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Biomedical subjects

F Lecointre

Publications and source records attributed to F Lecointre.

16 recordsLinked to original sources
PubMed1997

[Surgical correction of the smile in short face syndrome].

The surgical correction of short face syndrome was greatly improved with the use of miniplate fixation which reduces dramatically the rate of vertical relapse. This work reports on five adult patients treated with an unusual Le Fort I osteotomy because no pterygomaxillary separation was done. The Le Fort I osteotomy was isolated (1 case) or associated with a mandibular advancement (3 cases) or a vertical augmentation genioplasty (1 case). Neither bone grafting nor any material was ever used in the bony gap. The range of vertical lengthening of the anterior maxilla measured in the operative period was 7 mm to 3 mm. Cephalometric tracings were used to study results and stability. The ratio skeletal lengthening soft tissue increase was near 90 percent. A very good stability in the post operative period with a follow up to one year is noted with a rate vertical relapse around 10 percent. No complications were noted with the procedure.

Adult↗
PubMed1989

[The contribution of genioplasty in esthetic surgery of the face].

The chin position in overall facial aesthetics is well known and it has an important influence on personality and relations with others. For most plastic surgeons, genioplasty is limited to chin advancement with alloplastic implants. Sliding horizontal osteotomy of the mandibular symphysis is not well known: the technique is simple, fast and safe. Indications are multiple (augmentation, reduction, straightening, lengthening). Improvement is both aesthetic and functional (labial gap). In deficiencies of the submental region, genioplasty may be compared to muscular transposition. Several cases of aesthetic and orthognathic surgery are presented to emphasize the value of the procedure.

Chin↗
PubMed1989

[Posterior vertical excess: surgical impact].

Maxillary posterior hyperplasy is a frequent dento-facial deformity. A dento-alveolar origin seems to be more frequent than a squelettic one; in our experience, there is a direct relationship between the volume of the tongue and the open bite--surgical correction was done with a LE FORT 1 osteotomy and a tongue reduction was done simultaneously in half of the patients--a sliding genioplasty sometimes was done to improve the profile--for us, post chirurgical relapse was frequent with patients without tongue reduction.

Adolescent↗
PubMed1981

[Muco-epidermoid carcinoma of the mandible. A case report (author's transl)].

Muco-epidermoid tumours are reviewed, and a case of a muco-epidermoid carcinoma of the mandible in a 78-year-old man reported. Radiological examination suggested the presence of an ameloblastoma, but the scanner provided evidence of a possible malignant tumour. Diagnosis of a muco-epidermoid carcinoma was confirmed by pathological examination after hemimandibulectomy.

Aged↗
PubMed1980

[Intra-arterial chemotherapy for the treatment of tumors of the nasal sinuses. Results in 50 cases (author's transl)].

Fifty patients with primary epidermoid carcinomas of the nasal sinuses were treated by intra-arterial chemotherapy, alone (2 fatal iatrogenic accidents occurred) or in association with surgery and/or radiotherapy (48 cases). Adverse reactions due to chemotherapy were noted in 11 patients (22%), and two of these were fatal (4%). In eleven patients (22%) the initial curative chemotherapy was unsuccessful and all died after a mean survival period of 12 months. Local recurrence was observed in 7 patients (14%), the mean survival period being 11,5 months, and in 6 patients (12%) with local glandular involvement the mean period was 15 months. Identical survival rates of 57% after 3 years (8/14) and 50% after 5 years (6/12) were observed in 14 cases with endosinusal forms and 14 patients in whom the infrastructures were treated. In 22 patients there was exteriorization of the lesion, and the survival rate was 31% after 3 years (7/22) and 15% after 5 years (3/19). All 7 patients with pterygomaxillary lesions died within 3 years. Overall results in the 50 patients treated show that: -- 23/50 (46%) survived for 3 years -- 15/43 (35%) for 5 years -- 5/19 (26%) for 10 years.

Adult↗
PubMed1980

[Tuberculosis of the mucosa of the naso-pharynx. A clinical study of 37 cases seen at the Gustave-Roussy Institute between 1961 and 1978 (author's transl)].

The authors report a series of 37 cases presenting with tuberculosis of the mucosa of the upper naso-pharynx. The localization broke down as: 5 cases of tuberculosis of naso-sinuses, 6 of the buccal cavity, 3 of the cavum, 10 of the oro-pharynx, 1 of the hypopharynx, and 12 of the larynx. -- The male-female ratio was unequal (2:1 M:F) -- The mean age was 52.5 years -- Most patients were European. The 3 rhinopharyngeal cases were in North Africans. -- Macroscopically the lesions were of a malignant character in 70%. -- There was palpable lymphadenopathy in 56% of patients. The most commonly involved chain was the jugulo-carotid, especially the subdigastric group. -- There was tuberculosis in the entourage in 20/37 cases. CXR was normal in 17 cases. On hospitalisation active T.b. was discovered in 15 cases. -- Biopsy confirmed a definitive diagnosis in every case. -- All patients were treated medically. There were no cases of resistant organisms. The results were excellent.

Adolescent↗