[Ambulatory surgery in otorhinolaryngology: what is possible, suitable, prohibited?]. / La chirurgie ambulatoire en oto-rhino-laryngologie: qu'est-ce qui est possible, souhaitable, interdit?

A rational examination of technical conditions in E.N.T. face and neck surgery is realized with the intention of determining the best directions of ambulatory surgery. This application is based on technical requirements due to modernization of equipment and surgical ways, specially in ear and nose surgery. In surgery of upper air and alimentary ways, patient's security is at risk. These considerations allow to discuss states in which ambulatory surgery is possible, others where it is wished and particular states where it is not recommended.

[Indications and results apropos of 290 endonasal ethmoidectomies]. / Indications et résultats à propos de 290 ethmoïdectomies endonasales.

An intranasal ethmoidectomy prospective study was carried out from 1985 to 1991 on 152 patients and 290 ethmoidectomies. This surgery is intended for patients who have been treated often for nasal polyps, chronic ethmoiditis and recurrent sinus barotrauma. A discrepancy was observed between patients satisfaction (82%) and clinical symptoms, given that results remain good in 75% of the cases three years afterwards but only in 60 cases after five years. There is a recurrence of nasal polyps in 36% of the cases.

[Focal infection? Did you say focal infection ... focal infection and uveitis]. / Infection focale? Vous avez dit infection focale ... Infection focale et uvéites.

A chronic seat of infection more often than not situated in the E.N.T. area is responsible for remote pathological symptoms commonly called focal infection. The eye may be a target organ, where focal infection appears in the form of a uveitis. Four clinical observations are reported as demonstration. The transmission mechanism operates through an immune phenomenon from bacterial antigens which engender reactions of hypersensitivity. The E.N.T. specialist must be aware of these symptoms and seek a pharyngeal, sinusal or latent buccodental infection.

[Current aspects of sinus barotrauma. The impact on treatment, prevention and fitness]. / Aspects actuels du barotraumatisme sinusien. Incidence sur le traitement, la prévention et l'aptitude.

Among the barotraumatism which affects divers and airplane pilots, sinus barotraumatism is one of the less known and studied, as the scarceness of series published can testify. The interest of this study stands in doing an up to date synthesis (recap) of the bibliography, and to understand the "physio-pathologic" mechanism after the exploitation of series of 22 observations. That work will allow a better knowledge of therapeutic on the one hand, and of the "prophylactic" on the other hand.