[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

[Ear, nose and throat manifestations in human immunodeficiency virus infection]

Human immunodeficiency virus [HIV] infection, which is responsible for AIDS, is one of the most widespread in the world. Its clinical manifestations are polymorphous, and are casued by the virus itself [primary lesions] or the resulting immunodepression [secondary lesions]. All the body can be affected, and the ORL organs are frequently involved. Our purpose was to describe these manifestations at all stages of the disease, and to illustrate the importance of an early diagnosis, which needs close collaboration between the clinician, the anatomopathologist and the radiologist

Les dysphonies de l'enfant

Dysphonia is a modification of the timbre of the voice which becomes deep. It is more frequent in the child than in the adult. When it is acute, its etiological diagnosis is easy; but when it is chronic, it requires a complete otolaryngologic check-up to set up a diagnosis, and institute the appropriate treatment. There are many etiologies, and they are either organic or functional. The vocal unconfortableness is always present. The congenital malformations must be looked for, because they can entail organic lesions such as nodules. The treatment requires the cooperation of the child, and orthophonic therapy is essential to complete the treatment

pport des explorations otologiques dans le diagnostic des tumeurs de l'angle ponto-cerebelleux [A.P.C.]

The otologic explorations in pontocerebellar angle tumors are non invasive, not very expensive and constitute a means of patients detection and selection for neuroradiological examinations [CT scan and Magnetic Resonance Imaging]. When the affection is diagnosed, they are useful to discuss the surgical management according the audition level and the controlateral ear state

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

Snoring

Results of several surveys have provided confirmation that snoring is not only on overall sleep preventer, but is mainly an unrecognized asphixia. Have shown that this chronic noctural hypoxia, with the snoring as such, the essential feature of a well individualized new: chronic rhonchopathy. This affection is composed of different clinical aspects of several syndromes, notably sleep apnea syndromes. Surgical treatments form part of therapeutic strategy which includes medical treatment, essentially reduction is body weight, continuous positive pressure respiration. First intention surgery is an uvulopalatopharyngoplasty [UPPP] with or without tonsillectomy

Lacervicotomie a visee diagnostic bilan de 320 cervicotomies 1983-1987

In a study of 320 cases of cervicotomy carried out in the ORL department in the specialised hospital in Rabat, we have tried to show the importance of this operation in the setting-up of a sure diagnosis based on an anatomo-pathological study. So, cervicotomy has given a sure diagnosis in 65%, has corrected the presumed diagnosis in 10%, Has confirmed the presumed diagnosis in 25% we have a global efficiency of 75%. The etiology of chronic cervical tumefactions are varied, but they remain predominated by ganglion tuberculosis, however they may reveal a blood disease or unknown cancer

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