Publications by authors named "Crambert A"

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.

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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.

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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.

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Article Synopsis
  • Acute acoustic trauma (AAT) is linked to intense noise exposure, particularly in military settings, where weapons can exceed 150 dB, leading to significant hearing loss and quality of life issues.
  • The study analyzed patient records from four military medical centers in Northeast France over five years, focusing on patients with cochlea-vestibular symptoms following noise exposure to assess long-term hearing impairment.
  • Results showed that among 419 patients, a substantial majority experienced tinnitus, with over 20% showing long-term hearing loss; higher doses of corticosteroids appeared to correlate with better hearing outcomes.
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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.

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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.

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Article Synopsis
  • The French military uses a special mobile surgical unit called the Surgical Life-saving Module (SLM) to help injured soldiers quickly during small missions.
  • The SLM can be dropped from helicopters and is designed for urgent surgeries, usually handling 1 or 2 seriously hurt patients at a time.
  • In 2 months, the SLM treated 157 injured people, most from shrapnel and gunfire, by performing various surgeries like dressings and amputations.
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Article Synopsis
  • - Cervical congenital malformations are frequently seen in both children and adults and are linked to the embryological development of branchial clefts.
  • - Diagnosis requires ruling out other conditions, particularly distinguishing between a cervical tumor and cancer; common clinical signs include cutaneous fistulas and cervical tumors, which may be recent or part of an inflammatory context.
  • - The most prevalent types of cervical cysts are thyroglossal duct cysts and second branchial cleft cysts, and imaging plays a key role in diagnosis, while treatment generally involves antibiotics followed by complete surgical removal to prevent recurrence.
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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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