P. Barrière

CHRU de Strasbourg, Strasburg, Alsace, France

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Publications (11)7.41 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Introduction The Risdon modified approach, for mandibular surgery, is well adapted to treatment of low subcondylar fractures. According to our experience, this approach with a low rate of complications should also be considered for non-traumatic ramus surgery. Material and methods Twenty Risdon modified approaches were used in 11 patients for non-traumatic indications (seven bilateral osteotomies, four unilateral osteotomies, one biopsy, one bone graft). One patient was operated twice with the same approach. Results In all cases, the planned surgery could be performed using this approach. The only complication was a case of temporary paresis of the facial nerve's mandibular branch. The scar was always considered as quite acceptable. Discussion As for traumatology, the Risdon modified approach is an improvement for ramus non-traumatic surgery. It has a very low rate of complications, especially for the facial nerve. The intraoral approach avoids scarring, but the resulting exposure is insufficient and requires using a transcutaneous device or endoscopy. In orthognathic surgery, the wide exposure of the lateral aspect of the ramus, the corpus, and the basilar edge, facilitates important mandibular advancement.
    Revue de Stomatologie et de Chirurgie Maxillo-faciale. 04/2012; 113(2):96–99.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The Risdon modified approach, for mandibular surgery, is well adapted to treatment of low subcondylar fractures. According to our experience, this approach with a low rate of complications should also be considered for non-traumatic ramus surgery. Twenty Risdon modified approaches were used in 11 patients for non-traumatic indications (seven bilateral osteotomies, four unilateral osteotomies, one biopsy, one bone graft). One patient was operated twice with the same approach. In all cases, the planned surgery could be performed using this approach. The only complication was a case of temporary paresis of the facial nerve's mandibular branch. The scar was always considered as quite acceptable. As for traumatology, the Risdon modified approach is an improvement for ramus non-traumatic surgery. It has a very low rate of complications, especially for the facial nerve. The intraoral approach avoids scarring, but the resulting exposure is insufficient and requires using a transcutaneous device or endoscopy. In orthognathic surgery, the wide exposure of the lateral aspect of the ramus, the corpus, and the basilar edge, facilitates important mandibular advancement.
    Revue de stomatologie et de chirurgie maxillo-faciale 02/2012; 113(2):96-9. · 0.35 Impact Factor
  • J-P Salmin, A Wilk, P Barrière
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    ABSTRACT: Alloplastic malar augmentation has become a routine procedure associated with few complications. Among them, authors have described bony erosion and resorption. The case presented here illustrates an unusual case of maxillary bone erosion after silastic malar augmentation. Implants were surgically removed and no more surgical intervention was performed. After 15 months, contrast-enhanced CT scan has showed nearly complete bony regrowth to an almost normal state. Considering resorption phenomenons following silastic chin implants, Peled et al. reported no long-term sequellae after implant removal and bony regrowth to the presurgical state after 9 months. Accordingly, we conclude that these phenomenons, even spectacular, are always reversible after implants removal and that treatment should just consist in ablation of the offending prosthetic material.
    Annales de chirurgie plastique et esthetique 11/2011; 57(3):296-8. · 0.33 Impact Factor
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    ABSTRACT: The literature suggests that the lateral pterygoïd muscle is not palpable using an oral approach. The authors palpate the lateral pterygoïd muscle during clinical examination and for the treatment of temporomandibular joint disorders. The authors present an MRI demonstration showing how palpation is achieved.
    International Journal of Oral and Maxillofacial Surgery 08/2009; 38(10):1094-5. · 1.52 Impact Factor
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    ABSTRACT: Massage of the lateral pterygoid muscle according to Cyriax's principles is an unrecognized procedure. This procedure was tried on patients presenting with temporomandibular joint dysfunction syndrome. Fifteen patients were treated. Pain, joint clicking, measurement of mouth opening, lateral excursion and propulsion were recorded. Assessment was made before and after the massage in the same consultation. Joint clicking was solved in 80% and pain in 50% of the cases. Mouth opening increased by 12.8%, propulsion by 11.6% and lateral excursion by 41.3%. Massage of the lateral pterygoid muscle according to Cyriax's principles is a simple and efficient method that can be recommended for patients presenting with temporomandibular joint dysfunction syndrome. We performed a brief anatomical and radiological MRI study supporting the feasibility of lateral pterygoid muscle palpation.
    Revue de stomatologie et de chirurgie maxillo-faciale 02/2009; 110(2):77-80. · 0.35 Impact Factor
  • P Barriere, Y Hansmann, A Wilk
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    ABSTRACT: Compressive-orbital haematoma is a rare, but dreaded, complication in facial traumatology. The authors report a case of postoperative blindness after a delayed procedure for an orbit-floor fracture, complicated by Methylbacterium mesophilicum septicemia. Three surgical procedures were performed, simple drainage, down fracture of the orbit floor, and osteotomy of the zygoma, without any improvement. The role of M. mesophilicum in a major coagulation deficiency is discussed. Decompressive-orbital procedures are reviewed and discussed for this special case.
    Revue de Stomatologie et de Chirurgie Maxillo-faciale 11/2008; 109(5):323-5. · 0.39 Impact Factor
  • P Barriere, Y Hansmann, A Wilk
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    ABSTRACT: Compressive-orbital haematoma is a rare, but dreaded, complication in facial traumatology. The authors report a case of postoperative blindness after a delayed procedure for an orbit-floor fracture, complicated by Methylbacterium mesophilicum septicemia. Three surgical procedures were performed, simple drainage, down fracture of the orbit floor, and osteotomy of the zygoma, without any improvement. The role of M. mesophilicum in a major coagulation deficiency is discussed. Decompressive-orbital procedures are reviewed and discussed for this special case.
    Revue de Stomatologie et de Chirurgie Maxillo-faciale 11/2008; 109(5):323-5. · 0.39 Impact Factor
  • Oral Oncology Supplement 05/2007; 2(1):61-61.
  • O. Trost, P. Barrière, C. Meyer, A. Wilk, J.-L. Kahn
    Revue De Stomatologie Et De Chirurgie Maxillo-faciale - REV STOMATOL CHIR MAXILLO-FAC. 01/2005; 106(4):59-59.
  • Revue De Stomatologie Et De Chirurgie Maxillo-faciale - REV STOMATOL CHIR MAXILLO-FAC. 01/2005; 106(4):23-23.
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    ABSTRACT: In maxillofacial injuries, a choice has often to be made between different ways of intubation when surgical access to both the nasal and the oral cavities is necessary. Submental intubation is an interesting alternative to tracheotomy, especially when short-term postoperative control of the airway is foreseeable, and as control of the dental occlusion is complete, and access to the nose and mouth is undisturbed. This kind of intubation has been used in our department in 25 cases since 1997. All patients had fractures disturbing the dental occlusion plus either an associated fracture of the skull base, or a displaced nasal fracture. There was no intra-operative complication, average intubation duration was 1.5 days. Post-operative complications consisted of one case with hypertrophic scarring and two cases of abscess formation in the floor of the mouth. All these completely healed following local conservative treatment. Submental intubation demands certain technical skills but it is simple, rapid and may avoid tracheotomy in selected patients.
    Journal of Cranio-Maxillofacial Surgery 01/2004; 31(6):383-8. · 1.61 Impact Factor
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    ABSTRACT: Three unusual cases of pseudocarcinomatous (pseudoepitheliomatous) hyperplasia (PH) affecting chronic osteomyelitic mandibular sequestra are reported to highlight the differences with the various squamous neoplasms which occur in that site. In two patients carrying a mandibular graft following the excision of an ameloblastoma, mucosal ulcers resulted in chronic osteomyelitis. In a third patient, an apical dental infection was associated with fistulated osteomyelitis. Histology of the three sequestra showed an intraosseous squamous proliferation. It was characterized by a peripheral involvement of medullary spaces, the more mature epithelial layer covering the bone trabeculae without intervening stroma, and the basal type epithelial layer surrounding a central fibrovascular core. There were no histological or cytological signs of malignancy. PH shows an inverted pattern when compared with the centro-medullary tumoural islands seen in the various oral or odontogenic squamous neoplasms which occur in the jaws. The lack of signs of malignancy distinguish PH from common squamous cell carcinomas. A short clinical course is an important feature in the distinction of PH from the well differentiated squamous cell carcinomas which may develop in fistulated chronic osteomyelitis.
    Histopathology 09/2000; 37(2):115-7. · 2.86 Impact Factor