Pub Date : 2024-11-09DOI: 10.1016/j.anplas.2024.10.002
N Cavadore, A Hamel, F Duteille
The management of congenital syndactylies often requires the use of a full-thickness skin graft to reconstruct the affected web space. Traditionally, full-thickness skin grafts are harvested from the groin region, but using the anterior aspect of the wrist may offers benefits in terms of scar quality while simplifying surgical time. This descriptive study evaluates scar quality (at donor and recipient site) associated with full-thickness skin graft harvested from the volar wrist in syndactyly release. We conducted a retrospective single-center study including patients who underwent syndactyly release with full-thickness skin graft harvested from the anterior wrist. Scar assessment was performed using the Observer Scar Assesment Scale, the Vancouver Scar Scale and the Withey Score. Overall, our results show high scores for scars at both donor and recipient sites. In conclusion, harvesting full-thickness skin graft from the volar wrist in syndactyly release is a simple and effective option for covering defects on the digits, while producing high-quality scars.
{"title":"Syndactyly release with full-thickness skin graft harvested from the wrist: About 24 webspaces.","authors":"N Cavadore, A Hamel, F Duteille","doi":"10.1016/j.anplas.2024.10.002","DOIUrl":"https://doi.org/10.1016/j.anplas.2024.10.002","url":null,"abstract":"<p><p>The management of congenital syndactylies often requires the use of a full-thickness skin graft to reconstruct the affected web space. Traditionally, full-thickness skin grafts are harvested from the groin region, but using the anterior aspect of the wrist may offers benefits in terms of scar quality while simplifying surgical time. This descriptive study evaluates scar quality (at donor and recipient site) associated with full-thickness skin graft harvested from the volar wrist in syndactyly release. We conducted a retrospective single-center study including patients who underwent syndactyly release with full-thickness skin graft harvested from the anterior wrist. Scar assessment was performed using the Observer Scar Assesment Scale, the Vancouver Scar Scale and the Withey Score. Overall, our results show high scores for scars at both donor and recipient sites. In conclusion, harvesting full-thickness skin graft from the volar wrist in syndactyly release is a simple and effective option for covering defects on the digits, while producing high-quality scars.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632875","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}
Pub Date : 2024-11-05DOI: 10.1016/j.anplas.2024.09.007
L Khanh, L V Doan, V H Trung, P A Tuan
Purpose: To investigate the leg perforator arterial system, identify the perforator flap's pedicle artery and its projected cutaneous point using a 320-slice computed tomography (CT 320) scanner.
Methods: A total of 24 patients with leg soft-tissue defects unilaterally underwent 320-slice CT angiography scanning (CTA 320) with 47 legs. The used method enabled investigation of the perforator arteries originating from the tibial, peroneal arteries, perforator flap's pedicle artery and its projected cutaneous point. These data were used to preoperatively design an improved flap. Then, the CT-confirmed location and length of the flap's pedicle artery were compared with intraoperative findings.
Results: Findings of the CTA 320 on 47 legs showed that 217 perforator arteries with diameters of ≥0.5mm were detected; the average number of arteries per leg, their average length and diameter were 4.6±2.1, 30.7±10.4mm and 1.16±0.27mm, respectively. The perforator arteries originating from the anterior tibial artery were mainly distributed in the proximal and middle thirds of the leg. Perforators from the posterior tibial and peroneal arteries were distributed abundantly in the middle and distal thirds of the leg. As identified in the CT, the location and length of the flap's pedicle artery and its projected cutaneous point were consistent with those observed during the surgery.
Conclusions: The CTA 320 is a minimally invasive imaging method that provides high-quality images of the leg perforator arterial system and can identify the exact location and projected cutaneous point of the perforator flap's pedicle artery.
{"title":"Using 320-slice computed tomography to preoperatively investigate the leg perforator arterial system and design a perforator flap for patients with a soft-tissue defect in the leg.","authors":"L Khanh, L V Doan, V H Trung, P A Tuan","doi":"10.1016/j.anplas.2024.09.007","DOIUrl":"https://doi.org/10.1016/j.anplas.2024.09.007","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the leg perforator arterial system, identify the perforator flap's pedicle artery and its projected cutaneous point using a 320-slice computed tomography (CT 320) scanner.</p><p><strong>Methods: </strong>A total of 24 patients with leg soft-tissue defects unilaterally underwent 320-slice CT angiography scanning (CTA 320) with 47 legs. The used method enabled investigation of the perforator arteries originating from the tibial, peroneal arteries, perforator flap's pedicle artery and its projected cutaneous point. These data were used to preoperatively design an improved flap. Then, the CT-confirmed location and length of the flap's pedicle artery were compared with intraoperative findings.</p><p><strong>Results: </strong>Findings of the CTA 320 on 47 legs showed that 217 perforator arteries with diameters of ≥0.5mm were detected; the average number of arteries per leg, their average length and diameter were 4.6±2.1, 30.7±10.4mm and 1.16±0.27mm, respectively. The perforator arteries originating from the anterior tibial artery were mainly distributed in the proximal and middle thirds of the leg. Perforators from the posterior tibial and peroneal arteries were distributed abundantly in the middle and distal thirds of the leg. As identified in the CT, the location and length of the flap's pedicle artery and its projected cutaneous point were consistent with those observed during the surgery.</p><p><strong>Conclusions: </strong>The CTA 320 is a minimally invasive imaging method that provides high-quality images of the leg perforator arterial system and can identify the exact location and projected cutaneous point of the perforator flap's pedicle artery.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592255","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}
Pub Date : 2024-11-05DOI: 10.1016/j.anplas.2024.09.006
C Macni, M Witters, N Kachouh, A Mayoly, C Jaloux
Objective: This study analyzes the impact of fat grafting on pulp sensitivity disorders in patients who experienced fingertip injuries and developed cold intolerance and hyperesthesia.
Material/method: Patients over 10 years old were evaluated using the two-point discriminant score (2PDS), the monofilament test, and the McCabe Cold Sensitivity Severity Scale (CSS) before and after surgery at 3, 6, and 12 months. Other evaluations included the Quick Dash scale (Q-dash), the aesthetics and pain improvement, and patient satisfaction. For children under 10 years old, a parent questionnaire was asked about pain reduction and the ability of parents to trim their children's nails.
Result: Seven patients (2<10 years old and 5>10 years old) who all presented sensitivity disorders following a fingertip injury and were operated on for a pulp fat grafting were analyzed. No significant effects were found on the two-point discriminant score (2PDS), the McCabe Cold Sensitivity Severity Scale (CSS scale), the monofilament test, as well as the quality of life. Four patients experienced less pain and aesthetic improvement. No outcome occurred. A small quantity of fat (0.97mL) was injected and patient satisfaction was good at 6.4/10. For the two children, it was easier for parents to cut their children's nails.
Discussion/conclusion: While no statistically significant improvement in pulp sensitivity was observed, there were subjective improvements in pain relief and aesthetic outcomes, particularly in children. For children, positive effects were found on pain and the facility for parents to cut their children's nails. More studies are required for children. Pulp fat grafting may be a therapeutic option for patients who suffer from fingertip injury.
{"title":"LIPOPULP. The impact of fat grafting on pulp sensitivity in fingertip injuries: A retrospective study of seven patients.","authors":"C Macni, M Witters, N Kachouh, A Mayoly, C Jaloux","doi":"10.1016/j.anplas.2024.09.006","DOIUrl":"https://doi.org/10.1016/j.anplas.2024.09.006","url":null,"abstract":"<p><strong>Objective: </strong>This study analyzes the impact of fat grafting on pulp sensitivity disorders in patients who experienced fingertip injuries and developed cold intolerance and hyperesthesia.</p><p><strong>Material/method: </strong>Patients over 10 years old were evaluated using the two-point discriminant score (2PDS), the monofilament test, and the McCabe Cold Sensitivity Severity Scale (CSS) before and after surgery at 3, 6, and 12 months. Other evaluations included the Quick Dash scale (Q-dash), the aesthetics and pain improvement, and patient satisfaction. For children under 10 years old, a parent questionnaire was asked about pain reduction and the ability of parents to trim their children's nails.</p><p><strong>Result: </strong>Seven patients (2<10 years old and 5>10 years old) who all presented sensitivity disorders following a fingertip injury and were operated on for a pulp fat grafting were analyzed. No significant effects were found on the two-point discriminant score (2PDS), the McCabe Cold Sensitivity Severity Scale (CSS scale), the monofilament test, as well as the quality of life. Four patients experienced less pain and aesthetic improvement. No outcome occurred. A small quantity of fat (0.97mL) was injected and patient satisfaction was good at 6.4/10. For the two children, it was easier for parents to cut their children's nails.</p><p><strong>Discussion/conclusion: </strong>While no statistically significant improvement in pulp sensitivity was observed, there were subjective improvements in pain relief and aesthetic outcomes, particularly in children. For children, positive effects were found on pain and the facility for parents to cut their children's nails. More studies are required for children. Pulp fat grafting may be a therapeutic option for patients who suffer from fingertip injury.</p>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592250","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}
Pub Date : 2024-11-01DOI: 10.1016/j.anplas.2024.07.009
K. Bustamante , E. Sorrel Dejerine
Ce chapitre aborde les grands principes de la petite chirurgie carcinologique du front en pratique quotidienne hospitalière et libérale, ainsi que les reconstructions microchirurgicales plus complexes pour les grandes pertes de substance cutanées. Il est l’occasion de rendre hommage aux cas du Professeur Jean Marie Servant, dont les cas n’ont jamais été publiés.
This chapter deals with the guiding principles of small forehead carcinology in routine hospital-based and private practice, as well as more complex microsurgical reconstruction following severe loss of cutaneous substance. This article also affords an occasion to pay tribute to Professor Jean Marie Servant, whose case studies were never published.
{"title":"Chirurgie carcinologique du front","authors":"K. Bustamante , E. Sorrel Dejerine","doi":"10.1016/j.anplas.2024.07.009","DOIUrl":"10.1016/j.anplas.2024.07.009","url":null,"abstract":"<div><div>Ce chapitre aborde les grands principes de la petite chirurgie carcinologique du front en pratique quotidienne hospitalière et libérale, ainsi que les reconstructions microchirurgicales plus complexes pour les grandes pertes de substance cutanées. Il est l’occasion de rendre hommage aux cas du Professeur Jean Marie Servant, dont les cas n’ont jamais été publiés.</div></div><div><div>This chapter deals with the guiding principles of small forehead carcinology in routine hospital-based and private practice, as well as more complex microsurgical reconstruction following severe loss of cutaneous substance. This article also affords an occasion to pay tribute to Professor Jean Marie Servant, whose case studies were never published.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 6","pages":"Pages 580-602"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632877","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}
Pub Date : 2024-11-01DOI: 10.1016/j.anplas.2024.07.003
C. Jamin, B. Laure
Le MASK lift ou lifting sous-périosté des tiers supérieur et moyen de la face est un geste qui peut être réalisé seul à visée esthétique mais qui peut aussi être associé à la chirurgie réparatrice de cette région afin d’en améliorer le résultat. Ce geste va permettre de potentialiser de manière globale le résultat dans la prise en charge de pathologies complexes. L’objectif de cet article est de présenter la technique chirurgicale du MASK lift en détail, d’en préciser les indications et de montrer que cette technique chirurgicale a toujours sa place dans notre pratique.
The MASK lift or subperiosteal lift of the upper and middle thirds of the face is a procedure that can be performed alone for aesthetic purposes, but can also be combined with reconstructive surgery of this region to improve the result. This procedure will enable the overall result to be enhanced in the management of complex pathologies. The aim of this article is to present the MASK lift surgical technique in detail, to explain its indications and to show that this surgical technique still has a place in our practice.
{"title":"Le MASK lift","authors":"C. Jamin, B. Laure","doi":"10.1016/j.anplas.2024.07.003","DOIUrl":"10.1016/j.anplas.2024.07.003","url":null,"abstract":"<div><div>Le MASK lift ou lifting sous-périosté des tiers supérieur et moyen de la face est un geste qui peut être réalisé seul à visée esthétique mais qui peut aussi être associé à la chirurgie réparatrice de cette région afin d’en améliorer le résultat. Ce geste va permettre de potentialiser de manière globale le résultat dans la prise en charge de pathologies complexes. L’objectif de cet article est de présenter la technique chirurgicale du MASK lift en détail, d’en préciser les indications et de montrer que cette technique chirurgicale a toujours sa place dans notre pratique.</div></div><div><div>The MASK lift or subperiosteal lift of the upper and middle thirds of the face is a procedure that can be performed alone for aesthetic purposes, but can also be combined with reconstructive surgery of this region to improve the result. This procedure will enable the overall result to be enhanced in the management of complex pathologies. The aim of this article is to present the MASK lift surgical technique in detail, to explain its indications and to show that this surgical technique still has a place in our practice.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 6","pages":"Pages 714-720"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768060","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}
Pub Date : 2024-11-01DOI: 10.1016/j.anplas.2024.06.016
Patrick Bui
L’auteur s’est intéressé à la volumétrie faciale dès les années 1990, période où il prenait en charge la féminisation du squelette facial afin d’améliorer l’intégration sociale des patients transgenres masculins. Il s’agissait à cette période d’une chirurgie squelettique. Très rapidement, ses techniques ont été étendues aux femmes génétiques souhaitant un visage plus féminin. L’étude du vieillissement facial a permis à l’auteur de définir des critères de vieillissements frontotemporal, en particulier une évolution avec l’âge vers une masculinisation frontotemporale. La correction volumétrique frontotemporale est ainsi devenue un élément important du rajeunissement du visage. L’évolution s’est ensuite naturellement faite vers le concept de beauté frontotemporal.
The author became interested in facial volume in the 1990s, during the period when he oversaw the feminization of the facial skeleton to improve the social integration of male transsexual patients. At that time, it was skeletal surgery. Very quickly, these techniques were extended to genetic women who wanted a more feminine face. The study of facial aging allowed the author to define criteria for frontotemporal aging, particularly an evolution with age towards a frontotemporal masculinization. The volumetric frontotemporal correction has thus become an essential element of facial rejuvenation. The evolution then, naturally took place towards the concept of frontotemporal beauty.
{"title":"Volumétrie frontotemporale pour rajeunir et re-féminiser le visage","authors":"Patrick Bui","doi":"10.1016/j.anplas.2024.06.016","DOIUrl":"10.1016/j.anplas.2024.06.016","url":null,"abstract":"<div><div>L’auteur s’est intéressé à la volumétrie faciale dès les années 1990, période où il prenait en charge la féminisation du squelette facial afin d’améliorer l’intégration sociale des patients transgenres masculins. Il s’agissait à cette période d’une chirurgie squelettique. Très rapidement, ses techniques ont été étendues aux femmes génétiques souhaitant un visage plus féminin. L’étude du vieillissement facial a permis à l’auteur de définir des critères de vieillissements frontotemporal, en particulier une évolution avec l’âge vers une masculinisation frontotemporale. La correction volumétrique frontotemporale est ainsi devenue un élément important du rajeunissement du visage. L’évolution s’est ensuite naturellement faite vers le concept de beauté frontotemporal.</div></div><div><div>The author became interested in facial volume in the 1990s, during the period when he oversaw the feminization of the facial skeleton to improve the social integration of male transsexual patients. At that time, it was skeletal surgery. Very quickly, these techniques were extended to genetic women who wanted a more feminine face. The study of facial aging allowed the author to define criteria for frontotemporal aging, particularly an evolution with age towards a frontotemporal masculinization. The volumetric frontotemporal correction has thus become an essential element of facial rejuvenation. The evolution then, naturally took place towards the concept of frontotemporal beauty.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 6","pages":"Pages 641-649"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790054","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}
Pub Date : 2024-11-01DOI: 10.1016/j.anplas.2024.06.024
T. Barré, R. Preud’Homme, P. Mathieu, A. Nuffer, A. Veyssière, H. Benateau
Les kystes dermoïdes sont des dérivés embryologiques des tissus mous. Ils résultent d’une inclusion ectodermique aberrante dans le mésoderme au cours du développement embryonnaire précoce. Ces kystes ont une progression lente, et sont fréquents en pédiatrie. Quatre-vingts pour cent d’entre eux siègent au niveau de la tête, et la plupart se situent à la suture fronto-zygomatique, au niveau de la queue du sourcil. Cliniquement, ils sont superficiels ou profonds. Le diagnostic est fortement suspecté cliniquement, parfois renforcé grâce aux examens complémentaires, et posé une fois l’analyse histologique réalisée. L’exérèse chirurgicale par voie ouverte sans rupture du kyste est le gold standard.
Dermoid cysts are embryological derivatives from soft tissues. They result from an ectodermic inclusion in the mesoderm, during the early embryonic development. These cysts have a slow development and are mostly encountered in the pediatric population. Eighty percent of them are located in the head and neck area, and most of them are on the frontozygomatic suture. They are superficial or deep on clinical examination. The diagnosis is mostly easy, sometimes with the help of radiological examination. The confirmation is histological. Surgical removed by an open approach, without cyst rupture is the gold standard treatment.
{"title":"Kystes dermoïdes fronto-zygomatiques","authors":"T. Barré, R. Preud’Homme, P. Mathieu, A. Nuffer, A. Veyssière, H. Benateau","doi":"10.1016/j.anplas.2024.06.024","DOIUrl":"10.1016/j.anplas.2024.06.024","url":null,"abstract":"<div><div>Les kystes dermoïdes sont des dérivés embryologiques des tissus mous. Ils résultent d’une inclusion ectodermique aberrante dans le mésoderme au cours du développement embryonnaire précoce<em>.</em> Ces kystes ont une progression lente, et sont fréquents en pédiatrie. Quatre-vingts pour cent d’entre eux siègent au niveau de la tête, et la plupart se situent à la suture fronto-zygomatique, au niveau de la queue du sourcil. Cliniquement, ils sont superficiels ou profonds. Le diagnostic est fortement suspecté cliniquement, parfois renforcé grâce aux examens complémentaires, et posé une fois l’analyse histologique réalisée. L’exérèse chirurgicale par voie ouverte sans rupture du kyste est le gold standard.</div></div><div><div>Dermoid cysts are embryological derivatives from soft tissues. They result from an ectodermic inclusion in the mesoderm, during the early embryonic development. These cysts have a slow development and are mostly encountered in the pediatric population. Eighty percent of them are located in the head and neck area, and most of them are on the frontozygomatic suture. They are superficial or deep on clinical examination. The diagnosis is mostly easy, sometimes with the help of radiological examination. The confirmation is histological. Surgical removed by an open approach, without cyst rupture is the gold standard treatment.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 6","pages":"Pages 554-558"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790055","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}
Pub Date : 2024-11-01DOI: 10.1016/j.anplas.2024.07.011
A. Paasché , S. Testelin , C. Lamy , J. Bettoni , J. Bouquet , S. Dakpe , C. Capel , B. Devauchelle
Le front est le casque protecteur du cerveau, si l’on se réfère à l’étymologie du mot calvaria. Détruit, il convient de le reconstruire ; en priorité son infrastructure osseuse, quand bien même l’on peut vivre sans elle, dès lors que les autres tissus (peau, muscle, aponévrose, méninge) sont intègres. Chantier chirurgical complexe dont il sera fait mention quand la multiplicité des techniques décrites témoigne de leur imperfection et que jusqu’à présent la meilleure restauration d’un tissu manquant impose sa substitution par le même tissu. Invitation à inventer une véritable chirurgie régénératrice.
The forehead is the protective helmet of the brain, if we refer to the etymology of the word calvaria. Destroyed, it must be rebuilt; priority is given to its bone infrastructure, even though we can live without it, as long as the other tissues (skin, muscle, aponeurosis, meninge) are intact. Complex surgical project which will be mentioned when the multiplicity of techniques described demonstrates their imperfection and until now the best restoration of a missing tissue requires its replacement by the same tissue. Invitation to invent a true regenerative surgery.
{"title":"Reconstruction secondaire des pertes de substance du front","authors":"A. Paasché , S. Testelin , C. Lamy , J. Bettoni , J. Bouquet , S. Dakpe , C. Capel , B. Devauchelle","doi":"10.1016/j.anplas.2024.07.011","DOIUrl":"10.1016/j.anplas.2024.07.011","url":null,"abstract":"<div><div>Le front est le casque protecteur du cerveau, si l’on se réfère à l’étymologie du mot calvaria. Détruit, il convient de le reconstruire ; en priorité son infrastructure osseuse, quand bien même l’on peut vivre sans elle, dès lors que les autres tissus (peau, muscle, aponévrose, méninge) sont intègres. Chantier chirurgical complexe dont il sera fait mention quand la multiplicité des techniques décrites témoigne de leur imperfection et que jusqu’à présent la meilleure restauration d’un tissu manquant impose sa substitution par le même tissu. Invitation à inventer une véritable chirurgie régénératrice.</div></div><div><div>The forehead is the protective helmet of the brain, if we refer to the etymology of the word calvaria. Destroyed, it must be rebuilt; priority is given to its bone infrastructure, even though we can live without it, as long as the other tissues (skin, muscle, aponeurosis, meninge) are intact. Complex surgical project which will be mentioned when the multiplicity of techniques described demonstrates their imperfection and until now the best restoration of a missing tissue requires its replacement by the same tissue. Invitation to invent a true regenerative surgery.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 6","pages":"Pages 611-620"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632904","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}
Pub Date : 2024-11-01DOI: 10.1016/j.anplas.2024.06.017
B. Cornette de Saint-Cyr, H. Prevot Allouch
Cet article explore la technique du lifting sourcilier par excision directe pour traiter la ptose sourcilière et rajeunir l’apparence du visage. Les techniques actuelles de lifting sourcilier incluent les fils tenseurs et les méthodes chirurgicales traditionnelles comme le lifting frontotemporal et le lift endoscopique. L’excision directe se distingue par sa précision et sa capacité à offrir des résultats durables et esthétiquement satisfaisants. En ajustant la quantité de tissu excisé et la technique de suture, les chirurgiens peuvent obtenir un lifting significatif et harmonieux des sourcils. Cependant, cette méthode n’est pas idéale pour tous les patients, notamment ceux avec des sourcils fins ou blonds. L’article souligne également l’importance d’une évaluation minutieuse avant d’associer la blépharoplastie supérieure au lifting sourcilier. En conclusion, l’excision directe est présentée comme la méthode la plus efficace et durable pour le lifting sourcilier, nécessitant une évaluation individualisée pour garantir des résultats esthétiques optimaux.
This article explores the technique of brow lift by direct excision to treat brow ptosis and rejuvenate facial appearance. Current brow lift techniques include thread lifts and traditional surgical methods such as frontotemporal lift and endoscopic lift. Direct excision stands out for its precision and ability to offer long-lasting and aesthetically pleasing results. By adjusting the amount of excised tissue and the suturing technique, surgeons can achieve a significant and harmonious brow lift. However, this method is not ideal for all patients, particularly those with thin or blond eyebrows. The article also highlights the importance of careful evaluation before combining upper blepharoplasty with a brow lift. In conclusion, direct excision is presented as the most effective and durable method for brow lifting, requiring individualized evaluation to ensure optimal aesthetic results.
{"title":"Le lifting sourcilier par excision directe","authors":"B. Cornette de Saint-Cyr, H. Prevot Allouch","doi":"10.1016/j.anplas.2024.06.017","DOIUrl":"10.1016/j.anplas.2024.06.017","url":null,"abstract":"<div><div>Cet article explore la technique du lifting sourcilier par excision directe pour traiter la ptose sourcilière et rajeunir l’apparence du visage. Les techniques actuelles de lifting sourcilier incluent les fils tenseurs et les méthodes chirurgicales traditionnelles comme le lifting frontotemporal et le lift endoscopique. L’excision directe se distingue par sa précision et sa capacité à offrir des résultats durables et esthétiquement satisfaisants. En ajustant la quantité de tissu excisé et la technique de suture, les chirurgiens peuvent obtenir un lifting significatif et harmonieux des sourcils. Cependant, cette méthode n’est pas idéale pour tous les patients, notamment ceux avec des sourcils fins ou blonds. L’article souligne également l’importance d’une évaluation minutieuse avant d’associer la blépharoplastie supérieure au lifting sourcilier. En conclusion, l’excision directe est présentée comme la méthode la plus efficace et durable pour le lifting sourcilier, nécessitant une évaluation individualisée pour garantir des résultats esthétiques optimaux.</div></div><div><div>This article explores the technique of brow lift by direct excision to treat brow ptosis and rejuvenate facial appearance. Current brow lift techniques include thread lifts and traditional surgical methods such as frontotemporal lift and endoscopic lift. Direct excision stands out for its precision and ability to offer long-lasting and aesthetically pleasing results. By adjusting the amount of excised tissue and the suturing technique, surgeons can achieve a significant and harmonious brow lift. However, this method is not ideal for all patients, particularly those with thin or blond eyebrows. The article also highlights the importance of careful evaluation before combining upper blepharoplasty with a brow lift. In conclusion, direct excision is presented as the most effective and durable method for brow lifting, requiring individualized evaluation to ensure optimal aesthetic results.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 6","pages":"Pages 695-701"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768056","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}
Pub Date : 2024-11-01DOI: 10.1016/j.anplas.2024.06.019
M. Taverne , R.H. Khonsari
Les premières étapes du développement du front aboutissent à la formation des centres d’ossification frontaux et à leur croissance centrifuge. La croissance suturaire prend ensuite le relai, avec une importance cruciale des interactions fonctionnelles, représentées surtout par le cerveau en croissance, via des processus de mécanosensation et de mécanotransduction. Dans cet article, nous passons en revue ces différentes étapes et tentons d’en dégager la pertinence clinique pour la compréhension des malformations craniofaciales.
Craniofacial development involves processes leading to the positioning and early growth of the frontal ossification centers. Growth then occurs, mostly secondary to the activity of the sutures, with major interactions with the functional environment, mostly consisting in the growing brain, based on mechanosensation and mechanotransduction mechanisms. Here, we review these processes and assess their relevance in the understanding of craniofacial malformations.
{"title":"Développement et croissance du front","authors":"M. Taverne , R.H. Khonsari","doi":"10.1016/j.anplas.2024.06.019","DOIUrl":"10.1016/j.anplas.2024.06.019","url":null,"abstract":"<div><div>Les premières étapes du développement du front aboutissent à la formation des centres d’ossification frontaux et à leur croissance centrifuge. La croissance suturaire prend ensuite le relai, avec une importance cruciale des interactions fonctionnelles, représentées surtout par le cerveau en croissance, via des processus de mécanosensation et de mécanotransduction. Dans cet article, nous passons en revue ces différentes étapes et tentons d’en dégager la pertinence clinique pour la compréhension des malformations craniofaciales.</div></div><div><div>Craniofacial development involves processes leading to the positioning and early growth of the frontal ossification centers. Growth then occurs, mostly secondary to the activity of the sutures, with major interactions with the functional environment, mostly consisting in the growing brain, based on mechanosensation and mechanotransduction mechanisms. Here, we review these processes and assess their relevance in the understanding of craniofacial malformations.</div></div>","PeriodicalId":55512,"journal":{"name":"Annales De Chirurgie Plastique Esthetique","volume":"69 6","pages":"Pages 489-495"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632880","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}