[Anesthetic aspects of the primary treatment of labio-maxillo-palatal clefts]. / Aspects anesthésiques du traitement primaire des fentes labio-maxillo-palatines.

This study of 97 operations discusses our anaesthetic experience for labio-maxillary clefts and the problems which arise for the anaesthetist during pre-inter and post surgical periods. This type of functional surgery is carried out on children between 4 and 23 months old, of which 22% presented with associated malformations. Paediatric anaesthetic characteristics in a maxillo-facial context are discussed in detail. We indicate the importance of installing the different surveillance elements before placement of the surgical fields. We treat the problems of drug interactions between the halogenic anaesthetics and vasoconstrictor used for local haemostasis, the limits of spontaneous ventilation and the secondary metabolic consequences of prolonged fasting.

["Functional" genioplasty]. / La génioplastie "fonctionnelle".

Genioplasty is a treatment method of the long face syndrome by reducing the lower face height to be equal, on lateral cephalometric radiography, to 55% of the total height of the anterior face whereas the height of the upper face is equal to 45% of this one (Wylie). Surgical technique described in this paper is particular by making up a tenon and mortise joint allowing a good stability of the lower fragment of osteotomy whose muscular insertions are preserved. Its effects are simultaneously functional and cosmetic because the oral musculature disorder is suppressed while chin aspect is modified.

[Otopalatodigital syndrome. Apropos of 3 female cases]. / Le syndrome oto-palato-digital. A propos de trois cas féminins.

The oto-palato-digital syndrome about which much has been written on the male subject is analysed for a case of a mother and her two daughters which exhibited the main characteristics of the affliction with the exceptions of deafness and cleft-palate. These two manifestations, quoted in the name of the syndrome will be tackled later like its mode of transmission which still remains obscure.

[Romberg's syndrome. Progressive facial hemiatrophy]. / Syndrome de Romberg. Hémi-atrophie faciale progressive.

Romberg's syndrome or progressive facial hemiatrophy is a rare affection that may nevertheless be encountered by stomatologists during the course of their professional life. Diagnosis is simple if clinical and radiographic signs are recognized, an effective iconography being of particular value. This report is concerned mainly with the latter feature, and also includes a description of the principal characteristics of the affection and an extensive bibliography.