and an irradiation extending upwards by two lateral fields to the oropharynx, the rhinopharynx and the parapharynx.

Antineoplastic Combined Chemotherapy Protocols↗
PubMed1984

[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↗
PubMed1983

Contribution by tomodensitometry to the understanding and diagnosis of benign non-epithelial endolaryngeal tumours. In connection with a case of chondroma, one of lipoma and one of rhabdomyoma.

The authors report on 3 cases of submucosal, non-epithelial tumour of the larynx: one chondroma, one lipoma and rhabdomyoma. A review of the literature is presented. These three cases have benefited by radiological imagery proper to tomodensitometry. This technique is certainly the preferential radiological examination, since it enables an appraisal to be made of the interrelationship of the tumour and its surrounding structures. It gives a probability diagnosis through comparative measurement of the tumorous density.

Adolescent↗