[Endonasal ethmoidectomy in the treatment of polyposis]. / L'ethmoïdectomie endo-nasale dans le traitement des polyposes.

The authors report their experience with 210 microsurgical ethmoidectomies carried out in 109 patients between 1980 and 1987. In 23 patients the anatomy was considerably modified due to previous surgery. Asthma was present in 56 patients and 25 patients suffered from Widal's syndrome. The complications noted included 1 case of meningitis cured by antibiotics and a case of transient diplopia. Patients were monitored for 1 to 6 years; In 69 cases no recurrence was noted (63% of cases), 31 patients (28%) only required minor local procedures for slight recurrence (28%). On the other hand, 6 patients (5.5%) required a second surgical procedure for recurrence between 3 and 6 years.

[Severe laryngeal stenoses in adults. Results of the Réthi-Ward enlarging technic]. / Les sténoses laryngées sévères de l'adulte. Résultat de la technique d'élargissement de Réthi-Ward.

Treatment of severe cricoid stenosis with fixed vocal cords is difficult, the often used Réthi operation producing 20 to 30% of unsuccessful results. Use of a hyoid bone pedicle flap allows anterior enlargement with cricoid ring reconstruction, in addition to the classical posterior enlargement, and was successful in 8 of 9 cases treated by this method.

[Functional subtotal laryngectomies with cricohyoidopexy. Technics, indications, results]. / Les laryngectomies sub-totales fonctionnelles avec crico-hyoïdo-pexie. Technique, indication, résultats.

Operative technique for functional subtotal laryngectomy with cricohyoidopexy is described and results analyzed in 120 patients after follow up for more than 5 years. Actuarial survival was 61% for the vestibules and 79% for the cords. Indications for Majer-Piquet, Labayle cricohyoidopexies and cricohyoido-epiglottopexies are discussed.

[Results of primary surgery in the treatment of oropharyngeal cancer]. / Les résultats de la chirurgie première dans le traitement des cancers de l'oropharynx.

A homogeneous series of 106 cases of malignant tumor of tonsillar region was treated by first intention surgery. Treatment proposed for these patients with ulcerated or infiltration tumors often extending to pillars or to tongue was transmandibular buccopharyngectomy with curettage of glands and postoperative radiotherapy. Unadjusted survival rate at 3 years was 62% (T2 and T3) and at 5 years 35%. Clinical glandular enlargement, detected in 50% of cases, resulted in poorer prognosis, which decreased from 48% at 5 years to 25% in patients with histologic metastasis in lymph nodes.