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Biomedical subjects

J L Lenoir

Publications and source records attributed to J L Lenoir.

8 recordsLinked to original sources

[Postoperative management of partial or reconstructive pharyngo-laryngectomies].

The multidisciplinary management of patients following pharyngolaryngeal surgery is an essential condition for its functional and socio-professional success. Early, overall rehabilitation, geared to each type of exeresis and to the personality of each patient, will enable both the voice and swallowing to regain their autonomy. A series of 195 patients after partial or reconstructive laryngectomy or pharyngectomy is analysed. The maintenance of a functional crico-arytenoid unity, the preservation of the mucosal sensitivity, the establishment of a facilitating posture and the dynamisation of the neoglottic sphincter are all equally important elements requiring the mobilisation of the entire health care team.

Adult↗

The diagnostic limitations of ultrasonography in maxillofacial surgery.

The records of 63 patients having had ultrasound examinations with grey-scale B-mode scanners have been reviewed, to determine what contribution ultrasound made to the diagnosis of superficial maxillofacial masses, when compared with clinical examination and other methods of investigation. Most of the ultrasound parameters described in the literature are found in the cases we have examined. Despite the fact that the ultrasound image is often compatible with the disease, diagnosis using ultrasound was much less accurate than expected. From this series, it is concluded that ultrasound examination is not recommended for the diagnosis of all maxillofacial pathology, especially when the echographist has no special experience in this field of pathology, when ultrasound findings are not correlated with clinical ones, and when the ultrasound report is not precise and exhaustive.

Adolescent↗