[Value of psychosocial factors in the occurrence and management of cancer of the upper respiratory and digestive tracts].

A series of 19 patients suffering from cancers of the upper aero-digestive pathways was examined by a psychiatrist who assessed in particular the personality of the patient, the importance and impact of personal life events, the family context, and the place of the cancer in the life of the patient. There are numerous psycho-social problems, partially related to chronic alcoholism that was found very frequently. Isolation of the patient appears to be frequent, both within the family, albeit sometimes large, and in the workplace.

[Extensive mycoses of the face. Apropos of a case].

An 11 year old boy with medullary aplasia developed extensive mycosis of the face. This mucormycosis is a rare affection that appears in patients with predisposing disease (diabetes, blood disorders) and is easily diagnosed, if considered, from clinical features. Diagnosis is confirmed by histopathology, culture sometimes identifying the causative fungus.

Choanal atresia and deafness.

Nine cases of bilateral choanal atresia are reported. The association with other malformations and deafness is evaluated. The choanal atresia is associated with multiple malformation in two cases and bilateral deafness in 5 cases.

[Anatomy of the choanae in the newborn].

The choanal atresia is a congenital malformation and his surgical procedure need to clarified. Ten anatomical specimens have been studied by anatomical measures and CT scan evaluation of the choanal for amend. Our study allow us to predict before surgery the maximum dimension of the choanal opening.

[Cholesteatoma of the external auditory canal].

Epidermal plugs of the external auditory canal were described initially by Toynbe in 1850, and since that time epidermal plugs and canal cholesteatomas have often been classified under the same heading. However, auditory canal cholesteatoma represents a separate clinical entity, although its pathogenicity remains unrecognized. Therapy may be medical or surgical, but a more eclectic therapeutic approach is to be preferred.