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N Favarger

Publications and source records attributed to N Favarger.

15 recordsLinked to original sources

Wrist ligament injuries: value of post-arthrography computed tomography.

OBJECTIVE: To evaluate the use of post-arthrography high-resolution computed tomography in wrist ligament injuries. DESIGN AND PATIENTS: Thirty-six consecutive patients who had a history and clinical findings suggestive of ligamentous injuries of the wrist were prospectively studied. The findings of three-compartment arthrography and post-arthrography computed tomography (arthro-CT) were compared with those of arthroscopy. The evaluation concentrates on the detection and precise localization of ligament lesions in the triangular fibrocartilage (TFC), the scapholunate ligament (SLL) and the lunotriquetral ligament (LTL). RESULTS: For TFC, SLL and LTL lesions, standard arthrography responded with a sensitivity and specificity of 85% and 100%, 85% and 100%, 80% and 100% respectively, while arthro-CT showed a sensitivity and specificity of 85% and 100%, 100% and 100%, 80% and 100% respectively. The precise localization of the lesions was possible only with arthro-CT. CONCLUSION: The sensitivity and specificity of standard arthrography and arthro-CT are similar, although the latter shows the site of tears or perforation with greater precision, while conventional arthrography demonstrates them indirectly. This precision is essential and may have clinical implications for the success of treatment procedures.

Adolescent↗

[Cutaneous reconstruction of external genital organs: an older method still in current use].

The authors present four patients with cutaneous defects of the genital organs, one with a degloving injury to the penis, one with Fournier's gangrene, one with massive lymphoedema and one with a full thickness burn. In those four cases, a stable coverage was obtained through skin grafts, maintained by an external splint. The use of this older method gave an excellent esthetic and functional result.

Adult↗

[Supplemented local anesthesia in plastic surgery].

A study of 34 reconstructive or aesthetic operations done with supplemented local anaesthesia (local anaesthesia associated with a premedication of methadone, midazolam and droperidol) is presented. Results of this anaesthesia were good in 88% as judged by the surgeon. The immediate post-operative impression was indifferent to pleasant in 85% of the patients. A few months later on, 72% of this cohort of patients would accept a new operation with the same kind of anaesthesia. Although these results are good, ways of improving the results are discussed.

Adolescent↗

Tissue expansion in children.

Tissue expansion is a useful tool in reconstructive surgery. It permits the correction of large skin lesions by expanded cutaneous or fascio-cutaneous flaps, well vascularised and matching in colour, texture and thickness. We report our results in 12 children. There was a relatively high complication rate.

Burns↗