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Biomedical subjects

N Calteux

Publications and source records attributed to N Calteux.

28 records · Page 2Linked to original sources
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↗
PubMed1984

Early diagnosis of peritoneal infection by simultaneous measurement of lactate concentration in peritoneal fluid and blood.

The level of lactate in peritoneal fluid has been suggested to be of great value in the early diagnosis of peritoneal infection [5]. However, this value is affected by multiple systemic factors producing lactic acidosis; these contributed to the high rate of false positive results, obtained in that study. In our study, a better correlation has been found between the peritoneal fluid to blood lactate gradient levels and the presence or absence of peritoneal infection. A threshold gradient level of 2.2 mmol/l in a total of 37 infected and 48 non-infected samples gave the best prediction with a sensitivity of 95% and a specificity of 96%.

Ascitic Fluid↗
PubMed1984

[Use of a vein segment in peripheral nerve repair].

The authors describe a new technique of nerve repair based on the utilisation of a venous sleeve to isolate and to contain the severed nerve during the period of cicatrisation. The histological pattern of the venous wall and its reaction to the regenerated nerve have been studied. Electrophysiological techniques, confirmed by histological studies, have demonstrated the good quality of the anastomosis. The utilisation of a venous sleeve allows for nerve repair without synthetic suture material. The dimensions of anastomotic neuroma are reduced, and are smaller than in other techniques of suture. The possibility of isolation of neuroma by the vein, even in the case of terminal neuroma, is equally worth consideration.

Animals↗
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↗
PubMed1983

The forearm fascia flap.

A new subcutaneous flap technic, derived from the chinese forearm flap has been demonstrated. It has been used to cover large cutaneous defects of the hand, especially when the extensor tendons were exposed. An excellent functional repair has been obtained in a single procedure avoiding large scar formation usually seen on the forearm after classical chinese fasciocutaneous flap.

Adult↗
PubMedDate not supplied

[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↗
PubMedDate not supplied

[The thoracodorsal skin flap. Anatomy and clinical applications (author's transl)].

The authors remind of the interest of the thoracodorsal flap among the free flaps and of the armpit as donor site. Two vast reliable and trustworthy skin flaps, with varying thickness, can fairly easily be taken at this level: - the first one, based on the cutaneous branch of the thoracodorsal artery, is a flat skin flap essentially cutaneous, specially convenient for the face because of its tissue colour, the thinness of the skin and its having no hair; - the second one, centered on the thoracodorsal muscle ending or artery of the latissimus dorsi muscle, allows to cut off a musculocutaneous flap that can take away, if necessary, the quasi-totality of the latissimus dorsi muscle. They describe the anatomical observations on twenty armpits dissected on cadavers and underline length, size and constancy of these vascular pedicles. They present three clinical applications which are representative of the most favorable indications of the thoracodorsal flap.

Adult↗