ABSTRACT
The authors recall their experience about 42 cases of island flaps for surgical defects after dermatologic epithelioma of the face. Surgical technic is described, the design, implementation and anatomy of subcutaneous flap are discussed and illustrated.
Subject(s)
Carcinoma, Basal Cell/surgery , Carcinoma, Squamous Cell/surgery , Facial Neoplasms/surgery , Skin Neoplasms/surgery , Surgical Flaps , Aged , Aged, 80 and over , Female , Humans , Male , Surgery, PlasticABSTRACT
Technical aspects are described of the reconstructive laryngectomy used between 1982 and 1986 to treat 59 patients with endolaryngeal epidermoid carcinoma. Both "conservative" techniques (Tücker's laryngectomy, total endolaryngeal functional evidement) and "non-conservative" techniques (cricohyoidopexy, cricohyoidoepiglottopexy, cricobasiglossopexy) as well as their functional outcome are described. Results of surgical review of endolaryngeal spaces (paraglottic space, hyothyroepiglottic space) are analyzed for each method, and a schema for their use proposed.
Subject(s)
Carcinoma, Squamous Cell/surgery , Laryngeal Neoplasms/surgery , Laryngectomy/methods , Surgery, Plastic/methods , Adult , Aged , Female , Glottis/surgery , Humans , Larynx/physiopathology , Male , Middle Aged , Neoplasm InvasivenessABSTRACT
A review of 62 cases of blockage of head of malleus showed that apart from secondary lesions (post-traumatic, postoperative, postinfectious), primary blockades were a definite entity. The latter were either isolated or associated with stapedo-vestibular ankylosis. Isolated blockade of head of malleus provoties only direct transmission deafness, and is associated in nearly all cases with a cochlear lesion, often bilateral, at least in the primary forms. Instead of simple unblocking of the attic, the treatment preferred is an ablation of the incus, section of head of malleus and subsequent functional gestures that are described.
Subject(s)
Deafness/etiology , Ear Ossicles , Malleus , Adult , Child , Deafness/surgery , Ear Ossicles/surgery , Female , Follow-Up Studies , Humans , Malleus/surgery , Methods , Postoperative Complications , Stapes Surgery , Time FactorsABSTRACT
Labyrinthine trepanation was performed in the majority of 16 patients with minor agenesis of middle ear involving either stapedovestibular ankylosis or absence of fenestra vestibuli. Preoperative findings are discussed, as well as the prevention and treatment of labyrinthine geysers and the possibility of obtaining a functioning labyrinthine opening. Results were good in simple cases but poorer in more complex lesions, for which the indication for use of this procedure is debatable.
