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Barry B, Dolivet G, Clatot F, Huguet F, Abdeddaim C, Baujat B, Blanchard N, Calais G, Carrat X, Chatellier A, Coste F, Cupissol D, Cuvelier P, De Mones Del Pujol E, Deneuve S, Duffas O, Dupret-Bories A, Even C, Evrard C, Evrard D, Faivre S, Fakhry N, Garrel R, Gorphe P, Houliat T, Kaminsky MC, Krebs L, Lapeyre M, Lindas P, Malard O, Mirghani H, Mondina M, Moriniere S, Mouawad F, Pestre-Munier J, Pham Dang N, Picard A, Ramin L, Renard S, Salvan D, Schernberg A, Sire C, Thariat J, Vanbockstael J, Vo Tan D, Wojcik T, Klein I, Block V, Baumann-Bouscaud L, De Raucourt D. [French national standard for the treatment of squamous cell carcinoma of upper aero-digestive tract - General principles of treatment]. Bull Cancer 2024; 111:393-415. [PMID: 38418334 DOI: 10.1016/j.bulcan.2023.12.007] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 12/14/2023] [Accepted: 12/31/2023] [Indexed: 03/01/2024]
Abstract
OBJECTIVES The management of upper aerodigestive tract cancers is a complex specialty. It is essential to provide an update to establish optimal care. At the initiative of the INCa and under the auspices of the SFORL, the scientific committee, led by Professor Béatrix Barry, Dr. Gilles Dolivet, and Dr. Dominique De Raucourt, decided to develop a reference framework aimed at defining, in a scientific and consensus-based manner, the general principles of treatment for upper aerodigestive tract cancers applicable to all sub-locations. METHODOLOGY To develop this framework, a multidisciplinary team of practitioners was formed. A systematic analysis of the literature was conducted to produce recommendations classified by grades, in accordance with the standards of the French National Authority for Health (HAS). RESULTS The grading of recommendations according to HAS standards has allowed the establishment of a reference for patient care based on several criteria. In this framework, patients benefit from differentiated care based on prognostic factors they present (age, comorbidities, TNM status, HPV status, etc.), conditions of implementation, and quality criteria for indicated surgery (operability, resectability, margin quality, mutilation, salvage surgery), as well as quality criteria for radiotherapy (target volume, implementation time, etc.). The role of medical and postoperative treatments was also evaluated based on specific criteria. Finally, supportive care must be organized from the beginning and throughout the patients' care journey. CONCLUSION All collected data have led to the development of a comprehensive framework aimed at harmonizing practices nationally, facilitating decision-making in multidisciplinary consultation meetings, promoting equality in practices, and providing a state-of-the-art and reference practices for assessing the quality of care. This new framework is intended to be updated every 5 years to best reflect the latest advances in the field.
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Affiliation(s)
- Béatrix Barry
- AP-HP, hôpital Bichat-Claude-Bernard, ORL et CCF, Paris (75), France
| | - Gilles Dolivet
- Institut de cancérologie de Lorraine, ORL et CCF, Nancy (54), France.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - Olivier Duffas
- Centre hospitalier de Libourne, ORL et CMF, Libourne, France
| | | | | | | | - Diane Evrard
- AP-HP, hôpital Bichat-Claude-Bernard, ORL et CCF, Paris (75), France
| | | | - Nicolas Fakhry
- Assistance publique-Hôpitaux de Marseille, ORL et CCF, Marseille, France
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Didier Salvan
- Centre hospitalier Sud Francilien, ORL et CCF, Corbeil-Essonnes, France
| | | | | | | | | | | | | | - Isabelle Klein
- Dispositif Spécifique Régional du Cancer Grand Est - NEON, Nancy (54), France
| | - Véronique Block
- Dispositif Spécifique Régional du Cancer Grand Est - NEON, Nancy (54), France
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Dolivet G, Barry B, Abdeddaim C, Baujat B, Blanchard N, Calais G, Carrat X, Chatellier A, Clatot F, Coste F, Cupissol D, Cuvelier P, de Mones Del Pujol E, Deneuve S, Duffas O, Dupret-Bories A, Even C, Evrard C, Evrard D, Faivre S, Fakhry N, Garrel R, Gorphe P, Houliat T, Huguet F, Kaminsky MC, Krebs L, Lapeyre M, Lindas P, Malard O, Mirghani H, Mondina M, Moriniere S, Mouawad F, Pestre-Munier J, Pham Dang N, Picard A, Ramin L, Renard S, Salvan D, Schernberg A, Sire C, Thariat J, Vanbockstael J, Vo Tan D, Wojcik T, Klein I, Block V, Baumann-Bouscaud L, de Raucourt D. [National standard for the treatment of squamous cell carcinoma of upper aerodigestive tract]. Bull Cancer 2024; 111:327-332. [PMID: 38336530 DOI: 10.1016/j.bulcan.2023.08.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 08/03/2023] [Accepted: 08/04/2023] [Indexed: 02/12/2024]
Affiliation(s)
- Gilles Dolivet
- ORL et CCF, Institut de cancérologie de Lorraine, Nancy, France.
| | - Béatrix Barry
- ORL et CCF, hôpital Bichat-Claude-Bernard, AP-HP, Paris, France
| | | | | | | | | | | | | | | | | | | | - Philippe Cuvelier
- ORL et CCF libéral à Bayonne et centre hospitalier Oloron, Oloron-Sainte-Marie, France
| | | | | | - Olivier Duffas
- ORL et CMF, centre hospitalier de Libourne, Libourne, France
| | | | | | | | - Diane Evrard
- ORL et CCF, hôpital Bichat-Claude-Bernard, AP-HP, Paris, France
| | | | - Nicolas Fakhry
- ORL et CCF, Assistance publique-Hôpitaux de Marseille, Marseille, France
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Sophie Renard
- ORL et CCF, Institut de cancérologie de Lorraine, Nancy, France
| | - Didier Salvan
- ORL et CCF, centre hospitalier sud francilien, Corbeil-Essonnes, France
| | | | | | | | | | | | | | - Isabelle Klein
- Dispositif spécifique régional du cancer Grand Est - NEON, Nancy, France
| | - Véronique Block
- Dispositif spécifique régional du cancer Grand Est - NEON, Nancy, France
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Preudhomme R, Veyssière A, Bildstein AC, Chatellier A, Garmi R, Bénateau H. Management after fibula free flap necrosis in maxillofacial reconstruction. J Stomatol Oral Maxillofac Surg 2023; 124:101586. [PMID: 37562713 DOI: 10.1016/j.jormas.2023.101586] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Revised: 07/26/2023] [Accepted: 08/02/2023] [Indexed: 08/12/2023]
Abstract
INTRODUCTION Few articles discuss the management of a free fibula flap (FFF) necrosis in maxillofacial reconstruction. MATERIAL & METHODS Between 2005 and 2020, 170 FFF were used for maxillofacial reconstruction at the University Hospital of Caen, among which 16 cases suffered total necrosis and flap removal. The authors categorized these 16 cases into three groups based on the proposed salvage treatment and analyzed the post-operative follow-up, including complications, length of hospital stay and delay in radiotherapy. RESULTS In Group A, two patients underwent immediate reconstruction with a new free flap. There were no postoperative complications, and the average hospitalization duration after removal of the first flap was 10 days. In Group B, eleven patients underwent reconstruction with a pedicled musculocutaneous pectoralis major flap. These patients experienced numerous complications, with 73% of them requiring at least one additional surgery, and all of them had an indication for later FFF reconstruction. The average hospitalization duration in this group was 37 days. In Group C, three patients underwent conservative management with debridement and mucosal closure. Two of them experienced complications, and all of them underwent later FFF reconstruction. The average hospitalization duration in this group was 15 days. DISCUSSION Based on our experience and the literature review, the use of an immediate new free flap appears to be the best approach after the removal of a FFF. This generates shorter healing times and shorter hospitalization stays, and this allows better results in terms of function and aesthetics. At least, this is the approach that causes the least delay for radiation therapy if indicated. The other approaches should only be proposed in case of patient's poor general condition or in case of refuse of the patient.
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Affiliation(s)
- Renaud Preudhomme
- Caen University Hospital. Oral and Maxillofacial Surgery Department, Address: Avenue de la Côte de Nacre, 14033 Caen France.
| | - Alexis Veyssière
- Caen University Hospital. Oral and Maxillofacial Surgery Department, Address: Avenue de la Côte de Nacre, 14033 Caen France
| | - Anh-Claire Bildstein
- Caen University Hospital. Oral and Maxillofacial Surgery Department, Address: Avenue de la Côte de Nacre, 14033 Caen France
| | - Anne Chatellier
- Caen University Hospital. Oral and Maxillofacial Surgery Department, Address: Avenue de la Côte de Nacre, 14033 Caen France
| | - Rachid Garmi
- Caen University Hospital. Oral and Maxillofacial Surgery Department, Address: Avenue de la Côte de Nacre, 14033 Caen France
| | - Hervé Bénateau
- Caen University Hospital. Oral and Maxillofacial Surgery Department, Address: Avenue de la Côte de Nacre, 14033 Caen France
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Abergel R, Picard C, Planchard G, Chatellier A, Auvray M, Dompmartin A. Silicone-induced granuloma: A case report of atypical leg-ulcers. Ann Dermatol Venereol 2022; 149:286-288. [PMID: 35644691 DOI: 10.1016/j.annder.2022.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 01/17/2022] [Accepted: 03/02/2022] [Indexed: 12/30/2022]
Affiliation(s)
- R Abergel
- Dermatology Department, Caen University Hospital, avenue Côte-de-Nacre, 14000 Caen, France; Caen University, Medical Faculty, rue des Rochambelles, 14032 Caen, France.
| | - C Picard
- Dermatology Department, Saint-Lô Hospital, 715, rue Henri-Dunant, 50000 Saint-Lô, France
| | - G Planchard
- Anatomical Pathology Department, Caen University Hospital, avenue Côte-de-Nacre, 14000 Caen, France
| | - A Chatellier
- Anatomical Pathology Department, Caen University Hospital, avenue Côte-de-Nacre, 14000 Caen, France
| | - M Auvray
- Radiology Department, Saint-Lô Hospital, 715, rue Henri-Dunant, 50000 Saint-Lô, France
| | - A Dompmartin
- Dermatology Department, Caen University Hospital, avenue Côte-de-Nacre, 14000 Caen, France; Caen University, Medical Faculty, rue des Rochambelles, 14032 Caen, France
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Deneuve S, Guerlain J, Dupret-Bories A, Majoufre C, Philouze P, Ceruse P, Perreard M, Sigaud N, Barry B, Ransy P, Schultz P, Malard O, Morinière S, Chatellier A, De Monès E, Folia M, Virard F, Fervers B. Oral tongue squamous cell carcinomas in young patients according to their smoking status: a GETTEC study. Eur Arch Otorhinolaryngol 2021; 279:415-424. [PMID: 33877432 DOI: 10.1007/s00405-021-06793-7] [Citation(s) in RCA: 1] [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: 01/10/2021] [Accepted: 03/31/2021] [Indexed: 12/17/2022]
Abstract
BACKGROUND Incidence of oral tongue squamous cell carcinoma (OTSCC) is increasing, especially in young adults, despite decreasing tobacco and alcohol consumption. METHODS This multicentric retrospective study of 185 young adults with OTSCC (median follow-up 43 months), investigated risk factors, tumour characteristics and oncological outcomes according to the smoking status. RESULTS Overall, 38% of patients were smokers (S). Non-smokers (NS) were significantly younger than S. Sex ratios were 1.1 for N and 1.8 for S. NS patients were less frequently cannabis or alcohol users than S, but were more likely to have a history of leukoplakia. Second primaries were observed in NS (4.4%) and in S (12.7%). Despite more frequent local relapse in NS (p = 0.018), there was no difference in diagnostic stage and overall survival between groups. CONCLUSION OTSCC affects differently young S and NS patients suggesting the existence of a specific clinical entity of OTSCC in non-smoking young adults.
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Affiliation(s)
- Sophie Deneuve
- Surgical Oncology Department, Léon Bérard Comprehensive Cancer Center, 28 rue Laennec, 69008, Lyon, France. .,INSERM UA8, Radiation: Défense, Santé , Environnement, Lyon, France.
| | - Joanne Guerlain
- Head and Neck Department, Gustave Roussy Comprehensive Cancer Center, Villejuif, France
| | - Agnès Dupret-Bories
- Head and Neck Department, Toulouse University Cancer Institute, Toulouse, France
| | - Claire Majoufre
- Maxillofacial Surgery, CHU Bordeaux Pellegrin, Bordeaux, France
| | | | | | | | - Nicolas Sigaud
- Maxillofacial Surgery, CHU Lyon Sud, Pierre-Bénite, France
| | | | | | | | | | | | | | | | | | - François Virard
- INSERM U1052-CNRS UMR5286, Cancer Research Center, centre Léon Berard, Lyon 1 University, Lyon, France.,Université de Lyon, Faculté d'Odontologie, Hospices Civils de Lyon, Lyon, France
| | - Béatrice Fervers
- INSERM UA8, Radiation: Défense, Santé , Environnement, Lyon, France.,Cancer and Environnement Department, Léon Bérard Comprehensive Cancer Center, Lyon, France
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Drouet J, Garmi R, Ambroise B, Chatellier A, Veyssière A, Benateau H. Labiomental sensation after segmental mandibulectomy and inferior alveolar nerve preservation for osteoradionecrosis. J Stomatol Oral Maxillofac Surg 2020; 122:557-560. [PMID: 33096263 DOI: 10.1016/j.jormas.2020.10.004] [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] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 10/09/2020] [Indexed: 10/23/2022]
Abstract
Advanced mandibular osteoradionecrosis requires a segmental mandibulectomy with reconstruction using a free fibular flap. The conservation of labiomental sensation by lateralization of the inferior alveolar nerve is unusual during a segmental mandibulectomy. A protocol for the evaluation of labiomental sensation has been created for the clinical follow-up of operated patients. The patients included were patients with mandibular osteoradionecrosis who underwent a segmental mandibulectomy with reconstruction by free fibular flap and whose pre-operative labiomental sensation was preserved. All patients were followed-up by the same examiner and operated on by the same surgeon. The neuro-sensitive examination analyses the different forms of sensation at 1 week and at 12 months postoperatively. Between May 2017 and May 2018, 3 consecutive patients were assessed. The results of the labiomental sensitive evaluation using our evaluation protocol attest to the preservation of labiomental sensation. The operating time was increased by an average of 35 min per surgical procedure. The conservation and re-routing of the inferior alveolar nerve in segmental mandibulectomy with fibula free flap reconstruction in patients with osteoradionecrosis allows for the preservation of labiomental sensation, which improves the quality of life of patients. Our protocol can be used in all surgical procedure that affect sensibility.
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Affiliation(s)
- Julien Drouet
- Maxillofacial Surgery and Plastic Surgery Department, Caen University Hospital, 14000 Caen, France; Maxillofacial Surgery and plastic Surgery Department, Centre François-Baclesse, 14000 Caen, France.
| | - Rachid Garmi
- Maxillofacial Surgery and Plastic Surgery Department, Caen University Hospital, 14000 Caen, France
| | - Béatrice Ambroise
- Maxillofacial Surgery and Plastic Surgery Department, Caen University Hospital, 14000 Caen, France
| | - Anne Chatellier
- Maxillofacial Surgery and Plastic Surgery Department, Caen University Hospital, 14000 Caen, France
| | - Alexis Veyssière
- Maxillofacial Surgery and Plastic Surgery Department, Caen University Hospital, 14000 Caen, France; Caen Faculty of Medicine, University of Caen Basse Normandie, 14032 Caen Cedex 5, France; UNICAEN, EA7451 Equipe BioConnecT, Avenue de la Côte de Nacre, 14000 Caen, France
| | - Hervé Benateau
- Maxillofacial Surgery and Plastic Surgery Department, Caen University Hospital, 14000 Caen, France; Caen Faculty of Medicine, University of Caen Basse Normandie, 14032 Caen Cedex 5, France; UNICAEN, EA7451 Equipe BioConnecT, Avenue de la Côte de Nacre, 14000 Caen, France
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Bénateau H, Garmi R, Chatellier A, Ambroise B, Maltezeanu A, Veyssière A. [Palato velar fistulae in cleft palate]. ANN CHIR PLAST ESTH 2019; 64:406-412. [PMID: 31178309 DOI: 10.1016/j.anplas.2019.05.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Accepted: 05/22/2019] [Indexed: 11/19/2022]
Abstract
Palatal fistulas after primary closure of a cleft palate are extremely variable ranging from 15 to 35%. When they are symptomatic, these fistulas affect feeding (nasal regurgitation to liquids, discharge, bad smells) and phonation (hypernasality that can hinder the precise assessment of velar incompetence). First of all, it is important to analyze the cause of the fistula, it helps to avoid early recurrences. The correction must apply to respect the 2 mucosal planes (nasal mucosa and oral mucosa), the only guarantee of surgical success. Different techniques are usually described: lingual flap, lifting of all palatal mucosa, flap hinge, blaster, FAMM. In all cases, postoperative care plays a key role in the success of the surgical correction.
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Affiliation(s)
- H Bénateau
- Service de chirurgie maxillo-faciale, CHU de Côte de Nacre, 14000 Caen, France; Faculté de médecine, université de Caen Basse Normandie, 14032 Caen cedex 5, France; EA7451 équipe BioConnecT, UNICAEN, avenue de la Côte de Nacre, 14000 Caen, France
| | - R Garmi
- Service de chirurgie maxillo-faciale, CHU de Côte de Nacre, 14000 Caen, France
| | - A Chatellier
- Service de chirurgie maxillo-faciale, CHU de Côte de Nacre, 14000 Caen, France
| | - B Ambroise
- Service de chirurgie maxillo-faciale, CHU de Côte de Nacre, 14000 Caen, France
| | - A Maltezeanu
- Service de chirurgie maxillo-faciale, CHU de Côte de Nacre, 14000 Caen, France; Faculté de médecine, université de Caen Basse Normandie, 14032 Caen cedex 5, France
| | - A Veyssière
- Service de chirurgie maxillo-faciale, CHU de Côte de Nacre, 14000 Caen, France; Faculté de médecine, université de Caen Basse Normandie, 14032 Caen cedex 5, France; EA7451 équipe BioConnecT, UNICAEN, avenue de la Côte de Nacre, 14000 Caen, France.
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Kün-Darbois JD, Chatellier A, Paré A, Caillot A, Ambroise B, Bénateau H, Veyssière A. Congenital Midline Upper Lip Sinuses. Cleft Palate Craniofac J 2017; 55:292-295. [DOI: 10.1177/1055665617723635] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Congenital sinuses of the upper lip are rare congenital malformations. There have been only 40 cases described in the literature. We report 3 cases of congenital midline upper lip sinus in Caucasian children. Two of those lesions were associated with other anomalies (complete cleft palate and hemifacial macrosomia or submucous cleft palate with bifid uvula). The pathophysiology remains unexplained yet. Congenital upper lip sinuses can be considered as possible microforms of cleft-lips. Associated anomalies are frequent and must be sought. The treatment is a full excision of the sinus tract and of the skin around the punctum in order to avoid risks of recurrence.
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Affiliation(s)
- Jean-Daniel Kün-Darbois
- Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen, France
- GEROM research unit, Angers, University Hospital, Angers, France
| | - Anne Chatellier
- Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen, France
| | - Arnaud Paré
- Department of Maxillofacial and Plastic Surgery, Tours University Hospital, Tours, France
| | - Aude Caillot
- Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen, France
| | - Béatrice Ambroise
- Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen, France
| | - Hervé Bénateau
- Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen, France
- Maxillo-facial surgery, Medecine faculty of Caen, University of Caen Basse-Normandie, Caen, France
| | - Alexis Veyssière
- Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen, France
- Laboratory EA 4652 Microenvironnement Cellulaire et Pathologies, BioconnecT team, Medecine faculty of Caen, University of Caen Basse-Normandie, Caen, France
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Veyssiere A, Leprovost N, Ambroise B, Prévost R, Chatellier A, Bénateau H. Study of the mechanical reliability of an S-shaped adjustable osteosynthesis plate for bilateral sagittal split osteotomies. Study on 15 consecutive cases. J Stomatol Oral Maxillofac Surg 2017; 119:19-24. [PMID: 29133198 DOI: 10.1016/j.jormas.2017.11.003] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Revised: 10/02/2017] [Accepted: 11/01/2017] [Indexed: 11/30/2022]
Abstract
INTRODUCTION The main challenge during the osteosynthesis of a bilateral sagittal split osteotomy (BSSO) is to take into account the correct position of the condyle. Adjustable plates can be used to fine-tune the final occlusion without changing the osteosynthesis. A new type of adjustable plate is presented in this article. The aim is to assess the mechanical reliability of this system during the surgery and during the healing period, thanks to a preliminary prospective on 15 consecutive cases. MATERIAL AND METHODS The bridge of the plate studied here has an "S"-shape and can be bent in two different planes. Fifteen patients presenting a maxilla-mandibular disharmony have been operated on with this device. Clinical results were evaluated three months postoperatively and the mechanical reliability of the device was studied prospectively from teleradiographies of 15 patients operated on in our department. RESULTS This study shows good results, with respect to the mechanical reliability of this S-shaped adjustable plate, three months postoperatively corresponding to the bone-healing period. Radiographic observations did not show any significant displacement at the osteosynthesis site. DISCUSSION This preliminary study shows the mechanical reliability of this new S-shaped adjustable plate. Its semi-rigid character may allow for certain condyle position adaptability. No plate fracture was reported for this 15 patient series. These encouraging results have to be confirmed on a larger series.
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Affiliation(s)
- A Veyssiere
- Department of maxillofacial and plastic surgery, Caen university hospital, 14000 Caen, France; UNICAEN, EA7451, équipe BioConnecT, avenue de la Côte-de-Nacre, 14000 Caen, France; Medicine faculty of Caen, university of Caen-Basse-Normandie, 14032 Caen cedex 5, France.
| | - N Leprovost
- Department of maxillofacial and plastic surgery, Caen university hospital, 14000 Caen, France
| | - B Ambroise
- Department of maxillofacial and plastic surgery, Caen university hospital, 14000 Caen, France; Medicine faculty of Caen, university of Caen-Basse-Normandie, 14032 Caen cedex 5, France
| | - R Prévost
- Department of maxillofacial and plastic surgery, Caen university hospital, 14000 Caen, France
| | - A Chatellier
- Department of maxillofacial and plastic surgery, Caen university hospital, 14000 Caen, France
| | - H Bénateau
- Department of maxillofacial and plastic surgery, Caen university hospital, 14000 Caen, France; UNICAEN, EA7451, équipe BioConnecT, avenue de la Côte-de-Nacre, 14000 Caen, France; Medicine faculty of Caen, university of Caen-Basse-Normandie, 14032 Caen cedex 5, France
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Bénateau H, Trentesaux AS, Chatellier A, Laurent J, Bellot A, Veyssiere A. Cheiloplasty associated to a palatal obturator in a preterm infant with a cleft lip and palate. J Stomatol Oral Maxillofac Surg 2017. [PMID: 28642187 DOI: 10.1016/j.jormas.2017.06.006] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Preterm infants are commonly treated by non-invasive ventilation (NIV) and nasal continuous positive airway pressure (CPAP), which are associated with fewer complications than nasotracheal intubation. In preterm infants with a cleft lip and palate, this method of respiratory management is difficult or impossible to perform because of air leakage through the cleft defect. CASE We report a male infant who was born at 29 weeks of gestation with a left complete unilateral cleft lip and palate. Birth weight was 900 grammes. Because of the cleft, we have any problems to ventile this infant. We decide to close the cleft prematurely on day 17 after multidisciplinary discussion. DISCUSSION NIV cannot be performed with the usual equipment in very premature infants with a cleft lip and palate because of air leakage through the cleft defect. Very few studies report pre term infant with cleft lip and palate and his difficulties of ventilation. This is the first case reported to perform cheiloplasty on a 900g preterm infant.
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Affiliation(s)
- H Bénateau
- Department of maxillofacial surgery, Caen university hospital, 14000 Caen, France
| | - A-S Trentesaux
- Neonatal intensive care unit, Caen university hospital, 14000 Caen, France
| | - A Chatellier
- Department of maxillofacial surgery, Caen university hospital, 14000 Caen, France
| | - J Laurent
- Department of infantil anesthesiology, Caen university hospital, 14000 Caen, France
| | - A Bellot
- Neonatal intensive care unit, Caen university hospital, 14000 Caen, France
| | - A Veyssiere
- Department of maxillofacial surgery, Caen university hospital, 14000 Caen, France.
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Vivien A, Kowalski V, Chatellier A, Babin E, Bénateau H, Veyssière A. [Information quality in general public French-speaking websites dedicated to oral cancer detection]. J Stomatol Oral Maxillofac Surg 2017; 118:20-28. [PMID: 28330570 DOI: 10.1016/j.jormas.2016.10.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2016] [Revised: 09/27/2016] [Accepted: 10/28/2016] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The goal set by the French highest national authorities in the 2014-2019 Cancer Plan is to "heal more sick persons by promoting early diagnosis through screening". Screening requires information. Nowadays, Internet allows for access to information "in one click". The aim of our study was to evaluate the quality of information found on the Internet. MATERIALS AND METHODS Several sites dedicated to oral cavity cancer screening were selected on Google. The quality of health information found in these sites was evaluated by the DISCERN questionnaire. The quality of decision support provided by the sites was evaluated by the IPDAS checklist. RESULTS Twenty-seven sites were selected. The average DISCERN score was 25.1/75 (15/75 to 40/75). Eighteen sites (66.6%) had very poor, 8 sites (29.6%) had poor and 1 site had average information quality. IPDAS scores ranged from 11.1 to 38.1. Eight sites (29.6%) had less than 20%, 14 sites (51.9%) had between 20 and 30% and 5 sites (18.5%) had 30% or more validated criteria. No site achieved the pass mark. DISCUSSION The quality of general public French-speaking website dedicated to oral cancer detection is very bad. The role of health professionals such as general practitioners and head and neck surgeons, remains essential.
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Affiliation(s)
- A Vivien
- Faculté de médecine de Caen, université de Caen Basse-Normandie, 14032 Caen cedex 5, France
| | - V Kowalski
- Faculté de médecine de Caen, université de Caen Basse-Normandie, 14032 Caen cedex 5, France
| | - A Chatellier
- Service de chirurgie maxillo-faciale et plastique, centre hospitalier universitaire de Caen, 14000 Caen, France
| | - E Babin
- Faculté de médecine de Caen, université de Caen Basse-Normandie, 14032 Caen cedex 5, France; Service d'oto-rhino-laryngologie et chirurgie cervico-facial, centre hospitalier universitaire de Caen, 14000 Caen, France
| | - H Bénateau
- Faculté de médecine de Caen, université de Caen Basse-Normandie, 14032 Caen cedex 5, France; Service de chirurgie maxillo-faciale et plastique, centre hospitalier universitaire de Caen, 14000 Caen, France; Laboratoire EA 4652 microenvironnement cellulaire et pathologies, équipe BioconnecT, université de Caen Basse-Normandie, 14032 Caen cedex 5, France
| | - A Veyssière
- Faculté de médecine de Caen, université de Caen Basse-Normandie, 14032 Caen cedex 5, France; Service de chirurgie maxillo-faciale et plastique, centre hospitalier universitaire de Caen, 14000 Caen, France; Laboratoire EA 4652 microenvironnement cellulaire et pathologies, équipe BioconnecT, université de Caen Basse-Normandie, 14032 Caen cedex 5, France.
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Veyssière A, Ambroise B, Traoré H, Chatellier A, Caillot A, Hervé B. Management of Large Maxillomandibular Osteofibrous Dysplasia as Part of a Humanitarian Mission. J Oral Maxillofac Surg 2016; 75:436.e1-436.e10. [PMID: 27837651 DOI: 10.1016/j.joms.2016.10.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Revised: 10/06/2016] [Accepted: 10/06/2016] [Indexed: 12/11/2022]
Abstract
PURPOSE Maxillomandibular ossifying fibroma is a benign tumor that affects young adults. Complete excision can allow satisfactory management with no recurrence. During a humanitarian mission, one is confronted with many types of damage from these fibromas. Their management requires wide resection (mandibulectomy interrupter or maxillectomy) and free flap reconstruction. However, technical conditions during a humanitarian mission might not allow the performance of a free flap reconstruction. How can such patients be managed? Should these patients receive a straightforward intervention performed on site during the mission or should they go to another country with a technical platform suitable for microsurgical reconstruction? PATIENTS AND METHODS During a humanitarian mission in Ouagadougou, Burkina Faso, 6 patients with large ossifying fibromas traveled to France to undergo wide excision of the lesion and free flap reconstruction using the fibula. The Enfants du Noma paid for the travel and medical costs. RESULTS No flap was lost. Four patients (67%) had local (disunity of scar or local infection) or general (malaria) complications that quickly resolved. CONCLUSIONS Most teams agree that free flaps should not be performed during humanitarian missions, and only 1 German team practices in Sokoto, Nigeria. Therefore, medical travel is an attractive solution that allows optimal management and requires financial assistance from humanitarian organizations.
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Affiliation(s)
- Alexis Veyssière
- Maxillofacial Surgeon and PhD Student, Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen; UNICAEN, EA4652 Equipe BioConnecT, Caen; Medicine Faculty of Caen, University of Caen Basse Normandie, Caen, France.
| | - Béatrice Ambroise
- Maxillofacial Surgeon, Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen; Medicine Faculty of Caen, University of Caen Basse Normandie, Caen, France
| | - Hamady Traoré
- Maxillofacial Surgeon, Department of Maxillofacial Surgery, National Center of Dentistry and Oral Surgery, Bamako, Mali
| | - Anne Chatellier
- Maxillofacial Surgeon, Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen, France
| | - Aude Caillot
- Maxillofacial Surgeon, Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen; Medicine Faculty of Caen, University of Caen Basse Normandie, Caen, France
| | - Bénateau Hervé
- Maxillofacial Surgeon, Professor and Department Head, Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen; UNICAEN, EA4652 Equipe BioConnecT, Caen; Medicine Faculty of Caen, University of Caen Basse Normandie, Caen, France
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Benateau H, Chatellier A, Caillot A, Labbe D, Veyssiere A. Computer-assisted planning of distraction osteogenesis for lower face reconstruction in gunshot traumas. J Craniomaxillofac Surg 2016; 44:1583-1591. [DOI: 10.1016/j.jcms.2016.07.021] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2016] [Revised: 06/15/2016] [Accepted: 07/18/2016] [Indexed: 10/21/2022] Open
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Bénateau H, Chatellier A, Caillot A, Diep D, Kün-Darbois JD, Veyssière A. [Temporo-mandibular ankylosis]. ACTA ACUST UNITED AC 2016; 117:245-55. [PMID: 27481673 DOI: 10.1016/j.revsto.2016.07.001] [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] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 07/01/2016] [Indexed: 11/26/2022]
Abstract
Ankylosis of the temporomandibular joint is defined as a permanent constriction of the jaws with less than 30mm mouth opening measured between the incisors, occurring because of bony, fibrous or fibro-osseous fusion. Resulting complications such as speech, chewing, swallowing impediment and deficient oral hygiene may occur. The overall incidence is decreasing but remains significant in some developing countries. The most frequent etiology in developed countries is the post-traumatic ankylosis occurring after condylar fracture. Other causes may be found: infection (decreasing since the advent of antibiotics), inflammation (rheumatoid arthritis and ankylosing spondylitis mainly) and congenital diseases (very rare). Management relies on surgery: resection of the ankylosis block in combination with bilateral coronoidectomy… The block resection may be offset by the interposition temporal fascia flap, a costochondral graft or a TMJ prosthesis according to the loss of height and to the impact on dental occlusion. Postoperative rehabilitation is essential and has to be started early, to be intense and prolonged. Poor rehabilitation is the main cause of ankylosis recurrence.
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Affiliation(s)
- H Bénateau
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France; Laboratoire EA 4652 microenvironnement cellulaire et pathologies, équipe BioconnecT, université de Caen Basse-Normandie, esplanade de la Paix, 14032 Caen cedex 5, France; Faculté de médecine de Caen, université de Caen Basse-Normandie, 2, rue des Rochambelles, 14032 Caen cedex 5, France
| | - A Chatellier
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - A Caillot
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France; Faculté de médecine de Caen, université de Caen Basse-Normandie, 2, rue des Rochambelles, 14032 Caen cedex 5, France
| | - D Diep
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - J-D Kün-Darbois
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - A Veyssière
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France; Laboratoire EA 4652 microenvironnement cellulaire et pathologies, équipe BioconnecT, université de Caen Basse-Normandie, esplanade de la Paix, 14032 Caen cedex 5, France; Faculté de médecine de Caen, université de Caen Basse-Normandie, 2, rue des Rochambelles, 14032 Caen cedex 5, France.
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Veyssiere A, Kun-Darbois JD, Paulus C, Chatellier A, Caillot A, Bénateau H. [Diagnosis and management of ankyloglossia in young children]. ACTA ACUST UNITED AC 2015; 116:215-20. [PMID: 26296275 DOI: 10.1016/j.revsto.2015.06.003] [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: 04/23/2015] [Accepted: 06/09/2015] [Indexed: 10/23/2022]
Abstract
Ankyloglossia is a common condition. Its prevalence is between 3.2% and 4.8% depending on the series and is largely underestimated given the fact of non-diagnosis when the symptoms are limited. It is defined as a short lingual frenulum resulting in a limitation of the lingual mobility. It is due to a defect in cellular apoptosis embryogenesis between the floor of the mouth and tongue. The result is a fibrous and short lingual frenulum. Several classifications were used to make the diagnosis. However, these are the clinical implications, particularly on food and primarily breastfeeding in the baby and phonation in older children that will motivate the management. This is surgical and different techniques are available: infants before the age of 6 months and when the lingual frenulum is still a fine cellular membrane, frenotomy is recommended. Frenectomy with or without frenoplasty is indicated for the older child. The surgery is simple, the results are good and rapidly improving grievances. Complications are rare. Finally, speech therapy is important when there are implications for phonation.
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Affiliation(s)
- A Veyssiere
- Service de chirurgie maxillo-faciale et stomatologie, CHU de Caen, 14033 Caen cedex, France; Laboratoire EA 4652 microenvironnement cellulaire et pathologies, université de Caen Basse-Normandie, 14032 Caen cedex 5, France.
| | - J D Kun-Darbois
- Service de chirurgie maxillo-faciale et stomatologie, CHU de Caen, 14033 Caen cedex, France
| | - C Paulus
- Service de chirurgie maxillo-faciale et stomatologie, CHU des hospices civils de Lyon, 69000 Lyon, France
| | - A Chatellier
- Service de chirurgie maxillo-faciale et stomatologie, CHU de Caen, 14033 Caen cedex, France
| | - A Caillot
- Service de chirurgie maxillo-faciale et stomatologie, CHU de Caen, 14033 Caen cedex, France
| | - H Bénateau
- Service de chirurgie maxillo-faciale et stomatologie, CHU de Caen, 14033 Caen cedex, France; Laboratoire EA 4652 microenvironnement cellulaire et pathologies, université de Caen Basse-Normandie, 14032 Caen cedex 5, France
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Bénateau H, Traoré H, Chatellier A, Caillot A, Ambroise B, Veyssière A. [Child care management in maxillofacial humanitarian mission]. ACTA ACUST UNITED AC 2015; 116:250-60. [PMID: 26190394 DOI: 10.1016/j.revsto.2015.06.001] [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: 04/23/2015] [Revised: 05/26/2015] [Accepted: 06/04/2015] [Indexed: 10/23/2022]
Abstract
Our practice in a humanitarian (or crisis) context differs from what we experience in daily practice. There are several reasons for this. First, the diseases encountered are sometimes unfamiliar, such as sequelae of noma, or the presentation of familiar diseases may be unusual, such as facial malformations seen at a late stage. Secondly, these missions take place in developing countries, and consequently, evaluation and anticipation of possible malnutrition should be considered, especially because facial diseases themselves may be responsible for nutritional problems. Lastly, conditions are often difficult, occurring in an unusual environment, and we sometimes have to face communication and equipment problems. The goal of our work, based on a 15-year experience (in Bamako and Mopti with the Association "Santé et Développement", and in Ouagadougou with the organization "Les enfants du noma") and the analysis of literature, is to point out these features and maybe to be helpful to others.
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Affiliation(s)
- H Bénateau
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France; Laboratoire EA 4652 microenvironnement cellulaire et pathologie, université de Caen-Basse-Normandie, avenue de la Côte-de-Nacre, 14032 Caen cedex 5, France
| | - H Traoré
- Service de chirurgie maxillofaciale, CHU-Centre national d'odontostomatologie, Bamako, Mali
| | - A Chatellier
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - A Caillot
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - B Ambroise
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - A Veyssière
- Service de chirurgie maxillofaciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France; Laboratoire EA 4652 microenvironnement cellulaire et pathologie, université de Caen-Basse-Normandie, avenue de la Côte-de-Nacre, 14032 Caen cedex 5, France.
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Bénateau H, Chatellier A, Leprovost N, Ghezal S, Compère JF, Veyssière A. [Condylar positioning during mandibular orthognatic surgery]. ACTA ACUST UNITED AC 2014; 115:245-9. [PMID: 25001548 DOI: 10.1016/j.revsto.2014.06.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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: 01/30/2014] [Revised: 04/09/2014] [Accepted: 06/06/2014] [Indexed: 11/29/2022]
Abstract
Sagittal split osteotomy of the mandible is the most frequently used method in orthognatic surgery. Osteosynthesis was performed with wires in the 1970s. The instability of fixation allowed condyle movements and there was no problem of condylar positioning. The drawback of this technique was that it required a strict intermaxillary fixation for 6 weeks. Osteosynthesis evolved in the 1980s to a rigid and semi-rigid fixation, with no longer any need for an intermaxillary fixation. But accurately determining the condyle position in the fossa is essential when using a rigid fixation, because no spontaneous adaptation is possible. Moreover, an improper condyle positioning is known to increase short term skeletal relapse, inadequate corrections, and a high incidence of temporomandibular joint dysfunctions. Many solutions have been proposed to solve the problem of condylar positioning: manual positioning technique at osteosynthesis, and mechanical or computer assisted devices to control condylar positioning. The repositionable and adjustable miniplates have also been designed to improve condyle positioning, with the possibility of peroperative adjustment.
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Affiliation(s)
- H Bénateau
- Service de chirurgie maxillo-faciale, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - A Chatellier
- Service de chirurgie maxillo-faciale, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - N Leprovost
- Service de chirurgie maxillo-faciale, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - S Ghezal
- Service de chirurgie maxillo-faciale, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - J F Compère
- Service de chirurgie maxillo-faciale, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - A Veyssière
- Service de chirurgie maxillo-faciale, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France.
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Deramoudt V, Gaudon M, Malledant Y, Chatellier A, Saint-Marc C, Lecallonnec A. [Effects of propofol on intraocular pressure in surgery of strabismus in children]. Ann Fr Anesth Reanim 1990; 9:1-5. [PMID: 2331082 DOI: 10.1016/s0750-7658(05)80028-0] [Citation(s) in RCA: 5] [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] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Propofol was assessed for eye surgery in 20 children. ASA group I or II, 2-14 year-old, randomly assigned to 2 equal groups. Premedication, analgesia and muscle paralysis were similar in both groups. Group P patients were given an induction dose of 4 mg.kg-1 propofol, followed by an infusion of 15 mg.kg-1.h-1 for the first half hour, and then 10 mg.kg-1.h-1 to maintain anaesthesia. Group C patients were given 10 mg.kg-1 thiopentone for induction and halothane for maintenance. The quality of anaesthesia was assessed by monitoring adverse effects, heart rate, blood pressure, the length of anaesthesia, the delay of the first spontaneous breath and eye opening, and extubation. Intraocular pressure was measured before and 3 min after intubation, and 5 min after extubation. The quality of anaesthetic induction and maintenance were very similar in both groups. Pain occurred more frequently at the injection site with propofol (p less than 0.01). Children in group P recovered more quickly, and extubation was possible much earlier in this group (p less than 0.05). However, restlessness was significantly more frequent in group P (n = 9) than in group C (n = 1) (p less than 0.01). Systolic, diastolic blood pressure and heart rate were significantly lower in group P (p less than 0.05; 0.001; 0.001 respectively). No significant decrease in intraocular pressure in both groups was observed. The use of propofol for eye surgery in children is acceptable, despite some restlessness during recovery.
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Affiliation(s)
- V Deramoudt
- Département d'Anesthésie-Réanimation, Hôpital Pontchaillou, Rennes
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