[Ethmoidal mucocele after transpalpebral bony orbital decompression].

We report a case of a late ethmoidal mucocele occurring after transpalpebral bony orbital decompression. A 39-year-old man presented with a recurrence of a right-sided proptosis without signs of orbital inflammation. The patient had undergone bilateral transpalpebral bony orbital decompression for dysthyroid orbitopathy 2 years prior.

[Aesthetic parotidectomy: face lift incision and SMAS flap].

Introduction: Traditional parotidectomy skin incision (bayonet-shaped incision) is adapted from an extirpative standpoint but not ideal cosmetically. There are three main drawbacks: Scar, retro-mandibular depression and Frey syndrome. The goal of this prospective study was to evaluate the feasibility of this facial incision for extirpative purposes and to define the clinical benefit in terms of scar and retromandibular depression.

[Surgery of mucocele of the paranasal sinuses: report of 52 cases with a middle term follow up].

Objective: To define indications and limitations of Functional Endoscopic Sinus Surgery (FESS) for mucoceles therapeutic management.

Patients And Methods: 52 cases of mucoceles were treated in our institution during the 8-year period 1993-2001. All patients underwent follow-up for a minimal period of 4 years, with a clinical (endoscopy) and imaging assessments, in order to diagnose recurrences.

[Sinonasal hemangiopericytoma: a case report].

Objective: To define clinical, histological and radiological features of sinonasal hemangiopericytoma (SNHPC) and to describe its therapeutic management.

Patients And Methods: A case of SNHPC (47 year old man) of the left nasal cavity underwent endoscopic sinus surgery at our institution. This case is reported and discussed with a review of the literature.

[Saddle nose surgery: long term aesthetic outcomes of support grafts].

Unlabelled: Saddle nose surgery requires support grafts to improve the aesthestic of the nose such as the functional ventilation. Many kind of graft are available: Calvarial bone graft, iliac crest, septal cartilage, conchal cartilage, nasal hump, bony inferior turbinate.

Objectives: To define the surgical strategy and long term aesthetic outcomes of rhinoplasty with support graft for saddle nose correction.

Cervical paragangliomas: neurovascular surgical risk and therapeutic management.

Paragangliomas of the neck region arise most commonly in the carotid and vagal bodies. The goal of this retrospective study is to evaluate intraoperative vascular and neurological morbidity and to define the therapeutic strategy. During the period 1990-2004, 32 patients with 42 neck paragangliomas were referred to our institution (Head and Neck Service, Otolaryngology Federation, CHU La Timone, Marseilles, France).

The silent sinus syndrome.

Silent sinus syndrome is a rare clinical entity typically characterized by spontaneous and progressive enophthalmos and hypoglobus caused by an alteration of the normal orbital architecture and function from maxillary collapse in the setting of the chronic maxillary sinus hypoventilation. The authors report an unusual case revealed by mild dental pain, present the imaging (before, during and after the development of the disease), discuss the different theories related to pathogenesis and comment the treatment.

[Microinvasive endonasal surgery: contribution of endoscopy to maxillofacial surgery].

Video-assisted endonasal endoscopic surgery is used for a constantly increasing number of indications, replacing more invasive external approaches. Indications include chronic bacterial and fungal sinusitis, nasosinus polyposis, mucocele, inverted papilloma, and lacrimal duct stenosis. This microinvasive technique offers the advantage of preserving the physiological properties of the mucosa while assuring proper ventilation of the nasal and sinus cavities.

Pediatric paranasal sinus mucoceles: etiologic factors, management and outcome.

Objectives: To study the local and general etiological factors of paranasal sinus mucoceles in the pediatric population and to evaluate and discuss the clinical management and the results of endonasal marsupialization.

Design: Retrospective study.

Patients And Methods: A series of 10 cases of paranasal sinus mucocele in children were managed.

Cavernous sinus thrombosis secondary to non-invasive sphenoid aspergillosis.

The sphenoid localization of aspergillosis is a rare sinusal disease, often latent or asymptomatic. The neurological complications are the result of invasive forms occurring in most cases for the immunocompromised or diabetic patients. Nevertheless, non-invasive sphenoid aspergillosis may cause also several complications and affect the vital prognosis of nonimmunocompromised patients.

[The effectiveness of otoendoscopy in myringoplasty using adipose graft].

Objective: The aim of this study was to present our results of endoscopic-guided myringoplasty using adipose graft tissue. Due to its simplicity and reliability, this technique seems be as efficient as other classical graft techniques (fascia temporalis, perichondrium..

[Antrochoanal polyps: diagnosis and management].

Antrochonal polyp is a unilateral and benign tumor of the maxillary sinus occurring in children. Its physiopathology remains unclear. Nasal presenting symptoms are unilateral obstruction and nasal discharge.

[Primary cancer of the parotid gland: an anatomoclinical approach].

Background: Carcinoma of the parotid gland presents a wide variety of clinical presentations, behaviors and prognoses. The aim of this study was to define the characteristic clinical presentations and the prognostic factors of these tumors.

Material And Method: Sixty-six patients with carcinoma of the parotid gland seeing during the 1985-2003 period were included in this study.

[Recurrences of pleomorphic adenomas of the parotid: development of concepts].

Objectives: The aim of this study was to examine the surgical and pathological factors that led to recurrent parotid pleomorphic adenomas. The study also tried to determine best practice for the treatment of recurrence. In addition the study looked at the correlation between fine needle cytology and definitive histology.

[Diagnosis management of Warthin tumour: clinical presentation, fine needle cytology and MRI].

Objectives: Warthin tumour is the second most frequent benign tumour of the parotid gland after pleomorphic adenoma. The aim of this retrospective study was to define clinical, cytological and MRI characteristics in order to work out a therapeutic strategy.

Material And Method: During the period May 1991-January 2003, 53 patients with Warthin tumors were treated in our institution.

[A case of nasal septum schwannoma: endoscopic resection].

Objectives: To define clinical and radiological characteristics of nasal septal schwannoma, and to propose endoscopic surgery.

Patient And Methods: We report a case of an isolated schwannoma of the anterior part of the nasal septum, without involvement of any local structure. The only preoperative symptom was nasal obstruction.

[Pleomorphic adenoma of the parotid: histopathological study].

Objectives: Capsular ruptures play a major role in recurrences of parotid pleomorphic adenomas. The aim of this retrospective study was to define histomorphological characteristics of pleomorphic adenoma in order to define possible recurrence mechanisms and to set a clear surgical management.

Material And Method: Histological study was performed after reviewing of slides originating from 100 patients with pleomorphic adenomas of the parotid gland.

[Preserving hearing function after Gamma Knife radiosurgery for unilateral vestibular schwannoma].

Objective: The majority of the patients still lose hearing function in spite of the technical advances in microsurgery. We wanted to evaluate preservation of hearing function potential after Gamma Knife Surgery.

Material And Method: In Marseille, we performed 1000 Gamma-Knife procedures for vestibular schwannomas between July 1992 and January 2002.

[Functional outcomes after translabyrinthine approach for vestibular schwannomas].

Purpose: The aim of this paper is to present the functional outcomes after translabyrinthine approach (TLA) for vestibular schwannoma (VS). We analyzed data from 95 patients who had undergone surgery on between 1991 and 2001.

Methods: This retrospective study of clinical and radiological data concerned 95 patients operated on by TLA for a unilateral vestibular schwannoma, excluding NF2 patients and those who have been operated on after a gamma-knife treatment.

[Recurrences of pleomorphic adenomas of the parotid: changing attitudes].

Objective: The real issue of parotid surgery for pleomorphic adenoma is its risk of recurrence. The aim of this study was to compare the changing attitudes towards the pathology and surgical treatment in order to better define prevention and management of pleomorphic adenoma recurrences.

Material And Method: Histological study was performed after reviewing of slides originating from 100 patients with pleomorphic adenomas of the parotid gland, treated in our institution during the period May 1992 - November 2002.

Preoperative diagnostic values of fine-needle cytology and MRI in parotid gland tumors.

The aim of this retrospective study was to assess and compare the diagnostic value of fine-needle cytology and MRI for the prediction of malignancy in parotid tumors. During an 11-year period, 148 patients underwent preoperative fine-needle aspiration cytology in our institution. Eighty-seven patients underwent a preoperative MRI study, and 54 had both MRI and cytology.

[Multifactorial analysis of preoperative functional symptoms in nasal polyposis (report of 403 patients)].

Purpose: Nasal polyposis is an invading disease whose evolution is dominated by functional symptoms. The aim of this study was to evaluate in cortico-resistant patients with nasal polyps the pre-operative functional symptoms in order to define factors that might increase them.

Methods: 403 patients were included in this study.

[Sphenoid sinusitis].

Sphenoid sinusitis is uncommon, with an incidence of about 2.7%. Failure to diagnose and treat sphenoid sinus disease has been shown to lead to serious neurologic sequellae.