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Biomedical subjects

N Garabedian

Publications and source records attributed to N Garabedian.

24 records · Page 2Linked to original sources

[1-stage operation in major aplasias of the ear. Value of combined plastic and functional intervention].

In spite of imperfections, combined functional and plastic surgery is of value of treating major aplasias of the ear. The two operative procedures can be performed by the same surgeon or the same team when the child has reached 5 to 6 years of age. The technique involves the use of sliding pedunculated flaps, with rotation in the auricular region, and the employ of conventional otologic microsurgical methods (homograft, moulded temporal aponeurosis). Results in 48 cases demonstrated auditory improvement of more than 20 decibels in 47-5 p. cent of cases, and 30 to 40 decibels in 20.8 p. cent.

Ear, External↗

[Neonatal facial paralysis. Our experience apropos of 44 cases].

Forty-four cases of neonatal facial paralysis have been treated in the ENT department for children in the hôpital Trousseau, paris. In nearly half of the cases the etiology was related to nervous or muscular aplasia, while in the other cases of traumatic, infective, or doubtful etiology, the severity and course of the paralysis served as a guide to choice of therapy. Surgery was indicated in only 13 cases and recovery was obtained in 4 infants, with more or less marked sequelae. Prognosis is very poor in cases treated at a late stage, especially when the nerve appears to be greatly altered or compressed by callus. Surgical exploration should therefore be undertaken reasonably early (6 weeks to 2 months) when total paralysis persists or becomes worse after initial improvement.

Birth Injuries↗

[Proboscis lateralis, a rare facial malformation. Therapeutic difficulties (apropos of a case)].

A case of proboscis lateralis with total absence of the corresponding half of the nose is reported. The length of the mucocutaneous cylinder enabled initial insertion of its free extremity around its bony orifice in communication with the single nasal fossa, and the creation of a functional, well situated naris. Second-stage operation several months later involved spreading of the upper part, closure of the coloboma, and treatment of the lacrimal pathways. Total liberation of the superior pedicle and final modelling is to be envisaged at a later date as a function of growth.

Child, Preschool↗

[Embryologic problems raised by proboscis lateralis].

Organization is conserved in proboscis lateralis and in this respect it represents a half-nose and not a nasolacrymal canal. It is characterized by mainly skeletal deficiency and a paramedian lateral localization. Associated alterations involved olfactory and ocular structures, often with a disorder of closure of the colobomic slit, but overall neuroblast development is not disturbed. Effects on the subjacent facial regions are variable and remain lateral, the overall situation in relation to Tessier's fissure tending to clarify their significance. Comparison of the malformation with the different degrees of cyclopia and with the bifid nose confirms its origin from a particular form of embryogenic process. Significance of participation of the olfactory placodes and the neighboring ectomesenchyme is discussed, together with the modalities of this participation. The latent bilateral nature of the malformation must be recognized together with its embryogenic consequences.

Face↗