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Gouvêa Bogossian E, Taleb C, Aspide R, Badenes R, Battaglini D, Bilotta F, Blandino Ortiz A, Caricato A, Castioni CA, Citerio G, Ferraro G, Martino C, Melchionda I, Montanaro F, Monleon Lopez B, Nato CG, Piagnerelli M, Picetti E, Robba C, Simonet O, Thooft A, Taccone FS. Cerebro-spinal fluid glucose and lactate concentrations changes in response to therapies in patIents with primary brain injury: the START-TRIP study. Crit Care 2023; 27:130. [PMID: 37004053 PMCID: PMC10067218 DOI: 10.1186/s13054-023-04409-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 03/20/2023] [Indexed: 04/03/2023] Open
Abstract
INTRODUCTION Altered levels of cerebrospinal fluid (CSF) glucose and lactate concentrations are associated with poor outcomes in acute brain injury patients. However, no data on changes in such metabolites consequently to therapeutic interventions are available. The aim of the study was to assess CSF glucose-to-lactate ratio (CGLR) changes related to therapies aimed at reducing intracranial pressure (ICP). METHODS A multicentric prospective cohort study was conducted in 12 intensive care units (ICUs) from September 2017 to March 2022. Adult (> 18 years) patients admitted after an acute brain injury were included if an external ventricular drain (EVD) for intracranial pressure (ICP) monitoring was inserted within 24 h of admission. During the first 48-72 h from admission, CGLR was measured before and 2 h after any intervention aiming to reduce ICP ("intervention"). Patients with normal ICP were also sampled at the same time points and served as the "control" group. RESULTS A total of 219 patients were included. In the intervention group (n = 115, 53%), ICP significantly decreased and CPP increased. After 2 h from the intervention, CGLR rose in both the intervention and control groups, although the magnitude was higher in the intervention than in the control group (20.2% vs 1.6%; p = 0.001). In a linear regression model adjusted for several confounders, therapies to manage ICP were independently associated with changes in CGLR. There was a weak inverse correlation between changes in ICP and CGRL in the intervention group. CONCLUSIONS In this study, CGLR significantly changed over time, regardless of the study group. However, these effects were more significant in those patients receiving interventions to reduce ICP.
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Affiliation(s)
- Elisa Gouvêa Bogossian
- Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Route de Lennik, 808, 1070, Brussels, Belgium.
| | - Chahnez Taleb
- Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Route de Lennik, 808, 1070, Brussels, Belgium
| | - Raffaele Aspide
- Anesthesia and Neurointensive Care Unit, IRCCS Istituto Delle Scienze Neurologiche di Bologna, Via Altura, 3, Bologna, Italy
| | - Rafael Badenes
- Department of Anesthesiology and Surgical-Trauma Intensive Care, Hospital Clínic Universitari de Valencia, University of Valencia, Valencia, Spain
| | - Denise Battaglini
- Department of Surgical Science and Integrated Diagnostic, University of Genoa, Genoa, Italy
- IRRCS Policlinico San Martino, Genoa, Italy
| | - Federico Bilotta
- Department of Anaesthesiology, Critical Care and Pain Medicine, Umberto I Policlinico Di Roma, Rome, Italy
| | - Aaron Blandino Ortiz
- Department of Intensive Care Unit, Ramón y Cajal University Hospital, Madrid, Spain
| | - Anselmo Caricato
- Intensive Care Unit, Department of Anesthesiology and Intensive Care Medicine, Gemelli Hospital, Sacro Cuore Catholic University, Rome, Italy
| | - Carlo Alberto Castioni
- Anesthesia and Neurointensive Care Unit, IRCCS Istituto Delle Scienze Neurologiche di Bologna, Via Altura, 3, Bologna, Italy
| | - Giuseppe Citerio
- Scuola di Medicina e Chirurgia, Azienda Socio Sanitaria Territoriale Monza, Università Milano Bicocca, Monza, Italy
| | - Gioconda Ferraro
- Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Route de Lennik, 808, 1070, Brussels, Belgium
| | - Costanza Martino
- Anesthesia and Intensive Care Unit, Azienda Romagna, M. Bufalini Hospital, Cesena, Italy
| | - Isabella Melchionda
- Department of Anaesthesiology, Critical Care and Pain Medicine, Umberto I Policlinico Di Roma, Rome, Italy
| | - Federica Montanaro
- Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Route de Lennik, 808, 1070, Brussels, Belgium
| | - Berta Monleon Lopez
- Department of Anesthesiology and Surgical-Trauma Intensive Care, Hospital Clínic Universitari de Valencia, University of Valencia, Valencia, Spain
| | - Consolato Gianluca Nato
- Department of Anaesthesiology, Critical Care and Pain Medicine, Umberto I Policlinico Di Roma, Rome, Italy
| | - Michael Piagnerelli
- Department of Intensive Care, CHU-Charleroi, Université Libre de Bruxelles, Charleroi, Belgium
- Experimental Medicine Laboratory, CHU-Charleroi, Montigny-Le-Tilleul, Belgium
| | - Edoardo Picetti
- Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy
| | - Chiara Robba
- Department of Surgical Science and Integrated Diagnostic, University of Genoa, Genoa, Italy
- IRRCS Policlinico San Martino, Genoa, Italy
| | - Olivier Simonet
- Department of Anaesthesia and Intensive Care, Centre Hospitalier de Wallonie Picarde, Tournai, Belgium
| | - Aurelie Thooft
- Department of Intensive Care, CHU-Charleroi, Université Libre de Bruxelles, Charleroi, Belgium
| | - Fabio Silvio Taccone
- Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Route de Lennik, 808, 1070, Brussels, Belgium
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Landre T, Bouharati D, Amara MA, Taleb C. 1600P Suboptimal response to COVID-19 mRNA vaccines in older patients with cancer. Ann Oncol 2021. [PMCID: PMC8454325 DOI: 10.1016/j.annonc.2021.08.1593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Landre T, Ait Amara M, Bouharati D, Taleb C. 971P Is there a clinical benefit of nivolumab + ipilimumab in patients older than 75 years with advanced solid tumors? Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Zemirline A, Taleb C, Naito K, Vernet P, Liverneaux P, Lebailly F. Distal radius fracture fixation with a volar locking plate and endoscopic carpal tunnel release using a single 15mm approach: Feasibility study. Hand Surg Rehabil 2018; 37:S2468-1229(18)30068-9. [PMID: 29779839 DOI: 10.1016/j.hansur.2018.03.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Revised: 03/09/2018] [Accepted: 03/13/2018] [Indexed: 12/31/2022]
Abstract
Distal radius fractures (DRF) may trigger, reveal or decompensate acute carpal tunnel syndrome (CTS) in 0.5-21% of cases. Internal fixation and median nerve release must then be carried out urgently. Less invasive approaches have been described for both the median nerve release using an endoscopic device and for the DRF fixation using a volar locking plate. We assessed the feasibility of DRF fixation and median nerve release through a single, minimally-invasive 15mm approach on a series of 10 cases. We reviewed retrospectively 10 consecutive cases of DRF associated with symptomatic CTS in 8 women and 2 men, aged 57 years on average. CTS was diagnosed clinically. All patients were treated during outpatient surgery with a volar locking plate and endoscopic carpal tunnel release using a single 15mm minimally-invasive approach. In one case, arthroscopic scapholunate repair was also required. Six months after the procedure, all patients were reviewed with a clinical examination and a radiological evaluation. The average values for the clinical and radiological outcomes were as follows: pain on VAS 1.5/10; QuickDASH 14.3/100; flexion 90%; extension 90.6%; pronation 95.6%; supination 87.9%; grip strength 90.1%; 2PD test 5.2mm (4-8mm). Five complications occurred: two cases of temporary dysesthesia in the territory of the median nerve and one case of temporary hypoesthesia of the palmar branch of the median nerve, which had all completely recovered; two cases of complex regional pain syndrome type I, which were still active at 6 months. Despite its methodological weaknesses, our study is the only one to describe the technical feasibility of a single 15mm minimally-invasive approach for both internal fixation using a volar locking plate and endoscopic nerve release, with no serious complications. This technique should be added to the surgical toolbox of minimally-invasive procedures for the hand and wrist.
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Affiliation(s)
- A Zemirline
- Hand Center of Brittany, Saint-Grégoire Private Hospital Center, 6, boulevard de la Boutière, 35760 Saint-Grégoire, France.
| | - C Taleb
- Department of Orthopaedic Surgery, Mulhouse Hospital Center, 20, avenue Docteur René-Laennec, 68100 Mulhouse, France
| | - K Naito
- Department of Orthopaedics, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, 113-8421 Tokyo, Japan
| | - P Vernet
- Department of Hand Surgery, Strasbourg University Hospital, 10, avenue Achille-Baumann, 67400 Illkirch, France
| | - P Liverneaux
- Department of Hand Surgery, Strasbourg University Hospital, 10, avenue Achille-Baumann, 67400 Illkirch, France
| | - F Lebailly
- Clinique Saint-Paul, 3, rue des Hibiscus, 97200 Fort-De-France, France
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Pamoukdjian F, Al Nawakil C, Bouzouina L, Landré T, Sebbane G, Taleb C. Une tuméfaction sternale. Rev Med Interne 2017; 38:710-711. [DOI: 10.1016/j.revmed.2017.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2016] [Accepted: 02/01/2017] [Indexed: 10/20/2022]
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Landre T, Al-Nawakil C, Karaoud F, Taleb C. Comparison of efficacy of new therapies between younger and older patients with relapsed and refractory multiple myeloma: A meta-analysis. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx373.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Lazarus P, Hidalgo Diaz J, Prunières G, Pire E, Taleb C, Honecker S, Bellemère P, Fontaine C, Liverneaux P. Rotational stability test for the diagnosis of radial collateral ligament rupture in the fingers: Anatomical study. Hand Surgery and Rehabilitation 2017; 36:122-126. [DOI: 10.1016/j.hansur.2016.12.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2016] [Revised: 12/10/2016] [Accepted: 12/27/2016] [Indexed: 10/20/2022]
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Naroura I, Zemirline A, Taleb C, Lebailly F, Facca S, Hidalgo Díaz JJ, Collon S, Liverneaux P. Inside-out method to develop volar arthroscopic portals of the wrist in cadaver specimens. Hand Surg Rehabil 2016; 35:210-214. [PMID: 27740464 DOI: 10.1016/j.hansur.2016.02.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2015] [Revised: 02/02/2016] [Accepted: 02/23/2016] [Indexed: 11/29/2022]
Abstract
Three direct volar portals for wrist arthroscopy have been described previously: two radiocarpal and one midcarpal. The aim of this study was to systematically describe four volar arthroscopic portals through minimally invasive incisions using an inside-out approach from known dorsal portals. Four volar arthroscopic wrist portals were studied on six hand specimens using an inside-out technique: a radial radiocarpal approach (RRCA), an ulnar radiocarpal approach (URCA), a radial midcarpal approach (RMCA) and an ulnar midcarpal approach (UMCA). Each volar approach corresponded to a dorsal approach: the 3/4 portal for RRCA, 4/5 portal for URCA, dorsal radial midcarpal approach for RMCA, and dorsal ulnar midcarpal approach for UMCA. The average range of motion of the scope through the RRCA was 65° in radial deviation and 72° in ulnar deviation; through the URCA it was 62° in radial deviation and 64° in ulnar deviation; through the RMCA it was 62° in radial deviation and 60° in ulnar deviation, and through the UMCA it was 59° in radial deviation and 68° in radial deviation. No iatrogenic injuries to important anatomical structures were noted. Based on these results, it is possible to perform these four volar portals through an inside-out technique with incisions mirroring the dorsal portals. They were easy to perform, safe and should be useful in ligament or bony intracarpal repair indications.
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Affiliation(s)
- I Naroura
- Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France
| | - A Zemirline
- Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France
| | - C Taleb
- Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France
| | - F Lebailly
- Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France
| | - S Facca
- Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France
| | - J J Hidalgo Díaz
- Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France
| | - S Collon
- Department of Orthopedic Surgery, Caen University Hospital, Caen, France
| | - P Liverneaux
- Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
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Claessen FMAP, Stoop N, Doornberg JN, Guitton TG, van den Bekerom MPJ, Ring D, Chauhan A, Wahegaonkar A, Shafritz A, Garcia G A, Miller A, Barquet A, Kristan A, Apard T, Armstrong A, Berner A, Jubel A, Kreis B, Babis C, Sutker B, Sears B, Nolan B, Crist B, Cross B, Wills B, Barreto C, Ekholm C, Swigart C, Oliveira Miranda C, Manke C, Zalavras C, Goldfarb C, Cassidy C, Walsh C, Jones C, Garnavos C, Young C, Moreno-Serrano C, Lomita C, Klostermann C, van Deurzen D, Rikli D, Polatsch D, Beingessner D, Drosdowech D, Eygendaal D, Patel M, Brilej D, Walbeehm E, Ballas E, Ibrahim E, Melamed E, Stojkovska Pemovska E, Hofmeister E, Hammerberg E, Kaplan F, Suarez F, Fernandes C, Lopez-Gonzalez F, Walter F, Frihagen F, Kraan G, Kontakis G, Dyer G, Kohut G, Panagopoulos G, Hernandez G, Porcellini G, Bayne G, Merrell G, DeSilva G, Della Rocca G, Bamberger H, Broekhuyse H, Durchholz H, Kodde I, McGraw I, Harris I, Pountos I, Wiater J, Choueka J, Kazanjian J, Gillespie J, Biert J, Fanuele J, Johnson J, Greenberg J, Abrams J, Hall J, Fischer J, Scheer J, Itamura J, Capo J, Braman J, Rubio J, Ortiz J, Filho J, Nolla J, Abboud J, Conflitti J, Abzug J, Patiño J, Rodríguez Roiz J, Adams J, Bishop J, Kabir K, Chivers K, Prommersberger K, Egol K, Rumball K, Dickson K, Jeray K, Poelhekke L, Campinhos L, Mica L, Borris L, Adolfsson L, Schulte L, Elmans L, Lane L, Paz L, Taitsman L, Guenter L, Austin L, Waseem M, Palmer M, Abdel-Ghany M, Richard M, Rizzo M, Pirpiris M, Di Micoli M, Bonczar M, Loebenberg M, Richardson M, Mormino M, Menon M, Soong M, Wood M, Meylaerts S, Darowish M, Nancollas M, Prayson M, Grafe M, Kessler M, Kaminaris M, Pirela-Cruz M, Mckee M, Merchant M, Tyllianakis M, Shafi M, Powell A, Shortt N, Felipe N, Parnes N, Bijlani N, Elias N, Akabudike N, Rossiter N, Lasanianos N, Kanakaris N, Brink O, van Eerten P, Paladini P, Martineau P, Appleton P, Levin P, Althausen P, Evans P, Jebson P, Krause P, Schandelmaier P, Peters A, Dantuluri P, Blazar P, Andreas P, Inna P, Quell M, Ramli R, de Bedout R, Ranade A, Ashish S, Smith R, Babst R, Omid R, Buckley R, Jenkinson R, Gilbert R, Page R, Papandrea R, Zura R, Gray R, Wagenmakers R, Pesantez R, van Riet R, Calfee R, van Helden S, Bouaicha S, Kakar S, Kaplan S, Scott F, Kaar S, Mitchell S, Rowinski S, Dodds S, Kennedy S, Beldner S, Schepers T, Guitton T, Gosens T, Baxamusa T, Taleb C, Tosounidis T, Wyrick T, Begue T, DeCoster T, Dienstknecht T, Varecka T, Mittlmeier T, Fischer T, Chesser T, Omara T, Bafus T, Siff T, Havlicek T, Sabesan V, Nikolaou V, Philippe V, Giordano V, Vochteloo A, Batson W, Hammert W, Satora W, Weil Y, Ruch D, Marsh L, Swiontkowski M, Hurwit S. Interpretation of Post-operative Distal Humerus Radiographs After Internal Fixation: Prediction of Later Loss of Fixation. J Hand Surg Am 2016; 41:e337-e341. [PMID: 27522299 DOI: 10.1016/j.jhsa.2016.07.094] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 04/17/2016] [Accepted: 07/13/2016] [Indexed: 02/02/2023]
Abstract
PURPOSE Stable fixation of distal humerus fracture fragments is necessary for adequate healing and maintenance of reduction. The purpose of this study was to measure the reliability and accuracy of interpretation of postoperative radiographs to predict which implants will loosen or break after operative treatment of bicolumnar distal humerus fractures. We also addressed agreement among surgeons regarding which fracture fixation will loosen or break and the influence of years in independent practice, location of practice, and so forth. METHODS A total of 232 orthopedic residents and surgeons from around the world evaluated 24 anteroposterior and lateral radiographs of distal humerus fractures on a Web-based platform to predict which implants would loosen or break. Agreement among observers was measured using the multi-rater kappa measure. RESULTS The sensitivity of prediction of failure of fixation of distal humerus fracture on radiographs was 63%, specificity was 53%, positive predictive value was 36%, the negative predictive value was 78%, and accuracy was 56%. There was fair interobserver agreement (κ = 0.27) regarding predictions of failure of fixation of distal humerus fracture on radiographs. Interobserver variability did not change when assessed for the various subgroups. CONCLUSIONS When experienced and skilled surgeons perform fixation of type C distal humerus fracture, the immediate postoperative radiograph is not predictive of fixation failure. Reoperation based on the probability of failure might not be advisable. TYPE OF STUDY/LEVEL OF EVIDENCE Diagnostic III.
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Affiliation(s)
- Femke M A P Claessen
- Orthopaedic Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA
| | - Nicky Stoop
- Orthopaedic Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA
| | - Job N Doornberg
- Orthotrauma Research Center Amsterdam, University of Amsterdam Orthopaedic Residency Program, Amsterdam, The Netherlands
| | - Thierry G Guitton
- Orthotrauma Research Center Amsterdam, University of Amsterdam Orthopaedic Residency Program, Amsterdam, The Netherlands
| | | | - David Ring
- Orthopaedic Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA.
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Barthel L, Taleb C, Pereira A, Prunières G, Hendriks S, Facca S, Bodin F, Liverneaux P. Enlargement of the flexor pulleys by an omega plasty: A study comparing the release of one or both sides of the A2 and/or A4 pulley. ANN CHIR PLAST ESTH 2016; 61:117-21. [DOI: 10.1016/j.anplas.2015.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2015] [Accepted: 04/20/2015] [Indexed: 11/16/2022]
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Taleb C, Zemirline A, Lebailly F, Bodin F, Facca S, Gouzou S, Liverneaux P. Minimally invasive osteotomy for distal radius malunion: A preliminary series of 9 cases. Orthop Traumatol Surg Res 2015; 101:861-5. [PMID: 26454409 DOI: 10.1016/j.otsr.2015.07.016] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2014] [Revised: 06/05/2015] [Accepted: 07/24/2015] [Indexed: 02/02/2023]
Abstract
UNLABELLED The rate of malunion after distal radius fractures is 25% after conservative treatment and 10% after surgery. Their main functional repercussion related to ulno-carpal conflict is loss of wrist motion. We report a retrospective clinical series of minimally invasive osteotomies. The series consisted of 9 cases of minimally invasive osteotomies with volar locking plate fixation. All osteotomies healed. The average pain was 5.3/10 preoperatively and 2.1/10 at last follow-up. The mean Quick DASH was 55.4/100 preoperatively and 24.24/100 at last follow-up. Compared to the opposite side, the average wrist flexion was 84.11%, the average wrist extension was 80.24%, the average pronation was 95.33% and the average supination was 93.9%. With similar results to those of the literature, our short series confirms the feasibility of minimally invasive osteotomy of the distal radius for extra-articular malunion. TYPE: Case-series. LEVEL OF EVIDENCE IV.
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Affiliation(s)
- C Taleb
- Hand Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, Icube CNRS 7357, 67403 Illkirch, France
| | - A Zemirline
- Hand Surgery Department, Private Hospital Saint-Grégoire, 35760 Rennes, France
| | - F Lebailly
- Hand Surgery Department, Saint-Paul Institute, 97200 Fort-de-France, Martinique
| | - F Bodin
- Plastic Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, 67000 Strasbourg, France
| | - S Facca
- Hand Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, Icube CNRS 7357, 67403 Illkirch, France
| | - S Gouzou
- Hand Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, Icube CNRS 7357, 67403 Illkirch, France
| | - P Liverneaux
- Hand Surgery Department, Strasbourg University Hospitals, FMTS, University of Strasbourg, Icube CNRS 7357, 67403 Illkirch, France.
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Hidalgo-Díaz JJ, Ichihara S, Taleb C, Gouzou S, Facca S, Naroura I, Bodin F, Liverneaux P. Metacarpophalangeal joint arthroscopy in the fingers other than the thumb: Retrospective comparison of horizontal versus vertical traction. ACTA ACUST UNITED AC 2015; 34:105-8. [PMID: 25960060 DOI: 10.1016/j.main.2015.02.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2014] [Revised: 02/08/2015] [Accepted: 02/10/2015] [Indexed: 11/30/2022]
Abstract
The goal of this study was to compare the advantages and disadvantages of horizontal versus vertical traction by reviewing a small series of metacarpophalangeal (MCP) joint arthroscopy in the fingers other than the thumb. Our series included eight patients operated with traction placed along the axis of the operated finger. In four cases, traction was applied horizontally and in the other four, it was applied vertically. Arthroscopy was performed using dorsomedial and dorsoradial portals. The fluoroscopy unit was placed either vertically or horizontally as required. The average duration of patient set-up was 17.75min in the horizontal traction group and 32min in the vertical traction group. The average tourniquet time was 56.75min in the horizontal traction group and 71min in the vertical traction group. Horizontal traction required an additional procedure that can potentially compromise surgical asepsis. Vertical traction was less comfortable for the surgeon and horizontal placement of the fluoroscope increased the risk of compromised asepsis. Overall, arthroscopy of the MCP joint of the fingers other than the thumb is an easy technique, indicated for trauma-related and chronic lesions, which may be best performed with horizontal traction.
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Affiliation(s)
- J J Hidalgo-Díaz
- Icube CNRS 7357, FMTS, service de chirurgie de la main, SOS main, CCOM, hôpitaux universitaires de Strasbourg, université de Strasbourg, 10, avenue Baumann, 67400 Illkirch, France
| | - S Ichihara
- Department of orthopaedic surgery, Juntendo university hospital, Tokyo, Japan
| | - C Taleb
- Icube CNRS 7357, FMTS, service de chirurgie de la main, SOS main, CCOM, hôpitaux universitaires de Strasbourg, université de Strasbourg, 10, avenue Baumann, 67400 Illkirch, France
| | - S Gouzou
- Icube CNRS 7357, FMTS, service de chirurgie de la main, SOS main, CCOM, hôpitaux universitaires de Strasbourg, université de Strasbourg, 10, avenue Baumann, 67400 Illkirch, France
| | - S Facca
- Icube CNRS 7357, FMTS, service de chirurgie de la main, SOS main, CCOM, hôpitaux universitaires de Strasbourg, université de Strasbourg, 10, avenue Baumann, 67400 Illkirch, France
| | - I Naroura
- Icube CNRS 7357, FMTS, service de chirurgie de la main, SOS main, CCOM, hôpitaux universitaires de Strasbourg, université de Strasbourg, 10, avenue Baumann, 67400 Illkirch, France
| | - F Bodin
- Department of plastic surgery, FMTS, university hospital of Strasbourg, university of Strasbourg, 67000 Strasbourg, France
| | - P Liverneaux
- Icube CNRS 7357, FMTS, service de chirurgie de la main, SOS main, CCOM, hôpitaux universitaires de Strasbourg, université de Strasbourg, 10, avenue Baumann, 67400 Illkirch, France.
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13
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Taleb C, Bodin F, Collon S, Gay A, Facca S, Liverneaux P. Retrograde percutaneous screw fixation for scaphoid type II non-union in Schernberg zones 2 to 4: a series of 38 cases. ACTA ACUST UNITED AC 2015; 34:32-8. [PMID: 25579829 DOI: 10.1016/j.main.2014.10.150] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 09/29/2014] [Accepted: 10/23/2014] [Indexed: 11/25/2022]
Abstract
Regardless of the treatment used, 25 to 45% of scaphoid fractures do not heal. Open surgery compromises vascularization and destabilizes ligament attachments. The aim of this retrospective study was to assess the value of retrograde percutaneous screw fixation of Alnot stage IIA and IIB scaphoid non-union in Schernberg zones 2 to 4. This series included 38 patients with a mean age of 31 years. Based on the Alnot classification, there were 16 stage IIA non-unions (12 in zone 3 and 4 in zone 2 according to the Schernberg classification) and 22 stage IIB non-unions (9 in zone 3 and 13 in zone 2). The time elapsed between the initial trauma and the surgical treatment was 10 months on average. Percutaneous retrograde fixation was performed with a cannulated 2.7mm compression screw. At 25 months follow-up, 31 of the non-union cases had healed (81.6%), of which 14 were stage IIA (87.5%) and 17 were stage IIB (77.3%), after an average 6.3 months. Average pain was 1.6. The average Quick DASH was 17.3/100. Compared to the opposite side, the average range of motion was 84.8% in flexion, 84.7% in extension, 98.9% in pronation, 96.5% in supination, 96.8% in ulnar deviation and 86.4% in radial deviation. The grip strength was 80.4% of the contralateral side. Seven patients did not heal after screw fixation; four of them healed after additional electromagnetic stimulation and three after addition of a vascularized bone graft. Based on this study's results, stage IIA non-unions can heal with simple retrograde percutaneous screw fixation. The same procedure could be enough for stage IIB non-union cases, however we recommend adding a cancellous bone graft by arthroscopy. Open surgery procedures are preferred when percutaneous procedures have failed.
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Affiliation(s)
- C Taleb
- Department of hand surgery, university hospital of Strasbourg, FMTS, university of Strasbourg, 10, avenue Baumann, 67403 Illkirch cedex, France
| | - F Bodin
- Department of plastic surgery, university hospital of Strasbourg, FMTS, university of Strasbourg, 67000 Strasbourg, France
| | - S Collon
- Department of orthopedic surgery, Caen university hospital, 14040 Caen cedex, France
| | - A Gay
- Department of hand surgery, La Timone teaching hospital, Aix Marseille university, 147, boulevard Baille, 14385 Marseille cedex, France
| | - S Facca
- Department of hand surgery, university hospital of Strasbourg, FMTS, university of Strasbourg, 10, avenue Baumann, 67403 Illkirch cedex, France
| | - P Liverneaux
- Department of hand surgery, university hospital of Strasbourg, FMTS, university of Strasbourg, 10, avenue Baumann, 67403 Illkirch cedex, France.
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14
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Prunières GC, Taleb C, Hendriks S, Miyamoto H, Kuroshima N, Liverneaux P, Facca S. Use of the Konnyaku Shirataki noodle as a low fidelity simulation training model for microvascular surgery in the operating theatre. ACTA ACUST UNITED AC 2014; 33:106-11. [DOI: 10.1016/j.main.2013.12.003] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2013] [Revised: 12/01/2013] [Accepted: 12/09/2013] [Indexed: 11/27/2022]
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15
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Taleb C, Berner S, Mantovani Ruggiero G. First metacarpal resurfacing with polyvinyl alcohol implant in osteoarthritis: preliminary study. ACTA ACUST UNITED AC 2014; 33:189-95. [PMID: 24880607 DOI: 10.1016/j.main.2014.03.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2013] [Revised: 01/27/2014] [Accepted: 03/01/2014] [Indexed: 11/16/2022]
Abstract
Osteoarthritis of first carpometacarpal (CMC) joint is a condition that is frequently encountered in hand surgery. If conservative treatment fails, several surgical procedures are available ranging from arthroscopic debridement to total joint arthroplasty. This study focuses on a new resurfacing technique for the base of the first metacarpal using a polyvinyl alcohol hydrogel implant. Our preliminary study found good clinical outcomes and no inflammatory reaction after a follow-up of 30 months. However prospective studies with a longer follow-up and more patient are needed to confirm these results.
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Affiliation(s)
- C Taleb
- Hand surgery department, Beneficência Portuguesa de Sao Paulo Hospital, Sao Paulo, Brazil; Hand surgery department, University Hospital of Strasbourg, 21075 Illkirch, France.
| | - S Berner
- Hand surgery department, Sinai Hospital of Baltimore, Maryland, USA
| | - G Mantovani Ruggiero
- Hand surgery department, Beneficência Portuguesa de Sao Paulo Hospital, Sao Paulo, Brazil
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16
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Landré⁎ T, Taleb C, Ratiney R, Cornu H, des Guetz G, Sebbane G. Darbepoetin Alfa in older patients with chemotherapy induced anaemia: Is the recommended initial dose optimal for elderly? J Geriatr Oncol 2012. [DOI: 10.1016/j.jgo.2012.10.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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17
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Taleb C, Pelissier P, Choughri H. Acrométastase d’un carcinome urothélial de la vessie : à propos d’un cas et revue de la littérature. ACTA ACUST UNITED AC 2011; 30:136-9. [DOI: 10.1016/j.main.2011.01.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2010] [Revised: 12/29/2010] [Accepted: 01/10/2011] [Indexed: 12/13/2022]
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18
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Taleb C, Gouzou S, Mantovani G, Liverneaux P. Treatment of benign bone tumours of the hand using osteoscopy. ACTA ACUST UNITED AC 2010; 29:78-81. [DOI: 10.1016/j.main.2009.12.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2009] [Revised: 11/07/2009] [Accepted: 12/31/2009] [Indexed: 11/30/2022]
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Abstract
Robotics has spread over many surgical fields over the last decade: orthopaedic, cardiovascular, urologic, gynaecologic surgery and various other types of surgery. There are five different types of robots: passive, semiactive and active robots, telemanipulators and simulators. Hand surgery is at a crossroad between orthopaedic surgery, plastic surgery and microsurgery; it has to deal with fixing all sorts of tissues from bone to soft tissues. To our knowledge, there is not any paper focusing on potential clinical applications in this realm, even though robotics could be helpful for hand surgery. One must point out the numerous works on bone tissue with regard to passive robots (such as fluoroscopic navigation as an ancillary for percutaneous screwing in the scaphoid bone). Telemanipulators, especially in microsurgery, can improve surgical motion by suppressing physiological tremor thanks to movement demultiplication (experimental vascular and nervous sutures previously published). To date, the robotic technology has not yet become simple-to-use, cheap and flawless but in the future, it will probably be of great technical help, and even allow remote-controlled surgery overseas.
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Affiliation(s)
- P Liverneaux
- Unité SOS Mains, Centre de Chirurgie Orthopédique et de la Main, Hôpitaux Universitaires de Strasbourg, 10 Avenue Achille-Baumann, 67403 Illkirch Cedex, France.
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20
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Taleb C, Nectoux E, Liverneaux P. Telemicrosurgery: A feasibility study in a rat model. ACTA ACUST UNITED AC 2008; 27:104-8. [DOI: 10.1016/j.main.2008.04.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2007] [Revised: 03/22/2008] [Accepted: 04/02/2008] [Indexed: 11/25/2022]
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Hernández Sandemetrio R, Armengot Carceller M, Alba García JR, Taleb C, Jiménez Roig JP, Frías Moya-Angeler S, Basterra Alegría J. Adenoma pleomorfo gigante de lóbulo profundo de la parótida: a propósito de un caso. Acta Otorrinolaringológica Española 2006; 57:56-8. [PMID: 16503035 DOI: 10.1016/s0001-6519(06)78664-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Parapharyngeal space tumors are rare. Salivary neoplasms being the most frequent ones. The important volume they can reach, their silent character, and the complex anatomic relationships of this area makes their surgical resection difficult. This report describes a case of a pleomorphic adenoma in the deep lobe of the parotid gland presented like a parapharyngeal mass, and its diagnosis and treatment.
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Affiliation(s)
- R Hernández Sandemetrio
- Servicio de Otorrinolaringología, Hospital General Universitario, Facultad de Medicina, Valencia.
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22
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Alba JR, Armengot M, Flores M, Jiménez JP, Taleb C, Díaz A, Basterra J. [Influence of the nasogastric tube in the pathology of the maxillary sinus]. Acta Otorrinolaringol Esp 2005; 56:78-82. [PMID: 15782647 DOI: 10.1016/s0001-6519(05)78576-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Nasoesophageal tube (NT) is very often used by the ear, nose and throat specialists in head and neck oncological surgery. It is well known the irritative effect that it has on the nasosinusal mucosa. The aim of this study is to analyze the relationship between the use of the NT and the pathology of the maxillary sinuses. MATERIAL AND METHOD The study was carried out in 25 patients treated in our department who had been fed by NT, after surgery. A plain sinus X-ray was performed in the pre-operatory period and a control radiograph in the post-operatory period, and the results have been analyzed. RESULTS AND CONCLUSIONS No sinusitis had been observed whatever length of time the NT remained in situ.
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Affiliation(s)
- J R Alba
- Servicio de Otorrinolaringología, Hospital General Universitario, Valencia.
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23
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Alba JR, Armengot M, Rausell N, Martínez V, Taleb C, Jimenez JP, Basterra J. Arteriovenous haemangioma of the pterygoid process. Report of a case. Rev Laryngol Otol Rhinol (Bord) 2003; 123:175-7. [PMID: 12577783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
Arteriovenous haemangioma is a benign tumor which in ear, nose and throat practice is generally found in the soft tissues of the oral cavity. Bone involvement is very uncommon. These lesions typically manifest themselves in infancy, with a tendency towards spontaneous resolution. The management options comprise simple observation, embolization or surgical removal--depending on the location of the tumour and its symptoms. A correct diagnosis is essential to ensure the adoption of adequate measures during surgery. The present case describes an exceptional location of arteriovenous hemangioma of the pterygoid process, and discusses the associated diagnostic and treatment problems.
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Affiliation(s)
- J R Alba
- Valencia University General Hospital Valencia Medical School, Ear, Nose and Throat Department, Valencia, Spain (Plaza del Reino 1-1(3), 46600 Alzira, Valencia, Spain.
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24
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Alba García JR, Díaz Fernández A, Rausell Fontestad N, Armengot Carceller M, Zapater Latorre E, Taleb C, Jiménez Roig JP, Campos Catalá A, Basterra Alegría J. [Inverted papilloma of paranasal sinuses. Our experience of 15 cases. Review of literature]. An Otorrinolaringol Ibero Am 2003; 30:137-49. [PMID: 12784565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
Fifteen cases of nasosinusal inverted papilloma treated in our department from 1994 to 2000 are reported. The most frequent initial symptom was unilateral nasal obstruction. Some others symptoms were rhinorrea, facial pain and self limited epistaxis. The most frequent surgical procedure performed was the paralateral rhinotomy with medial maxillectomy. The median average for the follow up was 28 months, being diagnosed one recurrence. The paralateral rhinotomy with a medial maxillectomy, under functional endoscopic nasosinusal techniques are being more and more used, decreasing the indications of open techniques.
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Affiliation(s)
- J R Alba García
- Servicio Otorrinolaringología, Hospital General Universitario, Valencia.
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25
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Zapater E, Moreno S, Armengot M, Campos A, Taleb C, Alba JR, Basterra J. [Intelligent system to perform a diagnostic protocol for lymphatic invasion in laryngeal cancer]. Acta Otorrinolaringol Esp 2002; 53:683-90. [PMID: 12584884 DOI: 10.1016/s0001-6519(02)78364-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Laryngeal carcinoma is the most frequent malignant tumour in head and neck. Node invasion is known to be one of the most important prognostic factors. The aim of this study has been to design an intelligent system to perform a diagnostic algorithm of metastasic neck nodes. 122 clinical reports of patients diagnosed of laryngeal carcinoma in our department have been reviewed. The compiled data have been: tumor site, T stage, N stage (clinical, after CT scan and post-surgery). The method used to design the intelligent system has been the ID3, which is able to generate a minimal decision tree. Palpation has been the variable that has given more information about node invasion. CT has proved to be more efficient in supraglottic tumours. ID3 method has shown to be useful in performing diagnostic algorithms, specially when the number of cases and diagnostic tests are high.
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Affiliation(s)
- E Zapater
- Servicio de Otorrinolaringología, Hospital General Universitario de Valencia.
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26
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Alba García JR, Armengot Carceller M, Pérez Fernández CA, Díaz Fernández A, Taleb C, Campos Catalá A, Basterra Alegría J. [An exceptional form of cranio-facial fibrous dysplasia: fibrous dysplasia of middle turbinate]. Acta Otorrinolaringol Esp 2002; 53:291-4. [PMID: 12185906 DOI: 10.1016/s0001-6519(02)78312-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Fibrous dysplasia is a rare bone disease that can be misdiagnosed because of the slowness of its symptoms. Although it is a benign disease its clinical behaviour can be severe, with possibility of local growth and malignant degeneration into osteosarcoma. An uncommon case of fibrous dysplasia is reported, affecting only the middle turbinate. Diagnostic and therapeutic problems are discussed.
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Affiliation(s)
- J R Alba García
- Servicio de Otorrinolaringología, Hospital General Universitario, Facultad de Medicina, Valencia.
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27
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Kettaneh A, Eclache V, Sontag C, Fain O, Sitbon M, Taleb C, Bertheau P, Gattegno L, Castaing N, Carbillon L, Lejeune F, Pateron D, Uzan M, Thomas M. Pica, compulsions alimentaires et carence martiale chez l'adulte en milieu hospitalier en région parisienne. Rev Med Interne 2000. [DOI: 10.1016/s0248-8663(00)90080-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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28
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Fain O, Jacquart B, Lemoel G, Héron C, Taleb C, Betari B, Sitbon M, Gattegno L, Thomas M. Évaluation de la carence en vitamine C dans un service de médecine interne en Seine-Saint-Denis en 1997. Rev Med Interne 1998. [DOI: 10.1016/s0248-8663(98)80049-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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29
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30
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Fain O, Taleb C, Feton N, Sibony M, Lejeune F, Thomas M. Syndrome de Sweet à localisation digestive, vascularite, abcès du psoas et sacroiliite: manifestations révélatrices d'une anémie réfractaire avec excès de blastes évoluant rapidement vers une leucémie aiguë. Rev Med Interne 1992. [DOI: 10.1016/s0248-8663(05)81039-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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