PubMed Health⌕ Search

Biomedical subjects

J J Boutet

Publications and source records attributed to J J Boutet.

10 recordsLinked to original sources
PubMed1984

[Flaps in the reconstructive surgery of dermatologic epitheliomas of the nose (excluding rhinopoiesis). Apropos of 144 surgically treated cases].

Dermatologic epithelioma of the nose is usually a basocellular and more rarely a spinocellular epithelioma. Small tumors less than 5 mm in diameter can be treated by electrocoagulation, whereas those over 1 cm should be treated by surgery or physical methods. Of a total of 144 cases of epithelioma operated upon, 10% were reconstructed by a flap. Increasing use is being made of local anesthesia with subsequent reduced hospital stay. The quality of the carcinologic results, similar to that of physical methods, and the excellent healing obtained, particularly in elderly patients, are arguments in favor of extensive surgery for epitheliomas in this region. The quality of the resection is difficult to evaluate, unless results of a fresh specimen examination are available. When not possible then it is preferable to await results of histology to show limits of excision before performing an autoplasty with flaps.

Basal Cell Carcinoma↗
PubMed1983

[Use of stereotaxic neurosurgery in the treatment of pain in cervicofacial cancers].

Mesencephalic tractotomy employing the stereotaxic method was conducted 12 times in 11 patients with pain due to cervicofacial cancer only partially relieved by high doses of opiates. Immediate results were spectacular in 10 cases and partial on the other 2 occasions. However, relief was not permanent even in patients in whom the greatest improvement was obtained, and the usual analgesics had to be prescribed after 3 months. The operation, which requires only a short period of anesthesia, was always well supported, complications being anesthesia of one side of the body in 2 patients and convergence paralysis in two cases, one of which was transient. Mesencephalic tractotomy constitutes a new weapon for the treatment of diffuse cervicofacial cancer pain not responding to major medical treatment. Elective thermocoagulation of the Vth and IXth nerves was also successfully employed for systematized pains.

Adult↗
PubMed1983

[Post-traumatic cerebrospinal fluid rhinorrhea and otorrhea disclosing Mondini's syndrome].

A mild head injury could have played a role in the development of post-myringotomy cerebrospinal fluid rhinorrhea and otorrhea in an 18-month-old child with Mondini's syndrome. This notion of trauma may prevent exploration of the site of the fistula when these labyrinthic dysplasias are poorly understood. Once suspected, full radiological examination should precede closure of the gap using an otological approach.

Cerebrospinal Fluid Otorrhea↗
PubMed1982

[Piston-malleus. III (author's transl)].

Among the many procedures proposed for re-establishing bone continuity in cases with a mobile foot of the stapes, an effective solution has been found to be the employ of a malleus-foot of the stapes prosthesis. Austins prosthesis is surtable in such cases, but must be modified to adapt to different situations and to avoid complications. Surtably adapted in this way, good results can be obtained in the sequelae of chronic otitis and injuries.

Cochlear Implants↗
PubMed1982

[The posterior manubrial ligament].

The posterior manubrial ligament is part of the suspensory ligamentous system of the ossicles, and extends backwards from the posterosuperior spine of the tympanic notch to the postero-internal portion of the manubrium just below the neck of the malleus. It lies in relation to structures in the posterosuperior region of the tympanic barrier to downwards extension of epitympanic recess lesions during chronic otitis.

Ear, Middle↗