J-M Thomassin

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RATIONALE To evaluate the functional results of Gamma Knife surgery of vestibular schwannomas relying on a large and prospective series of consecutive cases. MATERIAL AND METHOD The first 1000 patients with cerebello-pontine angle schwannomas were consecutively treated by Gamma Knife in Marseille Timone University Hospital between July 1992 and March(More)
Regular treatment of large vestibular schwannomas (VS) is surgical resection of the tumor with attempt of facial nerve preservation. In a very reduced number of tumors, microsurgery is not warranted mainly because of controlateral deafness or the risk of life-threatening open surgery. The purpose of this study was to analyze the results of Gamma Knife(More)
PURPOSE The aim of this paper is to present the functional outcomes after translabyrinthine approach (TLA) for vestibular schwannoma (VS). We analyzed data from 95 patients who had undergone surgery on between 1991 and 2001. METHODS This retrospective study of clinical and radiological data concerned 95 patients operated on by TLA for a unilateral(More)
INTRODUCTION Preservation of functional hearing can be now attempted during the surgical treatment of a vestibular schwannomas. The probability of functional hearing preservation for each of the neurosurgical approaches is currently under evaluation. We report here a preliminary evaluation of our radiosurgical experience. MATERIAL AND METHOD In(More)
To evaluate the results of Gamma Knife radiosurgery treating vestibular schwannomas (VS) secondary to type 2 neurofibromatosis (NF2) we reviewed our clinical experience. Among the VS that have been treated between July 1992 and January 2002, we could analyze retrospectively the data of 50 VS from 37 patients. Fourteen patients had the mild phenotype while(More)
Non-surgical stereotactic gamma ionizing irradiation was developed in order to produce a lethal effect on unilateral acoustic neurinomas (vestibular schvannomas). We present a study of postural vestibular dependent performances in 218 patients before and after curative irradiation. Subjects were asked to stand at ease on a static dynamometric foot-plate,(More)
OBJECTIVE The majority of the patients still lose hearing function in spite of the technical advances in microsurgery. We wanted to evaluate preservation of hearing function potential after Gamma Knife Surgery. MATERIAL AND METHOD In Marseille, we performed 1000 Gamma-Knife procedures for vestibular schwannomas between July 1992 and January 2002. This(More)
OBJECTIVE The aim of this study was to present our results of endoscopic-guided myringoplasty using adipose graft tissue. Due to its simplicity and reliability, this technique seems be as efficient as other classical graft techniques (fascia temporalis, perichondrium...). PATIENTS AND METHODS We analyzed data from 81 patients operated on for a tympanic(More)
OBJECTIVES To present and discuss the case of a diabetic patient admitted with acidoketotic coma, with inner canthus tumefaction due to mucormycosis. CASE STUDY A 38-year-old diabetic man was admitted with acidoketotic coma and poor general health status. Clinical examination found right inner canthus tumefaction and mucopurulent rhinorrhea. Endoscopy of(More)
In rhinoplasty, satisfying the patient both aesthetically and functionally can be complex. In aesthetic surgery, the rhinoplastician has a reinforced obligation of means. In our experience, the functional outcome of the patient is closely linked to the morphological result. When a rhinoplasty provides the patient with full aesthetic satisfaction, even if(More)