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Biomedical subjects

P Romanet

Publications and source records attributed to P Romanet.

At least 73 records · Page 4Linked to original sources
PubMed1978

[Malignant change affecting stenotic scarring (caustic) of the oesophagus (author's transl)].

The authors report four cases of carcinoma of the oesophagus developing at the site of old burns. They review the classical features of this type of lesion, found in their own cases: the role of trauma from dilatations and the very long time elapsing before malignant change occurs (29 to 57 years, according to the individual cases). They discuss the prophylactic value of oesophagectomy with oesophagoplasty following severe burns with stenotic scarring. Finally, they note that whilst the treatment of these forms of carcinoma of the oesophagus is in general palliative, curative surgery may nevertheless be envisaged.

Adolescent↗
PubMed1976

[Treatment of respiratory distress caused by laryngeal obstruction].

Respiratory distress due to laryngeal obstruction produces a more or less dramatic syndrome depending on the cause of the obstruction and its evolution in time. Treatment should be immediate in order to avoid death or cerebral and cardiac sequelae. It consists, above all, of restoring the patency of the respiratory tract, the short-circuit obtained by intubation or tracheotomy should, in no case, leave any laryngeal sequelae. The authors present their personal series based on a study of respiratory distress due to laryngeal obstruction in the child. These observations were obtained from a large series of 480 cases of laryngeal dyspnea observed over the last 5 years on the E.N.T. unit of the Edouard Herriot Hospital in Lyons. They contrast a very small number of sub-glottic laryngitis cases requiring intubation or tracheotomy to a very large number of cases of subglottic laryngitis, even with respiratory distress, which recovered with well designed medical treatment. Foreign bodies, of which they report eleven cases, all required emergency surgery. They emphasize the severity of this cause. As far as papillomas and angiomas are concerned, they require emergency treatment, either straightaway or after a trial of medical treatment.

Adult↗
PubMed1976

[Emergency treatment of tracheal and bronchial foreign bodies].

Basing their report on personal experience of more than 300 tracheal or bronchial foreign bodies, the authors emphasize: -the difficulty of extraction, even in very expert hands. -the absolute necessity of a fully trained operator, and experienced anaesthetist and appropriate material. Apart from acute respiratory distress, they consider preferable to defer operation for a few hours, under strict supervision, in order to make available all these optimal conditions.

Anesthesia, General↗