Surgical Approaches in the Repair of Laterofacial Loss

Abstract

The purpose of this work is to describe the surgical approach in some situations of laterofacial loss, which pose a problem concerning the moment of their repair and the choice of the technique to be used considering the attainment of noble elements. The study provides a descriptive and cross sectional study with retrospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, on 82 cases of laterofacial cutaneous loss secondary to trauma and post tumor excision collected during 3 years. Etiologies were dominated by tumors in 60,97% of cases and trauma in 39,04%. The most frequent location was frontal and temporal in 41,46% of cases. Nobles elements were injured in 15,85%. 87,5% of traumatized patients had a primary reparation with locoregional flaps, while secondary reparation was proposed to 93,33% with malignant tumors until reception of histological results. The repair of laterofacial defects is subject to certain requirements before any surgery. Whenever usable, the locoregional reserve seems to us the most appropriate means of reconstruction.