Search PubMed⌕ Search

Biomedical subjects

P Fleury

Publications and source records attributed to P Fleury.

At least 91 records · Page 5Linked to original sources
PubMed1977

[Indications, technics and results of cataract surgery on an eye effected with healed or present retinal detachment or predisposed to detachment].

This communication is a survey of 53 cataract operations followed up during a period of 1-6 years, with an average of 4 years, and performed on patients who had a high risk of subsequent retinal detachment because of a preceding detachment on the fellow eye or on the cataractous eye, because of peripheral retinal degenerations, or a history of hereditary retinal detachment. Most of the operations were performed under general anesthesia and ocular hypotony. In all the cases, a limbal-based conjonctival flap with a double line of sutures (scleral and conjonctival), an iridectomy in segment, a zonulolysis and a cryoextraction, were done. As for the retina, 18 eyes received a coagulation before the cataract extraction by galvano- or cryocoagulation or even by xenon photocoagulation. Among them 3 had a detachment after the cataract extraction, but 2 of them were cured by a new operation. 15 eyes had peripheral retinal lesions which were coagulated after the cataract extraction by cryo-, laser or xenon coagulation. Nevertheless 2 had a detachment. 13 patients with a detachment on the fellow eye or in the family, had no peripheral lesion and were not coagulated. None of them had a retinal detachment after the cataract extraction. Finally the eyes operated upon a short time after the cataract extraction suffered severe complications: reopening of the cataract incision, loss of vitreous and finally loss of 2 eyes out of 3.

Cataract↗
PubMed1976

[Our experience with pulsed oxygen and general anesthesia in direct suspension laryngoscopy].

The authors describe a group of 77 direct suspension laryngoscopies in which general anaesthesia and oxygen therapy were used. The technique is described in considerable detail. The catheter used is independent of the laryngoscope and is passed into the nasal cavity. Analysis of the gases in the blood of 15 patients showed that after three minutes of apnea, ventilation was still satsifactory. No pneumothorax occured during this type of anaesthesia. For the O.-R.-L. practitioner using the method, the advantages are as follows: induction anaesthesia is quicker than after neuroleptanalgesia, exposure of the larynx is excellent due to curarization and three endoscopies can be carried out in the same operation: laryngoscopy, oesophagoscopy and bronchoscopy. The disadvantage of general anaesthesia is that it makes it impossible to judge the mobility of the larynx. In 7,8 p. 100 of the cases, direct suspension laryngoscopy proved difficult or impossible to carry out fir anatomical reasons.

Alfaxalone Alfadolone Mixture↗
PubMed1976

[An unusual and dangerous clinical form: chronic osteomatous otitis].

Some chronic otites result in local or diffuse attico-antral osseous outgrowths. These may complicate all sorts of chronic otites: cholesteatomatous or otherwise, suppurative or merely inflammatory, with the tympanum open or closed. They should be distinguisged from tympanosclerosis and condensation or osseous eburnation lesions. They seem to result from post-inflammatory irritation causing metaplastic bone growth or from an exostosis. The key to their diagnosis lies in radio-tomography. From the surgical point of view, diffuse attico-antral forms are particularly dangerous and deadly. It is essential that the kopho-surgeon should be aware of their existence which, as far as we know, does not seem to have been noted so far.

Adult↗