[Craniofacial injuries and osteomeningeal ruptures. When should the anterior fossa be approached?]. / Traumatismes cranio-faciaux et brèches ostéo-méningées. Quand faut-il aborder l'étage antérieur?

A retrospective analysis was carried out of 142 cases of craniofacial traumas divided into 5 types according to the Fain classification. The incidence of cerebrospinal fistula of fronto-basal skull is very high in types III and IV traumas (60% of the cases). It is less important in type II2 traumas representing severe naso-orbital lesions (40% of the cases). It is only of 20% in type II1 traumas (Lefort II and III). Uncontrollable rhinorrhea and late meningitis are mainly due to types II and IV traumas. From these findings surgical indications and technique of the approach of the fronto basal skull are discussed.

[The amount of maxillofacial risk in playing rugby]. / Part du risque maxillo-facial dans la pratique du rugby.

123 cases of maxillo-facial injuries due to rugby and treated in the Department of Maxillo-Facial Surgery at the University Teachers Hospital (C.H.U.) of Bordeaux between 1981 and 1984 are analyzed. The high rate of injuries decreases considerably if accidents caused by intentional brutality are excluded. This then approaches the rate for other team sports. Rugby is not basically a violent sport but can be made so by the unfairness of certain players. It would be most advisable to educate players along these lines.

[Angiomatous lesions of the cervicofacial region. Apropos of 7 cases]. / Lésions angiomateuses de la région cervico-faciale. A propos de 7 cas.

Seven cases of angioma of the upper respiratory-digestive tracts are reported. The value of preoperative embolization is emphasized, treatment of choice being radical block resection of these vascular lesions. Unfortunately, this is not always possible.

[Squamous-cell carcinoma of the uvula and the soft palate. Analysis of a series of 71 cases seen at the Fondation Bergonié from 1971 to 1978 (author's transl)]. / Les cancers du voile du palais et de la luette. Analyse d'une série de 71 malades vus à la Fondation Bergonié de 1971 à 1978.

From January 1971 through december 1978, 71 patients with a squamous-cell carcinoma of the uvula and the soft palate have been seen at the Fondation Bergonié : 56 have been treated and followed. The primary tumor is often controlled by external radiation-therapy and/or interstitial therapy among the 12 failure observed, 5 were salvaged by a surgical procedure. The systematic irradiation of cervical lymph nodes areas allowed 94% of control, above the clavicles. However these good results in the loco-regional control are altered by a high rate of second primary and intercurrent death.