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Biomedical subjects

F Cheynet

Publications and source records attributed to F Cheynet.

At least 37 records · Page 2Linked to original sources

[Should the lingual nerve be protected during germectomy? A prospective study apropos of 300 procedures].

PURPOSE: Lingual nerve damage is one of the main complications of mandibular third molar removal. In literature, the series published are heterogeneous so we have decided to study the importance of the lingual protection only during germectomies (wisdom teeth without root formation). METHODS: We conducted a randomized prospective study in 300 germectomies, operated by the same skilled surgeon. These 300 third molar removals have been divided in two groups, one with lingual nerve protection and one without. RESULTS: Lingual nerve injuries following germectomies, with or without lingual protection was 0%. CONCLUSION: In germectomies, one can avoid lingual protection.

Adolescent↗

[Posterior disk displacement of the temporomandibular joint. Apropos 2 cases].

Posterior displacement of the temporo-mandibular joint disk is exceptional. The most typical clinical sign is sudden onset unilateral molar open bite. This lateral open bite is accompanied by a sensation of an intra-articular foreign body and more rarely by painful episodes. The joint sounds are not characteristic. Mouth opening is slightly limited. There is no consensus concerning treatment. Conservative treatment can be prescribed in cases with functional impairment. First line invasive techniques should be avoided.

Adult↗

Full-thickness skin graft interposition after temporomandibular joint ankylosis surgery. A study of 31 cases.

Recurrence is a major problem after release of temporomandibular joint ankylosis. Early physiotherapy and choice of interpositional material are important in preventing recurrence. Currently, the most used technique is gap arthroplasty associated with coronoidectomy, temporalis muscle flap interposition and reconstruction of the condylar unit with a costochondral graft. Full-thickness skin graft interposition, using the technique described by Popescu & Vasiliu, can also be used. This retrospective review of 31 patients confirms the reliability of full-thickness skin graft interposition. Results were successful in 90% of the 20 patients with follow-up longer than one year.

Adolescent↗

[RMI of dysfunctional temporomandibular joint (TMJ). Value of gradient-echo T1 sequences in the evaluation of bony structures].

PURPOSE: To identify and classify the different types of bony changes of the condyles in patients with disorders of the temporomandibular joint (TMJ). MATERIALS AND METHODS: Since 1993, we have imaged over 600 patients with 0.5T MR unit by using gradient-echo T1-weighted sequences in the sagittal and coronal planes. RESULTS: We will first describe the appearance of the normal TMJ. Then, we will introduce the concept of "Condylo-diskal disunion" using a three grade classification system. We will then describe three patterns of condylar changes: adaptive remodeling, either anterior or more frequently posterior, degenerative lesions with subchondral sclerosis, erosive lesions due to synovial hyperplasia. CONCLUSION: Using a 0.5T MR unit, a GRE T1 sequence is useful to identify lesions of the disk and detect bony changes. In addition, the tissues posterior to the disk can also be assessed on postcontrast images.

Diagnosis, Differential↗

[Maxillary pre-implant rehabilitation: a study of 55 cases using autologous bone graft augmentation].

Preprosthetic rehabilitation of the maxillary bone is sometimes difficult due to severe bone resorption in the posterolateral regions. The sinus lift with autogenous bony graft has given us satisfactory results since 1990 but requires a rigorous protocol before and during surgery to assure a lasting anchorage to the prosthesis. We describe morbidity and technical choices of this intervention in a series of 55 patients.

Adult↗

[The contribution of standard radiographs in the evaluation of masticatory system dysfunction].

Conventional x-ray films (orthopantomogram, teleradiogram) visualize many signs of dysfunction of the manducatory apparatus (DAM). Progress in our knowledge of the pathophysiology of DAM has brought new light to these radiographic signs. The orthopantomogram allows an assessment of modifications in muscle insertion zones secondary to their dysfunction and, more difficulty, the articular remodeling of the TMJ, mainly of the mandibular condyle and the articular space. The lateral teleradiogram studied by architectural and structural analysis provides information on the biomechanical balance of the cranio-facial structures and, especially, on the position of the mandibular rami. These standard radiograms are indispensable in the differential diagnosis, useful in the etiological diagnosis and are preliminary examinations prior to using other imaging techniques (MRI, CT). Standard films are easily reproducible for post-therapy follow-up.

Biomechanical Phenomena↗

[Valentin's nerve, its role in the innervation of the chin region. Preliminary report].

The mylo-hyoid nerve, a branch of the inferior alveolar nerve, gives rise to many motor and sensory branches. Motor branches innervate the anterior belly of the digastric muscle. Sensitive branches innervate the submandibular gland and also the skin just under the bony chin. Valentin's nerve, the terminal cutaneous branch of the myo-hyoid nerve (described by Valentin in 1843), can be damaged by horizontal mentoplasty (sliding-mentoplasty). Sensory disorders (hypoesthesia, anesthesia) can occur in case of Valentin's nerve injury without lesions to the mental nerve.

Adult↗

[Therapeutic arthroscopy for recurrent temporomandibular luxation].

Surgery is sometimes indicated in cases of recurrent temporomandibular joint dislocation (luxation). Among the panel of available techniques, therapeutic arthroscopy with retrodiscal tissue and oblique protuberance coagulation has been used to prevent new episodes. Therapeutic arthroscopy was used for 6 patients. Outcome was considered to be satisfactory in 66% with a mean 3.1-year follow-up. This technique can be recommended as first line therapy when surgery is indicated. In case of failure, eminectomy is scheduled.

Adult↗

[Zona of the cranial nerves. Current aspects].

Recurrence of the chickenpox virus, herpes zoster localizes in cranial nerves in 30% of cases, with a predilection for the ophthalmic nerve. In young patients, clinicians must search for a herpes zoster-HIV association as well as oculomotor proprioception impairment in herpes zoster ophthalmicus. Enhanced MRI allows good objective view of the facial nerve lesions in herpes zoster facial paralysis. Finally, the gravity and aftereffects of cephalic herpes zoster can be decreased by an appropriate therapeutic approach.

AIDS-Related Opportunistic Infections↗

Comparison of different materials for interposition arthroplasty in treatment of temporomandibular joint ankylosis surgery: long-term follow-up in 25 cases.

A variety of interposition materials have been used to prevent recurrence after arthroplasty in treatment of temporomandibular joint ankylosis. The purpose of this retrospective study of our experience was to compare the different materials (skin, temporal muscle, homologous cartilage) used for interposition arthroplasty over a period of 22 years. A total of 25 patients (32 joints) with at least 3 years of follow-up were included. Good results were achieved in 92% of cases using total full thickness skin graft and 83% of cases using temporal muscle flap. Homologous cartilage gave poor results.

Adolescent↗

[Long-term complications of silicone implants used in the repair of fractures of the orbital floor].

A 15 patients series is presented concerning complications following the use of silicone orbital floor implants. The more frequent complications are inferior eyelid swelling, pain and ocular dystopia. Complications may occur very belatedly, 10 years for a patient, 9 years for an other. The mean delay from insertion to removal for complication of the implant is 4.3 years. Sinus troubles are found in 70% patients that may indicate a relationship between sinusal pathology and complications observed. The CT study is described. Precautions in insertion of the implant are given. Suggestions are done to prevent such complications.

Adolescent↗

[Oto-mandibular ligaments: disco-mallear and malleo-mandibular ligaments].

Phylogenesis, embryology and anatomy are emphasizing that two ligaments are found between the temporo-mandibular joint and the middle ear. These two oto-mandibular ligaments are named the disco-mallear ligament and the malleo-mandibular ligament. Originating from the first arch, these ligaments are not involved in the otologic manifestations of the temporo-mandibular joint syndrome. The disco-mallear ligament is a brake applied to the anterior excursion of the disc. When this disco-mallear ligament is stretched the disc can be displaced anteriorly breeding disc displacement, hypermobility and temporo-mandibular dislocation. The malleo-mandibular ligament is a remainder of the Meckel's cartilage: its role is not clear. When excessive forces are applying on the mandible, ossicles dislocation can be seen the forces being transmitted through it.

Branchial Region↗