Parálisis facial bilateral simultánea / Simultaneous bilateral facial palsy

La parálisis facial bilateral simultánea (PFBS) es una rara entidad clínica que generalmente surge como una manifestación de enfermedades de carácter sistémico, que se diagnostica como parálisis idiopática de Bell en una pequeña proporción de casos. Entre las causas más comunes de PFBS están los traumatismos craneoencefálicos, parálisis de Bell, enfermedad de Lyme, síndrome de Guillain-Barré, sarcoidosis y meningitis bacteriana. Presentamos el caso de una paciente con cuadro de parálisis de Bell bilateral y simultánea (AU)

Simultaneous bilateral facial palsy (SBFP) is an uncommon disorder that usually results from asystemic disease, with only a few cases diagnosed as Bell’s Palsy. The most common causes of SBFP are head injuries, Bell’s Palsy, Lyme disease, Guillain-Barré syndrome, sarcoidosis and meningitis. We present a case of SBFP (AU)

[Mandibular reconstruction for the treatment of oral carcinomas: state of the art and perspectives]. / Reconstruction mandibulaire en cancérologie: état actuel et perspectives.

INTRODUCTION: Mandibular reconstruction in head and neck oncology uses a number of techniques whose results are inconsistent and whose indications do not benefit from consensus. MATERIALS AND METHODS: A review of the literature allowed us to assemble the available knowledge on current mandibular reconstruction techniques, their functional results, and the research perspectives. RESULTS AND DISCUSSION: Marginal resections lead to dental rehabilitation problems, which can be palliated by alveolar enhancement techniques but whose results have not been validated in cases subjected to irradiation. Reconstruction of segmental substance loss is warranted by the repercussions on the vital prognosis when it is anterior and on the quality of life when it is posterior. The ideal means of reconstruction is the free fibular flap, which is limited by cost, morbidity of the donor site, and selection of the patient's surgical team. For these reasons, it may be necessary to turn to pedicled osteo-myocutaneous flaps, abandoned because of their reputedly very high failure rate, but few have been reported in the literature. CONCLUSION: Poor functional results of mandibular reconstruction plates make this a last-resort solution. Tissue engineering is currently the most promising line of research. It runs counter to the principles of oncology itself because postoperative radiotherapy reduces the osteoinduction potential of the biomaterials proposed.

[218 tooth extraction in patients taking platelet aggregation inhibitors]. / Antiagrégant plaquettaire et chirurgie buccale: à propos de 218 extractions dentaires.

INTRODUCTION: The aim of this survey was to show that tooth extraction could be performed in patients taking antiplatelet agents. The main indication of antiplatelet agents is to reduce the thrombotic disease. MATERIAL AND METHOD: The authors made a descriptive and retrospective analysis of 52 patients taking antiplatelet agents in their department between February 2003 and January 2005. Two hundred and eighteen tooth extractions were performed. For each extraction, a protocol of local hemostasis (filling, suture, compression) was applied. RESULTS: Three hemorrhagic sockets were reported out of 218 extractions performed without stopping the antiplatelet agent treatment (1.3%). One patient presented with persistent bleeding out of 52 cases (1.9%). No hemostasis had been performed on this patient; a local hemostasis was performed during surgical revision, which stopped the persistent bleeding. DISCUSSION: These results show that the hemorrhagic risk can be controlled by a local hemostasis protocol.