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Biomedical subjects

F Braccini

Publications and source records attributed to F Braccini.

8 recordsLinked to original sources
PubMed1999

Idiopathic temporal encephalocele: report of two cases.

BACKGROUND: Idiopathic brain herniation into the middle ear is a rare condition that represents diagnostic and therapeutic challenges. OBJECTIVE: The authors present here two new cases of idiopathic brain herniation with special clinical presentation and emphasis on radiographic studies, particularly computed tomographic scan and magnetic resonance imaging, which allowed the authors to detect the malformation. RESULTS: The two patients underwent surgical treatment with infratemporal approach and recovered perfectly.

Diagnosis, Differential↗
PubMed1999

[Role of imaging and endoscopy in the follow up and management of cholesteatomas operated by closed technique].

The endoscopic approach to the middle ear in the eradication of cholesteatoma is now usually performed in association with the microscope utilisation. During the second look procedure, otoendoscopy allows to develop a new concept of surgery under video-control including minimal approach with a height quality of eradication control. In our series, we report 54 consecutive cases operated on intact canal wall-up technique, by the same surgeon. The mean follow-up delay was 29 months. Systematic second look was performed within the two first years following surgery. 76% of the patients underwent minimal endoscopic approach. CT scan and/or MRI were performed in 37 patients before second look in order to correlate radiological and surgical findings. Second look results shows 45 patients on 54 (83.3%) with normal ear (no cholesteatoma recurrence), and 9 patients (16.66%) with residual cholesteatoma. Free air cavities were demonstrated by CT scan in 40.5%, localised opacities in 7.9% and total opacities in 51.4%. All free air cavities on CT scan and MRI were non residual cholesteatoma ears. MRI cannot be used to screen for small cholesteatoma or to determine the characteristics of an opacity of the middle ear seen on CT in order. Therefore second look surgery is the gold standard study to diagnosis a residual cholesteatoma. Minimal endoscopic second look approach is a new cholesteatoma surgery concept better accepted by patients.

Adult↗
PubMed1999

[Translabyrinthine approach and venous prolapses (jugular bulb and lateral sinus)].

Temporal bone venous prolapse with or without meningeal prolapse are a frequent problem in middle ear and labyrinth surgery. 178 translabyrinthine approaches with prolapse study are reported in this retrospective study. Superficially, the approach was narrow in 43% of the patients because of a lateral sinus prolapse in 27 cases or a temporal meningeal prolapse in 50 patients. Surgery was technically difficult in 8 patients with lateral sinus prolapse associated with meningeal prolapse. Deep labyrinth structure reaming was difficult in 40% because of an abnormal position of the jugular bulb and/or the superior petrosal sinus. Both superficial and deep approach was narrow in 22% of the cases. 23 lateral sinus prolapses associated with transhigh jugular bulb and 17 lateral sinus prolapses associated with superior petrosal sinus prolapses were noted and reported. Expectation of these anatomical variations, more frequent on the right side, should be established before surgery with imaging studies in order to perform a safe and efficient surgical procedure.

Cranial Sinuses↗
PubMed1999

[Imaging and traumatic, inflammatory and neoplastic pathologies of the external and middle ear].

CT and MR imaging have a growing place in the assessment of pathologic ear. Nowadays, Ultra-high resolution CT scan is the method of choice to detect traumatic, tumoral or inflammatory lesions. MR imaging is frequently proceed in second place after CT evaluation. MR remains essential to evaluate the extension of malignant tumor of the temporal bone in particular to the fatty tissues or cerebral parenchyma. Our aim is to present the radiologic semeiology of external and middle ear pathologies, precising for each one the role of CT and MR imaging.

Ear Diseases↗
PubMed1999

[Extramedullary plasmocytoma of the nasal cavity: a case report].

PURPOSE OF STUDY: To establish a diagnosis and therapeutic management in patients with extramedullar plasmocytomas. METHOD: There is no consensus concerning extramedullar plasmocytoma treatment. One patient with a nasal cavity tumor location and a review of literature are reported. RESULTS: Extramedullar plasmocytoma is a rare tumor that occurs most frequently in the upper respiratory tract. The most common location is the nasal cavity. Diagnosis can only be made after histological and immunohistochemical examinations. Localized tumors are treated by radiation therapy, combined or not with surgery. Disseminated diseases are treated by chemotherapy. CONCLUSION: Diagnosis can only be confirmed after the exclusion of a systemic disease (multiple myeloma).

Adult↗
PubMed1998

[Fixed mallear head syndrome].

Fixed head malleus syndrome is a rare anatomoclinical entity first described by Goodhill in 1966. We present a series of 9 patients who underwent surgery between 1991 and 1997 and discuss the technical procedures used and functional outcome. Ossicular mobility can be re-established with two surgical methods. The more simple method consists in a classical incus transposition with malleus neck section. The more physiological method consists in drilling the synostosis fixing the malleus without disrupting the ossicular chain; stapedotomy is associated in certain cases (Type III).

Adult↗
PubMed1997

[The deviated nose. Classification and treatment. Apropos of 100 cases].

We present a series of 100 deviated noses treated over 5-year period. A classification into four groups was proposed and used to determine preoperative strategy according to the type of deformation. The main corrective methods were lateral cartilage grafts for C-shaped noses and removal and reinstallation of the nasal cartilage for S-shaped nose and "lay down" noses. The best results were obtained for trauma-induced deformations occurring after puberty. Lay-down nose were more difficult to treat than C- and S-shaped noses. Good results can be expected in 80% of the cases. Good nasal flow was obtained in 90% of the patients and secondary surgery was successful in the other 10%.

Adolescent↗