[Comparison of laryngoscopy and CT-scan results before partial laryngectomy]. / Comparaison des résultats de la laryngoscopie et du scanner avant laryngectomie partielle.

OBJECTIVES: Careful assessment of tumor extension is required before partial laryngectomy in order to ensure optimal carcinological safety. Laryngoscopy and CT-scan constitute the explorations of reference. We investigated the value of these two examinations and their association for the evaluation of glottic and supraglottic tumors. METHOD: We compared laryngoscopy and CT findings with those of the pathologic examination of the surgical specimen in a retrospective study of 57 patients. RESULTS: The results were presented by T-staging, then as a function of the laryngeal floor of the tumor and the anatomic localization. The laryngoscopy findings were most contributive for small tumors. Large spaces are better examined with the scanner. CONCLUSION: This study showed that the performance of laryngoscopy and CT-scan for the assessment of glottic and supraglottic tumors can be improved by a better knowledge of the limitations of each type of explorations for this type of assessment. CT-scan currently provides a better topographic assessment of the tumor than endoscopy; even higher performance can be expected with the advent of technological advances.

[Pharyngeal Wegener's disease: a case report]. / A propos d'un cas de forme pharyngée de maladie de Wegener.

We report a case of Wegener's disease with an exceptional 10-year course before diagnosis subsequent to the development of severe ENT features. Mucosal ulcerations involving the mouth and the pharynx were highly extensive and resolved completely, but temporarily, with cyclophosphamide and corticosteroid therapy.

[Cervical spondylodiscitis: a rare complication of phonatory implants]. / Spondylodiscite cervicale. Une complication rare des implants phonatoires.

Cervical spondylodiscitis is described more often in children than in adults. Many cases occur after cervical or facial surgery, usually as a complication after difficult intubation, endoscopy or foreign body extraction. We report the first case of cervical spondylodiscitis occurring subsequent to secondary tracheoesophageal puncture for implantation of a phonatory prosthesis. Signs were not specific leading to difficult diagnosis and treatment. We discuss the impact of bacterial contamination during tracheoesophageal puncture.

[Interruption of the lateral sinus in surgery of paraganglioma and acoustic neurinoma. Apropos of 2 complications]. / L'interruption du sinus latéral dans la chirurgie du paragangliome et du neurinome de l'acoustique. A propos de deux complications.

The sigmoid sinus, one of the main structures of the venous cerebral circulation, may be interrupted by various pathological or surgical processes. Usually, interrupted circulation is compensated by collateral or contralateral venous circulation. No neurological deficit is observed. We report two neurological complications: cerebellar infarction and intracranial hypertension, secondary to lateral sinus interruption during removal of a paraganglioma and an acoustic neuroma. Attention is drawn on the importance of preoperative evaluation of the venous cerebral circulation to prevent such complications.

[Audiometric results of 81 ossiculoplasties after tympanoplasty with closed technique in chronic cholesteatomatous otitis]. / Résultats audiométriques de 81 ossiculoplasties après tympanoplastie en technique fermée pour otites chroniques cholestéatomateuses.

We report our functional results about 81 ossiculoplastys during tympanoplasty with closed technique in chronic cholesteatomatous otitis. We discuss our functional results and the post-operative assessment of the audiometric gain. Patients presented either cholesteatomatous otitis sequelea or any preliminary status (retraction pockets) with attical impairment.