[Management of a giant ameloblastoma at the Butare University Hospital Center (Rwanda)].

The management of ameloblastoma is nowadays well codified, requiring surgical treatment. If clinical and radiological aspects could evocate diagnosis, only histological analysis proves it, and permits to differ ameloblastoma from other facial bone tumors. Due to difficulties in Rwanda to obtain preoperative X ray computed tomography, the diagnosis and the management are first based on the clinic features.

Intra-laryngeal endoprosthesis: an alternative therapeutic approach to surgical procedures of laryngeal exclusion.

The uncertain results of aryepiglottopexy in our personal experience led us to develop, for patients with aspirations associated with the risk of severe pneumonitis, three types of intralaryngeal endoprostheses (ILEP) under the systematic cover of a tracheostomy. From September 1997 to May 1999, seven protheses were implanted in six patients. It was not possible to restore the full range of laryngeal functions, i.

[Thyroid metastases of Grawitz tumors: apropos of a case].

Secondary localisations of malignant tumors to the ENT areas are rare. One case of renal adenocarcinoma metastasis to the thyroid has been followed in our department. After a quick recall of the clinical story, we will try to point out the epidemiological and physiopathological specificities of this localisation and to emphasize its therapeutic difficulties.