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Biomedical subjects

J Bouche

Publications and source records attributed to J Bouche.

18 recordsLinked to original sources
PubMed1977

[Routes of approach to the vidian nerve (author's transl)].

The authors describe the various routes of approach to the deep recesses of the pterygo-maxillary fossa. A brief historical review indicates the importance of the work of Golding-Wood who started this type of surgery. Description of the personal technique of the authors via a trans-maxillary approach. Review of the endo-nasal approach of Poch-Vinals by cryotherapy and of M. Port mann by electro-coagulation. A parallel is then drawn between the trans-maxillary approach and the endo-nasal approach of Prades by dissection from the spheno-palatine orifice. The respective indications are discussed.

Cryosurgery↗
PubMedDate not supplied

[Minimum neurolysis in so-called frozen face paralysis].

The simplest method of dealing with a frigore facial paralysis surgically seems to be by a minima neurolysis using a speculum and tackling it through the ear-drum as in otiospongiosis. In this manner, the Eustachian tube is exposed between the deep surface of the incus and the tendon of the musculus stapedius. Results were consistently good in 26 cases. The quality of recovery depends more on the duration of the paralysis than on operative technique.

Facial Nerve↗
PubMedDate not supplied

[Our attitude toward so-called essential severe epistaxis. The problem of vascular ligatures].

The authors describe their therapeutic attitude over the past few years towards severe epistaxis. In an emergency, anterior and posterior tamponage using thick tents is the main treatment used. Double balloon probes have been discontinued, in spite of the fact that they were well-tolerated, on account of the disappointing results they gave. In cases of relapse, when the posterior tampon is removed after 48 hours, systematic ligature of the sphenopalatine artery is carried out on arteriosclerosis patients aged about fifty who have high blood pressure. In other cases, the authors wait to see the effect of leaving a second tampon in place for a further 48 hours. In patients suffering from renal inadequacy, reabsorbable tents are preferable, prevention being the main aim, avoiding all treatment liable to counteract haemostasis. Generally speaking, ligature of the external carotid is often ineffective. It is the sphenopalatine artery which should be tied off (100 cases in the O.-R.L. Dept. of the Hôpital Foch). Ligature of the ethmoid is rarely indicated.

Epistaxis↗