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Biomedical subjects

F Gharbi

Publications and source records attributed to F Gharbi.

5 recordsLinked to original sources
PubMed1993

[Widened retrolabyrinthine approach: application to the surgery of acoustic neuroma].

For a long time, the role of the widened retrolabyrinthine approach (WRLA) in surgery of the posterior fossa was restricted to functional surgery of the erebellopontine angle (CPA). The widening technique described makes it possible to adapt it to surgery for the exeresis of APC tumors, irrespective of their histological nature. We have used this approach to treat 19 neurinomas of the VIII and 11 other lesions. The results obtained in the preservation of facial function and hearing match those recorded with more traditional approaches, such as the translabyrinthine and suboccipital retrosigmoid approaches. By its modularity in the access space, it is the multi-purpose approach for the CPA. In our therapeutic armamentorium, given its possibilities to preserve hearing, it has taken the place of the less flexible and more dangerous suboccipital approach.

Ear, Inner↗
PubMed1991

[Post-traumatic facial paralysis without any fracture of the petrous bone].

Post-traumatic facial palsies are generally observed after a transverse, longitudinal or comminuted fracture of the pars petrosa. Occasionally, the fracture does not involve the Fallopian aqueduct and another mechanism must be sought. The authors present a case of facial palsy that occurred after a Le Fort's fracture of the base of the skull, not involving the Fallopian aqueduct on the CT scan. This was confirmed by surgical exploration. The authors recall the possibility of a facial palsy through the stretching of the nerve by the petrosal nerve.

Adult↗
PubMed1990

[The value of cellulo-adenectomy in the treatment of pharyngolaryngeal cancers without clinical adenopathy].

The term cellulo-adenectomy involves dissection of all the neck jugulo-carotid lymph nodes below the digastric muscle and above the omo-hyoid muscle. From the study of 133 cases treated by primary surgery, it can be said that this technique is essentially diagnosis to verify the actual integrity of the jugulo-carotid lymph trunk in patients who are clinically NO and who present a lymphophile ENT tumour. Such a technique necessitates a macroscopic lymph examination with an extemporaneous anatomical and pathological examination. Subsequent therapy depends on the result; for N+ patients, further surgery and/or irradiation, irrespective of the site; for a confirmed N- patient, additional therapy depending on the site of the tumour. Our experience has shown that this approach is safe and enables the treatment of the lymph glands to be better adapted to the reality of the neoplastic invasion.

Humans↗