[Value of coral implant in the treatment of functional failure after subtotal laryngectomy with crico-hyoid fixation]. / Intérêt de l'implant de corail dans le traitement des échecs fonctionnels après laryngectomie subtotale avec crico-hyoido-pexie.

Subtotal laryngectomy with CHP have prolongated post operative care because aspiration. In 16% of cases a new surgical procedure is necessary. The authors have used a implant of madreporic coral placed in the base of the tongue just behind the hyoid bone to achieve a total closure of the larynx during swallowing. This operation has stopped aspiration in 2 cases very quickly.

[Isolated ankylosis of the malleus]. / Les ankyloses isolées du marteau.

Certain cases of apparently isolated conductive deafness, the etiology of which remains uncertain after clinical examination and impedance measurement, can be found in younger patients and adults. Surgical exploration is necessary: this involves, first of all, an inspection of the anatomy of the ossicles and then precise study of their mobility at the level of the tympanic cavity and attic. Various forms of malleus ankylosis, due to blockage or malformation, are presented. Ossiculoplasty gives good auditory results.