Surgical Approaches in the Repair of Laterofacial Loss
Mabika Bredel Djeri Djor,
Kabbaj Houda,
Garango Allaye,
Saad Lahimiti,
Saad Fawzi,
Mansouri Nadia Hattab
Issue:
Volume 5, Issue 2, December 2019
Pages:
37-41
Received:
31 May 2019
Accepted:
9 July 2019
Published:
28 August 2019
Abstract: The purpose of this work is to describe the surgical approach in some situations of laterofacial loss, which pose a problem concerning the moment of their repair and the choice of the technique to be used considering the attainment of noble elements. The study provides a descriptive and cross sectional study with retrospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, on 82 cases of laterofacial cutaneous loss secondary to trauma and post tumor excision collected during 3 years. Etiologies were dominated by tumors in 60,97% of cases and trauma in 39,04%. The most frequent location was frontal and temporal in 41,46% of cases. Nobles elements were injured in 15,85%. 87,5% of traumatized patients had a primary reparation with locoregional flaps, while secondary reparation was proposed to 93,33% with malignant tumors until reception of histological results. The repair of laterofacial defects is subject to certain requirements before any surgery. Whenever usable, the locoregional reserve seems to us the most appropriate means of reconstruction.
Abstract: The purpose of this work is to describe the surgical approach in some situations of laterofacial loss, which pose a problem concerning the moment of their repair and the choice of the technique to be used considering the attainment of noble elements. The study provides a descriptive and cross sectional study with retrospective data collection, cond...
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Clinical and Medico-legal Aspects of Maxillofacial and Neck Injuries Complicated by Infection
Vyacheslav Popov,
Olga Egorova
Issue:
Volume 5, Issue 2, December 2019
Pages:
42-46
Received:
31 March 2019
Accepted:
5 October 2019
Published:
24 October 2019
Abstract: One of the most frequent and predictable types of complications in traumas of the maxillofacial area and neck is that of infection, which renders the progression of the trauma more acute. It is infection, when it occurs, that affects the clinical picture and determines the final outcome of the trauma. Inadequate medical methods exacerbate the severity of the progression of the trauma and, consequently, complicate forensic medical assessment of the injury. Nowadays there is no clear definition of acute inflammatory process severity in terms of prevalence and characteristics of its clinical course in maxillofacial area and neck injuries. The aim of our study is to improve criteria for assessing the severity of harm to human health in patients with injuries of the maxillofacial area and neck. We carried out a retrospective analysis of medical records of the inpatients treated from 2008 to 2019 in the department of Oral and Maxillofacial Surgery of St. Petersburg City Hospital No. 15, Russia. All patients had the injuries in the maxillofacial area and neck varying in severity and complicated by infectious processes, differing in their prevalence in the cellular spaces of the maxillofacial area and neck. In all these cases surgery was attempted, but it was not always adequate and timely, which made it more difficult for medical forensics experts to assess the severity of harm to human health resulting from the injury. The results of the study confirm the need to implement the modernized criteria for assessing the severity of harm caused to human health in case of injuries in the maxillofacial area and neck complicated by infectious processes. Their implementation will help bridge the gap between practical needs and the capabilities of forensic medical examination
Abstract: One of the most frequent and predictable types of complications in traumas of the maxillofacial area and neck is that of infection, which renders the progression of the trauma more acute. It is infection, when it occurs, that affects the clinical picture and determines the final outcome of the trauma. Inadequate medical methods exacerbate the sever...
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Cancers of Oral Cavity Epidemiological and Clinical Study About 70 Cases
Garango Allaye,
Bougar Faissal,
Hattab Mohammed Koussay,
Kebbaj Houda,
Fawzi Saad,
Mansouri Nadia Hattab
Issue:
Volume 5, Issue 2, December 2019
Pages:
47-55
Received:
10 September 2019
Accepted:
5 October 2019
Published:
26 October 2019
Abstract: Our retrospective study is about 70 cases of cancers of the Oral cavity, collected at the department of maxillo-facial surgery in Mohamed VI hospital university of Marrakech, during 9 years (January 2007-January2016). The mean age has been 60 years (20-94 years old). The women predominate with a ratio, which equal 0.94. Among the etiologic factors, tobacco is 31% of our cases and alcohol 6% of our case _Clinically, the mean delay of consultation has been 8 months_the clinical symptomatology has often consisted in the oral cavity lesions (80%), pain has been the second symptom (33%), the difficulty in swallowing and the difficulty in chewing (18%) and clinical examination showed a ulcero budding tumor in 38% of the cases, the cervical adenopathies have been noticed in 47% of the cases. The definitive diagnosis has been based on the histologic analysis that showed an epidermoid carcinoma in 87% of the cases. According to the TNM classification, the T3 are noticed in 46% and the No is found in 54%. The therapeutic strategy consisted in the surgery alone (58%), the surgery with radiotherapy (33%), the radiotherapy just (9%). Among our patients, we noticed a local recidivism in 3 cases, and we noticedtwo cases of metastasis, 35 patients (50%) are still a live with good carcinologic and functional result, 10 patients died; the other patients have been lost to follow-up.
Abstract: Our retrospective study is about 70 cases of cancers of the Oral cavity, collected at the department of maxillo-facial surgery in Mohamed VI hospital university of Marrakech, during 9 years (January 2007-January2016). The mean age has been 60 years (20-94 years old). The women predominate with a ratio, which equal 0.94. Among the etiologic factors,...
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