Annales De Chirurgie Plastique Esthetique最新文献

{"title":"Diffuse tenosynovial giant cell tumors of the hand and wrist, a case series and literature review","authors":"Y. Yahiaoui,&nbsp;C. Lazerges,&nbsp;B. Coulet,&nbsp;M. Chammas,&nbsp;O. Bozon","doi":"10.1016/j.anplas.2025.02.002","DOIUrl":"10.1016/j.anplas.2025.02.002","url":null,"abstract":"<div><div>This study aimed to evaluate the management and outcomes of diffuse tenosynovial giant cell tumors (DTGCT) in the hand and wrist. We retrospectively reviewed five cases treated surgically between 2016 and 2020, with a minimum follow-up of two years. Preoperative MRI was used to assess tumor diffusion and involvement of adjacent structures, while diagnosis was confirmed through histological analysis of biopsy samples. Surgical treatment involved en bloc resection of the primary lesions. The study found a 37.5% recurrence rate, with recurrences occurring on average 6.7 months after initial surgery. Bone resection was needed in 60% of cases, either initially or due to recurrences. Active surveillance or repeat surgery managed recurrences. The findings highlight the importance of comprehensive preoperative imaging and aggressive surgical resection to minimize recurrence risk.</div></div><div><div>Cette étude vise à évaluer la prise en charge et les résultats des tumeurs à cellules géantes ténosynoviales diffuses de la main et du poignet. Nous avons examiné rétrospectivement cinq cas traités chirurgicalement entre 2016 et 2020, avec un suivi minimum de deux ans. Une IRM préopératoire a été utilisée pour évaluer la diffusion de la tumeur et l’atteinte des structures adjacentes, tandis que le diagnostic a été confirmé par l’analyse histologique des prélèvements biopsiques. Le traitement chirurgical consistait en une résection en bloc des lésions primaires L’étude a révélé un taux de récidive de 37,5 %, les récidives survenant en moyenne 6,7 mois après la chirurgie initiale. Une résection osseuse a été nécessaire dans 60 % des cas, soit initialement, soit en raison de récidives. Une surveillance active ou une nouvelle intervention chirurgicale permettent de gérer les récidives. Les résultats soulignent l’importance d’une imagerie préopératoire complète et d’une résection chirurgicale agressive pour minimiser le risque de récidive.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 3","pages":"Pages 226-233"},"PeriodicalIF":0.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Silicone particles in breast implant capsules: A retrospective single-center study evaluating silicone bleeding","authors":"C. Al Sammour ,&nbsp;M. Dziubek ,&nbsp;M.A. Danino ,&nbsp;S. Ortiz","doi":"10.1016/j.anplas.2025.02.006","DOIUrl":"10.1016/j.anplas.2025.02.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Breast implants consist of a silicone elastomer shell filled with either silicone gel or saline solution. As per the Food and Drug Administration (FDA), breast implants offer safety and efficacy but pose short and long-term risks, including capsular contractures, silicone leakage, and discoveries of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) and Breast Implant Illness (BII).</div></div><div><h3>Objective</h3><div>This study aims to estimate the amount of silicone particles that leak from breast implants and deposit in the peri-prosthetic capsules of implants used in Belgium and investigate the various factors that may affect the magnitude of silicone leakage.</div></div><div><h3>Materials and methods</h3><div>From a monocentric registry from the plastic and reconstructive surgery department of University Hospital Brugmann, thirty-nine capsules’ slides were analyzed retrospectively using NDPView2 software. Silicone particles were counted and measured based on their largest diameter. The capsule surface area and its thickness were measured to calculate particle's density and total number of particles in each capsule.</div></div><div><h3>Results</h3><div>Silicone particles were detected in 32 (82%) out of 39 capsules, with significant higher densities observed in silicone implants compared to saline implants (<em>P</em> <!-->=<!--> <!-->0.027). Overall average density was 66 particle/mm³. The density of silicone particles increased significantly with prolonged implantation duration (<em>P</em> <!-->&lt;<!--> <!-->0.001). Particle's density tended to differ between different implants’ textures and brands.</div></div><div><h3>Conclusion</h3><div>Silicone particles were found in capsules of both saline and silicone implants. Silicone generates primarily from the silicone gel. Implants texture, brand, and duration of implantation are factors that influence silicone bleeding. Addressing silicone leakage is crucial for enhancing implant safety and patient well-being.</div></div><div><h3>Introduction</h3><div>Les implants mammaires sont constitués d’une enveloppe en élastomère de silicone remplie de gel de silicone ou de solution saline. Selon la Food and Drug Administration (FDA), les implants mammaires offrent sécurité et efficacité, mais présentent des risques à court et à long terme, notamment des contractures capsulaires, des fuites de silicone et des découvertes de lymphome anaplasique à grandes cellules associé aux implants mammaires (BIA-ALCL) et de maladie des implants mammaires (BII).</div></div><div><h3>Objectif</h3><div>Cette étude vise à estimer la quantité de particules de silicone qui s’échappent des implants mammaires et se déposent dans les capsules périprothétiques des implants utilisés en Belgique et à étudier les différents facteurs qui peuvent affecter l’ampleur des fuites de silicone.</div></div><div><h3>Méthodes</h3><div>À partir d’un registre monocentrique du service","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 324-334"},"PeriodicalIF":0.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parcours universitaire en chirurgie plastique : challenges et opportunités","authors":"E. Lupon","doi":"10.1016/j.anplas.2025.02.001","DOIUrl":"10.1016/j.anplas.2025.02.001","url":null,"abstract":"","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 2","pages":"Pages 69-70"},"PeriodicalIF":0.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le hiatus sous-malaire, description et traitement","authors":"V. Mitz","doi":"10.1016/j.anplas.2024.12.004","DOIUrl":"10.1016/j.anplas.2024.12.004","url":null,"abstract":"<div><div>Le hiatus sous-malaire est un sillon situé au-dessous de l’arcade orbitaire inférieure. Il est oblique en bas et en dehors. Il divise la joue en deux chez certains patients. Il a été bien individualisé par des artistes depuis l’Antiquité, notamment des sculpteurs. Certains anatomistes l’ont appelé le sillon médio-jugal. Sa structure anatomique est bien précise, par contre son origine est discutée. Certains auteurs lui attribuent comme cause la fonte de la graisse située entre la loge graisseuse malaire externe et le bourrelet graisseux parallèle au sillon nasogénien. D’autres auteurs dont moi-même invoquons plutôt une fonte graisseuse localisée associée à une rotation du bourrelet graisseux nasogénien vers le bas et en dedans. En effet, il existe un centre de rotation au niveau de chaque narine qui en profondeur comporte un hile vasculaire fixé. Le hiatus sous-malaire n’est pas en soi constitutif d’une laideur caractérisée mais il peut devenir une préoccupation chez certains patient(es) aussi bien chez les femmes que chez les hommes. La correction chirurgicale du hiatus sous-malaire passe par la remise en place du bourrelet graisseux par un lifting dont la technique peut varier entre un lifting cervico-facial biplan, avec une remise en tension du Smas vers le haut et en dehors. Une autre solution est le lifting medio-facial décrit par Le Louarn. Enfin il existe une solution non opératoire grâce à la médecine esthétique par une technique d’injection spécifique que nous décrivons.</div></div><div><div>The submalar hiatus is a furrow located below the lower orbital arch; it is oblique downwards and outwards; it divides the cheek in two in some patients; it has been well individualized by artists since Antiquity, notably sculptors; some anatomists have called it the midjugal groove; its anatomical structure is very precise, however its origin is debated; some authors attribute to it the melting of the fat located between the external malar fat compartment and the fatty rim parallel to the nasolabial fold; other authors including myself rather invoke localized fat loss associated with a rotation of the nasolabial fat pad downwards and inwards. In fact, there is a center of rotation at the level of each nostril which has a fixed vascular hilum at depth. The submalar hiatus does not in itself constitute a marked ugliness but it can become a concern for certain patients, both women and men. The surgical correction of the submalar hiatus involves the repositioning of the fatty rim by a facelift, the technique of which can vary between a biplane skin<!--> <!-->+<!--> <!-->Smas facelift, with re-tensioning of the Smas upwards and outwards; another solution is the medio-facial lifting described by Le Louarn; finally, there is a non-operative solution thanks to aesthetic medicine using a specific injection technique that we describe.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 3","pages":"Pages 218-225"},"PeriodicalIF":0.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abdominal wall complications: An unknown aspect of morbidity in phalloplasty. A comprehensive analysis and clinical implications.","authors":"K Allepot, N Morel-Journel, F Boucher","doi":"10.1016/j.anplas.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.anplas.2025.01.007","url":null,"abstract":"<p><strong>Background: </strong>Phalloplasty is a complex reconstructive procedure with complications broadly categorized as urinary, vascular, or donor-site related. This study investigates abdominal wall complications, such as bulging and lateral hernias, associated with the use of the inferior epigastric artery as the recipient vessel in microsurgical phalloplasty-a rare and underreported complication.</p><p><strong>Methods: </strong>A retrospective review was conducted on 37 patients who underwent microsurgical phalloplasty at a university hospital from January 2016 to February 2020. The most commonly employed technique was forearm flap phalloplasty, followed by the MSLD flap technique. The inferior epigastric artery was accessed via a 7cm oblique incision. Data collected included demographic details, BMI, smoking status, surgical technique, recipient vessel used, and postoperative complications. Follow-up evaluations were performed at 15 days, 3 months, 6 months, and 1 year postoperatively.</p><p><strong>Results: </strong>Of the 37 patients, the mean age was 33 years, with 84% undergoing phalloplasty for gender affirmation. Abdominal wall complications occurred in 11% of patients (n=4). Three patients developed parietal complications (hernia or bulging), all requiring surgical revision. All three were smokers, one had a BMI>28, and none had prior abdominal surgeries. Contributing factors included musculoaponeurotic disruption, relative denervation from vessel exposure, and smoking-related wound healing impairment.</p><p><strong>Conclusions: </strong>The use of the inferior epigastric artery in microsurgical phalloplasty may increase the risk of abdominal wall complications, particularly in smokers and patients with elevated BMI. Optimizing preoperative risk factors, including smoking cessation and careful vessel selection, is essential for reducing these complications. To reduce the occurrence of these complications, the choice of the recipient vessel should be considered alongside the surgical technique during operative planning. Further studies should explore technical refinements to minimize abdominal wall morbidity.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Granulomatous mastitis a little known pathology in plastic surgery: Case report and literature review","authors":"R. Menéndez ,&nbsp;L. Sánchez ,&nbsp;J. López ,&nbsp;C. Morales ,&nbsp;M. Cálix","doi":"10.1016/j.anplas.2025.01.002","DOIUrl":"10.1016/j.anplas.2025.01.002","url":null,"abstract":"<div><div>Granulomatous mastitis is an unknown disease for the plastic surgeon, it is frequent, benign and can be confused with an infectious process and its importance lies in the fact that it can occur after surgery. Its diagnosis is clinical, presenting an indurated region in the breast, which can progress to abscesses or crypts, as well as radiological and histological. We present the case of a 57-year-old patient who presented with a lesion 1 month after a reduction mammoplasty. Conservative treatment was carried out with the possibility of fat necrosis and due to persistence, granulomatous mastitis was confirmed by biopsy after 6 months of evolution. This article establishes a diagnostic and treatment protocol based on the latest recommendations in the literature, oriented towards plastic surgery, starting with oral steroids in long courses, and immunomodulators may be used for resistant cases, including excisional surgical management. In the case of abscesses or crypts, treatment of the concomitant infection should be given.</div></div><div><div>La mastite granulomateuse est une maladie parfois méconnue du chirurgien plasticien, elle est fréquente, bénigne et peut être confondue avec un processus infectieux et son importance réside dans le fait qu’elle peut survenir après une intervention chirurgicale. Son diagnostic est clinique, présentant une région indurée dans le sein, qui peut évoluer vers des abcès ou des cryptes, ainsi que radiologique et histologique. Nous présentons le cas d’une patiente de 57 ans qui a présenté une lésion un mois après une mammoplastie de réduction. Un traitement conservateur a été réalisé avec la possibilité d’une nécrose graisseuse et, en raison de la persistance, une mastite granulomateuse a été confirmée par biopsie après 6 mois d’évolution. Cet article établit un protocole de diagnostic et de traitement basé sur les dernières recommandations de la littérature, orienté vers la chirurgie plastique, en commençant par des stéroïdes oraux au long cours, et des immunomodulateurs peuvent être utilisés pour les cas résistants, y compris la gestion chirurgicale d’excision. En cas d’abcès ou de cryptes, il convient de traiter l’infection concomitante.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 3","pages":"Pages 164-169"},"PeriodicalIF":0.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lambeau frontal paramédian plicaturé combiné dans les pertes de substances nasale étendues : note technique","authors":"K. Al Tabaa ,&nbsp;F.M. Leclere ,&nbsp;C. Halimi","doi":"10.1016/j.anplas.2025.01.005","DOIUrl":"10.1016/j.anplas.2025.01.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Les pertes de substance (PDS) au niveau de la pointe nasale, du dorsum nasal et des ailes narinaires peuvent résulter d’exérèses chirurgicales de lésions cutanées cancéreuses, de malformations congénitales, de maladies autoimmune, de traumatismes ou de malformations vasculaires. La reconstruction idéale doit viser à restaurer les sous-unités esthétiques du nez tout en minimisant les séquelles des sites donneurs. Parmi les techniques disponibles, les lambeaux frontaux paramédian plicaturés (LFPP) associés à des lambeaux muqueux internes se révèlent particulièrement efficaces pour les PDS étendues de la pyramide nasale. Cet article présente notre expérience avec la technique de reconstruction en trois temps utilisant le LFPP combiné à un lambeau muqueux pour les pertes de substance majeures touchant la pointe nasale et les ailes narinaires.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Matériel et méthode&lt;/h3&gt;&lt;div&gt;Cette étude rétrospective monocentrique a examiné 52 cas de reconstructions nasales réalisées entre janvier 2019 et janvier 2024, dont 37 par LFPP seul et 6 avec un lambeau muqueux combiné. Les patients ont donné leur consentement éclairé, et l’étude a été approuvée par le comité d’éthique. Les paramètres analysés comprenaient la typologie des PDS, le type de reconstruction, et les résultats esthétiques. Une enquête de satisfaction a été effectuée six mois après l’opération.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;Sur les six cas de reconstruction par LFPP combiné à un lambeau muqueux, aucun cas de nécrose n’a été observé. La taille moyenne des PDS était de 4&lt;!--&gt; &lt;!--&gt;cm avec un taux de satisfaction fonctionnelle de 92 % et esthétique de 96 %. Une nécrose partielle de la greffe cutanée a été notée dans 16,5 % des cas mais n’a pas affecté le résultat global. Les cicatrices des sites donneurs étaient bien acceptées par les patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;La technique de reconstruction par LFPP en trois temps est recommandée pour les PDS complexes du nez, offrant des résultats esthétiques et fonctionnels excellents avec une faible morbidité du site donneur. Elle simplifie le processus en réduisant le besoin de lambeaux muqueux supplémentaires, ce qui limite les complications et les complexités associées.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Tissue defects (TD) at the nasal tip, dorsum, and alar regions can result from surgical excisions of cancerous skin lesions, congenital malformations, immunological diseases, trauma, or vascular anomalies. The ideal reconstruction should aim to restore the aesthetic subunits of the nose while minimizing donor site morbidity. Among the available techniques, the plicated paramedian frontal flaps (PPFF), combined with internal mucosal flaps, have proven particularly effective for extensive nasal pyramid tissue defects. This article presents our experience with a three-stage reconstruction technique using the PPFF combined with a mucosal flap for major tissue losses affecting the n","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 3","pages":"Pages 184-191"},"PeriodicalIF":0.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New surgical approach for buried penis with partial release of the penile suspensory system associated with fat transfer and suprapubic retraction","authors":"Romain Laurent ,&nbsp;Jacqueline Dalfen ,&nbsp;Pierre Trouilloud ,&nbsp;Mehdi Benkhadra ,&nbsp;Ruben Pierre Danino ,&nbsp;Michel Alain Danino","doi":"10.1016/j.anplas.2025.01.009","DOIUrl":"10.1016/j.anplas.2025.01.009","url":null,"abstract":"<div><h3>Background</h3><div>Adult acquired buried penis (AABP) is a condition of entrapment of the phallus resulting most commonly from obesity. This condition has a significant negative impact on the quality of life, including micturate difficulties, sexual dysfunction and recurrent infections. Many techniques exist to treat AABP; however, do not necessarily include a suspensory ligament release. The ligamentous system supporting the penis is widely called the “penile suspensory ligament” and is composed of four ligaments.</div></div><div><h3>Objectives</h3><div>We wanted to explore the clinical outcomes on an exploratory patient cohort for penis-lengthening in patients with Grade 1 buried penis using a partial release of the penile suspensory system associated with fat transfer combined with a suprapubic retraction.</div></div><div><h3>Methods</h3><div>Under general anesthesia, an abdominal liposuction was performed, followed by a direct defatting of the pubic mons. Then the fundiform, the suspensory and the anterior part of the vertical dense ligaments were severed. Furthermore, several anchoring sutures were added and a retropulsion of the supra pubic area was performed. Finally, the purified fat was injected into the penile shaft in a superficial plane. Files from patients who underwent surgery for stage 1 buried penis between 2015 and 2020 were retrospectively reviewed.</div></div><div><h3>Results</h3><div>Twelve patients with a buried penis underwent a lengthening procedure. The mean augmentation in length was 100% [28.6–218.2] and a mean augmentation of 85.7% [18.2–216.7] in width.</div></div><div><h3>Conclusions</h3><div>We described a safe and reproducible technique for penile augmentation in patients with a stage 1 AABP.</div></div><div><h3>Level of evidence</h3><div>Level III, cohort analytic study.</div></div><div><h3>Contexte</h3><div>Le pénis enfoui acquis chez l’adulte (PEA) est une affection où le pénis est partiellement ou totalement dissimulé, le plus souvent en raison de l’obésité. Cette condition affecte gravement la qualité de vie des patients, entraînant des difficultés urinaires, des dysfonctions sexuelles, ainsi que des infections récurrentes. Dans cet article, nous présentons une technique originale qui combine une section partielle de l’appareil suspenseur, une lipogreffe pénienne pour alourdir l’organe, et une plastie de rétraction pubienne réalisée à l’aide de sutures de 2<!--> <!-->mm.</div></div><div><h3>Objectifs</h3><div>Cette étude a pour objectif d’évaluer les résultats cliniques d’une cohorte de patients présentant un pénis enfoui de grade 1, en analysant l’efficacité de la technique proposée pour le traitement de cette pathologie.</div></div><div><h3>Méthodes</h3><div>Sous anesthésie générale, une liposuccion abdominale a été réalisée, suivie d’une résection directe de la graisse du mont de Vénus. Les ligaments fundiforme, suspenseur, ainsi que la partie antérieure des ligaments verticaux denses ont été secti","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 3","pages":"Pages 206-217"},"PeriodicalIF":0.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testicular lodges creation during scrotal reconstruction by ALT (anterolateral thigh) island flap after Fournier gangrene: A case report","authors":"C. Jeanjean ,&nbsp;S. Tomczak ,&nbsp;F. Lannes ,&nbsp;M. Abellan-Lopez ,&nbsp;D. Casanova","doi":"10.1016/j.anplas.2025.01.004","DOIUrl":"10.1016/j.anplas.2025.01.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Fournier's gangrene is a severe infection of the perineum and genital regions, with high mortality rate. Treatment is medico-surgical and multidisciplinary, usually requiring extensive debridement of scrotal tissue and distant surgical reconstruction. Regarding scrotal reconstruction, numerous techniques have been described, however, to our knowledge, none has focused on testicular repositioning.</div></div><div><h3>Case</h3><div>We present the case of a 47-year-old patient treated for secondary Fournier's gangrene on post-traumatic colic fistula following a road traffic accident. We performed scrotal reconstruction using an ALT flap, with simultaneous positioning of testicular implants to create new lodges. In a second time, the testicular implants were removed and the previously buried testicles were repositioned in their new lodges, with bilateral orchidopexy.</div></div><div><h3>Discussion</h3><div>The anterolateral thigh flap has already been described for scrotal reconstruction. Its main advantages over a thin skin graft are partial innervation and more convincing aesthetic results, with notably less skin retraction. In addition, it allows a sufficiently large skin palette to be harvested, enabling satisfactory scrotal coverage.</div></div><div><h3>Conclusion</h3><div>Placement of 2 testicular implants during scrotal flap reconstruction after Fournier's gangrene enables the creation of testicular lodges, facilitating subsequent repositioning of previously buried testicles. This technique also ensures a satisfactory aesthetic and functional result.</div></div><div><h3>Introduction</h3><div>La gangrène de Fournier est une infection sévère touchant le périnée ainsi que les organes génitaux externes, elle présente un taux de mortalité élevé. Le traitement est médicochirurgical, pluridisciplinaire, nécessitant un parage plus ou moins étendu du tissu scrotal ainsi qu’une reconstruction à distance. Concernant la reconstruction scrotale, de nombreuses techniques sont décrites, cependant, à notre connaissance, aucune ne s’intéresse au repositionnement des testicules.</div></div><div><h3>Le cas</h3><div>Nous vous présentons le cas d’un patient de 47 ans, pris en charge pour une gangrène de Fournier secondaire, sur fistule colique post-traumatique après accident de la voie publique. Nous avons réalisé une reconstruction scrotale par lambeau ALT avec mise dans place dans le même temps d’implants testiculaires permettant la création de néo-loges. Un deuxième temps chirurgical à distance, permet le retrait des implants testiculaires ainsi que le repositionnement des testicules, préalablement enfouis, dans leurs nouvelles loges, suivi d’une orchidopexie bilatérale.</div></div><div><h3>Discussion</h3><div>Le lambeau antérolatéral de cuisse est déjà décrit pour la reconstruction scrotale. Il a comme principaux avantages par rapport à une greffe de peau mince, de permettre d’obtenir une innervation partielle ainsi que des résul","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 258-263"},"PeriodicalIF":0.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rhinopoïèse totale par lambeau libre antébrachial plicature : note technique","authors":"K. Al Tabaa ,&nbsp;L. Fleche ,&nbsp;B. Verillaud ,&nbsp;F. Chatelet","doi":"10.1016/j.anplas.2024.11.004","DOIUrl":"10.1016/j.anplas.2024.11.004","url":null,"abstract":"<div><div>La reconstruction totale du nez représente un défi complexe, nécessitant la restauration des trois plans anatomiques tout en préservant la fonction respiratoire. Cette intervention a des implications significatives sur les plans thérapeutique, esthétique, social et professionnel pour les patients. Nous partageons notre expérience universitaire sur la reconstruction par lambeau antébrachial plicature micro-anastomosé (LABP) associée à un lambeau frontal paramédian, selon la technique de F.J. Menick. Nous détaillons les aspects techniques de cette approche chirurgicale ainsi que les résultats esthétiques observés sur les sites donneurs. Dans notre étude rétrospective monocentrique, nous avons analysé 6 cas de rhinopoïèses totales réalisées entre janvier 2017 et janvier 2024. Nous avons évalué la typologie des pertes de substance, les types de reconstruction, et les résultats esthétiques via le score NAFEQ à 6 mois postopératoire. Parmi les cas, une nécrose a été observée (16 %), survenue le quatrième jour suite à une thrombose. La perte de substance moyenne était de 5,5<!--> <!-->cm, avec un score NAFEQ fonctionnel moyen de 82 % et esthétique de 88 %. La technique de reconstruction par LABP associée à un LFP est optimale pour les reconstructions totales du nez, offrant une projection cartilagineuse adéquate et une bonne conformation narinaire.</div></div><div><div>Total nasal reconstruction represents a complex challenge, requiring restoration of all three anatomical planes while preserving respiratory function. This procedure has significant therapeutic, aesthetic, social and professional implications for patients. We share our academic experience of reconstruction using a folded microanastomosed radial forearm flap (FRFF) combined with a paramedian forehead flap, using the technique of F.J. Menick. We detail the technical aspects of this surgical approach, as well as the aesthetic results observed at the donor sites. In our single-center retrospective study, we analyzed 6 cases of total nasal reconstruction performed between January 2017 and January 2024. We assessed the typology of substance loss, types of reconstruction, and aesthetic results via the NAFEQ score at 6 months postoperatively. Among the cases, necrosis was observed (16%), occurring on the fourth day following thrombosis. Mean loss of substance was 5.5<!--> <!-->cm, with a mean NAFEQ functional score of 82% and aesthetic score of 88%. The FRFF reconstruction technique combined with LFP is optimal for total nose reconstructions, offering adequate cartilage projection and good nostril conformation.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 3","pages":"Pages 175-183"},"PeriodicalIF":0.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}