Annales De Chirurgie Plastique Esthetique最新文献

{"title":"Reliability of unicortical plate fixation for metacarpal shaft fractures: A preliminary clinical report with short-term follow-up","authors":"M.A. Hifny ,&nbsp;A.A. Abdelrasheed ,&nbsp;A.M.A. Ahmed ,&nbsp;M.M.A. Hafez ,&nbsp;T.H. Park","doi":"10.1016/j.anplas.2024.12.005","DOIUrl":"10.1016/j.anplas.2024.12.005","url":null,"abstract":"<div><h3>Background</h3><div>Unicortical plate fixation offers several theoretical advantages in the treatment of metacarpal shaft fractures compared to bicortical fixation. This approach avoids the potential hazard of excessive drilling into the volar cortex, thus minimizing damage to surrounding soft tissues and helping prevent complications related to improperly sized screws. These benefits prompted our team to conduct a preliminary clinical study to investigate the effectiveness and safety of this approach. In this study, we present our initial experience assessing the efficacy of utilizing unicortical plate fixation for treating metacarpal shaft fractures.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted on patients who presented with transverse or short oblique displaced metacarpal shaft fractures and who underwent surgical intervention using unicortical plate fixation. The primary outcome measures assessed the union rate and total active motion (TAM), and the secondary outcomes included evaluations using the quick Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH), as well as complication rates.</div></div><div><h3>Results</h3><div>Thirteen patients with a median age of 35.2 years were included in this study. All patients in the study were followed for six months. All fractures achieved successful union (100%) in all patients, and the average TAM of the respective digit was 257.7° during the final follow-up period. The mean quick DASH score was 16.83<!--> <!-->±<!--> <!-->18.1 at the 6-month follow-up. There were no cases of implant failure in our series; however, one patient (7.69%) had a rotational deformity that necessitated corrective surgery.</div></div><div><h3>Conclusion</h3><div>Unicortical plating fixation is a safe and reliable alternative to the standard bicortical plating method for metacarpal shaft fractures. It offers comparable union rates and satisfactory outcomes.</div></div><div><h3>Level of evidence</h3><div>IV/therapeutic.</div></div><div><h3>Contexte</h3><div>La fixation par plaque unicorticale offre plusieurs avantages théoriques dans le traitement des fractures de la diaphyse métacarpienne par rapport à la fixation bicorticale. Cette approche évite le risque potentiel d’un forage excessif dans la corticale palmaire, minimisant ainsi les dommages aux tissus mous environnants et aidant à prévenir les complications liées à des vis de taille inappropriée. Ces avantages ont incité notre équipe à mener une étude clinique préliminaire pour examiner l’efficacité et la sécurité de cette approche. Dans cette étude, nous présentons notre première expérience d’évaluation de l’efficacité de l’utilisation de la fixation par plaque unicorticale pour le traitement des fractures de la diaphyse métacarpienne.</div></div><div><h3>Méthodes</h3><div>Une étude rétrospective a été menée sur des patients qui présentaient des fractures de la diaphyse métacarpienne déplacées transversales ou obliques cour","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 3","pages":"Pages 153-159"},"PeriodicalIF":0.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069875","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":"Evolution of different forearm flap designs in phalloplasty","authors":"L. Tilhet,&nbsp;W. Saraoui,&nbsp;A.-S. Henry,&nbsp;M. Rouanet,&nbsp;Y. Claudic,&nbsp;A. Pop,&nbsp;W. Hu","doi":"10.1016/j.anplas.2024.12.002","DOIUrl":"10.1016/j.anplas.2024.12.002","url":null,"abstract":"<div><div>Phalloplasty is one of the most complex procedures in plastic surgery. The criteria for an ideal neophallus include an aesthetic and erogenous phallus that allows for sexual intercourse, with a functional neo-urethra enabling standing urination. The free forearm flap has become the gold standard for phallic reconstruction. Various modifications have been made to improve vascularization and reduce urinary complications, such as fistulas and urethral stenosis. Each design has its advantages and disadvantages, with the goal of minimizing functional and aesthetic sequelae in the donor area while achieving the most satisfactory result in the recipient area. Over the years, several prominent surgeons have proposed different forearm flap designs, always with the aim of improving outcomes and patient satisfaction.</div></div><div><div>La phalloplastie est l’une des procédures les plus complexes en chirurgie plastique. Les critères d’un néo-phallus idéal incluent un phallus esthétique et érogène, autorisant les rapports sexuels, avec un néo-urètre fonctionnel permettant la miction en position debout. Le lambeau libre de l’avant-bras est devenu le <em>gold standard</em> pour la reconstruction phallique. Diverses modifications ont été apportées pour améliorer la vascularisation et réduire les complications urinaires, telles que les fistules et les sténoses urétrales. Chaque dessin a ses avantages et ses inconvénients, avec pour objectif de limiter les séquelles fonctionnelles et esthétiques de la zone donneuse, tout en obtenant un résultat le plus satisfaisant possible au niveau de la zone receveuse. Au fil des années, plusieurs grands chirurgiens ont proposé différents schémas de lambeaux de l’avant-bras, toujours dans un but d’améliorer les résultats et la satisfaction des patients.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 4","pages":"Pages 307-315"},"PeriodicalIF":0.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069893","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":"Génération Z en chirurgie plastique","authors":"jacques Saboye","doi":"10.1016/j.anplas.2025.01.003","DOIUrl":"10.1016/j.anplas.2025.01.003","url":null,"abstract":"","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 2","pages":"Pages 67-68"},"PeriodicalIF":0.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043466","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":"DIEP flap reconstruction for sacrectomy defects: Two case reports","authors":"P. Kara ,&nbsp;A. Nibbio ,&nbsp;F. Bodin","doi":"10.1016/j.anplas.2024.12.003","DOIUrl":"10.1016/j.anplas.2024.12.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Vertical rectus abdominis myocutaneous (VRAM) flap is the most common option for large sacral defect reconstruction but is known to have donor-site abdominal morbidity compared to deep inferior epigastric perforator (DIEP) flaps.</div></div><div><h3>Report</h3><div>Fifty-seven and 63 year-old men were admitted for large sacral soft tissue defects after tumour excisions. They both underwent an inferiorly based pedicled vertical DIEP flap passed transabdominally with successful postoperative outcomes and not any abdominal wall complication.</div></div><div><h3>Discussion</h3><div>Since the introduction of perforator flaps, using DIEP flap allows reducing donor-site complication rate. These two cases are the first DIEP flaps in sacral defects coverage suggesting DIEP flap may be a reliable option with superiority due to low donor-site morbidity compared to the gold standard VRAM flap.</div></div><div><h3>Introduction</h3><div>Le lambeau de <em>vertical rectus abdominis myocutaneous</em> (VRAM) est le lambeau le plus communément employé pour la reconstruction des pertes de substances sacrées étendues mais il est connu pour ses séquelles au site donneur abdominal comparativement au lambeau de <em>deep inferior epigastric perforator</em> (DIEP).</div></div><div><h3>Cas clinique</h3><div>Deux hommes de 57 et 63 ans ont été adressés pour la couverture d’une perte de substance étendue de la région sacrée après une exérèse tumorale nécessitant une sacrectomie. Ils ont tous les deux bénéficiés d’une reconstruction par un lambeau de DIEP à palette verticale pédiculée et tunnelisée en transabdominal avec des suites opératoires satisfaisantes et aucune complication du site donneur.</div></div><div><h3>Discussion</h3><div>Depuis l’essor des lambeaux perforants, l’emploi du lambeau de DIEP a permis une réduction des complications au site donneur. Ces deux cas cliniques sont les premiers lambeaux de DIEP en couverture de la région sacrée après sacrectomie suggérant que le lambeau de DIEP est une option fiable avec une supériorité du fait d’une moindre morbidité du site donneur comparé au <em>gold standard</em>, le lambeau de VRAM.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 3","pages":"Pages 170-174"},"PeriodicalIF":0.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043484","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":"Analysis of the protective effect of hydrogen sulfide over time in ischemic rat skin flaps","authors":"E. Yavuz ,&nbsp;İ.Z. Cengiz ,&nbsp;A. Arslan ,&nbsp;C. Eser","doi":"10.1016/j.anplas.2025.01.008","DOIUrl":"10.1016/j.anplas.2025.01.008","url":null,"abstract":"<div><h3>Background</h3><div>Hydrogen sulfide (H₂S) is a widely studied gasotransmitter, and its protective effect against ischemia-reperfusion damage has been explored in several studies. Therefore, a requirement exists for a comprehensive study about H₂S effects on ischemia-reperfusion damage in flap surgery. The aim of this study is to examine the effect of hydrogen sulfide by creating ischemia-reperfusion injury in the vascular-stemmed island flap prepared from the rat groin area.</div></div><div><h3>Materials and methods</h3><div>“Wistar albino” rats weighing between 250 and 300 grams were divided into 4 groups (group 1, group 2, group 3, group 4). Each group was divided into 2 subgroups: subgroup A (control) and subgroup B (H₂S). In each group, skin flaps were elevated as an island flap with a superficial epigastric artery pedicle, 6 × 4<!--> <!-->cm from the groin area. In subgroup B (H₂S), liquid hydrogen sulfide was injected through the tail vein 20<!--> <!-->minutes before ischemia at a final concentration of 10<!--> <!-->μM. Femoral artery and vein blood flows were stopped with separate microclips and left in ischemia, according to the planned ischemia hours of the flaps: group 1 as 1 hour, group 2 as 2<!--> <!-->hours, group 3 as 3<!--> <!-->hours, and group 4 as 6<!--> <!-->hours. Later, microclips were removed, and blood flow restored again. After 12<!--> <!-->hours of reperfusion, the rats were sacrificed by cervical dislocation, and tissue samples were taken. From the samples taken, neutrophil count in ischemic tissue, MDA (malondialdehyde) measurement, and damage in the tissue were evaluated by electron microscopy.</div></div><div><h3>Results</h3><div>On electron microscopy inspection at all hours (1, 2, 3, and 6), hydrogen sulfide was found to provide protection against ischemia, reperfusion damage, and apoptosis at the cellular level. There was a statistically significant (<em>P</em> <!-->=<!--> <!-->0.035) decrease in the tissue neutrophil count at the 1st, 2nd, and 3rd hours. In the tissue MDA measurement, a statistically significant (<em>P</em> <!-->=<!--> <!-->0.026) decrease in hydrogen sulfide was detected at the first hour. There was no statistically significant difference in the 6th hour tissue neutrophil count and 2nd, 3rd, and 6th hour tissue MDA measurement.</div></div><div><h3>Conclusion</h3><div>Electron microscopy results in this study showed that hydrogen sulfide had antiapoptotic effects on reperfusion damage in skin flaps at all hours. However, the neutrophil counts showed it had cytoprotective and anti-inflammatory properties during the 1st, 2nd, and 3rd hours following ischemia, but not during the 6th hour. Tissue MDA levels indicate that H₂S mitigates significant I/R injury during the 1st hour but not in the subsequent 2nd, 3rd, and 6th hours. These results led to the hypothesis that, in order to offer a strong enough protective effect against I/R damage","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 5","pages":"Pages 417-425"},"PeriodicalIF":0.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043481","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":"Systematic review of free jejunal flap for secondary esophageal reconstruction","authors":"D. Renard ,&nbsp;G. Molle ,&nbsp;J.-P. Salmin","doi":"10.1016/j.anplas.2025.01.001","DOIUrl":"10.1016/j.anplas.2025.01.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Esophagus reconstruction could be complicated by leakage, stenosis or graft loss. Salvage surgery may be needed in case of failure of endoscopic treatment or large esophagus defect. Although free jejunal flap is admitted for salvage head and neck reconstruction, few reports assess the results of free jejunal interposition in salvage esophagus reconstruction. We undertook a systematic review whose primary aim is to investigate outcomes of secondary esophageal reconstruction with free jejunal flap in terms of mortality, complications and functional results.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Material and method&lt;/h3&gt;&lt;div&gt;We conducted a systematic review of the literature according to the PRISMA 2020 statements searching PubMed and Scopus databases for articles assessing free jejunal flap for secondary reconstruction after failed esophagus reconstruction. References of included studies were also screened. Studies quality was assessed using the JBI Critical Appraisal tools.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;562 studies were yielded through databases search and 328 studies were yielded through citations search. 18 articles were included in the systematic review corresponding to a total of 62 patients from 3 to 76 years old. All studies were level of evidence IV case reports or case series. We found that overall mortality was 3.2%, anastomotic fistula rate was 21%, anastomotic stricture rate was 4.8% and graft loss rate was 9.7% with survival of all jejunal regrafts. Solid oral intake was achieved in 93.0% of cases.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Jejunal free flap is a pertinent option for secondary esophageal reconstruction but remains a challenging surgery with high risk of complications that requires multidisciplinary team in large volume/tertiary care hospitals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;La reconstruction œsophagienne peut être compliquée de fistule, sténose ou nécrose du conduit. Une chirurgie de reconstruction secondaire peut être nécessaire en cas d’échec du traitement endoscopique ou en cas de large perte de substance. Bien que les lambeaux jéjunaux libres soient admis en chirurgie cervicale secondaire, peu d’études évaluent les résultats des lambeaux jéjunaux libres dans la chirurgie de reconstruction secondaire d’œsophage. Nous avons donc réalisé une revue systématique dont le but principal est d’évaluer les résultats des lambeaux jéjunaux libres en termes de mortalité, de complications et de fonction dans la reconstruction œsophagienne secondaire.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Matériel et méthode&lt;/h3&gt;&lt;div&gt;Nous avons réalisé une revue systématique de la littérature selon les principes PRISMA 2020 en recherchant dans les bases de données PubMed et Scopus les études cliniques évaluant les lambeaux jéjunaux libres dans la reconstruction secondaire après échec de chirurgie de reconstruction œsophagienne. Les références bibliographiques des études incluses ont également été passées en revue. La qualité des articles","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 5","pages":"Pages 426-437"},"PeriodicalIF":0.5,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016820","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":"Reconstruction of trunk debridement after necrotizing fasciitis complicating varicella lesions with NovoSorb biodegradable temporizing matrix and skin graft: A pediatric case report","authors":"B. Tobalem ,&nbsp;E. Conti ,&nbsp;M. Chatard ,&nbsp;S. Ghezal ,&nbsp;A. Soutif ,&nbsp;R. Merai ,&nbsp;M. Lalaude ,&nbsp;M. Mimoun","doi":"10.1016/j.anplas.2024.12.001","DOIUrl":"10.1016/j.anplas.2024.12.001","url":null,"abstract":"<div><div>This clinical case report describes the reconstructive management of a child who developed a rare aggressive soft tissue infection – necrotizing fasciitis – complicating varicella skin lesions, with a synthetic dermal regenerative template – NovoSorb Biodegradable Temporizing Matrix – in conjunction with a split thickness meshed skin graft. The scarcity of this clinical case, the need to cover large skin defect promptly while facing infectious and pediatric challenges make it interesting to describe NovoSorb Biodegradable Temporizing Matrix in addition to split thickness meshed skin graft a novel treatment in necrotizing fasciitis of the child. A rapid surgical treatment followed by this reconstructive strategy achieved an acceptable functional and aesthetic result, with timely healing despite the severity and extensive surface area of the infection.</div></div><div><div>Ce cas clinique décrit la prise en charge reconstructive d’un enfant ayant développé une infection rare et grave des tissus mous – une fasciite nécrosante – compliquant des lésions cutanées de varicelle. Le traitement a été réalisé avec une matrice de régénération dermique synthétique – la matrice dermique temporaire biodégradable NovoSorb BTM – associé à une greffe de peau mince expansée. La singularité de ce cas, la nécessité de couvrir rapidement une large perte de substance tout en faisant face à des défis infectieux et pédiatriques rendent intéressante la description de l’utilisation de la matrice dermique temporaire biodégradable NovoSorb BTM en complément de la greffe de peau mince comme traitement novateur de la fasciite nécrosante chez l’enfant. Une prise en charge chirurgicale urgente suivie de cette stratégie reconstructive a permis l’obtention d’un bon résultat fonctionnel et esthétique, avec une cicatrisation rapide malgré la gravité et l’étendue de l’infection.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 2","pages":"Pages 81-84"},"PeriodicalIF":0.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revue à 18 ans de recul minimum, de 10 patients présentant une luxation périlunaire isolée du carpe","authors":"M. Boukhaled ,&nbsp;C. Dumontier ,&nbsp;L. Cathala ,&nbsp;A.-P. Uzel","doi":"10.1016/j.anplas.2024.08.001","DOIUrl":"10.1016/j.anplas.2024.08.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectif&lt;/h3&gt;&lt;div&gt;Évaluer les capacités fonctionnelles et la survenue d’arthrose à long terme chez des patients pris en charge pour des luxations périlunaires postérieures sans lésions osseuses (LPL).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Hypothèse&lt;/h3&gt;&lt;div&gt;La survenue d’une luxation périlunaire du carpe est associée à un haut risque d’arthrose du carpe à très long terme.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Patients et méthode&lt;/h3&gt;&lt;div&gt;Il s’agissait d’une étude observationnelle rétrospective monocentrique sur des patients opérés au CHU de Guadeloupe pour une luxation périlunaire du carpe sans lésions osseuses associées avec minimum 18&lt;!--&gt; &lt;!--&gt;ans de recul. Dix patients ont été inclus avec un recul moyen de 22,8&lt;!--&gt; &lt;!--&gt;ans. Les critères d’évaluation étaient cliniques (PRWE, QuickDASH, douleur, force de préhension, mobilités articulaires du poignet, tests de Watson et de Reagan, score fonctionnel de Cooney) et radiographiques (courbes de Gilula, hauteur du carpe, translation ulnaire du carpe, angles scapho-lunaire et radio-lunaire, interlignes scapho-lunaire et triquetro-lunaire en statique et en dynamique, classification des complications de Herzberg).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;Le score de Cooney moyen était de 67,5/100. Les scores PRWE et QuickDASH moyens étaient de 33,9 et 24,8 respectivement. L’arc moyen de flexion-extension du côté lésé était de 71,5° (66,7 % du côté sain). La force de préhension moyenne était de 27&lt;!--&gt; &lt;!--&gt;kg (72,8 % du côté sain). La prévalence de l’arthrose dans la série était de 60 %, avec trois types A, deux types A1, un type B et quatre types B1 selon Herzberg.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Les facteurs influençant le pronostic à long terme sont le déplacement initial du lunatum, la qualité de la réduction et la présence d’une instabilité chronique du carpe notamment scapho-lunaire. La prévalence importante de l’arthrose dans notre série (60 %) n’est apparemment pas corrélée aux capacités fonctionnelles des patients sur le long terme.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Niveau de preuve&lt;/h3&gt;&lt;div&gt;4.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate, in long-term, the functional abilities and the occurrence of osteoarthritis in patients treated for a posterior perilunate carpal dislocation without bone lesion associated.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Patients and method&lt;/h3&gt;&lt;div&gt;This was a monocentric retrospective observational study on patients operated on at the University Hospital of Guadeloupe for a posterior perilunate dislocation without bone lesion associated with a minimum of 18&lt;!--&gt; &lt;!--&gt;years of follow-up. Ten patients were included with a mean follow-up of 22.8&lt;!--&gt; &lt;!--&gt;years. The evaluation criteria were clinical (PRWE, QuickDASH, pain, grip strength, wrist joint mobility, Watson and Reagan tests, Cooney functional score) and radiographic (Gilula curves, carpal height, carpal ulnar translation, scapholunate and radiolunar angles, scapholunate and triquetro-lunar interlines in statics and dynamics, Herzberg's classification of co","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 1","pages":"Pages 34-40"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Léiomyosarcome cutané et sous-cutané primitif : une cohorte rétrospective de 26 cas s’intéressant aux données cliniques et aux traitements","authors":"C. Roy ,&nbsp;L.-R. Le Nail ,&nbsp;G. De Pinieux ,&nbsp;R. Samargandi","doi":"10.1016/j.anplas.2024.09.001","DOIUrl":"10.1016/j.anplas.2024.09.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Contexte&lt;/h3&gt;&lt;div&gt;Le léiomyosarcome superficiel est une tumeur maligne des tissus mous se développant à partir des cellules musculaires lisses, rare, représentant 2 à 3 % des sarcomes superficiels pour laquelle il n’est retrouvé que peu d’articles dans la littérature. Il s’observe chez des patients autour de 50–60 ans et affecte de manière équivalente les hommes et les femmes, pour le sous-type sous-cutané, et majoritairement les hommes pour le sous-type cutané.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectif&lt;/h3&gt;&lt;div&gt;Cette étude vise à observer la clinopathologie et les résultats thérapeutiques des patients atteints d’un léiomyosarcome.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthode&lt;/h3&gt;&lt;div&gt;Il s’agit d’une étude rétrospective descriptive portant sur 26 cas de léiomyosarcomes cutanés et sous-cutanés, avec confirmation histologique.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;Nous avons retrouvé 10 (38,5 %) de léiomyosarcomes sous-cutanés et 16 (61,5 %) cutanés. La majorité des tumeurs sont localisées au niveau des membres inférieurs 13 (50 %). Concernant le suivi, 6 patients ont présenté une récidive et 7 une métastase dont 2 des 7 patients présentaient une marge d’exérèse R0. Parmi ces patients, 3 patients sur 6 des récidives et 3 patients sur 7 des métastases étaient des léiomyosarcomes sous-cutané. Le délai d’apparition moyen des récidives est de 6,2 ans.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Le risque de métastases et de récidives, malgré des marges chirurgicales saines, observé dans les léiomyosarcomes cutanés et sous-cutanés, ainsi que leur délai d’apparition justifie un suivi prolongé des patients. Le poumon, les os et le foie sont identifiés comme les sites préférentiels de métastase.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Superficial leiomyosarcoma is a rare malignant soft tissue tumor arising from smooth muscle cells, accounting for 2–3% of superficial sarcomas, with limited literature available on the subject. It is typically observed in patients aged 50–60 years and affects both men and women equally in the subcutaneous subtype, whereas the cutaneous subtype predominantly affects men.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aims to examine the clinicopathological features and therapeutic outcomes of patients with leiomyosarcoma.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;This is a descriptive retrospective study of 26 cases of cutaneous and subcutaneous leiomyosarcomas, with histological confirmation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;We identified 10 (38.5%) subcutaneous leiomyosarcomas and 16 (61.5%) cutaneous leiomyosarcomas. The majority of tumors were located in the lower limbs, accounting for 13 (50%) cases. During follow-up, 6 patients experienced recurrence, and 7 developed metastases, including 2 of the 7 patients who had R0 resection margins. Among these, 3 out of the 6 recurrent cases and 3 out of the 7 metastatic cases were subcutaneous leiomyosarcomas. The average time to recurrence was 6.2 years.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The obse","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 1","pages":"Pages 41-48"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513463","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":"Hair reconstruction of the burned chin region using a pre-expanded free temporo-parietal skin flap. About a case","authors":"H. Boukhenouna ,&nbsp;F. Bekara ,&nbsp;F. Boissiere ,&nbsp;P. Rouchaleou ,&nbsp;M. de Boutray ,&nbsp;C. Herlin","doi":"10.1016/j.anplas.2024.08.010","DOIUrl":"10.1016/j.anplas.2024.08.010","url":null,"abstract":"<div><div>Reconstruction of the chin region represents a technical challenge due to its three-dimensional configuration and its location close to the mouth. It requires both a functional approach by restoring mobility and an aesthetic approach by restoring the perioral furrows. For men who want to wear a beard, it becomes more difficult to choose the donor site for hairy skin. In that case, strategies of full thickness skin graft or pre-expanded loco-regional flaps are unusable. We propose here a functional, aesthetic and hairy reconstruction by performing a pre-expanded temporal free flap which allowed to resolve the problem of adjacent cervical contractures and to restore an integrated the bearded chin subunit.</div></div><div><div>La reconstruction de la région mentonnière représente un défi technique en raison de sa configuration tridimensionnelle particulière et de sa localisation proche de la bouche. Elle demande à la fois une approche fonctionnelle en restituant la mobilité et une approche esthétique en restituant les différentes sous-unités esthétiques en restituant les sillons péri-buccaux. Chez les hommes désireux de porter la barbe, il devient plus difficile de choisir le site donneur d’une peau pileuse. Les stratégies de greffe de peau totale ou de lambeau locaux-régionaux pré-expansé sont alors inutilisables. Nous proposons ici une solution de restitution à la fois fonctionnelle, esthétique et pileuse en réalisant un lambeau libre pré-expansé de la région temporale qui a permis à la fois de régler la problématique de contractures cervicales adjacentes et de restituer une sous-unité pileuse intégrée dans le port d’une barbe.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"70 1","pages":"Pages 56-59"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301757","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}