[Laser coagulation in the endoscopic management of fourth branchial pouch sinus]. / Traitement endoscopique au laser des fistules de la 4e poche endobranchiale.

OBJECTIVES: To describe a new method of treatment of the fourth branchial pouch sinuses by laser endoscopic coagulation of the fistula. MATERIAL AND METHODS: Retrospective study of two children aged 3 and 12 years with fourth branchial pouch sinuses. Both children presented recurrent cervical abscesses. The diagnosis was established on results of ultrasound, barium study, CT scan and pharyngoscopy. After recovering from infection, the definitive treatment was a laser diode cauterization of the fistulous route and its pharyngeal opening. RESULTS: Outcome was rapidly favorable in both children without complications or recurrence. DISCUSSION: These two cases and other reports in the literature confirm the role of endoscopic management for the treatment of the fourth branchial pouch sinus. Laser treatment is especially useful because of its convenience, its harmlessness and its reliability. CONCLUSION: Fourth branchial pouch sinuses are rare. Surgery, which can be difficult and not without risks, is the generally accepted treatment. This new laser method combines ease of treatment and efficacy.

Myxome du maxillaire : a propos d'un cas

Les myxomes des maxillaires sont des tumeurs benignes rares dont la pathogenie reste encore controversee. Leur indolence et la pauvrete des manifestations qui les accompagnent rendent leur diagnostic souvent tardif et leur prise en charge difficile. Nous presentons un cas de myxome du maxillaire chez un nourrisson age de 12 mois suivi d'une revue de la litterature permettant de synthetiser les donnees cliniques ainsi que la strategie therapeutique a adopter