Nasal Polyposis and Fitness to Fly.

Introduction: When a pilot is referred for nasal polyposis, his/her flight fitness may be questionable. The objective of this retrospective study was to describe a case series of barotrauma in a pilot population exhibiting nasal polyposis and to discuss the decisions about their flight fitness.

Methods: There were 17 pilots with nasal polyposis who were referred to the Head and Neck Department of the National Pilot Expertise Center.

'Mini DC-F' in rhinoplasty: Diced cartilage and fascia grafts with the temporalis fascia dissected along its width - A technical note.

In rhinoplasty, diced cartilage with fascia (DC-F) is a commonly used technique to enhance dorsal projection and achieve a smooth dorsum. We have developed a modified technique by dissecting the thickness of the fascia along its width, called "Mini DC-F". This method allows for effective camouflaging of dorsal irregularities and provides a slight increase in dorsal height.

Immunosuppressive protocols after laryngeal transplantation: a systematic review.

Backgrounds: Larynx transplantation has been successfully performed four times, in 1998, 2010, 2015 and 2023 remained the ultimate goal of voice, feeding and breathing rehabilitation.

Objective: Immunosuppressive protocols used during the previous successful larynx allotransplantation are detailed.

Material And Methods: A systematic review of the literature on PUBMED/Medline, Cochrane and Embase was conducted.

Surgical tracheotomy.

In spite of the ever-increasing hyper-specialization of gastro-intestinal surgeons, some surgical emergency procedures, such as tracheotomy, need to be mastered. The need for tracheotomy is sometimes so urgent that one cannot wait for a specialized surgeon to arrive or to transport the patient elsewhere. Even though percutaneous tracheotomy, as performed by intensive care physicians, represents an alternative to surgical tracheotomy, it is not always possible.

Presbycusis and Fitness to Fly.

When a pilot is referred for presbycusis, his flight fitness may be questionable. The objective of this retrospective study was to describe a case series of presbycusis in a pilot population and to discuss the decisions about their flight waivers. There were 19 pilots who were referred to the ENT-Head and Neck Surgery Department of the National Pilot Expertise Center.

Early Tympanoplasty Using a Synthetic Biomembrane for Military-Related Blast Induced Large Tympanic Membrane Perforation.

Introduction: Blast injuries in modern warfare are common, and tympanic perforation is often found. Spontaneous closures of large perforations that encompass greater than 80% of the tympanic surface are rare. Early closure of the tympanic membrane avoids the immediate infectious risk, which potentially complicates the initial management of these war-wounded patients, and allows for safe and early recovery of military activity.

Fishbones in the Upper Aerodigestive Tract: A Review of 24 Cases of Adult Patients.

Introduction: We present a retrospective study series and discussion of the current literature to discuss the management of fishbones in the upper aerodigestive tract.

Materials And Methods: From January 2013 to July 2016, all patients referred to our referral center because of a fishbone in the upper aerodigestive tract were analysed.

Results: Of the 24 patients, 95% of them reported discomfort in the throat.

[Complications of sinusitis].

The complications of sinusitis are essentially secondary to ethmoidal and frontal sinusitis, occurring in patients weakened, particularly in case of immunodeficiency or anatomical defects. The gravity is due to the risk of spreading infection in intracranial tissues and orbital cavity. The diagnosis is always to discuss any symptomatology resistant to treatment and the appearance of orbital or neurological signs.

Blast injury of the ear by massive explosion: a review of 41 cases.

Background: Blast injuries in modern warfare are common, and the ear is often affected as it is an effective pressure transducer. This study aimed to evaluate military blast injuries of the ear.

Methods: From May 2002 to October 2014, all patients referred to two military hospitals near Paris, France following exposure to massive explosions were analysed.

Comparison of Penetrating Neck Injury Management in Combat Versus Civilian Trauma: A Review of 55 Cases.

Unlabelled: The objective was to describe a case series of penetrating neck injuries (PNIs) and compare their management in combat versus civilian trauma.

Methods: From 2012 to 2014, all soldiers and civilians referred to Percy Military Training Hospital for PNI were analyzed. The mechanism of injury, type and site of the lesion, and initial emergency management were noted.

Endoscopic septoplasty: Learning curve.

Aims: The aim of the current study was to report the learning curve for endoscopic septoplasty for a senior surgeon already trained in endonasal sinus surgery.

Material And Methods: From November 2011 to September 2012, 100 patients were prospectively included and grouped in 5 consecutive groups of 20 by date of surgery. The primary endpoint was operative time.

Endoscopic vs. conventional septoplasty: A review of the literature.

The aim of this review of literature was to compare conventional and endoscopic septoplasty in terms of operating time, functional efficacy and perioperative morbidity. A systematic review of the scientific literature was performed on the PubMed database, Google and Google Scholar, searching for randomized prospective trials comparing endoscopic and conventional septoplasty. The primary endpoint was operating time, and the secondary endpoints were intra- and postoperative complications, postoperative pain, hospital stay and functional result.

[Invasive aspergillosis of sphenoidal sinus in a patient in Djibouti, revealed by palsy of cranial nerves: a case report].

The authors report a case of invasive aspergillosis of a sphenoid sinus mucocele revealed in a patient with diabetes in Djibouti by homolateral palsy of the 3rd, 4th, 5th and 6th nerves. This rare condition occurs preferentially in immunodeficient subjects. Because of its clinical polymorphism, its diagnosis is difficult and is often not made until complications develop.

[Facial nerve monitoring in the parotidectomy].

Introduction: Facial palsy (FP) is a feared complication of parotidectomy. Facial nerve monitoring (FNM) has been poorly evaluated since it was created at the beginning of the 90's. The authors described a retrospective series and discussed it reviewing the literature data.