[Mycosic malignant external otitis due to aspergillus, about 2 cases]

Malignant external otitis is a severe uncommon infectious disease of the external auditory canal. Diabetes and immunodepression constitute the principal risk factors. The Pseudomonas aeruginosa is the most common germ. Since it is often a primary bacterial disease, initial mycosic infection is exceptional. However, Aspergillus can cause severe and dangerous forms. The authors reported two cases of mycosic malignant external otitis due to aspergillus. The pretherapeutic check-up included a computed tomography and technetium bone scintigraphy practiced in order to assess the extension. The diagnosis was confirmed by a mycological analysis of auricular sample. Hyperbaric oxygenation and medical treatment associating systemic antimycosic drugs, parenteral antibiotherapy were instituted for both patients. Death occured in one case, due to skull basis osteomyelitis. After 16 months of follow up, the second patient is still alive with no obvious complications

[Naso-sinusal tuberculosis: in 3 cases]

Tuberculosis remains a real public health problem in Tunisia. Extra-pulmonary localizations account for 20 to 30% of tuberculosis disease, dominated by the node, osseous and urogenital localization. The authors present three cases of extra-pulmonary tuberculosis concerning the maxillary sinuses which represents an unusual localization of the disease. They were a man and 2 women old respectively of 30, 65 and 36 years. The main symptoms were dominated by nasal obstruction, posterior throwing and dental pains. All the patients profited from a complete clinical exam. A tomodensitometry exam was performed for the 3 patients. A maxillary sinus biopsy with anatomopathologic exam was made and had confirmed tuberculosis in all the cases. The three patients were treated with anti-tuberculosis quadruples for 2 months then double for 8-9 months and the evolution was good in all the cases after a 22 month retreat

[Factors influencing the results of the myringoplasty a retrospective a retrospective study about 633 cases]

The myringoplasty is the surgical reparation of a tympanic perforation without ossicular lesions. We achieved a retrospective study over a period of 17 years, concerning 633 myringoplasties operated in the Military Hospital of Tunis. The purpose of this work is to determine the factors influencing the results of the myringoplasty. A good result was obtained in 80 to 91, 6%of cases. These results were obtained using the Temporalis Fascia and the Underlay technique