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J Aboujaoude

Publications and source records attributed to J Aboujaoude.

3 recordsLinked to original sources

[Fibro-osseous pseudo-tumor of the fingers. A little known entity. A case of an 11 year-old girl].

The authors report a case of fibro-osseous pseudo-tumour affecting a long finger. This is a rare tumour difficult to diagnose. Complete excision of the tumour was delayed till two years after its appearance as it's true nature had not been recognised at the time of the initial histopathologic examination. It is a benign tumour with a good prognosis as it does not undergo malignant degeneration and does not recur locally if excision has been complete. Errors in interpretation of the histopathologic picture have, in the past, led to unwarranted amputations of the involved fingers.

Child↗

[The spinal accessory nerve (n. accessorius) I: anatomical study].

INTRODUCTION: In order to increase knowledge of the spinal accessory nerve concerning its situation, trajectory and terminal branches and also the connections with the cervical plexus, the authors report an anatomical study based on 11 dissections of the trapezius muscle mode of innervation and the connections between the accessory nerve, the sternocleidomastoid and trapezius muscles. DISCUSSION: The accessory nerve is a muscular nerve and supplies the main innervation to the trapezius muscle especially for the superior and middle sections. There is a clear participation of the cervical plexus either through the trapezius muscle by nerve anastomosis behind the trapezius or directly especially in the distal portion. CONCLUSION: This anatomical study allows a better understanding of the clinical aspects and the indications of nerve repairs.

Aged↗

[Traumatic lesions of the spinal accessory nerve. II: clinical study and results of a series of 25 cases].

INTRODUCTION: Trapezius muscle paralysis after accessory nerve injury was mostly seen after a so called minor surgery of the neck: 17 lesions among 25 appeared after the excision of a cervical cyst or a small benign tumor. This notion should be remembered because the prevention of this paralysis is easy. MATERIAL AND METHODS: In the established lesion, the repair is to be done as soon as possible. The authors report a retrospective study of 25 cases of traumatic accessory nerve injury, followed from 1983 and 1992. A nerve repair was done in 15 cases. It consisted in an average 5 centimeters graft in 10 cases, an intramuscular neurotization in 4 cases, a direct suture in 1 case, and a neurolysis in 6 cases. A palliative treatment was suggested in 4 cases. RESULTS: The mean follow up was 15 months (range 6 to 57 months) and 22 operated cases had more than a 1 year follow up. We observed 10 good results for 10 grafts, 1 good result after 1 direct suture; the 4 neurotisations has 3 good results and 1 average result; the 6 neurolysis had 1 very good, 4 good and 1 poor results and in one case there was no possibility of repair. DISCUSSION AND CONCLUSION: The authors underline the good results after nerve repair following a lesion near from the paralysed muscle and also the need for prevention.

Adolescent↗