[Medical treatment of epulis by local injection penicillin therapy]. / Le traitement médical de l'épulis par pénicillinotherapie en injections locales.

Treatment in November 1987, of an epulis-type gingival tumor, with in situ penicillin G injections, resulted in complete eradication of this benign tumor with no recurrence more than one year later. This case-report may be added to others of the same type reported by Dr. Joseph ABRAVANEL: since 1978, date of the first presentation at the "Hospital Necker Scientific Meeting", all cases treated (approximately ten) resulted in complete cure without any recurrence; the cases reported in 1978 were all followed and there was no recurrence. Since this technique demonstrated a superior efficacy over Surgery, we decided to report this last case with a follow-up period exceeding one year. However, we are aware, in spite of the long follow-up and the constant results, of the limited number of cases in the study. We hope that, with the help of all our colleagues, we will be able to improve our results. The mechanism of action of penicillin G opens a number of prospects in the pathology of the oral mucosa, especially iatrogenic pathologies: Cyclosporine, Dihydan, etc.

[Subcutaneous silicone gel prosthese (author's transl)]. / Prothèses sous-cutanées en gel de silicone.

The use of silicone implants to correct an acquired or congenital abnormality of the face involves the use of:--blocks of foam, though these retract and the volume implanted must therefore be overestimated.--compact blocks of elastomer, which tend to migrate and to produce inaesthetic bumps with disturbances in the vascularisation of the skin. The authors therefore had the idea of making "to measure" implants similar to breast implants: envelope of silicone elastomer enclosing a gel of chosen viscosity, absorbing forces applied to the envelope and therefore tending to prevent migration of the implant. The latter has dacron patches to facilitate its adherence to deep layers. This description of manufacturing methods and operative techniques, despite a short follow-up, reports encouraging results from which it is possible to determine the indications of this type of procedure.