1
|
Barry B, Dolivet G, Clatot F, Huguet F, Abdeddaim C, Baujat B, Blanchard N, Calais G, Carrat X, Chatellier A, Coste F, Cupissol D, Cuvelier P, De Mones Del Pujol E, Deneuve S, Duffas O, Dupret-Bories A, Even C, Evrard C, Evrard D, Faivre S, Fakhry N, Garrel R, Gorphe P, Houliat T, Kaminsky MC, Krebs L, Lapeyre M, Lindas P, Malard O, Mirghani H, Mondina M, Moriniere S, Mouawad F, Pestre-Munier J, Pham Dang N, Picard A, Ramin L, Renard S, Salvan D, Schernberg A, Sire C, Thariat J, Vanbockstael J, Vo Tan D, Wojcik T, Klein I, Block V, Baumann-Bouscaud L, De Raucourt D. [French national standard for the treatment of squamous cell carcinoma of upper aero-digestive tract - General principles of treatment]. Bull Cancer 2024; 111:393-415. [PMID: 38418334 DOI: 10.1016/j.bulcan.2023.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 12/14/2023] [Accepted: 12/31/2023] [Indexed: 03/01/2024]
Abstract
OBJECTIVES The management of upper aerodigestive tract cancers is a complex specialty. It is essential to provide an update to establish optimal care. At the initiative of the INCa and under the auspices of the SFORL, the scientific committee, led by Professor Béatrix Barry, Dr. Gilles Dolivet, and Dr. Dominique De Raucourt, decided to develop a reference framework aimed at defining, in a scientific and consensus-based manner, the general principles of treatment for upper aerodigestive tract cancers applicable to all sub-locations. METHODOLOGY To develop this framework, a multidisciplinary team of practitioners was formed. A systematic analysis of the literature was conducted to produce recommendations classified by grades, in accordance with the standards of the French National Authority for Health (HAS). RESULTS The grading of recommendations according to HAS standards has allowed the establishment of a reference for patient care based on several criteria. In this framework, patients benefit from differentiated care based on prognostic factors they present (age, comorbidities, TNM status, HPV status, etc.), conditions of implementation, and quality criteria for indicated surgery (operability, resectability, margin quality, mutilation, salvage surgery), as well as quality criteria for radiotherapy (target volume, implementation time, etc.). The role of medical and postoperative treatments was also evaluated based on specific criteria. Finally, supportive care must be organized from the beginning and throughout the patients' care journey. CONCLUSION All collected data have led to the development of a comprehensive framework aimed at harmonizing practices nationally, facilitating decision-making in multidisciplinary consultation meetings, promoting equality in practices, and providing a state-of-the-art and reference practices for assessing the quality of care. This new framework is intended to be updated every 5 years to best reflect the latest advances in the field.
Collapse
Affiliation(s)
- Béatrix Barry
- AP-HP, hôpital Bichat-Claude-Bernard, ORL et CCF, Paris (75), France
| | - Gilles Dolivet
- Institut de cancérologie de Lorraine, ORL et CCF, Nancy (54), France.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - Olivier Duffas
- Centre hospitalier de Libourne, ORL et CMF, Libourne, France
| | | | | | | | - Diane Evrard
- AP-HP, hôpital Bichat-Claude-Bernard, ORL et CCF, Paris (75), France
| | | | - Nicolas Fakhry
- Assistance publique-Hôpitaux de Marseille, ORL et CCF, Marseille, France
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Didier Salvan
- Centre hospitalier Sud Francilien, ORL et CCF, Corbeil-Essonnes, France
| | | | | | | | | | | | | | - Isabelle Klein
- Dispositif Spécifique Régional du Cancer Grand Est - NEON, Nancy (54), France
| | - Véronique Block
- Dispositif Spécifique Régional du Cancer Grand Est - NEON, Nancy (54), France
| | | | | |
Collapse
|
2
|
Dolivet G, Barry B, Abdeddaim C, Baujat B, Blanchard N, Calais G, Carrat X, Chatellier A, Clatot F, Coste F, Cupissol D, Cuvelier P, de Mones Del Pujol E, Deneuve S, Duffas O, Dupret-Bories A, Even C, Evrard C, Evrard D, Faivre S, Fakhry N, Garrel R, Gorphe P, Houliat T, Huguet F, Kaminsky MC, Krebs L, Lapeyre M, Lindas P, Malard O, Mirghani H, Mondina M, Moriniere S, Mouawad F, Pestre-Munier J, Pham Dang N, Picard A, Ramin L, Renard S, Salvan D, Schernberg A, Sire C, Thariat J, Vanbockstael J, Vo Tan D, Wojcik T, Klein I, Block V, Baumann-Bouscaud L, de Raucourt D. [National standard for the treatment of squamous cell carcinoma of upper aerodigestive tract]. Bull Cancer 2024; 111:327-332. [PMID: 38336530 DOI: 10.1016/j.bulcan.2023.08.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 08/03/2023] [Accepted: 08/04/2023] [Indexed: 02/12/2024]
Affiliation(s)
- Gilles Dolivet
- ORL et CCF, Institut de cancérologie de Lorraine, Nancy, France.
| | - Béatrix Barry
- ORL et CCF, hôpital Bichat-Claude-Bernard, AP-HP, Paris, France
| | | | | | | | | | | | | | | | | | | | - Philippe Cuvelier
- ORL et CCF libéral à Bayonne et centre hospitalier Oloron, Oloron-Sainte-Marie, France
| | | | | | - Olivier Duffas
- ORL et CMF, centre hospitalier de Libourne, Libourne, France
| | | | | | | | - Diane Evrard
- ORL et CCF, hôpital Bichat-Claude-Bernard, AP-HP, Paris, France
| | | | - Nicolas Fakhry
- ORL et CCF, Assistance publique-Hôpitaux de Marseille, Marseille, France
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Sophie Renard
- ORL et CCF, Institut de cancérologie de Lorraine, Nancy, France
| | - Didier Salvan
- ORL et CCF, centre hospitalier sud francilien, Corbeil-Essonnes, France
| | | | | | | | | | | | | | - Isabelle Klein
- Dispositif spécifique régional du cancer Grand Est - NEON, Nancy, France
| | - Véronique Block
- Dispositif spécifique régional du cancer Grand Est - NEON, Nancy, France
| | | | | |
Collapse
|
3
|
Wojcik T, Chai F, Hornez V, Raoul G, Hornez JC. Engineering Precise Interconnected Porosity in β-Tricalcium Phosphate (β-TCP) Matrices by Means of Top-Down Digital Light Processing. Biomedicines 2024; 12:736. [PMID: 38672092 DOI: 10.3390/biomedicines12040736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 03/06/2024] [Accepted: 03/21/2024] [Indexed: 04/28/2024] Open
Abstract
This study evaluated the biocompatibility and accuracy of 3D-printed β-tricalcium phosphate (β-TCP) pure ceramic scaffolds. A specific shaping process associating a digital light processing (DLP) 3D printer and a heat treatment was developed to produce pure β-TCP scaffolds leaving no polymer binder residue. The β-TCP was characterised using X-ray diffraction, infrared spectroscopy and the detection of pollutants. The open porosity of produced matrices and their resorption were studied by hydrostatic weighing and calcium release measures. The biocompatibility of the printed matrices was evaluated by mean of osteoblast cultures. Finally, macroporous cubic matrices were produced. They were scanned using a micro-Computed Tomography scanner (micro-CT scan) and compared to their numeric models. The results demonstrated that DLP 3D printing with heat treatment produces pure β-TCP matrices with enhanced biocompatibility. They also demonstrated the printing accuracy of our technique, associating top-down DLP with the sintering of green parts. Thus, this production process is promising and will enable us to explore complex phosphocalcic matrices with a special focus on the development of a functional vascular network.
Collapse
Affiliation(s)
- Thomas Wojcik
- Univ. Lille, CHU Lille, INSERM, Department of Oral and Maxillofacial Surgery, U1008-Advanced Drug Delivery Systems, F-59000 Lille, France
| | - Feng Chai
- Univ. Lille, CHU Lille, INSERM, U1008, F-59000 Lille, France
| | | | - Gwenael Raoul
- Univ. Lille, CHU Lille, INSERM, Department of Oral and Maxillofacial Surgery, U1008-Advanced Drug Delivery Systems, F-59000 Lille, France
| | - Jean-Christophe Hornez
- Département Matériaux et Procédés (DMP), Laboratoire de Matériaux Céramiques et de Mathématiques (CERAMATHS), Université Polytechnique Hauts-de-France, F-59600 Maubeuge, France
| |
Collapse
|
4
|
Wojcik T, Morawska M, Ferri J, Müller-Gerbl M, Nicot R. Robotic calvarial bone sampling. J Craniomaxillofac Surg 2023; 51:603-608. [PMID: 37806905 DOI: 10.1016/j.jcms.2023.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 09/05/2023] [Indexed: 10/10/2023] Open
Abstract
The aim of this study was to assess the feasibility of complex unicortical calvarial harvesting by using the Cold Ablation Robot-Guided Laser Osteotome (CARLO® primo+). A cadaveric study was performed with a progressive complexity of the bone harvesting. This preliminary study on the cadaveric cranial vault area examined the tracking precision, the strategies, settings and durations of harvesting, the accuracy of the unicortical bone cutting, and the risk of dura exposition. All sampling was realised with no more difficulty than that experienced during the standard procedure. No bicortical cutting occurred during CARLO® primo + robot-guided laser cutting. During the second sampling, dura was partially exposed due to improper angulation of the curved osteotome during harvesting. Complex unicortical calvarial harvesting using robot-guided laser appears to be feasible and safe. In the future, robotic approaches will probably replace current surgical techniques using cutting guides and help reduce intraoperative inaccuracies due to the human factor.
Collapse
Affiliation(s)
- Thomas Wojcik
- Univ. Lille, CHU Lille, INSERM, Oral and Maxillo-Facial Surgery Department, U1008 - Advanced Drug Delivery Systems, F-59000, Lille, France.
| | | | - Joël Ferri
- Univ. Lille, CHU Lille, INSERM, Oral and Maxillo-Facial Surgery Department, U1008 - Advanced Drug Delivery Systems, F-59000, Lille, France.
| | | | - Romain Nicot
- Univ. Lille, CHU Lille, INSERM, Oral and Maxillo-Facial Surgery Department, U1008 - Advanced Drug Delivery Systems, F-59000, Lille, France; Univ. Lille, Centrale Lille, CNRS, UMR 9013 - LaMcube - Laboratoire de Mécanique, Multiphysique, Multiéchelle, F-59000, Lille, France.
| |
Collapse
|
5
|
Lucas MF, Schlund M, Dapke S, Politis C, Aubert S, Wojcik T, Barry F, Mouawad F, Majoufre C, Leyman B, Testelin S, Nicot R. Surgical treatment outcomes of solitary fibrous tumors in the head and neck: A retrospective study. J Craniomaxillofac Surg 2023:S1010-5182(23)00094-X. [PMID: 37263831 DOI: 10.1016/j.jcms.2023.05.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 02/14/2023] [Accepted: 05/23/2023] [Indexed: 06/03/2023] Open
Abstract
The aim of this study was to better characterize head and neck solitary fibrous tumors (SFTs) and to evaluate surgical treatment. This retrospective study included patients who presented with head and neck SFTs. Clinical, radiological, and histological information and data regarding the treatments performed were collected. The risk of locoregional and distant metastases was calculated, and for orbital SFTs a specific classification was used. Overall, 34 patients were included. The majority of the SFTs were found in the oral cavity (n = 10), followed by the neck region (n = 8). The mean time to recurrence was 67.4 months. All patients underwent primary surgical resection. Recurrence was observed in five patients with a low risk of locoregional recurrence and distant metastasis. The treatment of choice is complete resection. Recurrence seems to be highly correlated with positive surgical margins. The safety margin should be increased when removing the lesion, and long-term follow-up should be performed.
Collapse
Affiliation(s)
- Marti-Flich Lucas
- Univ. Angers, CHU Angers, Department of Oral and Maxillofacial Surgery, 49000, Angers, France.
| | - Matthias Schlund
- Univ. Bordeaux, CHU Bordeaux, Inserm, Department of Oral and Maxillofacial Surgery, U 1026 - Bioengineering of Tissues, F-33000, Bordeaux, France
| | - Stéphanie Dapke
- Maxillo-Facial Surgery Department, Amiens-Picardie University Hospital, 80000, Amiens, France
| | - Constantinus Politis
- Department OMFS, Department Imaging and Pathology, Faculty of Medicine, Leuven University Hospitals, Leuven, Belgium
| | - Sébastien Aubert
- Department of Pathology, Lille University Hospital, Lille, France; Inserm, CNRS, UMR9020, U1277 - CANTHER - Cancer Heterogeneity, Plasticity and Resistance to Therapies, University of Lille, Lille University Hospital, F-59000, Lille, France
| | - Thomas Wojcik
- Univ. Lille, CHU Lille, Inserm, Department of Oral and Maxillofacial Surgery, U 1008 - Controlled Drug Delivery Systems and Biomaterials, F-59000, Lille, France
| | - Florent Barry
- Univ. Angers, CHU Angers, Department of Oral and Maxillofacial Surgery, 49000, Angers, France
| | - François Mouawad
- ENT and Head and Neck Department, Lille, 59037, Cedex, France; University Lille, CNRS, Inserm, CHU Lille, UMR9020-U1277 - CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Lille, F-59000, France
| | - Claire Majoufre
- Univ. Bordeaux, CHU Bordeaux, Department of Oral and Maxillofacial Surgery, F-33000, Bordeaux, France
| | - Bernard Leyman
- Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Herestraat 49, Leuven, Belgium
| | - Sylvie Testelin
- Maxillo-Facial Surgery Department, Amiens-Picardie University Hospital, 80000, Amiens, France
| | - Romain Nicot
- Univ. Lille, CHU Lille, Inserm, Department of Oral and Maxillofacial Surgery, U 1008 - Controlled Drug Delivery Systems and Biomaterials, F-59000, Lille, France
| |
Collapse
|
6
|
Khonsari RH, Adam J, Benassarou M, Bertin H, Billotet B, Bouaoud J, Bouletreau P, Garmi R, Gellée T, Haen P, Ketoff S, Lescaille G, Louvrier A, Lutz JC, Makaremi M, Nicot R, Pham-Dang N, Praud M, Saint-Pierre F, Schouman T, Sicard L, Simon F, Wojcik T, Meyer C. In-house 3D printing: Why, when, and how? Overview of the national French good practice guidelines for in-house 3D-printing in maxillo-facial surgery, stomatology, and oral surgery. J Stomatol Oral Maxillofac Surg 2021; 122:458-461. [PMID: 34400375 DOI: 10.1016/j.jormas.2021.08.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2021] [Accepted: 08/11/2021] [Indexed: 01/04/2023]
Abstract
3D-printing is part of the daily practice of maxillo-facial surgeons, stomatologists and oral surgeons. To date, no French health center is producing in-house medical devices according to the new European standards. Based on all the evidence-based data available, a group of experts from the French Society of Stomatology, Maxillo-Facial Surgery and Oral Surgery (Société Française de Chirurgie Maxillofaciale, Stomatologie et Chirurgie Orale, SFSCMFCO), provide good practice guidelines for in-house 3D-printing in maxillo-facial surgery, stomatology, and oral surgery. Briefly, technical considerations related to printers and CAD software, which were the main challenges in the last ten years, are now nearly trivial questions. The central current issues when planning the implementation of an in-house 3D-printing platform are economic and regulatory. Successful in-house 3D platforms rely on close collaborations between health professionals and engineers, backed by regulatory and logistic specialists. Several large-scale academic projects across France will soon provide definitive answers to governance and economical questions related to the use of in-house 3D printing.
Collapse
Affiliation(s)
- Roman Hossein Khonsari
- Service de chirurgie maxillofaciale et chirurgie plastique, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris; Faculté de médecine, Université de Paris; Paris, France.
| | | | - Mourad Benassarou
- Service de chirurgie maxillofaciale et stomatologie, Hôpital Universitaire Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris, Faculté de médecine, Sorbonne Université; Paris, France
| | - Hélios Bertin
- Service de chirurgie maxillofaciale et stomatologie, Centre Hospitalier Universitaire Hôtel-Dieu; Faculté de médecine, Université de Nantes; Nantes, France
| | | | - Jebrane Bouaoud
- Service de chirurgie maxillofaciale et stomatologie, Hôpital Universitaire Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris, Faculté de médecine, Sorbonne Université; Paris, France
| | - Pierre Bouletreau
- Service de chirurgie maxillofaciale, stomatologie, chirurgie orale et chirurgie plastique de la face, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon; Faculté de Médecine, Université Claude Bernard Lyon I; Lyon, France
| | - Rachid Garmi
- Service de chirurgie maxillofaciale, plastique et reconstructrice, chirurgie orale et implantologie, Centre Hospitalier Universitaire Caen Normandie; Université de Caen Normandie; Caen, France
| | - Timothée Gellée
- Service de chirurgie maxillofaciale et stomatologie, Unité de chirurgie orale, Hôpital Universitaire Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris; Faculté de médecine, Sorbonne Université; Paris, France
| | - Pierre Haen
- Service de chirurgie maxillofaciale, Hôpital d'Instruction des Armées Laveran; Marseille, France
| | - Serge Ketoff
- Service de chirurgie maxillofaciale, Groupe Hospitalier Paris Saint-Joseph, Paris, France
| | - Géraldine Lescaille
- Service de chirurgie maxillofaciale et stomatologie, Unité de chirurgie orale, Hôpital Universitaire Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris; Faculté de médecine, Sorbonne Université; Paris, France
| | - Aurélien Louvrier
- Service de chirurgie maxillofaciale, stomatologie et odontologie, Centre Hospitalier Régional Universitaire de Besançon; Faculté de Médecine, Université de Franche-Comté; Besançon, France
| | - Jean-Christophe Lutz
- Service de chirurgie maxillofaciale et stomatologie, Centre Hospitalier Universitaire de Strasbourg; Faculté de Médecine, Université de Strasbourg; Strasbourg, France
| | - Masrour Makaremi
- Département d'orthopédie dento-faciale, UFR des sciences odontologiques, Bordeaux, France
| | - Romain Nicot
- Service de chirurgie maxillofaciale et stomatologie, Centre Hospitalier Régional Universitaire de Lille; Faculté de Médecine Henri Warembourg, Université de Lille; Lille, France
| | - Nathalie Pham-Dang
- Service de chirurgie maxillofaciale et chirurgie plastique, Centre Hospitalier Universtiaire de Clermont-Ferrand; Faculté de Médecine, Université de Clermont Auvergne; Clermont-Ferrand, France
| | - Morgan Praud
- Service de chirurgie maxillofaciale et stomatologie, Centre Hospitalier Universitaire Hôtel-Dieu; Faculté de médecine, Université de Nantes; Nantes, France
| | | | - Thomas Schouman
- Service de chirurgie maxillofaciale et stomatologie, Hôpital Universitaire Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris, Faculté de médecine, Sorbonne Université; Paris, France
| | - Ludovic Sicard
- Service de chirurgie orale, Hôpital Bretonneau, Assistance Publique - Hôpitaux de Paris; Faculté d'odontologie, Université de Paris; Paris, France
| | - François Simon
- Service de d'otorhinolaryngologie et chirurgie cervico-faciale pédiatrique, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris; Faculté de médecine, Université de Paris; Paris, France
| | - Thomas Wojcik
- Service de chirurgie maxillofaciale et stomatologie, Centre Hospitalier Régional Universitaire de Lille; Faculté de Médecine Henri Warembourg, Université de Lille; Lille, France
| | - Christophe Meyer
- Service de chirurgie maxillofaciale, stomatologie et odontologie, Centre Hospitalier Régional Universitaire de Besançon; Faculté de Médecine, Université de Franche-Comté; Besançon, France
| | -
- Service de chirurgie maxillofaciale et chirurgie plastique, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris; Faculté de médecine, Université de Paris; Paris, France; BONE 3D, Paris, France; Service de chirurgie maxillofaciale et stomatologie, Hôpital Universitaire Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris, Faculté de médecine, Sorbonne Université; Paris, France; Service de chirurgie maxillofaciale et stomatologie, Centre Hospitalier Universitaire Hôtel-Dieu; Faculté de médecine, Université de Nantes; Nantes, France; ENNOIA, Besançon, France; Service de chirurgie maxillofaciale, stomatologie, chirurgie orale et chirurgie plastique de la face, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon; Faculté de Médecine, Université Claude Bernard Lyon I; Lyon, France; Service de chirurgie maxillofaciale, plastique et reconstructrice, chirurgie orale et implantologie, Centre Hospitalier Universitaire Caen Normandie; Université de Caen Normandie; Caen, France; Service de chirurgie maxillofaciale et stomatologie, Unité de chirurgie orale, Hôpital Universitaire Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris; Faculté de médecine, Sorbonne Université; Paris, France; Service de chirurgie maxillofaciale, Hôpital d'Instruction des Armées Laveran; Marseille, France; Service de chirurgie maxillofaciale, Groupe Hospitalier Paris Saint-Joseph, Paris, France; Service de chirurgie maxillofaciale, stomatologie et odontologie, Centre Hospitalier Régional Universitaire de Besançon; Faculté de Médecine, Université de Franche-Comté; Besançon, France; Service de chirurgie maxillofaciale et stomatologie, Centre Hospitalier Universitaire de Strasbourg; Faculté de Médecine, Université de Strasbourg; Strasbourg, France; Département d'orthopédie dento-faciale, UFR des sciences odontologiques, Bordeaux, France; Service de chirurgie maxillofaciale et stomatologie, Centre Hospitalier Régional Universitaire de Lille; Faculté de Médecine Henri Warembourg, Université de Lille; Lille, France; Service de chirurgie maxillofaciale et chirurgie plastique, Centre Hospitalier Universtiaire de Clermont-Ferrand; Faculté de Médecine, Université de Clermont Auvergne; Clermont-Ferrand, France; Méthodologie, Sorbonne Université; Paris, France; Service de chirurgie orale, Hôpital Bretonneau, Assistance Publique - Hôpitaux de Paris; Faculté d'odontologie, Université de Paris; Paris, France; Service de d'otorhinolaryngologie et chirurgie cervico-faciale pédiatrique, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris; Faculté de médecine, Université de Paris; Paris, France
| |
Collapse
|
7
|
Friedel M, Gilson A, Bouckenaere D, Brichard B, Fonteyne C, Wojcik T, De Clercq E, Guillet A, Mahboub A, Lahaye M, Aujoulat I. Access to paediatric palliative care in children and adolescents with complex chronic conditions: a retrospective hospital-based study in Brussels, Belgium. BMJ Paediatr Open 2019; 3:e000547. [PMID: 31646199 PMCID: PMC6782038 DOI: 10.1136/bmjpo-2019-000547] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Revised: 08/10/2019] [Accepted: 08/21/2019] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Paediatric complex chronic conditions (CCCs) are life-limiting conditions requiring paediatric palliative care, which, in Belgium, is provided through paediatric liaison teams (PLTs). Like the number of children and adolescents with these conditions in Belgium, their referral to PLTs is unknown. OBJECTIVES The aim of the study was to identify, over a 5-year period (2010-2014), the number of children and adolescents (0-19 years) living with a CCC, and also their referral to PLTs. METHODS International Classification of Disease codes (ICD-9) corresponding to a CCC, as described by Feudtner et al, and national registration numbers were extracted from the databases of all hospitals (n=8) and PLTs (n=2) based in the Brussels region. Aggregated data and pseudonymised national registration number were transmitted to the research team by a Trusted Third Party (eHealth). Ages and diagnostic categories were calculated using descriptive statistics. RESULTS Over 5 years (2010-2014) in the Brussels region, a total of 22 721 children/adolescents aged 0-19 years were diagnosed with a CCC. Of this number, 22 533 were identified through hospital registries and 572 through PLT registries. By comparing the registries, we found that of the 22 533 children/adolescents admitted to hospital, only 384 (1.7%) were also referred to a PLT. CONCLUSION In Belgium, there may be too few referrals of children and adolescents with CCC to PLTs that ensure continuity of care.
Collapse
Affiliation(s)
- Marie Friedel
- Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium.,Nursing Department, Haute Ecole Léonard de Vinci Parnasse-ISEI, Brussels, Belgium
| | - Aurélie Gilson
- Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium
| | | | - Bénédicte Brichard
- Fédération Bruxelloise Pluraliste de Soins Palliatifs, Brussels, Belgium.,Paediatric Hematology-Oncology and Paediatric liaison team Interface Pédiatrique, Cliniques universitaires Saint-Luc, Brussels, Belgium
| | - Christine Fonteyne
- Fédération Bruxelloise Pluraliste de Soins Palliatifs, Brussels, Belgium.,Paediatric liaison team Globul'home, Hôpital universitaire des Enfants Reine Fabiola, Brussels, Belgium
| | - Thomas Wojcik
- Fédération Bruxelloise Pluraliste de Soins Palliatifs, Brussels, Belgium
| | - Etienne De Clercq
- Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium
| | - Alain Guillet
- Statistical Methodology and Computing Service (SMCS), Institute LIDAM, Université catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Alaa Mahboub
- Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium
| | - Magali Lahaye
- Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium.,Paediatric Haematology/Oncology, Cliniques universitaires Saint-Luc, Brussels, Belgium
| | - Isabelle Aujoulat
- Institute of Health and Society, Université catholique de Louvain, Brussels, Belgium.,Faculté de Santé Publique, Université catholique de Louvain, Brussels, Belgium
| |
Collapse
|
8
|
Bouchet B, Raoul G, Julieron B, Wojcik T. Functional and morphologic outcomes of CAD/CAM-assisted versus conventional microvascular fibular free flap reconstruction of the mandible: A retrospective study of 25 cases. J Stomatol Oral Maxillofac Surg 2018; 119:455-460. [PMID: 30098447 DOI: 10.1016/j.jormas.2018.07.003] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Revised: 06/26/2018] [Accepted: 07/29/2018] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Mandibular reconstruction using fibula free flap has been improved in the last decade with computer-aided design and computer-aided manufacturing (CAD/CAM) but any functional and aesthetic evaluation of their reattempts has been realized. Aim of this retrospective study is to compare functional and morphologic outcomes after mandibular reconstruction with fibula free flap using CAD/CAM or conventional peroperative shaping for mandible reconstruction. Moreover, we compared quality of life, patient and surgery characteristics in the two groups. PATIENTS AND METHODS We realized a monocentric retrospective analyzed of 25 cases of unilateral mandibular reconstruction divided in two groups, using CAD/CAM (12 patient) or conventional approach (13 patients) between April 2012 and March. Functional and aesthetic measurements were performed postoperatively. RESULTS Mouth opening, laterotrusion and protrusion of the mandible seemed to be improved in CAD/CAM group compared with conventional group but did not differ significantly. Quality of life, bite force, masticatory ability, eating and chewing satisfaction, appearance and social activity satisfaction did not differ significantly in the two groups. CONCLUSION Even if no superiority has been established for CAD/CAM group regarding functional and aesthetic outcomes, a prospective design of future studies and transdisciplinary approach should improve our data and their interpretations. Thus, the integration of virtual planning and guided surgery is definitely of significant value and must be considered in complex maxillofacial reconstructions.
Collapse
Affiliation(s)
- B Bouchet
- Department of Oral and Maxillofacial Surgery, Lille Teaching Hospital, Roger-Salengro Hospital, Lille Teaching Hospital, 59000 Lille, France.
| | - G Raoul
- Department of Oral and Maxillofacial Surgery, Lille Teaching Hospital, Roger-Salengro Hospital, Lille Teaching Hospital, 59000 Lille, France.
| | - B Julieron
- Head and Neck Department, Oncologic Center Oscar-Lambret, 59000 Lille, France.
| | - T Wojcik
- Head and Neck Department, Oncologic Center Oscar-Lambret, 59000 Lille, France.
| |
Collapse
|
9
|
Pietrucha AZ, Jedrzejczyk-Spaho J, Wojcik T, Wnuk M, Bzukala I, Pietrucha BJ, Konduracka E, Werynski P, Chlopicki S, Nessler J. P6627Assessment of tromboxan B2 serum concentration changes during head-up tilt test in patients with vasovagal syncope. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- A Z Pietrucha
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| | - J Jedrzejczyk-Spaho
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| | - T Wojcik
- Jagiellonian Centre for Experimental Therapeutics, Cracow, Poland
| | - M Wnuk
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| | - I Bzukala
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| | - B J Pietrucha
- Children Cardiology Department, Children University Hospital, Jagiellonian University Medical Colleg, Cracow, Poland
| | - E Konduracka
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| | - P Werynski
- Children Cardiology Department, Children University Hospital, Jagiellonian University Medical Colleg, Cracow, Poland
| | - S Chlopicki
- Jagiellonian Centre for Experimental Therapeutics, Cracow, Poland
| | - J Nessler
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| |
Collapse
|
10
|
Pietrucha AZ, Wojcik T, Jedrzejczyk-Spaho J, Bzukala I, Wnuk M, Pietrucha BJ, Werynski P, Konduracka E, Chlopicki S, Nessler J. P4426Evaluation of serum level changes of syndecan-1 in response to orthostatic stress during head-up tilt test in patients with vasovagal syncope. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- A Z Pietrucha
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| | - T Wojcik
- Jagiellonian Centre for Experimental Therapeutics, Cracow, Poland
| | - J Jedrzejczyk-Spaho
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| | - I Bzukala
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| | - M Wnuk
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| | - B J Pietrucha
- Children Cardiology Department, Children University Hospital, Jagiellonian University Medical Colleg, Cracow, Poland
| | - P Werynski
- Children Cardiology Department, Children University Hospital, Jagiellonian University Medical Colleg, Cracow, Poland
| | - E Konduracka
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| | - S Chlopicki
- Jagiellonian Centre for Experimental Therapeutics, Cracow, Poland
| | - J Nessler
- Jagiellonian University Medical College, John Paul II Hospital, Syncope Unit, Department of Coronary Disease and Heart Failure, Institute of Cardiology, Cracow, Poland
| |
Collapse
|
11
|
Gryseleyn R, Schlund M, Pigache P, Wojcik T, Raoul G, Ferri J. Influence of preoperative imaging on fibula free flap harvesting. J Stomatol Oral Maxillofac Surg 2017; 118:265-270. [PMID: 28529045 DOI: 10.1016/j.jormas.2017.05.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Revised: 03/22/2017] [Accepted: 05/12/2017] [Indexed: 10/19/2022]
Abstract
INTRODUCTION The fibula free flap (FFF) is the gold standard for the reconstruction of large maxillofacial defects. Magnetic resonance angiography (MRA) seems to supersede digital subtraction angiography (DSA) as the reference in preoperative evaluation, being non-invasive and having equivalent diagnostic results. The aim of this study was to assess the impact of preoperative MRA versus DSA on the viability of FFF and its success rate. MATERIAL AND METHODS A total of 216 patients, who underwent mandibular or maxillary FFF reconstruction from January 1995 to January 2011, were retrospectively included in the study. Of them, 101 patients underwent preoperative DSA and 115 underwent MRA. Recorded criteria were as follows: age, sex, tobacco consumption, defect etiology, preoperative vascular assessment, donor-site choice and flap failure. The DSA group was compared to the MRA group. RESULTS The harvested side was switched in 15.7% of cases with preoperative MRA versus 4% with DSA. Our success rate was higher (96.1%) with MRA than with DSA (88.1%) (P<0.05). More atherosclerotic patients (P=0.004) were diagnosed through MRA. MRA and DSA showed similar results in anatomical variation detection. CONCLUSION MRA is less invasive and more effective in atherosclerosis detection than DSA. Therefore, donor-site switching was more frequent in the MRA group, which led to a better success rate. MRA should replace DSA as the reference in preoperative assessment.
Collapse
Affiliation(s)
- R Gryseleyn
- Service de stomatologie et chirurgie maxillo-faciale, université Lille 2, hôpital Roger-Salengro, CHU Lille, 59000 Lille, France
| | - M Schlund
- Service de stomatologie et chirurgie maxillo-faciale, université Lille 2, hôpital Roger-Salengro, CHU Lille, 59000 Lille, France.
| | - P Pigache
- Service de stomatologie et chirurgie maxillo-faciale, université Lille 2, hôpital Roger-Salengro, CHU Lille, 59000 Lille, France
| | - T Wojcik
- Département de cancérologie cervico-faciale, centre Oscar-Lambret, université Lille 2, 59000 Lille, France
| | - G Raoul
- Service de stomatologie et chirurgie maxillo-faciale, université Lille 2, hôpital Roger-Salengro, CHU Lille, 59000 Lille, France; Inserm U 1008, controlled drug delivery systems and biomaterials, 59000 Lille, France
| | - J Ferri
- Service de stomatologie et chirurgie maxillo-faciale, université Lille 2, hôpital Roger-Salengro, CHU Lille, 59000 Lille, France; Inserm U 1008, controlled drug delivery systems and biomaterials, 59000 Lille, France
| |
Collapse
|
12
|
Laborde A, Nicot R, Wojcik T, Ferri J, Raoul G. Ameloblastoma of the jaws: Management and recurrence rate. Eur Ann Otorhinolaryngol Head Neck Dis 2017; 134:7-11. [DOI: 10.1016/j.anorl.2016.09.004] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
13
|
Bosc R, Hersant B, Carloni R, Niddam J, Bouhassira J, De Kermadec H, Bequignon E, Wojcik T, Julieron M, Meningaud JP. Mandibular reconstruction after cancer: an in-house approach to manufacturing cutting guides. Int J Oral Maxillofac Surg 2016; 46:24-31. [PMID: 27815013 DOI: 10.1016/j.ijom.2016.10.004] [Citation(s) in RCA: 70] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2016] [Revised: 07/15/2016] [Accepted: 10/05/2016] [Indexed: 11/28/2022]
Abstract
The restoration of mandibular bone defects after cancer can be facilitated by computer-assisted preoperative planning. The aim of this study was to assess an in-house manufacturing approach to customized cutting guides for use in the reconstruction of the mandible with osteocutaneous free flaps. A retrospective cohort study was performed, involving 18 patients who underwent mandibular reconstruction with a fibula free flap at three institutions during the period July 2012 to March 2015. A single surgeon designed and manufactured fibula and mandible cutting guides using a computer-aided design process and three-dimensional (3D) printing technology. The oncological outcomes, production parameters, and quality of the reconstructions performed for each patient were recorded. Computed tomography scans were acquired after surgery, and these were compared with the preoperative 3D models. Eighteen consecutive patients with squamous cell carcinoma underwent surgery and then reconstruction using this customized in-house surgical approach. The lengths of the fibula bone segments and the angle measurements in the simulations were similar to those of the postoperative volume rendering (P=0.61). The ease of access to 3D printing technology has enabled the computer-aided design and manufacturing of customized cutting guides for oral cancer treatment without the need for input from external laboratories.
Collapse
Affiliation(s)
- R Bosc
- Department of Plastic and Maxillofacial Surgery, Henri Mondor Hospital, Créteil, France.
| | - B Hersant
- Department of Plastic and Maxillofacial Surgery, Henri Mondor Hospital, Créteil, France
| | - R Carloni
- Department of Plastic and Maxillofacial Surgery, Henri Mondor Hospital, Créteil, France
| | - J Niddam
- Department of Plastic and Maxillofacial Surgery, Henri Mondor Hospital, Créteil, France
| | - J Bouhassira
- Department of Plastic and Maxillofacial Surgery, Henri Mondor Hospital, Créteil, France
| | - H De Kermadec
- Department of Head and Neck Surgery, Intercity Hospital of Creteil, Creteil, France
| | - E Bequignon
- Department of Head and Neck Surgery, Intercity Hospital of Creteil, Creteil, France
| | - T Wojcik
- Department of Head and Neck Surgery, Oscar Lambret Cancer Centre, Lille, France
| | - M Julieron
- Department of Head and Neck Surgery, Oscar Lambret Cancer Centre, Lille, France
| | - J-P Meningaud
- Department of Plastic and Maxillofacial Surgery, Henri Mondor Hospital, Créteil, France
| |
Collapse
|
14
|
Farrow E, Boulanger T, Wojcik T, Lemaire AS, Raoul G, Julieron M. Magnetic resonance imaging and computed tomography in the assessment of mandibular invasion by squamous cell carcinoma of the oral cavity. Influence on surgical management and post-operative course. ACTA ACUST UNITED AC 2016; 117:311-321. [DOI: 10.1016/j.revsto.2016.06.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Revised: 04/19/2016] [Accepted: 06/10/2016] [Indexed: 11/28/2022]
|
15
|
Majzner K, Wojcik T, Szafraniec E, Lukawska M, Oszczapowicz I, Chlopicki S, Baranska M. Nuclear accumulation of anthracyclines in the endothelium studied by bimodal imaging: fluorescence and Raman microscopy. Analyst 2015; 140:2302-10. [PMID: 25599102 DOI: 10.1039/c4an01882f] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Anthracycline antibiotics display genotoxic activity towards cancer cells but their clinical utility is limited by their cardiac and vascular toxicity. The aim of this study was to develop a Raman-based methodology to study the nuclear accumulation of anthracyclines in the endothelium. For this purpose bimodal confocal Raman and fluorescence imaging was used to monitor cellular composition changes as a result of anthracycline exposure on endothelial cells (EA.hy926), and nuclear drug accumulation, respectively. Simultaneously effects of anthracyclines on endothelium viability were investigated by caspases-3 and -7 and MTT assays. We demonstrated that nuclear accumulation of DOX and EDOX was similar; however, EDNR accumulated in endothelial nuclei at concentrations 10 times higher than DNR. In turn, epimers of DOX or DNR were both consistently less toxic on the endothelium as compared to their congeners as evidenced by MTT and caspase assays. In summary, bimodal Raman and fluorescence-based nucleus profiling proves to be a valuable tool to study structure-activity relationship of nuclear accumulation and toxicity of anthracyclines in endothelium.
Collapse
Affiliation(s)
- K Majzner
- Faculty of Chemistry, Jagiellonian University, Ingardena 3, Krakow, Poland
| | | | | | | | | | | | | |
Collapse
|
16
|
Abstract
INTRODUCTION Use of symphyseal distraction osteogenesis to treat a mandibular bone deficit with tooth-jaw discrepancy due to lack of space makes it possible to avoid the risks associated with the techniques usually envisaged (stripping, labioversion of incisors, extractions). PATIENTS AND METHOD This retrospective study presents the symphyseal distraction technique used in the maxillofacial surgery department of Lille University Hospital between January 1998 and March 2013. Treatment efficacy, complications and the stability of results were all evaluated. RESULTS Thirty-five patients were included in the study. The gain of inter-mental-foramen space was on average 7 mm (3-12, standard deviation 1.8 mm). A good occlusal result with dental Class I and no labioversion of the lower incisors was obtained in 27 of the 35 patients (77%). CONCLUSION Mandibular distraction by symphyseal osteotomy seems to be a quick, safe treatment for an anterior transversal mandibular deficit giving results that are stable over time. Its success depends on good collaboration between the orthodontist and the surgeon, and on strict patient selection.
Collapse
Affiliation(s)
- Émilie Garreau
- Département Universitaire de Chirurgie Maxillofaciale et Stomatologie, Hôpital Roger-Salengro, CHU de Lille, rue Émile-Laine, 59037 Lille, France; Association Internationale de Médecine Orale et Maxillofaciale, 7bis, rue de la Créativité, 59650 Villeneuve-d'Ascq, France.
| | - Thomas Wojcik
- Département Universitaire de Chirurgie Maxillofaciale et Stomatologie, Hôpital Roger-Salengro, CHU de Lille, rue Émile-Laine, 59037 Lille, France; Unité INSERM U1008, Médicaments et Biomatériaux à Libération Contrôlée, Faculté des Sciences pharmaceutiques et Biologiques, 3, rue du Professeur-Laguesse, 59000 Lille, France; Association Internationale de Médecine Orale et Maxillofaciale, 7bis, rue de la Créativité, 59650 Villeneuve-d'Ascq, France
| | - Hervey Rakotomalala
- Département Universitaire de Chirurgie Maxillofaciale et Stomatologie, Hôpital Roger-Salengro, CHU de Lille, rue Émile-Laine, 59037 Lille, France
| | - Gwenaël Raoul
- Département Universitaire de Chirurgie Maxillofaciale et Stomatologie, Hôpital Roger-Salengro, CHU de Lille, rue Émile-Laine, 59037 Lille, France; Unité INSERM U1008, Médicaments et Biomatériaux à Libération Contrôlée, Faculté des Sciences pharmaceutiques et Biologiques, 3, rue du Professeur-Laguesse, 59000 Lille, France; Association Internationale de Médecine Orale et Maxillofaciale, 7bis, rue de la Créativité, 59650 Villeneuve-d'Ascq, France; Université Lille Nord de France, UDSL, 1, rue Lefèvre, 59000 Lille, France
| | - Joël Ferri
- Département Universitaire de Chirurgie Maxillofaciale et Stomatologie, Hôpital Roger-Salengro, CHU de Lille, rue Émile-Laine, 59037 Lille, France; Unité INSERM U1008, Médicaments et Biomatériaux à Libération Contrôlée, Faculté des Sciences pharmaceutiques et Biologiques, 3, rue du Professeur-Laguesse, 59000 Lille, France; Association Internationale de Médecine Orale et Maxillofaciale, 7bis, rue de la Créativité, 59650 Villeneuve-d'Ascq, France; Université Lille Nord de France, UDSL, 1, rue Lefèvre, 59000 Lille, France
| |
Collapse
|
17
|
Garreau E, Wojcik T, Bouscaillou J, Ferri J, Raoul G. [Comparative effectiveness of maxillomandibular advancement surgery versus mandibular advancement device for patients with moderate or severe obstructive sleep area]. Orthod Fr 2014; 85:163-73. [PMID: 24923216 DOI: 10.1051/orthodfr/2014009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2013] [Accepted: 05/27/2013] [Indexed: 11/14/2022]
Abstract
INTRODUCTION Currently, positive airway pressure is the gold standard treatment of obstructive sleep apnea (OSA). Unfortunely, adherence rates are poor. Alternative therapies are mandibular advancement device (MAD) and maxillomandibular advancement (MMA). PATIENTS This retrospective study compared both treatment effectiveness on patients with moderate and severe OSA from January 2005 to September 2012, and carried out predictive factor of effectiveness. We defined therapeutic success as an apnea hypopnea index (AHI) less than 15 per hour and at least a 50% reduction of the initial index. The difference in effectiveness has been studied using regression logistic adjusted on MAD versus MMA propensity score. RESULTS This study included 198 patients. 37 were treated by MMA, and 161 with MAD. MMA treatment was significantly more efficient than MAD treatment with an odds ratio of 3.22; CI95% 1.31Γ7.82 (p = 0.011). Younger age and lower initial AHI were predictive of increased success. There was no significant interaction between the treatment and morphologic patient factors. CONCLUSION In our sample of patients, MMA surgery was significantly more efficient than MAD treatment for the patients with moderate or severe OSA. No morphologic characteristic was identified to determine which patients would benefit most from MAD versus MMA surgery.
Collapse
Affiliation(s)
- Emilie Garreau
- Département Universitaire de Chirurgie Maxillo-Faciale et Stomatologie, Hôpital Roger Salengro CHU Lille, rue Émile Laine, 59037 Lille, France
| | - Thomas Wojcik
- Département Universitaire de Chirurgie Maxillo-Faciale et Stomatologie, Hôpital Roger Salengro CHU Lille, rue Émile Laine, 59037 Lille, France - Unité INSERM U1008, Médicaments et Biomatériaux à Libération Contrôlée, Faculté des Sciences Pharmaceutiques et Biologiques 3 rue du Professeur Laguesse, 59000 Lille, France - Association Internationale de Médecine Orale et Maxillo-Faciale, 7 bis rue de la Créativité, 59650 Villeneuve-d'Ascq, France
| | - Julie Bouscaillou
- UMRS - 1018 INSERM Centre de Recherche en Épidémiologie et Santé des Populations, Hôpital Paul Brousse, 12 av. Paul Vaillant Couturier, 94800 Villejuif, France
| | - Joël Ferri
- Département Universitaire de Chirurgie Maxillo-Faciale et Stomatologie, Hôpital Roger Salengro CHU Lille, rue Émile Laine, 59037 Lille, France - Unité INSERM U1008, Médicaments et Biomatériaux à Libération Contrôlée, Faculté des Sciences Pharmaceutiques et Biologiques 3 rue du Professeur Laguesse, 59000 Lille, France - Association Internationale de Médecine Orale et Maxillo-Faciale, 7 bis rue de la Créativité, 59650 Villeneuve-d'Ascq, France - Université Lille Nord de France, UDSL, 1 rue Lefèvre, 59000 Lille, France
| | - Gwenaël Raoul
- Département Universitaire de Chirurgie Maxillo-Faciale et Stomatologie, Hôpital Roger Salengro CHU Lille, rue Émile Laine, 59037 Lille, France - Unité INSERM U1008, Médicaments et Biomatériaux à Libération Contrôlée, Faculté des Sciences Pharmaceutiques et Biologiques 3 rue du Professeur Laguesse, 59000 Lille, France - Association Internationale de Médecine Orale et Maxillo-Faciale, 7 bis rue de la Créativité, 59650 Villeneuve-d'Ascq, France - Université Lille Nord de France, UDSL, 1 rue Lefèvre, 59000 Lille, France
| |
Collapse
|
18
|
Rojare C, Wojcik T, Coussens C, Ferri J, Pertuzon B, Raoul G. [Condylar hyperplasia: qualitative and quantitative study of temporomandibular joints remodeling before and after condylectomy]. Orthod Fr 2014; 85:189-200. [PMID: 24923218 DOI: 10.1051/orthodfr/2014006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2013] [Accepted: 05/27/2013] [Indexed: 11/14/2022]
Abstract
PURPOSE This retrospective study aimed to evaluate bone remodeling of temporo-mandibular joints (TMJ) using computed tomography (CT) before and after condylectomy for condylar hyperplasia. MATERIAL AND METHOD TMJ bone remodeling was studied by comparing the pre and postoperative CT scan of ten patients. Qualitative evaluation was performed by two-dimensional analysis. Three-dimensional analysis superimpositions were done after digital condylar units isolation. Condylar volume modifications were measured and compared on both sides. Lastly, before and after surgery, we studied the radio-clinic correlations. RESULTS After surgery, all the operated condyles developed a new cortical bone. We noticed also a thickening of the glenoid fossa. Surgical condylectomy leaded to a 43.5% volume reduction on the operated side and 2.14% on the controlateral side. On the controlateral side, most of abnormalities seen preoperatively disappeared after surgery. For two patients, the condylar resection took away over 80% of the initial volume. For these patients, we observed major radiologic modifications on the controlateral TMJ associated with symptoms of dysfunction. These problems did not worsen their quality of life. CONCLUSION Both TMJ presented with bone remodelling after condylectomy. In condylar hyperplasia, condylectomy provides orthopaedic results on dysmorphia and removal of the pathological prechondroblastic zone. In the future, an earlier detection of this pathology may help the surgeon to treat in childhood. This would limit surgical excision and would avoid important dysmorphia.
Collapse
Affiliation(s)
- Camille Rojare
- Département Universitaire de Chirurgie Maxillo-Faciale et Stomatologie, Hôpital Roger Salengro, CHU, rue du Pr Émile Laine, 59000 Lille, France - Université Lille Nord de France, UDSL, 59000 Lille, France
| | - Thomas Wojcik
- Département Universitaire de Chirurgie Maxillo-Faciale et Stomatologie, Hôpital Roger Salengro, CHU, rue du Pr Émile Laine, 59000 Lille, France - Université Lille Nord de France, UDSL, 59000 Lille, France - Unité INSERM U1008, Médicaments et Biomatériaux à Libération Contrôlée, 59000 Lille, France - Association Internationale de Médecine Orale et Maxillo-Faciale (AIMOM), 7 bis rue de la créativité, 59650 Villeneuve-d'Ascq, France
| | - Camille Coussens
- Société OBL, Ingénierie Clinique, Immeuble Vecteur Sud, 70-86 avenue de la République, 92320 Châtillon, France
| | - Joël Ferri
- Département Universitaire de Chirurgie Maxillo-Faciale et Stomatologie, Hôpital Roger Salengro, CHU, rue du Pr Émile Laine, 59000 Lille, France - Université Lille Nord de France, UDSL, 59000 Lille, France - Unité INSERM U1008, Médicaments et Biomatériaux à Libération Contrôlée, 59000 Lille, France - Association Internationale de Médecine Orale et Maxillo-Faciale (AIMOM), 7 bis rue de la créativité, 59650 Villeneuve-d'Ascq, France
| | - Bruno Pertuzon
- Département Universitaire de Neuro-Radiologie, Hôpital Roger Salengro, CHU, rue du Pr Emile Laine, Lille, 59000 Lille, France
| | - Gwénaël Raoul
- Département Universitaire de Chirurgie Maxillo-Faciale et Stomatologie, Hôpital Roger Salengro, CHU, rue du Pr Émile Laine, 59000 Lille, France - Université Lille Nord de France, UDSL, 59000 Lille, France - Unité INSERM U1008, Médicaments et Biomatériaux à Libération Contrôlée, 59000 Lille, France - Association Internationale de Médecine Orale et Maxillo-Faciale (AIMOM), 7 bis rue de la créativité, 59650 Villeneuve-d'Ascq, France
| |
Collapse
|
19
|
Touzet-Roumazeille S, Myon L, Wojcik T, Raoul G, Ferri J, Lauwers L. Parietal bone graft for implant-borne prosthesis: a retrospective study. Int J Oral Maxillofac Surg 2013. [DOI: 10.1016/j.ijom.2013.07.332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
20
|
Dujoncquoy JP, Rojare C, Chemli H, Wojcik T, Raoul G, Ferri J. [Extended resection and radiotherapy for primary intraosseous maxillary carcinoma]. ACTA ACUST UNITED AC 2013; 114:349-55. [PMID: 23973106 DOI: 10.1016/j.revsto.2013.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2011] [Revised: 03/14/2013] [Accepted: 07/15/2013] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Primary intraosseous maxillary carcinoma is a rare squamous cell carcinoma developing from remnants of the odontogenic epithelium. Risk factors are unknown and it may occur at any age. Little epidemiological data is available and few series include a sufficient number of patients. We assessed the prognosis of these tumors after wide exeresis (margin of 2 cm) followed by adjuvant radiotherapy. METHODS We reviewed the treatment and outcome data in nine cases of primary intraosseous maxillary carcinoma from 1995 to 2010. The WHO diagnostic criteria were used. We analyzed the demographic, clinical, and radiological data, as well as the type of treatment and the outcome of patients. RESULTS The gender ratio was 3.5/1, and the mean age 40.2 years. The most frequent presentation was a unilocular osteolytic lesion with an irregular contour, between 24 and 60 mm, in the mandibular angle. Extended tumor resection was performed in all patients. Reconstruction was performed with a fibula flap in seven patients. Five patients underwent adjuvant radiotherapy. The survival rate at 2 years was 100%. The mean follow-up was 6.9 years (2-14 years) at the end of the study. Two patients were treated for a relapse and one died after 3 years of follow-up. DISCUSSION The combined treatment was efficient on primary intraosseous maxillary carcinoma. The diagnosis is made with strict clinical, radiological, and histological criteria. The intraosseous location of these tumors requires an early diagnosis and aggressive treatment combining broad exeresis followed by adjuvant radiotherapy to avoid recurrence and have an optimal survival rate.
Collapse
Affiliation(s)
- J-P Dujoncquoy
- Service de stomatologie et de chirurgie maxillo-faciale, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France.
| | - C Rojare
- Service de stomatologie et de chirurgie maxillo-faciale, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France
| | - H Chemli
- Service de stomatologie et de chirurgie maxillo-faciale, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France
| | - T Wojcik
- Service de stomatologie et de chirurgie maxillo-faciale, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France
| | - G Raoul
- Service de stomatologie et de chirurgie maxillo-faciale, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France
| | - J Ferri
- Service de stomatologie et de chirurgie maxillo-faciale, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France
| |
Collapse
|
21
|
Lauwers L, Wojcik T, Delbarre A, Movaghar R, Ferri J. L’oligodontie : stratégie thérapeutique à partir de 30 cas. ACTA ACUST UNITED AC 2009; 110:263-8. [DOI: 10.1016/j.stomax.2008.10.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2007] [Accepted: 10/24/2008] [Indexed: 10/20/2022]
|
22
|
Agakishiev G, Balanda A, Bassini R, Belver D, Belyaev AV, Blanco A, Böhmer M, Boyard JL, Braun-Munzinger P, Cabanelas P, Castro E, Chernenko S, Christ T, Destefanis M, Díaz J, Dohrmann F, Dybczak A, Eberl T, Fabbietti L, Fateev OV, Finocchiaro P, Fonte P, Friese J, Fröhlich I, Galatyuk T, Garzón JA, Gernhäuser R, Gil A, Gilardi C, Golubeva M, González-Díaz D, Guber F, Hennino T, Holzmann R, Iori I, Ivashkin A, Jurkovic M, Kämpfer B, Kanaki K, Karavicheva T, Kirschner D, Koenig I, Koenig W, Kolb BW, Kotte R, Krizek F, Krücken R, Kühn W, Kugler A, Kurepin A, Lang S, Lange JS, Lapidus K, Liu T, Lopes L, Lorenz M, Maier L, Mangiarotti A, Markert J, Metag V, Michalska B, Michel J, Mishra D, Morinière E, Mousa J, Müntz C, Naumann L, Otwinowski J, Pachmayer YC, Palka M, Parpottas Y, Pechenov V, Pechenova O, Pietraszko J, Przygoda W, Ramstein B, Reshetin A, Roy-Stephan M, Rustamov A, Sadovsky A, Sailer B, Salabura P, Schmah A, Sobolev YG, Spataro S, Spruck B, Ströbele H, Stroth J, Sturm C, Sudol M, Tarantola A, Teilab K, Tlusty P, Traxler M, Trebacz R, Tsertos H, Wagner V, Weber M, Wisniowski M, Wojcik T, Wüstenfeld J, Yurevich S, Zanevsky YV, Zhou P, Zumbruch P. Deep subthreshold Xi;{-} production in Ar + KCl reactions at 1.76A GeV. Phys Rev Lett 2009; 103:132301. [PMID: 19905504 DOI: 10.1103/physrevlett.103.132301] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2009] [Indexed: 05/28/2023]
Abstract
We report first results on a deep subthreshold production of the doubly strange hyperon Xi;{-} in a heavy-ion reaction. At a beam energy of 1.76A GeV the reaction Ar + KCl was studied with the High Acceptance Di-Electron Spectrometer at SIS18/GSI. A high-statistics and high-purity Lambda sample was collected, allowing for the investigation of the decay channel Xi;{-} --> Lambdapi;{-}. The deduced Xi;{-}/(Lambda + Sigma;{0}) production ratio of (5.6 +/- 1.2_{-1.7};{+1.8}) x 10;{-3} is significantly larger than available model predictions.
Collapse
Affiliation(s)
- G Agakishiev
- II.Physikalisches Institut, Justus Liebig Universität Giessen, 35392 Giessen, Germany
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
23
|
Wojcik T, Kiec-Kononowicz K. Catalytic Activity of Certain Antibodies as a Potential Tool for Drug Synthesis and for Directed Prodrug Therapies. Curr Med Chem 2008; 15:1606-15. [DOI: 10.2174/092986708784911533] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
24
|
|
25
|
|