RESUMO
Next to an anatomical come back authors describe different surgical technics they used for the rebuilding of the ear concha, after exeresis of basal cells epitheliomas: Post auricular island flap. Pretragian flaps superior pedicle. Post auricular flaps with a superior pedicle in two or one time. Clinical cases show what they said. To conclude, authors insist on the advantages of surgery: It allows, in the "conchal area" a protection of contiguous cartilage, in addition to a total check-up of the tumor. Surgical treatment can also be used to correct failures or resumption after radiotherapy.
Assuntos
Carcinoma Basocelular/cirurgia , Neoplasias da Orelha/cirurgia , Orelha Externa/cirurgia , Idoso , Idoso de 80 Anos ou mais , Carcinoma Basocelular/patologia , Neoplasias da Orelha/patologia , Orelha Externa/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Transplante de Pele , Retalhos CirúrgicosRESUMO
The "Kite" flap is a triangular protruding flap attached underneath the skin. The authors present the results of the utilisation of this type of flap in reconstruction after removal of baso-cellular cancer of the face. After a brief historical and technical recall, they contemplate a study of 45 patients operated on by this method. The preferential localisations of this type of flap are analyzed (sub-orbital region, naso-genien region, labiogenien region). Other techniques of repair are discussed region by region. However, the authors emphasize the facility of execution of the "Kite" flap and its excellent aesthetic results, its principal use being in the reconstruction of the sub-orbital region.
Assuntos
Carcinoma Basocelular/cirurgia , Neoplasias Faciais/cirurgia , Retalhos Cirúrgicos , Adulto , Idoso , Feminino , Humanos , Lábio/cirurgia , Masculino , Métodos , Pessoa de Meia-Idade , Nariz/cirurgia , Órbita/cirurgiaRESUMO
Two cases of bowenoid papulosis (BP) occurred. The presence of human papillomavirus was demonstrated in one patient. In the other patient, condyloma acuminatum developed after initial spontaneous improvement in his lesions. The discovery of a possible oncogenic virus in BP and the epidemiologic behavior of carcinoma in situ and multicentric carcinomas suggest the need for a very careful follow-up evaluation of such lesions. Bowenoid papulosis may be a chronic dysplasia with a variable long-term prognosis linked to a cocarcinogenic factor.