["Total SMAS lift" or deep facial lift by temporal approach. Initial report]. / "Total SMAS lift" ou le lifting facial profond par voie temporale. Rapport préliminaire.

The authors present a new technique of face lift via a temporal approach which allows them to perform a "Total SMAS Lift" of the supra- and infra-zygomatic region. They use the passage on the deep side of the superficial layer of the temporal fascia, which avoids damage to the frontal branch of the facial nerve. Undermining of the periorbital area is performed under the muscle, but above the periosteum of the malar bone. This technique is situated between the subcutaneous face lift and the superiostal mask-lift. This technique can also be combined with a frontal or cervico-facial lift. This "Total SMAS Lift" is essentially indicated in patients with early ptosis of the cheek, the peri-orbital area ant the naso-labial folds and the aesthetic results are gratifying.

[Current evaluation of a self-snapping screw system in traumatologic and orthodontic surgery]. / Bilan actuel du vissage auto-cassant en chirurgie traumatologique et orthognathique.

Since the first description in 1970, by F. X. Michelet, of the use of the mini plate system in maxillo-facial surgery, if the fundamental principles remain the same, the equipment has been constantly improved. The plates have been modified in structure and shape, the screws becoming self-tapping and self-drilling and finally self-breaking. The head of the screw has diminished to the point of not going over the level of the plate. The ancillary material is now more performing and easier to use. The authors have presented 3 years ago a new self breaking screw of which they now explain the technical and biomechanical bases, the necessities and the indications insisting on the numerous advantages of this system.

[The value of a previously expanded musculo-cutaneous flap of the lower eyelid for the reconstruction of a full thickness loss of tissue substance of the upper eyelid]. / Intérêt d'un lambeau musculo-cutané de paupière inférieure préalablement expansé pour la reconstruction d'une perte de substance de pleine épaisseur de la paupière supérieure.

The authors report a new technique for the reconstruction of upper eyelid full thickness tissue losses in preserving the inferior edge. They describe a myo-cutaneous inferior eyelid flap which has been preliminarily expanded before transposition. An anatomical study has demonstrated vascularization and innervation of the myo-cutaneous eyelid flap which will remain active. A clinical case presentation confirms a good aesthetic but also functional result with a transferred active orbicularis muscle which allows the regain of a dynamic upper eyelid.

[Barraquer-Simons syndrome and facial lipo-filling. Apropos of a case]. / Syndrome de Barraquer-Simons et lipofilling facial. A propos d'un cas.

Authors present a Barraquer-Simons syndrome case. After a quick historical account, they look at the study of the clinical case. They present the different treatments undertaken in order to correct the two different types of anomaly of this syndrome: these are complementary treatments because they consist in taking the fat in excess in the lower half of the body and reinject it in the face. The different etiopathogenic hypothesis are tackled. To conclude, authors insist on the excellent result obtained after a lipo-aspiration: but they notice a near disappearance of the reinjected fat at the face after 4 years. Anyway, lipo-filling can be renewed without risks for the patient and can be an interesting palliative solution.

[Nerves of the external brachial flap. An anatomical study]. / Nerfs du lambeau brachial externe. Etude anatomique.

The lateral arm flap is located on the lower lateral portion of the arm. The blood supply is via the profunda brachii artery. The flap is based on the lateral intermuscular septum of the arm, the septum being always taken with the flap; the flap can be composite and include the anterior skin of the arm or a segment of humerus, or the nerve of passage, which can be used as a vascularized nerve graft. The lateral arm flap has an important relation with three nerves: the radial nerve, which should always be preserved, the posterior cutaneous nerve of the arm, which can give a sensory innervation for the flap, and the posterior cutaneous nerve of the forearm, which can be used as a vascularized nerve graft. The authors recount the anatomic variations of the artery of the flap and describe the variations of the posterior cutaneous nerve of the arm and the forearm. The knowledge of the relation between these nerves is very important, when one wants to use one of the nerves for sensory innervation of the flap and the other as a vascularized nerve graft. The practical application of this principle is illustrated by the example of one clinical case.