Biomedical subjects

M Remacle

Publications and source records attributed to M Remacle.

111 records · Page 7Linked to original sources

PubMedDate not supplied

[Pharyngo-laryngeal consequences of gastroesophageal reflux. Value of esophageal pH measurements in 74 patients].

Ambulatory 24 hour oesophageal pH monitoring was performed in order to detect gastro-oesophageal reflux disease (GERD) in 74 patients presenting with poorly explained ear-nose-throat complaints. A significant number of these patients also benefited from other currently used methods for diagnosing GERD. Oesophageal pH-monitoring demonstrated GERD in half of the patients. For atypical GERD, 24 hour oesophageal pH-monitoring seems to be the most sensitive procedure.

Adolescent↗

PubMedDate not supplied

[Partial surgery for glottal carcinoma. Therapeutic approach and outcome].

Partial laryngectomy for glottic carcinoma. The authors report their first results on 63 patients who underwent a partial laryngectomy for glottic carcinoma from 1980 to 1986. The global three years survival rate is 70%. The selected operations are the cordectomy, the fronto-lateral laryngectomy according to Leroux-Robert, the reconstructive near total laryngectomy according to Tucker, the reconstructive subtotal laryngectomy according to Majer-Piquet and Labayle. On the occasion of this paper, a scale is presented for the appreciation of the obtained functional results as for the three laryngeal functions: the breathing, the swallowing and the phonation. The mean time before the tracheal tube removal indicating the recovery of these three functions ranges from 5 days for the cordectomy which is the simplest operation to 38 days for the reconstructive subtotal laryngectomy according to Labayle which is the heaviest. Only one serious post-operative complication is noted for the 63 patients. It is a death following a coma after laryngeal oedema. A partial laryngectomy is possible after radiotherapy provided the rules according to Biller and Croll were respected.

Adult↗

PubMedDate not supplied

[Myocutaneous flaps of the pectoralis major. Anatomy, technic and clinical applications].

The authors emphasize the versatility of the pectoralis major myo-cutaneous flap in head and neck reconstruction. They describe the vascular anatomy of the flap after dissection and catheterization of the deep pectoral branch of the acromio-thoracic artery in twenty cadavers. They emphasize the consistency and the size of this artery and describe a rich and regular network of perforating myo-cutaneous arteries. These allow a high versatility in the size of the cutaneous area. The use of this flap to cover carcinologic or post-radiotherapic defect is indicated because it brings a richly vascularized muscular tissue. The arc rotation of the flap is very large and permits reconstructions in axillary, thoracic and facial area. A "S" superior incision save the possibility of using a homolateral delto-pectoralis cutaneous flap. The authors present five typical clinical applications of this flap.

Adult↗