Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale, 2013
Revue de Stomatologie, de Chirurgie Maxillo-Faciale et de Chirurgie Orale - Vol. 114 - N° 5 - p. ... more Revue de Stomatologie, de Chirurgie Maxillo-Faciale et de Chirurgie Orale - Vol. 114 - N° 5 - p. e13-e15
Cet article a pour but d'initier le praticien a l'utilisation de la toxine botulique dans... more Cet article a pour but d'initier le praticien a l'utilisation de la toxine botulique dans la prise en charge esthetique des rides faciales, en lui apportant des renseignements pratiques concernant le mecanisme d'action de cette toxine, ses indications, les techniques de dilution, d'injection, ainsi que les sites d'injection et les posologies selon la localisation des rides. Il fait aussi le point sur les limites, contre-indications, effets indesirables et complications de ce traitement. Un chapitre est consacre aux solutions alternatives et/ou complementaires a la toxine botulique.
The maxillo-facial wounded must be evacuated to a specialized center. It is a need ; it must not ... more The maxillo-facial wounded must be evacuated to a specialized center. It is a need ; it must not become a «throw-out». Any doctor may be confronted to these frequent lesions because of some possible complication or some peticular circumstances. The surgical intervention is then required. The steps to be carried out are simple, well codified, and they do not need any precise instrumentation. After an anatomical and anatomo-pathological reminder, the authors consider the rules to be followed : - to treat asphyxic troubles and haemorrhages, - to look for possible associated lesions, - to prevent the shock, the infection, the oedema, - to prepare local treatment, - to evacuate to a specialized center It is a programme to be realised and not a new qualification to be granted.
Ce sont des affections brutales, redoutables, a manifestations generales et locales, dont la lesi... more Ce sont des affections brutales, redoutables, a manifestations generales et locales, dont la lesion causale, dentaire ou peridendaire, est apparemment banale. L'inoculation septique a partir de plaies tegumentaires accidentelles ou operatoires est rare, en pratique courante. Peu frequentes, ces complications n'ont plus le pronostic jadis inexorable, grâce aux moyens modernes de traitement, sous reserve toutefois de les mettre en oeuvre rapidement ce qui n'est pas toujours possible dans certaines circonstances. Les differents aspects de ce chapitre de la pathologie stomatologique sont exposes dans cet article destine a l'enseignement.
Revue de stomatologie et de chirurgie maxillo-faciale
Primary nasal T/NK cell lymphoma is a very rare pathological clinical entity; it was defined by t... more Primary nasal T/NK cell lymphoma is a very rare pathological clinical entity; it was defined by the WHO in 2001, thanks to immunohistochemistry. The treatment combines radiotherapy and chemotherapy. We report a case. A 20-year-old male patient was admitted for ulceration of the vestibular mucosa from tooth 20 to 26, in June 2008. The lesion had appeared four months before, with a painful ulceration close to tooth 25. The lesion evolved progressively, it eroded the alveolar bone, exposing the roots of teeth 24, 25, and 26. CT scan revealed lysis of the external maxillary sinus wall. The diagnosis of T/NK cell lymphoma was obtained by immunohistochemistry of the biopsy. The tumor was staged IeA according to the Ann Arbor classification. After four courses of CHOP chemotherapy and two years of follow-up there was no recurrence. Maxillary T/NK cell lymphoma is extremely rare. The diagnosis is based on immunohistochemistry. The treatment associates chemotherapy and radiotherapy. Recent s...
Revue de stomatologie et de chirurgie maxillo-faciale, 1996
Many processes of repairing concerning the mutilation of the lower lip were described with their ... more Many processes of repairing concerning the mutilation of the lower lip were described with their advantages and drawbacks. The Karapandjic process which has been described since 1974 is simple to realize, leaving no after-effects provided the loss of the substance is not very important. This process is illustrated regarding two cases.
Revue de laryngologie - otologie - rhinologie, 2008
Desmoplastic ameloblastoma is a benign, locally aggressive neoplasm of proliferating odontogenic ... more Desmoplastic ameloblastoma is a benign, locally aggressive neoplasm of proliferating odontogenic epithelial origin. It is seen among old patients from 17 to 72 years with an average age 42 years and without predilection of sex. We report the case of a 7 year old child, having presented since the 5 years age, a gingival tumefaction on the left higher incisivo-canin group which increased volume gradually. The stomatologic examination showed a gingival tumefaction covered with a healthy mucous membrane, ovoid form and measuring 3 cm on its horizontal axis. The tomodensitometry of the jawbone showed in front of the 21st and the 22nd tooth, the presence of an osseous lesion associating of the hearths of osteolysis and osteocondensation with rupture of cortical and invasion of the soft tissue. A curetting of the lesion was carried out and the anatomopathologic examination retained the diagnosis of desmoplastic ameloblastoma. The characteristic of our observation is the youth of the patien...
Revue de stomatologie et de chirurgie maxillo-faciale, 2007
A 57 year-old-man presented with a maxillary tumor which proved to be an adenocarcinoma. The pros... more A 57 year-old-man presented with a maxillary tumor which proved to be an adenocarcinoma. The prostate was hard and PSA were high. Biopsy confirmed the diagnosis of metastatic prostatic adenocarcinoma. Evolution was fatal despite a medico-surgical treatment. Facial bone metastases are rare comparatively to the high metastatic incidence in the rest of the skeleton.
Revue de stomatologie et de chirurgie maxillo-faciale, 2007
Skin expansion technique used to increase the hair surface available at the scalp level was a maj... more Skin expansion technique used to increase the hair surface available at the scalp level was a major breakthrough in the surgical treatment of important cicatricial alopecia. This article had for aim to define the importance and limits of this technique in the treatment of alopecia and to highlight its relevance compared to other methods. Between November 1998 and April 2006, 18 patients (7 women and 11 men) presenting with one or many cicatricial alopecia areas were treated by skin expansion. The age of patients ranged between 14 and 68 years, with an average of 33 years. The indications were related to burn sequels in 44% of all cases. The average area of alopecia was 167 cm2. This technique combines two operating phases. In the first phase, the expansion balloon is inserted and then gradually filled. In the second phase, it is removed and the alopecic area is covered by the expanded flaps. Thirty-nine expansion prostheses were used, with an average volume of 292 cc. Their number v...
Revue de stomatologie et de chirurgie maxillo-faciale, 2006
Ganglioneuroma is an uncommon benign tumor that arises from the sympathetic nervous system accoun... more Ganglioneuroma is an uncommon benign tumor that arises from the sympathetic nervous system accounting for less than 1% of all soft-tissue neoplasms. We report the case of a 22 year-old man who presented a ganglioneuroma localized in the zygoma. Ganglioneuroma generally develop in the abdomen or thorax soft tissue. The occurrence of ganglioneuroma in the bone is exceptional. To date less than ten cases have been reported, six of which involved the mandible. We discuss the possible causes of tumor development at this site.
Revue de stomatologie et de chirurgie maxillo-faciale, 2005
The normal eruption of primary teeth begins with mandibular incisors about the age of 6 months. T... more The normal eruption of primary teeth begins with mandibular incisors about the age of 6 months. There are several qualifiers used to describe prematurely erupted teeth. Massler and Savara defined "natal teeth" as teeth present at birth and "neonatal teeth" as teeth erupted within the first month of life. The aim of this study, based on 5 cases, is to present clinical and structural characteristics, etiology, management techniques, complications and a review of the literature for natal teeth. Our study is a retrospective study of 17,000 infants who were examined in the Neonatal Department of Children Hospital between 1984 and 2001. The material consisted of 5 infants with natal teeth, identified by the pediatrician. We analyzed the family history, the pregnancy history, the gender, the etiology, the complete examination of the infant, the clinical, the structural characteristics, the complications and the management of the teeth. We found 4 boys and 1 girl, 2 of t...
Revue de stomatologie et de chirurgie maxillo-faciale, 2005
Orbito-temporal plexiform neurofibroma is characteristic of Von Recklinghausen neurofibromatosis.... more Orbito-temporal plexiform neurofibroma is characteristic of Von Recklinghausen neurofibromatosis. We report 6 cases of orbito-temporal plexiform neurofibromas and review different aspects of diagnosis, course and treatment. Six patients, 4 males and 2 females, with orbito-temporal plexiform neurofibromas were treated between 1986 and 2003. Patient age varied between 10 and 29 years (age average=19). Computed tomography and magnetic resonance imaging were performed in all 6 patients. Surgical resection of the neurofibroma was performed in all patients. The tumor was located on the left in 5 cases and on the right in one. Spheno-orbital dysplasia was found in all patients and was associated with fronto-temporal meningoencephalocele and pulsate exophthalmia. Surgical resection enabled reduction of the neurofibroma. Exenteration was performed in all patients because of a nonfunctional eye. Two patients underwent cure of fronto-temporal meningoencephalocelus with reconstruction of the la...
Revue de stomatologie et de chirurgie maxillo-faciale, 2003
Non-Hodgkin's malignant lymphoma is rarely located in the soft tissue of the chin making diag... more Non-Hodgkin's malignant lymphoma is rarely located in the soft tissue of the chin making diagnosis difficult. Clinical signs are non-specific: progressive weight loss, asthenia, fever, an inflammatory tumefaction unresponsive to medical treatment. Imaging shows a homogeneous tumefaction of the soft tissues. Pathology and immunohistochemistry establish the diagnosis.
Revue de stomatologie et de chirurgie maxillo-faciale, 2002
Ameloblastoma is a benign tumor of the jaws. The mandible is affected more often than the maxilla... more Ameloblastoma is a benign tumor of the jaws. The mandible is affected more often than the maxilla. Conservative treatment or radical resection may be indicated. We reviewed our experience with 16 cases of ameloblastoma. We concluded that radical resection is more appropriate despite the sequelae.
Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale, 2013
Revue de Stomatologie, de Chirurgie Maxillo-Faciale et de Chirurgie Orale - Vol. 114 - N° 5 - p. ... more Revue de Stomatologie, de Chirurgie Maxillo-Faciale et de Chirurgie Orale - Vol. 114 - N° 5 - p. e13-e15
Cet article a pour but d'initier le praticien a l'utilisation de la toxine botulique dans... more Cet article a pour but d'initier le praticien a l'utilisation de la toxine botulique dans la prise en charge esthetique des rides faciales, en lui apportant des renseignements pratiques concernant le mecanisme d'action de cette toxine, ses indications, les techniques de dilution, d'injection, ainsi que les sites d'injection et les posologies selon la localisation des rides. Il fait aussi le point sur les limites, contre-indications, effets indesirables et complications de ce traitement. Un chapitre est consacre aux solutions alternatives et/ou complementaires a la toxine botulique.
The maxillo-facial wounded must be evacuated to a specialized center. It is a need ; it must not ... more The maxillo-facial wounded must be evacuated to a specialized center. It is a need ; it must not become a «throw-out». Any doctor may be confronted to these frequent lesions because of some possible complication or some peticular circumstances. The surgical intervention is then required. The steps to be carried out are simple, well codified, and they do not need any precise instrumentation. After an anatomical and anatomo-pathological reminder, the authors consider the rules to be followed : - to treat asphyxic troubles and haemorrhages, - to look for possible associated lesions, - to prevent the shock, the infection, the oedema, - to prepare local treatment, - to evacuate to a specialized center It is a programme to be realised and not a new qualification to be granted.
Ce sont des affections brutales, redoutables, a manifestations generales et locales, dont la lesi... more Ce sont des affections brutales, redoutables, a manifestations generales et locales, dont la lesion causale, dentaire ou peridendaire, est apparemment banale. L'inoculation septique a partir de plaies tegumentaires accidentelles ou operatoires est rare, en pratique courante. Peu frequentes, ces complications n'ont plus le pronostic jadis inexorable, grâce aux moyens modernes de traitement, sous reserve toutefois de les mettre en oeuvre rapidement ce qui n'est pas toujours possible dans certaines circonstances. Les differents aspects de ce chapitre de la pathologie stomatologique sont exposes dans cet article destine a l'enseignement.
Revue de stomatologie et de chirurgie maxillo-faciale
Primary nasal T/NK cell lymphoma is a very rare pathological clinical entity; it was defined by t... more Primary nasal T/NK cell lymphoma is a very rare pathological clinical entity; it was defined by the WHO in 2001, thanks to immunohistochemistry. The treatment combines radiotherapy and chemotherapy. We report a case. A 20-year-old male patient was admitted for ulceration of the vestibular mucosa from tooth 20 to 26, in June 2008. The lesion had appeared four months before, with a painful ulceration close to tooth 25. The lesion evolved progressively, it eroded the alveolar bone, exposing the roots of teeth 24, 25, and 26. CT scan revealed lysis of the external maxillary sinus wall. The diagnosis of T/NK cell lymphoma was obtained by immunohistochemistry of the biopsy. The tumor was staged IeA according to the Ann Arbor classification. After four courses of CHOP chemotherapy and two years of follow-up there was no recurrence. Maxillary T/NK cell lymphoma is extremely rare. The diagnosis is based on immunohistochemistry. The treatment associates chemotherapy and radiotherapy. Recent s...
Revue de stomatologie et de chirurgie maxillo-faciale, 1996
Many processes of repairing concerning the mutilation of the lower lip were described with their ... more Many processes of repairing concerning the mutilation of the lower lip were described with their advantages and drawbacks. The Karapandjic process which has been described since 1974 is simple to realize, leaving no after-effects provided the loss of the substance is not very important. This process is illustrated regarding two cases.
Revue de laryngologie - otologie - rhinologie, 2008
Desmoplastic ameloblastoma is a benign, locally aggressive neoplasm of proliferating odontogenic ... more Desmoplastic ameloblastoma is a benign, locally aggressive neoplasm of proliferating odontogenic epithelial origin. It is seen among old patients from 17 to 72 years with an average age 42 years and without predilection of sex. We report the case of a 7 year old child, having presented since the 5 years age, a gingival tumefaction on the left higher incisivo-canin group which increased volume gradually. The stomatologic examination showed a gingival tumefaction covered with a healthy mucous membrane, ovoid form and measuring 3 cm on its horizontal axis. The tomodensitometry of the jawbone showed in front of the 21st and the 22nd tooth, the presence of an osseous lesion associating of the hearths of osteolysis and osteocondensation with rupture of cortical and invasion of the soft tissue. A curetting of the lesion was carried out and the anatomopathologic examination retained the diagnosis of desmoplastic ameloblastoma. The characteristic of our observation is the youth of the patien...
Revue de stomatologie et de chirurgie maxillo-faciale, 2007
A 57 year-old-man presented with a maxillary tumor which proved to be an adenocarcinoma. The pros... more A 57 year-old-man presented with a maxillary tumor which proved to be an adenocarcinoma. The prostate was hard and PSA were high. Biopsy confirmed the diagnosis of metastatic prostatic adenocarcinoma. Evolution was fatal despite a medico-surgical treatment. Facial bone metastases are rare comparatively to the high metastatic incidence in the rest of the skeleton.
Revue de stomatologie et de chirurgie maxillo-faciale, 2007
Skin expansion technique used to increase the hair surface available at the scalp level was a maj... more Skin expansion technique used to increase the hair surface available at the scalp level was a major breakthrough in the surgical treatment of important cicatricial alopecia. This article had for aim to define the importance and limits of this technique in the treatment of alopecia and to highlight its relevance compared to other methods. Between November 1998 and April 2006, 18 patients (7 women and 11 men) presenting with one or many cicatricial alopecia areas were treated by skin expansion. The age of patients ranged between 14 and 68 years, with an average of 33 years. The indications were related to burn sequels in 44% of all cases. The average area of alopecia was 167 cm2. This technique combines two operating phases. In the first phase, the expansion balloon is inserted and then gradually filled. In the second phase, it is removed and the alopecic area is covered by the expanded flaps. Thirty-nine expansion prostheses were used, with an average volume of 292 cc. Their number v...
Revue de stomatologie et de chirurgie maxillo-faciale, 2006
Ganglioneuroma is an uncommon benign tumor that arises from the sympathetic nervous system accoun... more Ganglioneuroma is an uncommon benign tumor that arises from the sympathetic nervous system accounting for less than 1% of all soft-tissue neoplasms. We report the case of a 22 year-old man who presented a ganglioneuroma localized in the zygoma. Ganglioneuroma generally develop in the abdomen or thorax soft tissue. The occurrence of ganglioneuroma in the bone is exceptional. To date less than ten cases have been reported, six of which involved the mandible. We discuss the possible causes of tumor development at this site.
Revue de stomatologie et de chirurgie maxillo-faciale, 2005
The normal eruption of primary teeth begins with mandibular incisors about the age of 6 months. T... more The normal eruption of primary teeth begins with mandibular incisors about the age of 6 months. There are several qualifiers used to describe prematurely erupted teeth. Massler and Savara defined "natal teeth" as teeth present at birth and "neonatal teeth" as teeth erupted within the first month of life. The aim of this study, based on 5 cases, is to present clinical and structural characteristics, etiology, management techniques, complications and a review of the literature for natal teeth. Our study is a retrospective study of 17,000 infants who were examined in the Neonatal Department of Children Hospital between 1984 and 2001. The material consisted of 5 infants with natal teeth, identified by the pediatrician. We analyzed the family history, the pregnancy history, the gender, the etiology, the complete examination of the infant, the clinical, the structural characteristics, the complications and the management of the teeth. We found 4 boys and 1 girl, 2 of t...
Revue de stomatologie et de chirurgie maxillo-faciale, 2005
Orbito-temporal plexiform neurofibroma is characteristic of Von Recklinghausen neurofibromatosis.... more Orbito-temporal plexiform neurofibroma is characteristic of Von Recklinghausen neurofibromatosis. We report 6 cases of orbito-temporal plexiform neurofibromas and review different aspects of diagnosis, course and treatment. Six patients, 4 males and 2 females, with orbito-temporal plexiform neurofibromas were treated between 1986 and 2003. Patient age varied between 10 and 29 years (age average=19). Computed tomography and magnetic resonance imaging were performed in all 6 patients. Surgical resection of the neurofibroma was performed in all patients. The tumor was located on the left in 5 cases and on the right in one. Spheno-orbital dysplasia was found in all patients and was associated with fronto-temporal meningoencephalocele and pulsate exophthalmia. Surgical resection enabled reduction of the neurofibroma. Exenteration was performed in all patients because of a nonfunctional eye. Two patients underwent cure of fronto-temporal meningoencephalocelus with reconstruction of the la...
Revue de stomatologie et de chirurgie maxillo-faciale, 2003
Non-Hodgkin's malignant lymphoma is rarely located in the soft tissue of the chin making diag... more Non-Hodgkin's malignant lymphoma is rarely located in the soft tissue of the chin making diagnosis difficult. Clinical signs are non-specific: progressive weight loss, asthenia, fever, an inflammatory tumefaction unresponsive to medical treatment. Imaging shows a homogeneous tumefaction of the soft tissues. Pathology and immunohistochemistry establish the diagnosis.
Revue de stomatologie et de chirurgie maxillo-faciale, 2002
Ameloblastoma is a benign tumor of the jaws. The mandible is affected more often than the maxilla... more Ameloblastoma is a benign tumor of the jaws. The mandible is affected more often than the maxilla. Conservative treatment or radical resection may be indicated. We reviewed our experience with 16 cases of ameloblastoma. We concluded that radical resection is more appropriate despite the sequelae.
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