[Cerebral thrombophlebitis: parotidectomy complication in a child]. / Thrombophlébite cérébrale: complication d'une parotidectomie chez un enfant.

INTRODUCTION: Onset of cerebral thrombophlebitis following parotidectomy in a child is reported. OBSERVATION: A seven-year-old boy presenting apparently benign tumefaction in the right parotid gland area had undergone a conservative right total parotidectomy. The histological examination of the operative specimen suggested a diffuse neurofibroma as part of a clinical picture of Recklinghausen's neurofibromatosis. The immediate postoperative follow-up was marked by a pyramidal syndrome in the left hemibody, with the CT scan showing thrombophlebitis. After treatment combining an anticoagulant, a vasodilator and an antibiotic, the patient progressed toward partial recovery of left hemibody motor activity. COMMENTS: This cerebral vascular accident is related to the angiodysplasia encountered in Recklinghausen's disease. Anticoagulants initialized rapidly are the only demonstrated therapy to improve the prognosis in this type of complication.

Bulles buccales hemorragiques revelatrice d'une leucemie lymphoide chronique chez un adulte. A propos d'un cas

Les auteurs rapportent un cas de LLC chez un adulte de 60 ans révélé par des bulles buccales à contenu hémorragique. Ils situent la place et l'importance de l'interrogatoire dans le diagnostic de cette affection. Devant la présence de ces bulles il est licite de demander un hémogramme et un myélogramme qui feront le diagnostic de certitude de l'affection. la prise en charge doit être pluridisciplinaire et repose avant tout sur une bonne préparation du terrain en milieu africain afin d'éviter des complications à type d'anguillulose maligne liée à la chimiothérapie

[Facial localizations of Buruli ulcers: two cases]. / Les localisations faciales de l'ulcère de Buruli: à propos de deux cas.

We report the first two published cases of a facial localization of Mycobacterium ulcerans ulcer (Buruli ulcer). M. ulcerans is the third most common mycobacteriosis, after leprosy and tuberculosis. Clinical manifestations involve large necrotic ulcerations with protruding edges, mainly localized on the limbs. Both of our patients, 9 and 45-year-old females, resided in endemic areas of Buruli ulcer in the Ivory Coast. The ulcers were located on the left zygomatic malar region in one patient and the submental region in the other. Treatment involved resection of the ulcer followed by total skin graft. Ulcer healing was observed after two months hospitalization in one patient. The other patient died.

[Retrospective analysis of 30 cases of mandibular ameloblastoma operated in the Ivory coast from 1992 to 2000]. / Etude rétrospective de 30 cas d'améloblastome mandibulaire opérés en Côte d'Ivoire de 1992 à 2000.

OBJECTIVE: We analyzed a retrospective series of 30 cases of ameloblastoma operated in the Ivory coast from 1992 to 2000. PATIENTS AND METHODS: The following techniques were used--temporary reconstructions via the endobuccal approach using a Peri prothesis in 27 cases and a resin coated Peri prosthesis in one;-- definitive reconstructions using iliac bone grafts in 3 cases and rib grafts in 14. These reconstructions were performed in a second operation via a cutaneous approach to replace the Peri prosthesis. Thirteen patients were lost to follow-up for this second phase. Mean follow-up ranged from 6 months to 13 months (mean 9.9 months). RESULTS: Satisfactory outcome was acchevied when mouth opening was greater than 10 mm and patients with an acceptable cosmetic result no longer complained of mastication or phonation problems. There were four postoperative infections after bone graft reconstruction (two of them were immediate reconstruction). The resin coated Peri prosthesis led to a skin ulceration. DISCUSSION: This study demonstrated the interest of mandibular reconstruction in undermedicalized countries where indications are dominated by reconstruction after resection for ameloblastoma. The large number of patients lost to follow-up before the second stage bone grafts points out the need for immediate reconstruction using autologous bone. Further study in a larger series would be needed to determine the cause of failure after immediate reconstruction.

[Burkitt's disease in the Ivory Coast in 1988]. / La maladie de Burkitt en Côte-d'Ivoire en 1988.

Burkitt's lymphoma, or endemic hematosarcoma, is the major cancer in childhood and the 6th most common cancer in the Ivory Coast. The authors review classical ideas regarding the disease and stress some recent findings.

[Pleomorphic adenoma of the salivary glands. Analysis of 41 cases and the causes of recurrence in the Ivory Coast]. / Adénomes plémorphes des glandes salivaires. Analyse de 41 cas et des causes de récidive en Côte-d'Ivoire.

Based on a study of 41 cases, the authors report the high incidence of myxo-chondroid varieties on histological examination and their relationship to recurrences attributed to potential changes in myo- epithelial cells.

[Cylindroma of the salivary glands. Various aspects apropos of 10 cases from the Ivory Coast]. / Cylindromes des glandes salivaires. Quelques aspects à propos de 10 cas observés en Côte-d'Ivoire.

It was found that accessory salivary glands involvement, in particular intra-maxillary, was most frequent in a study involving 10 cases. Only basaloid varieties have a very poor prognosis and surgery remains the only treatment available.

[The temporal muscle flap. Its use in transmaxillary oro-pharyngectomy]. / Le lambeau du muscle temporal. Son utilisation dans les buccopharyngectomies transmaxillaires.

Results are reported of the use of four temporal muscle flaps for reconstruction of the floor of mouth and the velo-amygdalo-palatine region after transmaxillary buccopharyngectomy for malignant tumor. The good vascularization of the temporal flap ensured very satisfactory immediate and long term results.