Reconstructive plastic surgery

The second edition of Dr Mustarde's book is certainly as timely as the first edition, and its several reprints are no longer obtainable. The book represents a landmark in oculoplastic surgery, and while the second edition is not greatly different from the first, it does update our knowledge in this field. The most notable changes are the addition of a chapter on colobomas of the eyelids and the division of ptosis and epicanthus, telecanthus, blepharophimosis, and hypertelorism into two separate chapters. These eyelid malpositions are discussed in greater detail in the second edition. The success of Dr Mustarde's first edition speaks for the excellence of this book, and his second edition will certainly continue in this tradition. Dr Mustarde shares with us his knowledge about repair and reconstruction in the orbital region that he has gained from many years of experience in oculoplastic surgery. The book illustrates many procedures Dr

Repair and Reconstruction in the Orbital Region—A Practical Guide

: This Directive reissues DoD Directive 5154.24, dated April 10, 1992, for the administration and management of AFIP in accordance with Title 10, United States Code, and replaces DoD Directives 5154.11, 6010.16, and 6465.2. This Directive designates the Secretary of the Army as the DoD Executive Agent (EA) for AFIP.

Armed Forces Institute of Pathology (AFIP)

Background: Cervicofacial flap is considered to be the main choice for reconstruction of large defect in skin malignancies at head and neck such as basal cell carcinoma. Cervicofacial flap has a high successfull rate, due to the excellent vascularization, also the suitable matching in colour, thickness and texture. Purpose: To find out the result of reconstruction with modified cervicofacial flap after wide excision of basal cell carcinoma. Case report: A case of a 54-year-old-woman with basal cell carcinoma of the skin at right temporal region. Reconstruction of the temporal area was performed using a modified cervicofacial flap and followed by adjuvant radiotherapy, which resulted in a good outcome. Clinical Question: Is modified cervicofacial flap, the appropriate technique for defect reconstruction of post excision basal cell carcinoma at temporal region? Review method: Evidence based literature study of the procedure and outcome after reconstruction with modified cervicofacial flap through Cochrane library, Pubmed Medline, and hand searching. Result: Cervicofacial flap has a good vascularization, gave a blending colour, and almost similar healthy skin texture with its surrounding. Conclusion: Cervicofacial flap is the best technique for large defect in head and neck area, particularly in the face. Cervicofacial flap is also used for covering the cutaneous defect at facial and cheek region due to malignancy, particularly for basal cell carcinoma. It produces a good outcome. ABSTRAK Latar belakang: Flap servikofasial dianggap merupakan pilihan utama  untuk  rekonstruksi  defek yang luas pada keganasan kulit pada area kepala dan leher, seperti karsinoma sel basal. Flap servikofasial memiliki tingkat keberhasilan yang cukup tingg, karena jenis flap ini memiliki vaskularisasi yang baik serta memberikan keserasian warna, ketebalan dan tekstur yang sesuai. Tujuan: Mengetahui keberhasilan rekonstruksi dengan teknik flap servikofasial modifikasi pasca eksisi karsinoma sel basal. Laporan kasus: Seorang wanita berusia 54 tahun dengan diagnosis karsinoma sel basal kulit regio temporalis dekstra. Pada pasien telah dilakukan rekonstruksi daerah temporal dengan teknik flap servikofasialis modifikasi serta dilanjutkan dengan radioterapi adjuvan. Penatalaksanaan tersebut memberikan hasil yang memuaskan. Pertanyaan Klinis: Apakah teknik servikofasial flap modifikasi merupakan teknik yang tepat untuk menutup defek pasca eksisi karsinoma sel basal regio temporal? Telaah literatur: Berbasis bukti mengenai teknik dan hasil dari rekonstruksi dengan flap servikofasialis modifikasi melalui database Cochrane library, Pubmed Medline, dan pencarian manual. Hasil: Flap servikofasial memberikan vaskularisasi yang baik, warna yang sesuai dan mendekati tekstur kulit sehat sekitarnya. Kesimpulan: Flap servikofasial merupakan teknik flap terbaik untuk menutupi defek yang luas pada kepala dan leher, terutama pada area wajah. Flap servikofasial juga digunakan untuk menutup defek pada kulit wajah dan pipi akibat keganasan, terutama pada karsinoma sel basal, dan memberikan hasil yang baik.

https://www.orli.or.id/index.php/orli/article/download/325/248

Modified cervicofacial flap for temporal region reconstruction post basal cell carcinoma excision

Introduction: The Cervicofacial rotation advancement flap CRAF is a random-pattern flap that provides an excellent match for cheek reconstruction.  In this report, the authors review their experience with this flap and present their advantages in order to expand the awareness and promote the application. Methods: A retrospective analysis of reconstruction of cheek defects using CRAF   was performed in 12 patients. Data on patient demographics; diagnosis, defect type, and outcome were collected. Results:  These patients included 07 male and 05 female; they ranged in age from 56 to 88 years, with a mean age of 67 years.05 patients used tobacco and one patient had a history of radiation. On histopathological examinations of the specimen, 03patients had squamous cell carcinoma, and 09 patients had basal cell carcinoma. The mean defect size was 40cm 2 [range 10 to 67cm 2 ]. The mean follow-up was 06 months [0 to 24 months]. One patient was lost to follow-up after suture removal. As complication 01 patient had flap necrosis No facial nerve injury was observed.  All patients were pleased with the Cosmetic results outcome. Conclusion :  Cervicofacial flap provides a technically simple, reliable, safe, efficient and cosmetic means to reconstruct defects of the cheek.

Cervicofacial rotation advancement flap in cheek reconstruction

Decrit la premiere fois par Virchow en 1860, le liposarcome est une tumeur mesenchymateuse rare. Cette rarete est relative car les liposarcomes representent quand meme 14 a 18 % de l'ensemble des tumeurs malignes des parties molles et ils constituent le plus frequent des sarcomes des parties molles. Pour la majorite des auteurs, il ne se developperait jamais sur un lipome ou une lipomatose preexistant. Nous rapportons un cas de volumineux liposarcome de la face dorsale du tronc. L'histoire de la maladie, l'aspect clinique inhabituel « de tumeur dans tumeur », l'aspect de la piece operatoire nous fait evoquer la possibilite de la transformation maligne d'un lipome benin preexistant.

https://www.ajol.info/index.php/pamj/article/download/114468/104158

Liposarcome dorsal: aspect clinique rare

L’osteonecrose maxillo-mandibulaire induite par les bisphosphonates (ONBP) est un effet indesirable decrit pour la 1 ere fois en 2003. La gestion de cette pathologie reste difficile compte tenu de la gravite de cette pathologie et la complexite de ses lesions. A travers une etude marocaine sur 36 cas, les auteurs soulignent l’interet des mesures preventives et l’importance d’etudes prospectives avec un echantillonnage significatif, afin de mieux preciser les facteurs de risque associes a la survenue d’une ONBP et de determiner les categories des patients a risque necessitant une adaptation de la prise en charge.

/pdf/les-osteonecroses-maxillo-mandibulaires-induites-par-les-2lz3ynikfa.pdf

Les ostéonécroses maxillo-mandibulaires induites par les bisphosphonates: a propos de 36 cas

Introduction  : Le plasmocytome osseux solitaire est une tumeur maligne qui se caracterise par une proliferation de cellules plasmatiques monoclonales. Il atteint preferentiellement le squelette axial notamment le rachis et le pelvis. Sa localisation mandibulaire est exceptionnelle. Observation  : Un homme de 49 ans venait consulter pour une tumeur mandibulaire droite evoluant depuis six mois de facon asymptomatique. Apres une exerese chirurgicale a visee diagnostique realisee sous anesthesie generale, l'examen histologique montrait qu’il s’agissait d’un plasmocytome. Le bilan d’extension realise permettait de confirmer le diagnostic de plasmocytome osseux solitaire de la mandibule. Le patient beneficiait d’une radiotherapie externe adjuvante et l’evolution etait favorable. Discussion  : A partir de cette observation clinique et d’une revue de la litterature, les aspects cliniques, radiologiques, therapeutiques et evolutifs de cette pathologie rare sont discutes. La localisation mandibulaire du plasmocytome osseux est exceptionnelle et le diagnostic est avant tout histologique.

/pdf/plasmocytome-osseux-solitaire-de-la-mandibule-un-cas-3r6khm1jr9.pdf

Kamal Fiqhi

Papers

Cervicofacial rotation advancement flap in cheek reconstruction

Liposarcome dorsal: aspect clinique rare

Les ostéonécroses maxillo-mandibulaires induites par les bisphosphonates: a propos de 36 cas

Plasmocytome osseux solitaire de la mandibule : un cas clinique et revue de la littérature