Comparison Between the Superior Pedicle Retro Auricular Flap and the Masson's Revolving Door Flap for Coverage of Conchal Defects.

Post operative defect of the external ear result mainly from the resection of skin cancers of this region, hence the need for an adequate plasty to avoid any stenosis or deformation, this article compares 2 retroauricular flap covering techniques through 2 cases of patients with conchal basal cell carcinoma the first one was a 65 years old male patient who had for 2 years a basal cell carcinoma of the postero-superior part of the concha of the right ear, a total removal of the tumor was made with a successful covering of the substance loss by a retroauricular flap with superior pedicle. The second patient was a 66 years old female who has for 3 years a basal cell carcinoma of the inferior part of the concha of the right ear, a successful removal of the tumor was and the covering of the substance loss by a Masson's retroauricular revolving door flap. We discuss the different operating times as well as the advantages and disadvantages of each technique, to finally conclude that the retro auricular flap is an excellent technique to cover the postoperative loss of substance of the superior part whereas the Masson's revolving door flap is more adapted for the posterior lesions of the concha.

Health-Related Quality of Life in Children With Cochlear Implants From Parents’ Perspective

Background and Objectives@#To evaluate the health-related quality of life (HRQoL) in parents of children with cochlear implants and assess influencing factors. These data can enable practitioners to support patients and their families in utilizing the cochlear implant and its benefits to the fullest extent. @*Subjects and Methods@#A retrospective descriptive and analytic study was conducted at the Implantation center Mohammed VI. Parents of cochlear implant patients were asked to fill out forms and answer a questionnaire. Participants included parents of children <15 years old who underwent unilateral cochlear implantation between January 2009 and December 2019, presenting with bilateral severe to profound neurosensory deafness. Participants completed the children with cochlear implantation: parent’s perspective (CCIPP) HRQoL questionnaire. @*Results@#The mean age of the children was 6.49±2.55 years. The mean time between implantation for each patient and this study was calculated as 4.33±2.05 years. There was a positive correlation between this variable and the following subscales: communication, well-being and happiness, and the process of implantation. For these subscales, the score was higher as the delay was greater. Parents of children who received speech therapy before implantation were more satisfied on the following subscales: communication, general functioning, well-being and happiness, implantation process, implantation effectiveness, and support for the child. @*Conclusions@#The HRQoL is better in families of children who received their implant at an early age. This finding raises awareness of the importance of systemic screening in newborns.

Degeneration of a Huge Pleomorphic Adenoma in the Nasal Cavity Extended to the Hard Palate: A Case Report and Review of the Literature.

The pleomorphic adenoma is a benign tumor. The patient was 55 years old, with no particular pathological history. For 18 months, she had a progressive and permanent right nasal obstruction associated with intermittent epistaxis, rhinorrhea and chronic unilateral tearing. The nasofibroscopy showed a smooth reddish bleeding tumor of the right nasal cavity, reaching the lower part of the middle cornet. Oropharynx examination revealed on the right side a sessile and bulging tumor of the palate with respect of the mucosa, the tumor goes through the choanae into the oropharynx. The CT scan showed a large aggressive lesion process centered on the right nasal cavity with bone lysis of the posterolateral wall of the maxillary sinus and invasion of the infratemporal fossa. MRI showed a maxillary right naso-sinusal tumor process infiltrating the ethmoidal cells, the right infratemporal fossa with endobuccal extension and filling the nasopharyngeal lumen. The patient was operated through the right external para-latero-nasal, associated to an endonasal abord. Anatomo-pathological with immune-histochemical study was performed to ensure complete removal of the tumor and it showed a high grade cystic adenoid carcinoma.

Rare Schwannomas of Head and Neck and Review of Literature.

Benign schwannoma is a slow growing encapsulated tumor arising from the sheath of Schwann, The majority had extra-cranial localization. We report in this review three cases of a rare extra cranial localization of benign schwannoma in the trachea, frontal sinus and intraparotid facial nerve. The first case diagnosed in a 10-years-old boy, presented with a painless, slow growing mass evolving for three years in the left parotidic region, total conservative parotidectomy was done. The second case concerned a 38-years-old, was admitted to the emergency department with acute inspiratory dyspnea, endoscopic exploration revealed a polylobed tracheal tumor, complete tumor excision was done endoscopically. The third case was about a 33 years old patient, presented a gradually enlarging frontal swelling associated with headache and left nasal obstruction, the endoscopic examination revealed a gray pinkish, smooth and firm soft tissue mass occupying the entire left nasal cavity, CT scan and MRI were requested to assess the characteristics and extent of the tumor, The surgical intervention combined two approaches: trans facial through a mid-frontal incision, and endonasal one. Histopathological examination confirmed the diagnosis of benign schwannoma in all these cases.

[Sphenochoanal polyp: case study of a rare entity and literature review]. / Le polype sphénochoanal: une entité rare avec revue de la littérature.

Sphenochoanal polyp is a rare form of choanal polyp originating from the sphenoid sinus and extending to the choanae via the sphenoethmoidal recess. We report a case of sphenochoanal polyp in a 15-year-old boy presenting with a 3-year history of chronic progressive nasal obstruction, treated with endoscopic surgery with good post-operative outcome. Sphenochoanal polyp is extremely rare. Symptomatically, it resembles an antrochoanal polyp. Adequate preoperative evaluation based on endoscopic examination and computed tomography (CT) scan or magnetic resonance imaging is necessary for accurate diagnosis and appropriate surgical strategy. Endoscopic excision is the treatment of choice.

[Screening for ocular involvement in deaf children]. / Dépistage de l'atteinte oculaire chez les enfants sourds.

The association between deafness and visual disorders is frequent. These disorders range from simple refractive disorder to severe disease that can lead to disability. Hence the interest of early screening. This study aims to highlight the importance of multidisciplinary management and of the need for ophthalmological examination in each deaf child. We conducted a prospective monocentric data collection from medical records of 200 children followed for hypoacousia from January 2014 to January 2015. Each child underwent complete ophthalmological examination, ENT examination and clinical examination. Data from 155 medical records were collected. Ocular involvement was found in 47 patients, reflecting a rate of 30.4%. Bilateral involvement was found in 45 patients. The main syndromic causes were: Usher syndrome (8 casess), Waardenbourg syndrome (5 cases), Alport syndrome (3 cases), Wolfram syndrome (2 cases), Goldenhar syndrome (3 cases), Cogan syndrome (3 cases), Franceschetti-Kleinsyndrome (1 case), Charge syndrome(1 case), otomandibular syndrome (1 case), Stickler syndrome(1 case), Alström syndrome (1 case), Refsum disease (1 case), Susac syndrome (1 case) and KID Syndrome (1 case). Screening for ocular involvement allowed to shorten the average length of cochlear implantation from 9 months to 3 months. There are numerous ocular and auditory involvements because of the embryological and cellular similarities of these two organs, including the retina and the inner ear. The diagnosis of these involvements is facilitated by the presence of facial dysmorphism; on the other hand, diagnosis is difficult when there are visual and auditory sensorineural involvements. Early diagnosis of ocular and auditory involvements allows for best psychomotor development and optimal social inclusion. Therefore multidisciplinary management is necessary to allow for the best psychomotor, orthophonic and visual rehabilitation.