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Reconstructionlabiale dans les séquelles du noma

Published in Annales de chirurgie plastique et esthétique. 2002, vol. 47, no. 5, p. 520-35
Abstract Noma is a grangenous stomatitis which might extend to other facial structures leading to extensive soft tissue and bony defects. Reconstruction of noma sequellae should take into account a few principles in relation to the particular aspect of this disease: (1) correction of the mandibular constriction; (2) removal of scar tissue in order to recreate the initial defect; (3) reconstruction of the missing bony framework; (4) reconstruction of the maxilla and upper lip before building the nose in case it is destroyed; (5) anticipation of the facial growth. Reconstruction of the lips, in case of extensive defects often necessitates a distant skin flap. As free flaps, the forearm fascio-cutaneous flap or the serratus musculo-cutaneous flap were used according to the size of the defect. The mucosal part of the lip is usually reconstructed with a local flap from the adjacent lip or an heterolabial flap (Estlander flap).
Keywords Face/pathologyHumansLip/pathology/surgeryNoma/complications/surgeryReconstructive Surgical Procedures/methodsSurgical Flaps
PMID: 12449875
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Research group Groupe Pittet Cuenod Brigitte (chirurgie plastique et reconstructive) (96)
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MONTANDON, Denys, PITTET CUENOD, Brigitte Maud. Reconstructionlabiale dans les séquelles du noma. In: Annales de chirurgie plastique et esthétique, 2002, vol. 47, n° 5, p. 520-35. doi: 10.1016/S0294-1260(02)00144-9 https://archive-ouverte.unige.ch/unige:46462

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Deposited on : 2015-02-05

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