La trachéotomie

Introduction: Tracheotomy was initially described as a means to relieve acute upper airway obstruction. Indications for its use have changed and developed overtime. State of the art: During the 1960's, tracheotomy was promoted as a treatment for ventilator-dependent patients but the complications reported in the 1970's and early 1980's both reduced its accepted indications and led to it being proposed later. During the last 20 years advances in intensive care medicine and a reduction in the rate of complications associated with the procedure have encouraged intensivists again to propose tracheotomy at an earlier stage. Perspectives: Over the last 10 years, a new technique, percutaneous dilatational tracheotomy has gained widespread acceptance because of its simplicity of execution, its low cost and the low rate of postoperative complications that has been observed. Conclusions: Although the ideal time to perform a tracheotomy has not yet been established, the benefits of this approach compared to prolonged laryngeal intubation, the low morbidity associated with modern surgical tracheotomy and the development of percutaneous techniques support the use of this procedure in the management of patients requiring prolonged ventilatory support.SCOPUS: re.jinfo:eu-repo/semantics/publishe

Actualités en oncologie cervico-faciale

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La chirurgie, étape-clé du traitement multidisciplinaire des cancers thyroïdiens

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Néoplasies cervico-faciales: signes d'appel et traitement

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Les tumeurs malignes secondaires de la parotide.

Secondary malignant tumors of the parotid gland are uncommon. They arise from primary tumors located in the head and neck or from distant primary tumors. The formers are dominated by squamous cell carcinomas and melanomas, the latters by renal and lung cancers. Distinction between malignant primary tumors and metastasis of other primary tumors to the parotid gland is very important to appreciate, because the result of this will change therapeutic procedure and the evaluation of prognosis.English AbstractJournal Articleinfo:eu-repo/semantics/publishe

Skin metastases from a head and neck carcinoma: a prognostic factor?

Distant metastases in head and neck cancer are often to the lung, and rarely to the skin sites.Journal ArticleSCOPUS: ar.jinfo:eu-repo/semantics/publishe

Métastase d'un carcinome de prostate mimant une tumeur parotidienne: à propos d'un cas.

We report a case of prostate carcinoma metastatic to the mandible that had been initially suspected as being a primary tumor of the parotid. The initial symptom was hard swelling in the left parotid region. No pathologic fracture was diagnosed. The metastatic lesion was diagnosed 4 years after diagnosis of the carcinoma of the prostate. This is a very interesting event because of its unusual localization.Case ReportsEnglish AbstractJournal Articleinfo:eu-repo/semantics/publishe

Epidemiology and clinical characteristics of larynx and hypopharynx carcinoma: A comparative study in the Hainaut and review of the literature

The epidemiology and clinical picture of laryngeal and hypopharyngeal carcinomas have changed significantly in the past 50 years. The aim of this study was to analyze selected epidemiological and clinical characteristics of laryngeal and hypopharyngeal carcinoma.info:eu-repo/semantics/publishe