[Dental-maxillary dysmorphism].
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Biomedical subjects
Publications and source records attributed to B Negrier.
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The authors report on 19 cases of Inverted Papilloma collected over ten years at the Institut Gustave-Roussy. The Inverted Papillomas are rare tumors affecting predominantly adult males. This slow progressing tumor is usually revealed by unilateral nasal obstruction (68%). Its loco-regional extension is best appreciated by radiologic and tomodensitometric scanning. After limited surgical resection, the tumor may either recur (11 out of 19 cases) or show malignant evolution (9 out of 19 cases). Histopathologic criterias of this latter possibility are discussed. A radical surgical treatment such as paralateronasal rhinotomy may prevent the malignant transformation of this benign tumor.
Thirty three patients have been operated with total laryngectomy (LT) or pharyngolaryngectomy (PLT) with or without Zadical neck dissection, without nasogastric feeding to be and in five cases without tracheal cannula (but connection of a large tracheostomy). The authors demonstrated that there is no increasement of pharyngeal fistua. The beginning of oral alimentation has been made between the 4th and the 6th postoperative day. Such a procedure is more comfortable for the patients and decrease the hospitalisation duration.