Biomedical subjects

S Converset

Publications and source records attributed to S Converset.

5 recordsLinked to original sources

PubMed2006

[Fibula free flap for reconstruction of extensive mandibular osteoradionecrosis].

OBJECTIVE: Treatment of mandibular osteoradionecrosis is always a therapeutic challenge. The aim of this article is to evaluate the interest of fibula free flap for mandible reconstruction after radical excision of osteoradionecrotic lesions. MATERIAL AND METHODS: Six consecutives cases of extensive osteoradionecrosis of the mandible were treated with fibula free flap reconstruction. We report a meticulous analysis of the cosmetic and functional results. RESULTS: All vascularized fibula osteocutaneous flaps transplanted were successful. Median hospital stay was 32 days. At 6 months, functional results (swallowing, mouth opening and speech) were good. All patients had sufficient oral intake and a comprehensible speech with just two patients requiring a soft diet and 1 patient retaining a moderate trismus. DISCUSSION: Extensive mandibular osteoradionecrosis requires a radical surgical treatment. Fibula free flap is the best solution for mandible reconstruction in this situation. This technique allows good functional results. CONCLUSION: Fibula free flap is the method of choice for mandible reconstruction after radical treatment of osteoradionecrosis.

Aged↗

PubMed2004

[Evaluation of rhinologic manifestations of gastro-oesophageal reflux].

OBJECTIVE: As well as other usually irritative factors, the acidity of gastro-oesophageal reflux (GOR) has many medical consequences that are not well known at the present time. The aim of this study is to describe the rhinologic signs caused by this common disease. MATERIALS AND METHODS: Prospective study; two groups (GOR proved by pH-metry and control) of 20 patients (10 men and 10 women) were formed. Individual patient status was evaluated by questionnaire, visual analogue scale (AVS), clinical examination and rhinomanometry. RESULTS: Nasal resistance, nasal obstruction and posterior rhinorrhea evaluated by AVS are significantly higher in the GOR group as compared to the control group (Mann-Whitney test; total nasal resistance: p < 0.01, uninasal resistances: p < 0.001, nasal obstruction: p < 0.00001, posterior rhinorrhea: p < 0.00001). DISCUSSION: The control group was completely free from rhinologic signs, so we used it to confirm the normal values of nasal resistance. Nasal obstruction and posterior rhinorrhea are two new signs which should be researched in patients affected by GOR. CONCLUSION: GOR is an important irritative factor for nasal mucosa responsible for nasal obstruction and posterior rhinorrhea. (full article translated in english available on www.ent-review.com).

Adult↗

PubMed2003

Gallbladder torsion. A case report.

Gallbladder torsion is a rare condition causing acalculus cholecystitis. Its preoperative identification is difficult with current radiological means and it is generally diagnosed at surgery. A case of gallbladder torsion due to an extremely rare anomaly consisting of partial fixation of the fundus to a fore-shortened liver bed is reported. The etiology, diagnosis and treatment of this condition are discussed.

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PubMed2003

[Nonrecurrent inferior laryngeal nerve: review of 13 cases].

OBJECTIVE: This study reviews a rare and poorly understood anatomic anomaly of the thyroid region: non-recurrence of the inferior laryngeal nerve. METHOD: We describe thirteen cases of non-recurrence of the laryngeal nerve observed during 2128 surgical procedures on the thyroid gland. RESULTS: The malformation was right-sided in all thirteen patients (11 women, 2 men) and occurred at a frequency of 0.4% of all of the nerves explored. Only two complications were noted in this series of 13 cases: one case of temporary paresis and one case of irreversible vocal cord paralysis. CONCLUSION: A rare although not exceptional occurrence, non-recurrence of the inferior laryngeal nerve is an anomaly that Head and Neck surgeons should be familiar with so as to avoid nerve damage that can result in irreversible vocal cord paralysis.

Female↗

PubMedDate not supplied

Traumatic neuroma of the cystic duct with biliary obstruction. Report of a case.

A case of amputation neuroma of the biliary tract occurring 12 years after a cholecystectomy is reported. The patient, a 81 year-old man, presented with obstructive jaundice due to a stricture of the extrahepatic biliary tract. The stricture was resected and biliary reconstruction was achieved with a Roux-en-Y jejunal loop. The diagnosis of neuroma was obtained only at histology that showed hyperplastic nerve bundles, positive for protein S 100. The patient is well one year and six months after surgery without signs of recurrence of the stricture. Although the amputation neuroma of the biliary tract has already been reported, it seems worthwhile to emphasise this further report. This lesion is an unusual cause of benign stricture of the biliary tract that may pose difficult diagnostic problems.

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