14 research outputs found
Dermatofibrosarcoma protuberans of the upper lip: An overview and a case report
Dermatofibrosarcoma protuberans is a slow-growing but locally aggressive malignant neoplasm of the skin. The preferential locations are on the trunk and proximal extremities but it can occur in the head and neck region in about 15% of the cases. This is a report of such a case and a review of the literature of head and neck cases attempting to analyse the profile of patients and surgical prognosis factors. The recurrence rate is important (20% to 55%) and dependent on tile free tissue margins. Those margins are at least 3 cm in all directions; this is difficult to assess in the head and neck region because of both functional and cosmetic aspects. Distant metastases are rare but related to a long recurrence history. This behaviour gives the impression that prognosis is poorer for dermatofibrosarcoma in the head and neck than within other locations.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
Giant solitary osteochondroma of the proximal humerus treated by resection and fibular autograft reconstruction.
A giant solitary osteochondroma of the proximal humerus in a 9-year-old boy was widely resected. Reconstruction of the bone defect was achieved with two nonvascularized fibula segments which gave sufficient stability to the proximal humerus and yielded rapid bone remodeling into an almost normal cortical bone after six months.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
Treatment of idiopathic palmar hyperhidrosis with botulinum toxin: Report of 23 cases and review of the literature
SCOPUS: ar.jinfo:eu-repo/semantics/publishe
Treatment of plantar hyperhidrosis with Dermojet injections of botulinum toxin [2]
SCOPUS: le.jinfo:eu-repo/semantics/publishe
Treatment of haemodialysis-associated pseudoporphyria with N- acetyleysteine: Report of two cases [15]
SCOPUS: le.jFLWINinfo:eu-repo/semantics/publishe
Early postoperative complications in primary cleft lip and palate surgery
We studied the occurrence of early complications of cleft lip and palate surgery by the retrospective study of 132 consecutive cases (160 procedures) operated between three and six months of age. Three children presented with major complications within the immediate postoperative period. All were treated successfully. A local complication directly related to the operation occurred in 7.5% of the cases within the first six postoperative days. In 17%, a general complication not directly related to the operation was observed. The majority of these general complications were cross infections during the hospital stay. These observations led us to reduce the hospital stay to one day for cleft lip and five days for cleft palate and cleft lip and palate operations without compromise to safety but with a reduction of the morbidity and hence the treatment costs and of the child-family disturbance.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
Treatment of advanced angiosarcomas of the limbs by isolation perfusion
As angiosarcomas are usually present as multicentric lesions, with high vascularization, surgical treatment is difficult without mutilation. Isolation perfusion has been tried as a new treatment. Between 1986 and 1988, five isolation perfusion trials with chemotherapy and mild hyperthermia were performed in our Institute for four cases of angiosarcoma. There were three cases of upper limb angiosarcoma, two after mastectomy and radiotherapy and one on congenital lymphangioma. The last case was a malignant haemangioendothelioma of the lower limb. Two of the patients received melphalan alone (20 渭g/ml for the upper limb and 40 渭g/ml for the lower limb). The two others received a combination of actinomycin D (0.65 mg/m2) and melphalan. All patients experienced complete response in the perfused limb after 6 weeks. Three patients developed a grade III regional toxicity and the last one a grade IV. One patient died 2.5 months after treatment from pulmonary emboly. The three others have had a disease-free interval of 19, 13, 13 months respectively. The last patient, with angiosarcoma on lymphangioma, was reperfused and had a complete remission for 10 months, than an amputation was performed for a new recurrence. A second patient died of dissiminated disease after 13 months. The two remaining patients are still alive 19 and 33 months after isolation perfusion. It is concluded that isolation perfusion represents an effective limb salvage treatment for angiosarcomas of the limbs.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
Use of tissue expansion in head and neck. Review of 33 cases.
Thirty-three patients have had skin expansion for reconstruction in the head and neck area. Expansion was used alone in 21 patients, and combined with other techniques in 12 patients. Indications, operative technique, complications and failures of the method are discussed.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
Traitement des pertes de substance de la face post茅rieure du coude.
Coverage of soft tissue defects of the posterior region of the elbow can be a difficult problem. The different techniques described are reviewed, focusing on the lateral arm flap of Maruyama. Ten cadaver studies were performed to confirm the reliability of this flap, a first choice for the authors. It was used successfully in 5 clinical cases.SCOPUS: ar.jinfo:eu-repo/semantics/publishe