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B Senechal

Publications and source records attributed to B Senechal.

6 recordsLinked to original sources

[Rhinoplasty in the elderly].

Though psychological and anatomical conditions are less suitable, cosmetic rhinoplasty in the elderly patient is possible when indicated in selected patients. Their motivations should be looked for. The ones that have been delayed for other reasons are most convenient. The nasal deformities have nothing in particular. Decreased skin elasticity due to ageing is the point to be considered. When this change is moderate, usual surgical technics can be used for mild corrections. Otherwise, cutaneous resections should be limited to the root of the nose in order to carry out an elevation of the skin and a nasal lift. When it's conducted with care, rhinoplasty in the elderly patient deserves its rank in palliative treatment of ageing.

Aged

[Otoplasties].

Explore the source record for details and available documents.

Cartilage

[Reflections concerning the reconstruction of the pinna of the ear (author's transl)].

Reconstruction of the pinna of the ear is a difficult enterprise and overall results are poor. It is nevertheless essential to persist since despite the hazards of such surgery many patients wish to have an operation since they are unable to tolerate their deformity. Apart from the cutaneous problem, the most important point remains that of bitterness. There are still many partisans of the use of costal cartilage, but it would seem legitimate to also try new implantable substances, in particular microporous. Whatever the choice, it is important in all cases to establish a programme rather then improvise. This is the only way to reduce the number of operative stages, to avoid untoward scars and to decrease the number of "touching up" procedures. Despite the many difficulties which must still be resolved, a certain number of modern studies offer hope of an improvement in results.

Cartilage

[A rare and late complication of rhinoplasties (author's transl)].

The majority of failures after rhinoplasty are of operative origin and rapidly become evident. The two cases of complications reported here were on the contrary late since they occurred after respective periods of 4 and 10 years. They involved mucoid cysts by inclusion of nasal mucosa, requiring complete excision via an external approach.

Adult

[The value of fibroscopy in laryngotracheal stenosis (author's transl)].

The authors report the results of 297 fibroscopies in 69 patients suffering from laryngotracheal stenosis. These examinations were carried out either before treatment or for follow-up purposes. The majority of patients had undergone respiratory intensive therapy. The underlying reason for this intensive therapy was analysed, as well as the techniques used : intubation 26 %, tracheotomy 33,5 %, intubation followed by tracheotomy 40 %. Results of fibroscopy before treatment (111) are described, emphasizing the fact that this fibroscopy was adequate in the great majority of cases (96 %) to reach a decision as to wether surgery was necessary or not, and this even though certain patients had suffered severe respiratory failure. Follow-up fibroscopies (185) were useful in all cases for aspiration of the patient and observation of the suture. In 17 cases, the opportunity was taken to remove a polyp and in 10 cases removal of a suture. Finally, the authors emphasize the safety of this method of investigation (4 % of untoward incidents) which they feel to be necessary and adequate in the evaluation of laryngotracheal stenosis.,

Endoscopy