[Lower trapezius musculocutaneous flap for the repair of neoplastic loss of substance of the ear]. / Le lambeau musculo-cutané trapézien inférieur pour réparation des pertes de substance carcinologiques de l'oreille.

Large defects created by oncological resections of the auricular area require to fill and cover the gap to achieve their reconstruction. The lower trapezius myocutaneous island flap meets these two principles more easily and more reliably than previous loco-regional skin flaps. About two patients, who undergone resection of spread carcinoma of the external ear, the authors discuss the advantages and disadvantages of this flap, that appears seldom utilised; they point out some practical problems encountered when raising the flap.

[Role of gastroesophageal reflux in acute recurrent laryngeal dyspnea in children]. / Rôle du reflux gastro-oesophagien au cours des dyspnées laryngées aiguës récidivantes de l'enfant.

Recurrent laryngeal croup (RLC) in children is rarely discussed unless permanent laryngeal obstruction is involved or there is an allergic basis. An atypical case is described where gastro-esophageal reflux (GER) was not only associated with but was also directly related to the provocation of each period. A series of 15 patients with RLC were investigated for the presence of GER, and this was confirmed in 7 cases. These findings suggest that GER may be responsible for the onset of RLC, as is now admitted for numerous respiratory manifestations in children. Moreover, GER may be implicated in the course of various laryngeal obstructive lesions, particularly subglottic angioma.