INTRODUCTION: LE CHIRURGIEN DANS SA PRATIQUE EN TERRAIN IRRADIE

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APPLICATION DES ESSAIS THERAPEUTIQUES CONTROLES EN CHIRURGIE

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LES COMPLICATIONS DE L'EVIDEMENT COMPLET DU COU ET LEUR PREVENTION - A PROPOS DE 500 INTERVENTIONS

469 patients underwent 500 radical neck dissections: 311 simple unilateral neck dissections, 172 'commando' procedures and 17 bilateral one stage neck dissections, also monobloc. Operative mortality rate rises in proportion to the extent of the operation and especially to the age (5.5% under 60 yr and 13.0% after 60). Preoperative cervical radiotherapy increases the incidence and seriousness of cutaneous necrosis, the infections of the wound, the risks of mouth to neck fistula and of carotidal rupture. Various rules of technique for the prevention of skin necroses and fistulae are given together with the treatment of carotidal ruptures. Respiratory complications amount to 63% and cardiovascular to 22%. Resection of both internal jugular veins in bilateral neck dissection is invariably followed by cyanosis and edema of the face. Their pathogeny and venous substitution are described. Sequelae of the operation are described while stressing the importance of rehabilitation through kinesiotherapy.SCOPUS: NotDefined.jinfo:eu-repo/semantics/publishe

Bilateral chylothorax after left radical neck dissection

Bilateral chylothorax, as a complication of neck dissection, is very rare as evidenced by the 11 cases reported in the literature up to date. We present an additional case of bilateral chylothorax following a left radical neck dissection and concomittant chylous neck fistula. This case was successfully treated by chest drainage and total parenteral nutrition. Early diagnosis of chylothorax is urged due to the consequences on metabolism and respiratory conditions. Management by aspiration drainage is usually sufficient to control pleural effusions.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Computer study of iodide transport in thyroid slices in vitro

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Traitement chirurgical des traumatismes iatrogènes de la trachée.

Surgical treatment of iatrogenic tracheal traumata. Eight cases of tracheal resection with immediate anastomosis in tracheal stenosis due to prolonged intubation are reported. Resection-anastomosis surgery is compared to recalibration technique.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Chondroma of the trachea

Chondroma of the trachea. The case of a 76 year old man with a progressive upper respiratory distress due to a chondroma of the trachea is reported which necessitated a segmental tracheal resection with end-to-end anastomosis and restoration of the initial tracheal lumen. This case report is illustrative of a rare benign disease (10 cases described till today) originating from the cartilaginous rings of the trachea. The tumor usually appears as an upper airway obstructing syndrome and endoscopy is essential for establishing the diagnosis. Laser resection can be recommended for the treatment of limited lesions, whereas tracheal resection with end-to-end anastomosis is recommended for more advanced chondroma because it is prone to local recurrence and potentially exposed to malignant transformation into chondrosarcoma.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Report of a case of intractable paraneoplastic diarrhea remarkably improved by an association of diphenoxylate and loperamide

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Carcinomas of the thyroid with unusual presentation. About two cases.

Two cases of thyroid carcinoma with unusual presentation are reported. In the first case, a follicular carcinoma was associated with hyperthyroidism from a hot nodule located in the same lobe. This condition is not so infrequent as indicated by the literature and should warrant pathological examination at the time of excision of the hot nodule. In the second case, both anaplastic and follicular carcinomas were coexisting in the same tumour of a young adult. This occurrence is rather exceptional in the early period of life and is usually the fact of elderly people with long-standing goiters. The favourable outcome of this patient is also contrasting with the bad prognosis associated with anaplastic carcinoma of the thyroid. Another interesting feature is the existence of an anaplastic carcinoma of the thyroid in a family member of this second case.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

UNE TECHNIQUE SIMPLE DE RECONSTRUCTION IMMEDIATE DE L'ARCH MANDIBULAIRE APRES CHIRURGIE D'EXERESE CANCEREUSE: INTERET DES BROCHES EN ACIER INOXYDABLE

The authors describe the advantages offered by the use of stainless steel clips for immediate reconstruction of the mandibular arch following resection mainly for malignant tumors. Three observations illustrate the various possibilities offered by these techniques, pointing out the risks of failure presented by previously irradiated areas and by insufficient tissue to cover the defect.SCOPUS: ar.jinfo:eu-repo/semantics/publishe