[Laryngeal malignant neoplasms in children. Three cases report]

Malignant laryngeal neoplasms is uncommon in the pediatric population and present diagnostic and therapeutic challenges. During a 20 year period at our center, we identified three childrens with malignant neoplasms. These childrens, 12, 15, 13 years of age, were treated for squamous cell carcinoma [2 cases] and rhabdomyosarcoma. Through these cases and an exhaustive literature review, the authors discuss epidemiology, histology, diagnostic approaches and treatment decisions

adenomes pleiomorphes a' expression parapharyngee

The parapharyngeal tumours are uncommon in the field of the cervicofacial diseases. Herein are reported 4 cases which are anatomopathologically are pleiomorphic adenomas and which are distinguished by their course over several years, and consequently lead to a large tumoral size. The extension check-up was the same for all our patients. The latters underwent surgical excision using a relatively simplified duct that allowed an excellent local control. This sub-maxillary duct may be combined with another duct, like parotidectomy one. That was carried out in 2 cases. The patients had a positive evolution and no recurrence sign was noted at secondary controls

Adenocarcinome bronchique revele par une metastase parotidienne

Distant primary neoplasms with metastasis to the parotid gland are unusual and lead by the carcinomas of the kidney and lung. About one case of parotidian metastasis of Bronchial adenocarcinoma, the authors underline the rarity of this metastatic site and the difficulty to affirm, histologically, the metastasis when the primary neoplasm is not clinically evident

La fibromatose desmoide a localistion cervicale [a propos d'une observation]

Desmoid fibromatosis, also called extensive fobromatosis, is a rare and benign tumor, wich is nonetheless serious due to its recurrent character and to its potential for infiltration of neighboring tissues. It is usually observed in young patients, and its treatment is only surgical when the tumor is at its earlier stage. The authors report here a case of cervical desmoid fibroma, with all these charasteristics, and wich course was marked by a large extension making operation impossible

Mucocutaneous flaps of pectoralis major in cervicofacial surgery

Through a series of 11 cases, the authors report their experience concerning the use of the pectoralis major musculo-cutaneous flap in head and neck surgery reconstruction, After a brief recall of the surgical anatomy of the pectoralis major muscle, the technique of the prelevement is detailed.Because of the great deal of advantages of this flap, and because of its few disadvantages, the authors agree that this flap is superior and much better than all the other flaps

Difficultes diagnostiques posees par le lymphome malin non hodgkinien a'localisation sinusiennes: [a propos d'un cas]

Non hodgkins lymphoma involving nasal fossa and sinus are relatively rare compared to neck and facial localisatjon.We report one case of N.H.L. of nasal fossa and sinus that the typical clinical features delayad the diagnossis and the appropriate therapy

L'envahissement mandibulaire dans les tumeurs malignes de voisinage

Mandible malignant invasion can be found on various stages of initial tumor evolution, in terms of their localistion Enhassement of bone invasion must be executed in front evry tumor neighbouring the mandible, by a careful clinical examination and a correct radiographic study. The treatment is especially surgical, preceded by chemotherapy and followed by radiotherapy on an "as required" basis. 27 patients among 130, showed evidence mandiblar involvement [20,7%] 14 evaluated by clinical examination; 20 by radiographic evaluation and 3 are suspected by preoperative assesmant. The patients had benefited from a surgical cure mandibular resection with defect had been executed with or none reconstruction

Lesotites necrosants des diabetiques [ou otites externes malignes] a propos de 8 cas

The necrosis otitis of diabetics, which is called malignant external otitis in anglo-saxon literature represents a particular entity. It is a severe infectious complication exclusively due to Pseudomonas aeriginosa which can be associated to other pathogenic germs as the staphylococcus and the enterobacteries gram negatives. This otitis started by the reach of peritemporal soft tissues then it extends following some directions towards the base of the skull; this is the origin of the multiple cranial nerve paralysies, a gathering of pus and sigmoid sinus thrombosis. In spite of the treatment by the heaviest antibiotics and the radical surgery in some cases, the evolution still unfavorable veru often. In deed, almost the half the patients reached of this affection dead in 6 to9 months which follow the diagnosis. The other patients still alive with very embarrassing functional sequelaes. About 8 cases of malignant external otitis, hospitalized and supervised in the service of O.R.L. in the hospital of specialities in rabat during 3 years and a half, we report our experience completed by a big number of oata of modern literature

Place des explorations radio-endoscopiques dans le diagnostic et la surveillance des cancers pharyngo-larynges

The aim of our work is to clarify the place of radiological endoscopic exminations and their indications in pharyngo-laryngeal tumoral pathology. This pathology is very frequent in tumours of the upper-aero-digestive tract, and remains little explored despite new radiological techniques. We insist here on the reliability of examinations which are not very invasive and not expensive but practiced according to a rigorous technique correctly coordinated with pan-endoscopie explorations. The interest of this to give the person in charge of the patient a maximum orientation for the best therapeutic indication, often surgical, but sometimes exclusively radiotherapy