[The anterior tarsal tunnel syndrome: a case report]. / LE CAS CLINIQUE DU MOIS. Le syndrome tarsien antérieur.

The anterior tarsal tunnel syndrome is a rare entrapment neuropathy of the deep peroneal nerve beneath the inferior extensor retinaculum of the ankle. It is frequently unrecognized and may lead to misdiagnosis and delayed treatment. We report the case of a 77 year old patient complaining of symptoms of an anterior tarsal tunnel syndrome with neuropathic pain located at the dorsal part of the foot, without any sensorimotor loss. The ENMG was in favour of a motor impairment of the deep peroneal nerve. MRI exploration of the ankle showed a millimetric bony overgrowth of the upper pole of the navicular bone, irritative to the deep peroneal nerve. Infiltration at overgrowth of the navicular provided a partial and temporary decrease in pain symptoms. Surgical nerve decompression was then considered.

[Our experience of otoplasty based on the study of the cartilaginous frame, especially the tail of the helix (about 244 cases and 22 anatomical dissections)]. / Notre expérience de l'otoplastie fondée sur l'étude de l'anatomie de la charpente cartilagineuse et particulièrement de la queue de l'hélix (à propos de 244 cas et 22 dissections anatomiques).

Twenty-two anatomical dissections revealed interesting characteristics of the tail of the helix: first, this cartilage shows a ninety degrees' rotation so that its distal extremity finishes sagittally, setting the lobule location. Secondly it revealed the presence of a medial root going upwards under the anthehelical fold. Deformity of this root can impede the natural curling of the cartilage. These observations emphasize that the tail of helix is the key to otoplasty. The first surgical step consists in resecting the hypertrophic part of the helix tail, allowing its retroposition on the concha. A single Ethibond 4-0 suture is required to fix it in good position. This should correct the lobule protrusion and also nicely initiate the anthehelical fold. However, this anthehelical fold and its superior crus are to be completed by cartilage anterior scoring, carried upward and downward from a separate incision located on the anterior skin, at the top of the future superior crus of anthelix. The last step is a correction of the abnormal conchomastoid angle by resection of the redundant soft tissue and muscles. A single non-resorbable suture is also necessary to fix the concha to the mastoid tissue. Results of 244 otoplasties reported here show that it is a safe procedure associated with a high satisfaction score and a very low complication rate.

[Chondroblastoma of the temporal bone. Apropos of a case]. / Chondroblastome de l'os temporal. A propos d'un cas.

A case of temporal bone chrondroblastoma is reported. The presenting symptom was a serious otitis. The finding on physical examination was partial facial palsy. The tumor was removed through a middle fossa approach. Chondroblastoma is a rare tumor that represents 1% of all primary bone tumors. In the temporal bone only 34 cases have been reported. The histologic diagnostic should be difficult. Radical excision is suggested regarding its tendency to recur.

[The treatment of sub-glottic stenosis by continuous dilatation. Long term results (author's transl)]. / Traitement des sténoses sous-glottiques par la méthode des dilatations continues. Résultats à long terme.

From 1973 to 1977, 15 patients with laryngeal stenosis were treated by a method of continuous dilatation in the ENT department of the "Enfants Malades" Hospital. The results were viewed with regard to the importance of the complications, the chance of decanulation, the carrying time of the canula, adaptation to effort, functional respiratory tests, the value of language, intellectual and psychic repercussions, and repercussions on the social life. In this series the method of dilatation seems remarkably reliable.