[Use of grafts for the olecranial crest in rhinoplasty]. / Utilisation des greffons de crête oléocrânienne dans la rhinoplastie.

On the basis of 30 cases of rhinoplasty utilizing an ulnar crest graft performed over the past few years, the authors review the various types of grafts used for rhinoplasty and describe the technique for sampling the ulnar crest graft in detail. They stress the merits of this procedure: --superficial, easily accessible donor site; --simple postoperative period; --minimal scars; --good-quality graft requiring minimum modeling.

[Incidence of mandibular osteoradionecrosis in a series of 13 cases of carcinoma of the mouth floor]. / Incidence des ostéo-radio-nécroses mandibulaires sur une série de 13 cas de carcinomes du plancher buccal.

In a 13-case series of epithelioma of the floor of the mouth given cobalt-therapy irrespective of the selected therapeutic protocol, the authors recorded 5 cases of osteoradionecrosis. In this study, they review both risk and prevention factors linked with radionecrosis at the localization site of this particular type of tumor. They also stress the importance of adapting the treatments, when introducing so-called néo-adjuvant systemic chemotherapy, the high efficacy rate of which is likely to reduce the risks of radionecrosis. This can be achieved either by eliminating completely or limiting the surgical step, or by bringing modifications to the post-operative radiation regimen.

[Ewing's inverted nasosinal papilloma. Critical study of therapeutic indications. Apropos of 14 cases]. / Papillomes inverses naso-sinusiens d'Ewing. Etude critique des indications thérapeutiques. A propos de 14 cas.

Fourteen cases of Ewing's inversed papilloma of the nose and sinuses were treated as primary lesions or after recurrence. Clinical and paraclinical, mainly radiologic, endoscopic, and biologic investigations are of fundamental importance and should be as extensive for primary as for recurrent lesions. Treatment is largely dependent on the results of these examinations, is essentially surgical, and should respond to two imperatives. First, it should lead to total excision under the best possible conditions, and second, it should involve a minimum of sequelae, particular esthetic complications. Techniques for excision through the natural pathways are described, followed by those using an external approach (canine fossa or para-lateronasal approaches), as well as their advantages and inconveniences. The preferred procedure is through an open, wide, para-lateronasal approach, enabling the most effective excision to be performed, this technique appearing to be essential for recurrent lesions.

[Isolated ethmoid meningioma. Apropos of a case]. / Méningiome ethmoïdal isolé. A propos d'une observation.

A case of meningioma confined to the ethmoid region is reported. After emphasizing the rare nature of these primary localizations, and their clinical latency, a brief summary is given of the embryologic origin of these tumors. Comparison of the long-term course of double-sac meningiomas and those developing primarily in the ethmoid region showed improved prognosis for the latter, following total surgical excision, the former having a very marked tendency to recur.