A historical vignette. "Be proud of yourself: you have a history!". The transethmoidal approach or the way of Anubis.
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Biomedical subjects
Publications and source records attributed to J Tainmont.
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"He had the form of a human being... His ears were as long as clusters of dates or elephant ears, and they covered his shoulders" ("The thousand and one nights", Sinbad the sailor, 546th night, circa IXth century AD). "About his ears, I shall tell you all the truth: They have the capacity of about 300 liters. When he is surprised by wind or tempest, He can immediately cover his head. He does not frighten the water at all, Even if it rained enormously during one full month. The other ear, he uses as a shield. It is hanging in front of his face up to his baldric. Thanks to his ears, he does not fear any feathered arrow, steel lame, or chiselled spear" (The ears of Isabras in "La Bataille Loquifer", or "Geste de Rainouard", from the "Geste de Guillaume d'Orange", XIIIth cent. "In that neighbouring isle, I heard someone saying that there were men whose ears were so big that they were able to cover their arms with them. That people are the Caphri".
Nowadays, the animosity between medical scholars is seldom apparent. However, during the XIXth century it was not necessarily so. We find an example of this in Sappey's hostility against his colleague anatomist Gilbert Breschet. It concerned the discovery of the otoliths of the inner ear that Breschet attributed to himself. We present here Breschet's defence.
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Several aspects of Shrapnell's career are still little known or erroneously typed. 1. Some historians of Medicine profess that Dr. Shrapnell was the inventor of a shell which bears his name. 2. Others neglect the negative points of Shrapnell's paper published in 1832 on the pars flaccida. To be able to comment on these different aspects of Shrapnell's life and work we compared the biographies of the anatomist and of the artillery officer. We noticed the positive and also the negative points of his paper. We conclude that: 1. Dr. Shrapnell was not an artillery officer, but the two men were present in the British Army; their surnames, their names and the period when they lived were about the same. 2. Errors in Shrapnell's paper were due to the philosophy and lack of anatomical and pathological knowledge of the time. 3. Otologists' reception was better than that of the Anatomists because for the Otologists, Shrapnell's membrane was recognized as an important original area of cholesteatoma, whereas for the Anatomists it was just a detail.
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OBJECTIVE: This study aimed to describe the clinical, histopathologic, and immunohistochemical findings of the second case of an endodermal sinus tumor of the ear. STUDY DESIGN: This clinical study is a retrospective case report combined with a literature review. SETTING: The patient was treated at the University Erasmus Hospital. INTERVENTION: Diagnosis was confirmed by computed tomographic scan and histologic analysis. The treatment was surgical. RESULTS: The patient underwent surgical treatment, and a locoregional relapse developed. The clinical evolution was in accordance with previous reports of extragonadal endodermal sinus tumor sites. The family refused chemotherapy, and the patient died 3 months after admission. CONCLUSIONS: An endodermal sinus tumor is a malignant germ cell tumor that usually involves the gonadal tissue. Extragonadal sites are rare, and different hypotheses have been evoked to explain these locations. Treatment options include surgical removal and chemotherapy. This is the second case of an endodermal sinus tumor of the ear.
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The "tympanic wink" illustrates a beating brillance born on the antero-inferior quadrant of the promontory and appearing on the tympanic membrane as a false beating light triangle. This sign may be an aid in discovering a minor vascular abnormality of the middle ear: hypertrophy of carotico-tympanic or inferior tympanic arteries, dehiscence of the ascending part of the internal carotid canal or the possibility of a persistent stapedial artery.
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We recommend the association of scintigraphy and sialography in salivary glands pathology. The obtained results of both methods are very often complementary or convergent. In case of sialadenitis or dry mouth, it happens that results diverge, but these differences can be explained if one remembers the anatomo-physiological alterations. To prevent a false positive result of atrophy. The scintigraphy must always be realized before sialography. N.B. "Scintigraphy" means isotopic sialography. "Sialography" means conventional sialography.
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