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Biomedical subjects

P Romanet

Publications and source records attributed to P Romanet.

At least 37 records · Page 2Linked to original sources

[Non-traumatic rhinorrhea from a latero-sellar fistula of the temporal fossa adjacent to an empty sella turcica. Computed tomography aspects; surgical treatment].

The authors report a case of non traumatic rhinorrhea due to an osteo-dural fistula communicating between the latero-sellar part of the left middle cranial fossa and the sphenoidal sinus. This fistula, probably congenital, was adjacent to an intrasellar arachnoidocele ("empty" sella turcica), but was not responsible for it. This lesion was demonstrated by CT scan associated with the injection of Metrizamide. The surgical treatment (trans-sphenoidal approach) allowed complete cure of the fistula and its associated symptoms.

Cerebrospinal Fluid Rhinorrhea↗

[Spontaneous hematoma of the intra-orbital optic nerve].

A young male was observed with papilledema and optic nerve enlargement on CT scanning. Visual acuity and field were not affected. A microsurgical procedure, through a para-latero-nasal approach, revealed a blue domed cyst around the neural structure. Incision of the cyst released old hemorrhagic fluid and biopsies of the cyst wall were collected. Microscopy showed granuloma and hemosiderin pigments. The post-operative course was uneventful, and the papilledema resolved in six weeks. The clinical presentation and surgical findings, the histopathology and the post-operative course lead us to conclude that this is a case of spontaneous hematoma of the optic nerve. Although intracranial and chiasmal optic nerve hematomas have been described since 1966, this is the first report to our knowledge of a hematoma involving the intraorbital portion of the optic nerve. The para-latero-nasal approach seems to be a easy way of acquiring good visualization without any osteotomy, when an operating microscope is available. This report may alert ophthalmologists to consider a cyst as a rare cause of papilledema.

Adult↗

[Neonatal gonococcal ophthalmia].

Gonococcal ophthalmia of the newborn still exists in 1981. On the occasion of a case recently observed it is reminded that 1% silver nitrate remains the best prophylactic means.

Ampicillin↗

[The surgical treatment of scar tissue stenosis of the crico-tracheal junction (author's transl)].

On the basis of 6 personal cases, the authors report the special conditions associated with surgery for stenosis of the crico-tracheal junation : proximity of the recurrent laryngeal nerves, difficulty of accurately matching the upper and lower ends, difficulty in passage of the suture materials. They nevertheless conclude that in the treatment of stenosis at this level of the respiratory tract, resection-anastomosis would appear to give better results than those obtained by Rethi's operation. Alongside major surgery, minor therapeutic techniques and, in particular, the laser used endoscopically also have a role to play : either in the treatment of moderate stenosis, or in the prevention and treatment of recurrent stenoses after resection-anastomosis.

Cicatrix↗