[Reconstruction of the penile skin in Fourier's gangrene: the use of a helical skin graft]. / La reconstruction du fourreau de la verge dans la maladie de Fournier: utilisation d'une greffe cutanée en hélice.

The emergency treatment of Fournier's and perineal gangrene is now well defined and is based on excision of the necrotic tissues and broad spectrum antibiotics combined with hyperbarid oxygen therapy and symptomatic resuscitation measures. However, several procedures have been described for the reconstruction of the excised zones. In the light of one case of Fournier's gangrene, the authors evaluate reconstruction of the penile skin by means of a helical split-skin graft. With a follow-up of one year, the morphological and functional result was excellent. The patient has normal erection and the suture line does not contain any retractile adhesions. The authors therefore consider that this simple, but little known procedure should be part of the urologist's therapeutic arsenal for reconstruction of the penile skin.

[Mountain sports: their role in 2200 facial injuries occurring over 4 years at the University Hospital Center in Grenoble]. / Les sports de montagne: leur place parmi les 2 200 traumatismes faciaux des quatre dernières années au C.H.U. de Grenoble.

Injuries caused by mountain sports account for many of the injuries admitted to the University Hospital of Grenoble. Out of 4,490 traumas, 470 were injuries sustained during the practice of mountain sports. While the frequency of these accidents does not evolve much, the etiological distribution depends on fashion. Thus an increasing number of lesions caused by cross-country biking has been noted during the past two years. We find it urgent to propose protective measures adapted to this new sport.

Drainage of the scalp by the superficial temporal vein: surgical implications.

The arrangement of the veins of the scalp is not well-known. The drainage of the scalp by the superficial temporal v. was studied in 68 specimens dissected from unembalmed cadavers. After prolonged contraflow irrigation, the whole of the venous network drained by the trunk of the superficial temporal v. was injected from either side with latex. Depending on the method chosen to demonstrate the venous network, whether by direct observation or corrosion, the latex was stained with Evans' blue or with Latexol. The superficial temporal a. was also prepared by injection-corrosion in 16 cases. The diameter of the trunk of the superficial temporal v. in its preauricular portion was estimated as between 1.1 and 1.6 mm. Nine different types, classified by frequency, were recognised in the arrangement of the affluents of the superficial temporal v. In every case there was a main parietotemporal collector continued as the trunk of the superficial temporal v. The affluents joining the main collector varied in number (from 8 to 1) and in arrangement. Their anastomoses with the veins adjacent to the superficial temporal v. were numerous. The density of the secondary branches varied greatly with individuals. They were sometimes totally absent, particularly in the fronto-temporal region. Usually, the main collector was of sufficient caliber for microsurgical use and its course followed that of the parietal branch of the superficial temporal a., but in 4% of cases the main collector was too narrow to be so used and in 8% of cases its course did not follow that of the parietal branch of the superficial temporal a.(ABSTRACT TRUNCATED AT 250 WORDS)

[Superficial temporal venous drainage and its risks. Surgical implications]. / Le drainage veineux temporal superficiel et ses aléas. Incidences chirurgicales.

Certain failures in scalp surgery due to defective venous drainage have led the authors to reconsider the classical anatomical data concerning the temporofrontal venous network. The study conducted in the anatomy laboratory concerned 110 superficial temporal territories injected with various coloured polymerizable substances in order to visualize this network in the skin. This study enabled the authors to describe nine types of venous drainage, the surgical implications of which are discussed.