[Birth and development of otorhinolaryngology in the history of medicine].
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History, 15th Century↗
Biomedical subjects
M Hamoir
Publications and source records attributed to M Hamoir.
[Etiology of neurogenic laryngeal lesions diagnosed by electromyography].
An homogeneous series of fifty cases of neurogenic pathology of the larynx was analysed with regard to the etiologic factors. All the patients had a pathologic electromyography at the level of laryngeal muscles. Findings are compared with data from the literature about clinical laryngeal paralysis. This points out the importance to include an electromyographic examination in the investigation of this pathology.
Adolescent↗
Surgical management of parapharyngeal cystic hygroma causing sudden airway obstruction.
Parapharyngeal cystic hygroma is a rare tumor of the neck. This report describes two cases in which surgical resection was necessary to overcome sudden airway obstruction and details the surgical technique. These cases were considered "near misses" for sudden infant death syndrome (SIDS) and were revealed by computed tomography (CT) and echography to be parapharyngeal cystic hygroma. The location of this malformation could have produced sudden airway collapse and be erroneously diagnosed as SIDS. The postoperative follow-up was satisfactory and no recurrence was detected. We believe CT and echography should be included in the evaluation of such cases.
Airway Obstruction↗
[Partial surgery for glottal carcinoma. Therapeutic approach and outcome].
Partial laryngectomy for glottic carcinoma. The authors report their first results on 63 patients who underwent a partial laryngectomy for glottic carcinoma from 1980 to 1986. The global three years survival rate is 70%. The selected operations are the cordectomy, the fronto-lateral laryngectomy according to Leroux-Robert, the reconstructive near total laryngectomy according to Tucker, the reconstructive subtotal laryngectomy according to Majer-Piquet and Labayle. On the occasion of this paper, a scale is presented for the appreciation of the obtained functional results as for the three laryngeal functions: the breathing, the swallowing and the phonation. The mean time before the tracheal tube removal indicating the recovery of these three functions ranges from 5 days for the cordectomy which is the simplest operation to 38 days for the reconstructive subtotal laryngectomy according to Labayle which is the heaviest. Only one serious post-operative complication is noted for the 63 patients. It is a death following a coma after laryngeal oedema. A partial laryngectomy is possible after radiotherapy provided the rules according to Biller and Croll were respected.
Adult↗
[Myocutaneous flaps of the pectoralis major. Anatomy, technic and clinical applications].
The authors emphasize the versatility of the pectoralis major myo-cutaneous flap in head and neck reconstruction. They describe the vascular anatomy of the flap after dissection and catheterization of the deep pectoral branch of the acromio-thoracic artery in twenty cadavers. They emphasize the consistency and the size of this artery and describe a rich and regular network of perforating myo-cutaneous arteries. These allow a high versatility in the size of the cutaneous area. The use of this flap to cover carcinologic or post-radiotherapic defect is indicated because it brings a richly vascularized muscular tissue. The arc rotation of the flap is very large and permits reconstructions in axillary, thoracic and facial area. A "S" superior incision save the possibility of using a homolateral delto-pectoralis cutaneous flap. The authors present five typical clinical applications of this flap.
Adult↗