[The surgical management of obstructive sleep apnea syndromes. Preliminary phase I results (the Stanford technic) in a series of 26 patients]. / Prise en charge chirurgicale des syndromes d'apnées obstructives du sommeil. Résultats préliminaires de la phase I (technique de Stanford) sur une série de 26 patients.

Surgical management of obstructive sleep apnea remains a surgical challenge. Multidisciplinary collaboration is a fundamental element. We report the principles of management as proposed to the patient and preliminary results obtained in a series of 26 patients treated in the phase I of the Stanford protocol. Cure rate after this phase was 50%. Different research projects in this area are discussed.

[Complications of silastic implants used in orbital repair]. / Complications des implants de silastic utilisés en réparation orbitaire.

Several questions concerning the material to be used for surgical repair of fractures of the orbit are still under debate. Surgeons may choose between autologous or heterologous grafts or different biomaterials. We conducted a retrospective analysis of 137 patients treated in our unit for fractures of the floor of the orbit over the last 20 years who received a silastic implant. After 20 years, the rate of complications requiring removal of the implant was 13.8%. Complications observed were dacryocystitis, implant migration to the skin and the maxillary sinus, skin fistula, persistent diplopia, communication between the orbit and the sinus, periorbit cellulitis.

[Silastic implants and reconstruction of the orbital floor: review of twenty year's experience]. / Lames de silastic et reconstruction du plancher orbitaire. Bilan de vingt années d'expérience.

Fractures of the orbital floor still raise unresolved therapeutic problems concerning the operative indication or the type of material to be used during repair. For this purpose, surgeons have the choice between heterologous or autologous grafts, implants and numerous biomaterials. The authors conducted a retrospective study with a follow-up of 20 years of 137 patients treated in the department for a fracture of the orbital floor using a Silastic implant. The reoperation rate to remove the implant was 13.8%. Various complications were observed: dacryocystitis, migration of the implant to the skin and maxillary sinus, cutaneous fistula, persistent diplopia, orbito-sinus communication, periorbital cellulitis. In view of these complications, it appears preferable to modify the therapeutic approach and propose autotransplantation of the concha for defects less than 1.5 cm2 and autologous parietal bone graft for larger defects.

[Fractures of the orbital floor: the result of their treatment at the Villeneuve Saint-Georges Hospital Center. Apropos of 105 cases]. / Fractures du plancher orbitaire: le résultat de leur traitement au centre hospitalier de Villeneuve Saint-Georges. A propos de 105 cas.

The authors describe the clinical and anatomical appearance of orbital fractures operated on in their centre, based on an analysis of a homogeneous series of 105 cases. They define their indications, operative technique and results.

[Extra-osseous mandibular ameloblastoma]. / Améloblastome mandibulaire extra-osseux.

Gingival ameloblastoma is a rare odontogenic tumor which shares the same histology as endo-osseous ameloblastoma but from which it differs in terms of its course by the absence of "local malignancy". There would appear to be two probable origins concerning this lesion: Serre debris and the epithelium of the gingival mucosa. However, the etiopathogenesis remains controversial, raising problems of pathological distinction from gingival basal cell carcinoma.

[Total parotidectomy preserving the facial nerve. Significance of preoperative parotidography by staining]. / Parotidectomie totale conservatrice du facial. Intérêt de la parotidographie pré-opératoire par coloration

The authors advise the carrying out of total partiodectomy with conservation of the facial nerve in all parotid tumors and supply a method of obtaining a truely radical parotidectomy by pre-operative vital staining.