[Primary repair in the therapeutic philosophy of clefts].
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Biomedical subjects
Publications and source records attributed to M Stricker.
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Though basal cell epitheliomas present the advantage of lack of spread into lymph nodes and of having only local activity they can extend considerably both on the surface and in the deep tissues. Because of the difficulty in obtaining complete excision of recurrences the authors are prudent in their attitude and take all possible precautions during treatment of these lesions, including extemporaneous histological examinations and bone scintigraphy which appear to be indispensable.
In the case of partial or total luxations, or in alveolar fractures, the treatment consists in immobilisation of injured teeth. Since three years we use brackets on teeth's vestibular side joined by metallic wire. This technic very easy to use, gives good results (87% on 75 cases). It is the finest way for primary dentition.
Hundred cases of anesthesia for surgery in craniofacial dysmorphias in children are reported. 40 children were below 2 years of age, 14 were 2-5 years old and 46 were 5 to 15 years old. Surgery was of 3-12 hours duration (mean: 5 h 30). The type of anesthesia given was either a neuroleptanalgesia or a narconeuroleptanalgesia. Per- and post-operative intensive cares are discussed. 7 complications occurred during surgery, 11 complications occurred during the post-operative course: the origin of those complications is discussed as well as their treatment.
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Dacryography is the only objective non-clinical method for studying the permeability of the lacrimal excretory ducts. Pre-operatively, it is an essential element for the choice of surgical intervention; post-operatively, it is always indicated if weeping persists. New surgical techniques such as arterial grafting have stimulated renewed interest in this method.
Surgery of the lacrimal appartus falls into the realm of a paradox: paradoxical because of the means employed to repair an excretory apparatus which is not absolutely indispensable; paradoxical because of the great difficulty encountered in assessing results in operated patients with: obstruction without weeping or; weeping without obstruction. The indication for operation is related to two factors: that of the act itself--valid in new lesions, debatable in old lesions, doubtful in relapses; that of the technique used, which in the authors' view is mainly a function of the state of the lacrimal sac. An objective analysis of a series of 102 cases strengthened the authors' opinions but with a feeling of circumspection tainted with deception.