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Les e-mémoires de l'Académie Nationale de Chirurgie

La Reconstruction du Nez- Lambeaux-Transplants

Michel GERMAIN

Séance du mercredi 31 mai 2023 (Communications libres)

N° de DOI : 10.26299/qa9r-6928/emem.2023.1.01

Résumé

Reconstruction of the nose is difficult, but very important: esthetic, functional.

Vascularization of the nose depends of two axis. There are five periods for reconstruction of the nose: India, Italy, Great Britain, Germany, France.
Cancer of the nose are reconstructed with local flaps (500 cases).
Destruction of the nose necessitate prefabricated vascularized transplant (12cases).

Results: some reoperations were needed. Surveillance is more than 5 years.

Conclusions:
Local flaps give excellent results (morphology, color). Prefabricated transplants are needed if traumatic lesions, tumoral, malformative lesions.