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J F Compère

Publications and source records attributed to J F Compère.

53 records · Page 3Linked to original sources
PubMed1981

[Salivary gland cylindromas. Retrospective study of 65 cases (author's transl)].

A retrospective study of prognostic, clinical, and histological features in 65 cases of salivary gland cylindromas treated in the Hôpital Salpêtrière, Paris, was conducted. Vital prognosis was related to the initial size of the tumour, the presence of pain, and evidence of cellular anomalies or invasion of neighbouring structures on histological examination. Metastatic spread is related to peritumoural extension, and local recurrence has a prognostic value because of its relationship to later metastatic involvement.

Adult↗
PubMed1981

[Mandibular condyle metastasis : report of three cases (author's transl)].

Three cases of mandibular condyle metastasis of particular interest are reported: -- In two out of the three cases they were detected early enough for the primary tumour to be diagnosed; -- they all presented with articular symptoms; -- all three were treated surgically by excision of the condyles. Diagnosis was confirmed by histological examination, a rare event when mandibular metastasis are concerned, these usually being diagnosed after the primary tumour and then irradiated without histological proof. Primary tumours were respectively bronchial, pancreatic, and mammary.

Adenocarcinoma↗
PubMed1978

[Facial paralysis during progressive chronic otitis. Reflections apropos of 32 cases].

The authors report their experience of 32 cases of facial paralysis occurring during progressive chronic otitis. Twenty were pre-operative. The conclusions which may be drawn are as follows: 1) It occurs in general in cases of severe chronic otitis with large destructive cholesteatomatous and osteitic lesions. 2) Surgery is often difficult, long full of unexpected findings and risks. 3) The development of facial paralysis in a case of progressive chronic otitis is an indication for immediate surgery, on the same basis as a fistula of the H.S.C.C., which is, in fact, oftan present in association. 4) The lesions encountered are much more extensive at the time of secondary (11) rather than at primary surgery (9). 5) The extent of the lesions (13 cases of fistula or laybrinthine destruction) and auditory impairment (16 cophoses or sub-cophoses) are such that tympanoplasty is useless. The authors report their long term results: 13 cases of complete recovery, 4 nil, 3 partial (2 as a result of a superficial cervical plexus graft). They raise the problem of the management when a markedly contused nerve is discovered: simple liberation with incision of its sheath or immediate graft? The other twelve were postoperative. Five were cases operated upon by the autor. There was 100% recovery in all cases, but one patient, in whom the nerve followed an atypical course, required decompression surgery. In the other seven, the autors performed 3 decompressions followed by an excellent result, apart from in one case in which the nerve was markedly contused. In 2 cases a superficial cervical plexus graft and a XII-VII anastomosis proved necessary.

Adolescent↗
PubMedDate not supplied

[Rare tumors of the septum. 8 reported cases (author's transl)].

The authors present 8 cases of rare tumors of the nasal septum and define a number of characteristic points on the basis of each of them. The following are presented: --a malignant nevus, the rarety of E.N.T. sites of such tumors is emphasized, as well as important role of immunotherapy in their treatment, alongside surgery and radio-therapy. --a keratoacanthoma, difficult in terms of differential diagnosis from a basal cell carcinoma. -- a cavernous hemangioma, excision of which must be wide if recurrence is to be avoided. --one very hemorrhagic mixed tumor. --one case of pseudo tumoral tuberculosis in a woman with no known past history of tuberculous disease. --one very painful glomus tumor, radical treatment of which is surgical, in preference to radiotherapy. --two cylindromas of the septum, one taking the form of a large, angiomatous polyp, which puts in question the name of cystic adenoid carcinoma, suggested for these non-cutaneous tumors.

Adolescent↗
PubMedDate not supplied

[Stapedo-vestibular ankylosis associated with osteopathy of the promontory (author's transl)].

The authors present two unusual operative findings during surgery for stapedo-vestibular ankylosis, of which no similar cases would appear to be found in the literature. The first case posed the problem of stapedo-vestibular ankylosis as a sequel of clinically latent otitis, the only manifestations of which were radiological opacity of the mastoid and an area of osteitis of the promontory, still active, in the absence of any other progressive inflammatory phenomena or sequelae. Surgery required curettage and opening of the promontory, associated with total stapedectomy and a Teflon-inter-position. The functional result was very good. The second case of typical bilateral stapedo-vestibular ankylosis suggested the possibility of "malignant" otospongiosis, or at all events, markedly progressive. Surgery led to opening of the labyrinth. After platinectomy and excision of a bony sequestrum, there remained only a large fossa with an area equivalent to 3 times that of a usual fenestra ovale. A Teflon-interposition piston was performed with a good result. These rare forms lead to discussion of:--Lobstein's disease, Paget's disease and parathyroid osteosis. Finally, the authors approach the problem of the therapeutic attitude to be adopted in the presence of such rare conditions.

Adult↗
PubMedDate not supplied

[An impressively large trilobulate neuroma of the XIIth cranial nerve (author's transl)].

The authors present a case of a large neuroma of the hypoglossal nerve of unusual size and weight, the precise nature of which could be defined only after excision, since its cystic surface suggested a diagnosis of cystic lymphangioma. The following special features may be noted: The rarety of neuromas of the XIIth cranial nerve; the influence of the relations of the XIIth nerve with the posterior belly of the digastric and the myloid muscle on development of the neuroma; the false, cystic appearance which may lead to an erroneous diagnosis of tuberculosis, which in itself, would be a contra-indication to puncture for cytological examination of fluid; the tendency to hemorrhage at the time of excision; finally, the possible problems related to nerve section.

Adult↗
PubMedDate not supplied

[Exenteration: taboo of cholesteatomatous chronic otitis. Opinion based upon personal experience (author's transl)].

The authors recall that in cholesteatomatous chronic otitis exenteration should be performed only as a last resort. This accepted, to wish to present it as an opprobious operation responsible for all evils is excessive. In 288 cases of cholesteatomatous chronic otitis treated between 1971 and 1978 (out of 433 cases of progressive otitis) 241 were treated surgically by the technique involving destruction of the osseous meatus. Amongst these 241 exenterations, there were 106 (i. e. 40%) in which the indication was absolute since they involved ears which were either cophotic or had already undergone exenteration. Reviewing a recent study of the local appearance in 225 cases of exenteration including 198 for cholesteatoma, they find 84% of ears perfectly dried up and healing in the long term. With regard to the restoration of healing, this problem arose, later, in only 6% of cases.

Cholesteatoma↗
PubMedDate not supplied

[The contribution of standard views of the mastoids in the treatment of cholesteatoma (author's transl)].

The authors consider than standard films of the mastoid (bilateral Schüller, mastoid tips displaced) are essential in all cases of chronic cholesteatomous otitis since they frequently provide the surgeon with useful information concerning appropriate management. Their opinion is illustrated by very convincing cases. Furthermore, they form part of personal hypotheses concerning the course and the interpretation of certain aspects.

Cholesteatoma↗