Denis Ayache

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OBJECTIVE The aim of this study was to determine the incidence and characteristics of tinnitus in otosclerosis and to evaluate the effects of stapes surgery on the course of this symptom. SETTING Hospital ear, nose, and throat department. PATIENTS AND DESIGN Sixty-two patients (65 ears) scheduled to undergo stapes surgery were prospectively enrolled in(More)
OBJECTIVE The aim of this investigation was to determine if there is any association between the size of the canal dehiscences and the symptoms and signs of patients presenting with the superior semicircular canal dehiscence syndrome. STUDY DESIGN Prospective multicenter study. SETTING Tertiary referral center. PATIENTS Twenty-seven patients, 14(More)
Midline cervical cleft is a rare congenital anomaly of the ventral neck and its embryological origin has not been clearly established. Less than 100 cases have been reported in the literature. We present a case of midline cervical cleft operated on at the age of 2 months in order to illustrate its clinical presentation and surgical management.
Middle ear cholesteatoma is an aggressive form of chronic otitis media requiring surgical therapy. The surgical strategy depends on the location of the lesion, its extensions to the middle ear and mastoid, the anatomical conformation of the tympanomastoid cavities and the health status of the patient (as well as his or her interest in aquatic leisure(More)
Sensorineural hearing loss and/or vertigo are rare but severe complications of stapes surgery for otosclerosis, ranging from 0.2 to 3%. Management of such complications depends on the underlying cause: intravestibular protrusion of the prosthesis, perilymph fistula, labyrinthitis, and reparative granuloma extending into the vestibule. Surgery is mandatory(More)
OBJECTIVE To describe the presentation of intralabyrinthine schwannomas (ILSs). STUDY DESIGN AND SETTING Retrospective multicenter study involving 12 European skull base surgery tertiary referral centers. PATIENTS One hundred ten patients with the diagnosis of ILS, either labyrinth confined or extending into the internal auditory meatus for less than(More)
Between december 1985 and august 1990, 70 patients with total laryngectomy had their voice restaured by creation of tracheo-esophageal fistula. The tracheo-esophageal fistula was created during laryngectomy in 33 cases (20 punctures with Blom Singer prostheses, 13 surgical shunts), a few weeks later after surgery of radiotherapy in 17 cases or when(More)
Our objective was to assess the value of delayed contrast-enhanced T1-weighted spin-echo MR imaging in the detection of residual cholesteatoma in patients who have undergone canal wall-up tympanoplasty procedure. The MR imaging was obtained prior to revision surgery in 18 patients with opacity of the post-operative cavity at CT examination 12–18 months(More)
The aim of this article is twofold: (a) to present the principles and the indications of surgical treatment of middle ear pathologies; and (b) to review the imaging findings after middle ear surgery, including the normal postoperative aspects and imaging findings in patients presenting with unsatisfactory surgical results or with suspicion of postoperative(More)