Claude Conessa

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OBJECTIVE The aim of the study was to compare the efficiency, safety, and cost of the different methods of hemostasis (conventional hemostasis versus LigaSure vessel sealing system [LVSS] versus harmonic scalpel) currently available for thyroid surgery. STUDY DESIGN Randomized, controlled trial. SETTING The study was conducted from September 2007 to(More)
OBJECTIVE The aim of this retrospective study was to determine the relevance of 5 different imaging signs in the evaluation of carotid artery invasion. SUBJECTS AND METHODS Between September 2001 and September 2008, 22 patients (20 men and 2 women) presented with lymph node metastasis of a head and neck squamous cell carcinoma that invaded the carotid(More)
OBJECTIVE To evaluate the complications related to implantation and use of totally implantable venous access devices (TIVAD). METHODS Retrospective study based on 116 TIVAD involving 113 adult patients (93M/20F, mean age 59 years). The implantation was achieved under local anaesthesia (69% of cases) and under general anaesthesia (31% of cases). RESULTS(More)
We report two cases of fourth branchial pouch in adult. This rare and little-known pathology is indeed responsible for suppurative thyroiditis and left lower cervical abscess recurring in spite of antibiotic treatment and incision-drainage. CT scan using, iv contrast, air as a agent contrast with Valsalva test, shows air in the thyroid and perithyroid soft(More)
INTRODUCTION Partial glossectomy is the main treatment for tongue carcinoma. The resection of the tongue, which is a very vascularised tissue, requires a good hemostasis. The advantage of the harmonic scalpel is in combining sectioning and hemostasis in one single instrument, allowing a bloodless dissection of soft tissue. The aim of this prospective study(More)
INTRODUCTION Managing advanced head and neck cancer is often a difficult task, particularly when massive invasion of the carotid artery is present. However, en bloc resection can be a curative procedure, and reconstruction of the carotid artery limits the risk for stroke. The aim of this study was to describe the interest, indication, potential risks, and(More)
Maxillary sinus carcinomas are rare malignancies of the face, characterized by high local relapsing rate. Modalities of treatment are without consensus and respective roles of radiation therapy and surgery remain controversial. As those malignancies are often diagnosed at locally advanced stage, radiation therapy may frequently be used for patients having(More)