[Long-term results of bilateral complete parotidectomy in Sjogren's syndrome]. / Résultats à long terme des parotidectomies totales bilatérales dans le syndrome de Sjögren.

After a delay of 7 to 21 years, bilateral parotidectomy with complete preservation of the facial nerves and myoplasty of the post-operative cavities for enlarged parotid glands due to Sjögren's syndrome was found to have been beneficial in 10 patients. Excellent results were obtained both in terms of aesthetic and psychic outcome, but also in terms of greatly improved general health. Patients' psychoaffective, familial, professional and social lifestyle had returned to normal.

[Surgical prosthetic restoration after bilateral maxillectomy]. / Restaurarea chirurgical-protetica dupa maxilectomia bilaterala.

In 6 cases of tumors, two gigantic benign and four malignant in T4 having palatal and gingivo-alveolar starting point with invasive evolution into the structure of facial mass, surpassing the median alignment, the authors consider the problem concerning the indications for exeresis, possibilities of removal of healthy tissue and the reconstruction of massive losses of substance. The surgical treatment of reconstruction that completes the exeresis of the tumor is meant to sustain the ocular globe through a aponeurotic-muscular flap form the temporal muscle, with the aid of nasal septum or a skin graft also used to obtain a good coating of the cavity, and is also meant to a plastic reconstruction of the soft palate as well as to retention modelling of the cavity fields which resulted postsurgically. The main role in maxillofacial reconstruction in held by the obturator prosthesis that avoids morphofunctional prejudices and restores facial contour, without aesthetic and psychic prejudices. The results obtained in our 6 cases shown here have been fully satisfactory.