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Master thesis

Chirurgie endoscopique transnasale de l'adénocarcinome des travailleurs du bois

Abstract : Woodworkers adenocarcinomas were mostly described as originating in the ethmoid sinus and were operated via a lateral rhinotomy external approach. We desigaed a prospective study on twenty consecutive woodworkers adenocarcinomas withqpt intracranial extension to precise the site of origin of the tumour. AlI patients were operated under endoscopie endonasal control according to a methodical surgica.l procedur : endoscopie transnasal surgery shows that adenocarcinomas constantly originate in the olfactory cleft. So we decided to study the pre operative CT -Scan by a retrospective study Case versus law in order to show that pre-operative CT -Scan permits to suspect this implantation. We included 27 pre-operative CT -Scan and we realised sorne standardized measures in axial and coronal plane including olfactory cleft width, space between septum and middle, angulation of turbinai wall, ethmoid width and total nasal width. The results showed that, in exception of total nasal width, the measures were significatively different between ADK group and controls groups. There was no difference between the two controls groups. So the pre operative CT -Scan permits to confirm the endoscopie constatations : woodworkers adenocarcinomas constantly originate in the olfactory cleft.
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Master thesis
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https://hal.univ-lorraine.fr/hal-01733736
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Submitted on : Wednesday, March 14, 2018 - 4:06:15 PM
Last modification on : Friday, October 23, 2020 - 4:58:52 PM
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  • HAL Id : hal-01733736, version 1

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Thomas Georgel. Chirurgie endoscopique transnasale de l'adénocarcinome des travailleurs du bois. Sciences du Vivant [q-bio]. 2007. ⟨hal-01733736⟩

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