Biomedical subjects

M Makeieff

Publications and source records attributed to M Makeieff.

23 records · Page 2Linked to original sources

PubMed1996

[Aberrant intra-petrous internal carotid artery: apropos of a case].

This article illustrates a case of an aberrant pathway of the petrous portion of an internal carotid artery presenting as a cholesteatoma. This is a case of a 53 y.o man presenting with unilateral otalgia and vertigo. Otoscopic examination revealed a whitish retro-tympanic mass accompanied by a conduction hearing loss mimicking a cholesteatoma. An exploratory tympanotomy was performed. The surgical procedure was interrupted after needle aspiration of the mass suggesting an aberrant course of the petrous portion of the internal carotid artery. Authors report a review of the literature with an emphasis on the differential diagnosis, clinical and paraclinical diagnostic work-up. A thorough knowledge of this anomaly is required to avoid an iatrogenic risk during any otological surgery.

Carotid Artery, Internal↗

PubMed1995

[Ectopic lingual thyroid. Apropos of 3 cases].

Lingual thyroid is a rare cause of upper airway obstruction, dysphagia or hypothyroidism symptoms. This report describes three cases of lingual thyroid arising in women. One was in pregnancy and developed a lingual goiter and hemorrhages with hypothyroidy. The second case have been diagnosed because of a dysphagia and the third was asymptomatic and have been diagnosed during physical examination for cervical nodes. Diagnosis and possible therapeutic options are discussed regarding these three cases. Surgical therapy is appropriate for patients with clinical signs of upper airway obstruction or when malignant degeneration is suspected. Without of clinical sign, substitutive therapy with thyroid hormone allows the stabilization or the regression of the ectopic thyroid.

Adult↗

PubMed1994

[Cervical paraganglioma. Results apropos of a series of 33 patients].

During the period 1971-1993, 33 patients were treated for cervical chemodectomas, 41 tumors were diagnosed. Seven patients had multicentric tumors. All patients expect one with bilateral carotid tumor were treated surgically. A carotid resection was performed in 4 patients. Six patients were given radiation therapy: five patient after surgery and one treated by irradiation alone. During the follow-up period one patient died of bone metastasis 6 years after a partial surgery and radiation therapy, and one had local recurrence treated with irradiation. The surgical management is the major treatment of these tumors, it revealed no postoperative cerebrovascular accident and limited complications secondary to unavoidable nerves sacrifice. Radiation therapy is performed only on particular cases: surgery contra-indications and nonradical resection.

Adult↗

PubMed1993

[Calibration of laryngotracheal stenoses using a Montgomery tube: indications and results].

Montgomery T-tube is a stent which have been used to calibrate 54 patients having a laryngotracheal stenosis. Indications, insertion techniques, and care of tracheal T-tube are exposed. More than fifty percent of the patients (29 cases) were treated only with the T-tube, the mean duration of treatment was 13 months, and the mean number of tube changing was 2.3. Few complications were observed (recurrent lung infections in 11.1% of cases, swallowing troubles with aspiration in 3.7% of cases). No fatal complication was observed. In our experience, Montgomery T-tube is a valuable tool to treat laryngotracheal stenosis.

Adolescent↗

PubMedDate not supplied

[Cervical paragangliomas. Results apropos of a series of 33 patients].

During the period 1971-1993, 33 patients were treated for cervical chemodectomas, 41 tumors were diagnosed. Seven patients had multicentric tumors. All patients expect one with bilateral carotid tumor were treated surgically. A carotid resection was performed in 4 patients. Six patients were given radiation therapy: five patient after surgery and one treated by irradiation alone. During the follow-up period one patient died of bone metastasis 6 year after a partial surgery and radiation therapy, and one had local recurrence treated with irradiation. The surgical management is the major treatment of these tumors, it revealed no postoperative cerebrovascular accident and limited complications secondary to unavoidable nerves sacrifice. Radiation therapy is performed only on particular cases: surgery contra-indications and nonradical resection.

Adult↗