Résumé
Allergic rhinitis is a daily problem to which are confronted principally general practitioner, paediatrician, ear, nose and throat specialist and allergologist. Also, this subject is still always alife because allergy seems in a constant progression in our society. To clarify diagnostic and therapeutic criteria of this affection. We have realized a literature review concerning physiopathology, clinical symptoms, the position of preclinical investigations and finally therapeutic modality of allergic rhinitis. Appropriated treatment of allergic rhinitis should be general it requires a knowledge and better comprehension of the disease and optimum prevention, if it is possible, of allergic symptoms
Résumé
Sudsternal goiter has particular nosological, diagnostic and therapeutic problems. This study is to study the epidemiologic and clinical particularities of this disease and to emphasize on therapeutic problems essentially surgical management. We report a retrospective study about 25 cases of substernal goiter operated in the Rabta hospital between January 1996 and December 2005. The mean age at operation was 61 years and sex-ratio was 0, 5. Patients were almost symptomatic. Surgery was carried by cervicotomy in all but one ease in which sternotomy was necessary. Histological exam didn't find any mailgnity signs in 95.6%of cases. Substernal goiter surgery is more delicat than the cervical one. Accurate diagnosis leads to good surgical results
Sujets)
Humains , Mâle , Femelle , Goitre/chirurgie , Goitre/épidémiologie , Études rétrospectives , Paralysie des cordes vocalesRésumé
The odontogenic maxillary sinusitis is the consequence of the distribution of an inflammatory or infectious process of a tooth in sinus mucous membranes. The purpose of our work is to study epidemiological profile, clinical and radiological characteristics allowing the diagnosis of this pathology as well as the various therapeutic strategies adopted. We report a retrospective study of 31 observations of odontogenic maxillary sinusitis brought together in the service of ORL and of CMF of Rabta hospital over a period of 12 years. In our series, the frequency of this pathology was considered at 42,5% among the group of all maxillary sinusitis brought together during the same period, the average age was of 38 years with a sex ratio of 1,04. The dental antecedents are obvious in 80% of cases, the iatrogenie was found in 64% of cases. Dental causes were dominated buy para-apical cysts [29%], and the movement of the dough canalaire [23%] especially in fongic forms of sinusitis