Surgical treatment of larynx T1N0M0 cancer - partial laryngectomy modified Majer-Piquet's intervention.

The increase of general radiation background in Georgia and some national characteristics such as spicy dishes, high level of alcohol and cigarette consumption, emotional, loud way of speaking result in a high percentage of people suffering from larynx malignant tumor. As generally known, the majority of larynx cancer cases represent surgical indications and only a small percentage submit to radio or chemotherapy. Since the beginning of the previous century, laryngologists have been intensely thinking about maintaining the larynx itself when giving surgical treatment. With this article we aim to introduce you to one of surgical techniques often applied in France. The method is Pr. B. Guerrier's modification of Majer-Piquet's cricohyoidoepiglotopexy, which is very popular in Europe. This consists in reconstructive operation maintaining cricoid cartilage and epiglottis with larynx's pexy when resecting partially. In cases of exact indications the, Majet-Piquet's modified operation provides a perfect: opportunity both to achieve the desirable outcome and maintain the main functions of larynx vocal, swallowing and breathing with a relatively less invasive surgical interference.

[Case report of the middle ear cholesteatoma recidive after canal wall down operation, 2 years later].

Cholesteatoma is the most controversial topic within the field of middle ear surgery. Depending on the individual, many surgeons have used the two different techniques of intact canal wall and canal-wall-down tympanomastoidectomy for approaching the middle ear. Opinions conflict as to which approach provides the best visualization of different locations in the middle ear. In this article, a clinical case of recurrence of middle ear cholesteatoma which completely destroyed temporal bone, close to the inner carotid artery 20 years after canal-wall-down surgical treatment is presented.

[Benign schwannomas of the nasal cavity: report of one case]. / Schvannomes benins des fosse nasales: a propos d'une cas.

The authors report one rare case of enormous benign nasal schwannoma. One side nasal obstruction and whitish aspect of tumor at the end nasal exam are the most common signs seen in all patients. This type of tumor is very rare pathology in the surgeons practice. Despite the case that it is not a Cancer, Schwannoma maybe very dangerous pathology. Radiologically, we have noted large tumor and calcification within the tumor. Histological diagnosis may sometimes be difficult and needs the immunohistochemical assessment. Complete tumor resection is the best way to cure the definitively the patients without tumor recurrence.

The results of surgical treatment of middle ear cholesteatoma by using open and closed techniques.

Middle ear cholesteatoma caused by repeated ear infections over time, destroys the delicate middle ear bones and causes permanent hearing loss or dizziness. It may grow to involve the facial nerve causing facial paralysis. In some instances, cholesteatomas can expand up into the brain, causing meningitis, sinus thrombosis, facial nerve palsy, vestibulitis and differently localized abscess. Nearly all patients with cholesteatoma require surgery to cure the disease. Therapeutic and rehabilitative surgical procedures were done, using either a closed technique (TCT) or an open technique: tympanoplasty in open technique (TOT). The aim of the work was to compare the advantages of TCT and TOT surgical technique for the treatment of cholesteatoma disease. The research was conducted in Tbilisi State Medical University Otorhino-laryngological Clinic on 65 patients with middle ear cholesteatoma: 21 women and 44 men in 2006-2008. Their average age was 29. The youngest was 7 years old, and the oldest one - 67. The investigation revealed that after TCT recidivations were noted in 16% of patients; after TOT in 42.3% of patients. It is concluded that CT technique is the most appropriate and optimal surgical interference for the treatment of chronic middle ear diseases.