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R Charachon

Publications and source records attributed to R Charachon.

At least 19 recordsLinked to original sources
PubMed1992

[Congenital cholesteatoma of the middle ear in children].

In a series of 16 middle ear cholesteatomas of a congenital type are reported in children; the youngest (18 months) presented with a bilateral case. Whereas a simple tympanoplasty could cure a localized pearl, typically anterosuperior in the mesotympanum, the stapes is fast eroded (7 cases) if progression goes on. Intact canal wall technique in 2 stages was the typical procedure. Good hearing results were generally achieved (except in one case of fixed footplate): 9 cases/14 with an ABG within 20 dB and an AC level within 30 dB.

Child↗
PubMed1978

[Deafness due to renal failure. Clinicopathological study (author's transl)].

In this series of 54 cases of chronic renal failure, the largest number of curves showed a curve of a presbyacousia type (3/4 of the total). This hypoacousia may be related to the length of time for which the renal pathology has existed and, parat from group 0 (patients treated without haemodialysis nor grafting), may be correlated with the curve of the speed of nervous conduction. This latter correlation is particularly close in patients with a strictly isolated renal disease. The aetiology of this deafness would appear to be related to the premature aging provoked by chronic renal failure. The method of surface preparation applied to 5 petrous temporal bones from 3 patients was felt to be of particular value in the study of this pathology. Whilst one case of unilateral sudden deafness of vascular aetiology is reported, no vascular changes were seen in the other petrous temporal bones. Case 7-11 was particularly demonstrative since bilateral deafness with a rapidly progressive descending occurred in the presence of changes in the pre-ganglionic cochlear fibres charaterised by demyelinisation. This was associated with a cell loss of approximately 25% in the spiral ganglion and less marked demyelinisation of the fibres of the vestibular nerve.

Adult↗
PubMed1978

[Facial nerve tumors: three cases (author's transl)].

The first one is a neurofibroma associated with a Charcot-Marie Tooth's disease involving all the tympanic segment of the facial nerve: extirpation and graft. Improvement of facial motricity to 42%. The second one is a small Schwannoma lateral to tympanic segment: extirpation without paralysis. The third is a large Schawannoma of the tympanic mastoïd segments involving the facial nerve to its division in the parotid gland, and with a limited extension in the cerebello-pontine angle. Extirpation and graft. Discussion and recent bibliography.

Adult↗
PubMed1977

The place of cryosurgery in the treatment of subglottic angiomas of the infant.

The treatment of subglottic angiomas of the infant is not clear since radiotherapy was rejected. Tracheotomy is very often indicated. Spontaneous recovery of angioma may be hoped for, but it is slow. Cryotherapy with liquid nitrogen using a 2.5 mm cryoprobe has cured, in a few stages, 3 cases. It has to be employed carefully.

Cryosurgery↗
PubMed1976

[The role of anastomosis resection in the treatment of stenosis of cervical trachea after resuscitation].

The authors describe a group of 9 resection anastomoses with end-to-end sutures of the cervical portion of the trachea after resuscitation. The operative results are analyzed first: in 8 cases the trachea recovered almost normal function in a very short time; one failure occurred : this was with a patient with considerable neuro-psychic sequelae following serious cranial traumatism. These results are then compared with 7 laryngo-tracheal plasties carried out according to the principles of Rethi's operation; it emerges from this study that circumferential resection followed by end-to-end anastomosis is still the ideal form of treatment for tracheal stenoses in view of the quality and consistency of the results. Operative technique is then described and, in giving their operative indication, the authors stress the need for medical and endoscopic treatment during the asphyxial crisis; this treatment is then suggested for removing the tube in open tracheal stenoses and in order to allow resection anastomosis with the trachea closed several weeks later.

Adult↗