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

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