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ABSTRACT: INTRODUCTION: Giant congenital pigmented nevi are benign melanocytic tumors. The lesion transformation to a malignant melanoma is a rare but severe condition. Treatment is complex and often difficult. The purpose of this study was to analyze the results and discuss the contribution of expansion technique in the treatment of giant nevi of the cephalic extremity. MATERIAL AND METHODS: Six giant nevi (five children and one adult) were treated by skin expansion between 1993 and 2010. RESULTS: The nevus had a fronto-temporal region and vertex location (one case), and hemifacial in five cases. Subtotal resection of the nevus was performed in every case. The defect was filled by a double rotation flap of expanded scalp (one case), and an expanded total skin graft (five cases). Two complications were observed: a depression of the frontal bone in a 6-year-old child who had received a total prosthesis volume of 2000mL; and migration of the valve under a prosthesis, which required repositioning. These complications did not alter the final results. DISCUSSION: The risk of evolution to a malignant melanoma is considerably decreased after exeresis of congenital nevi. Tissue expansion is a true skin bank. It allows treating giant congenital nevi of the scalp and face, with good esthetic results and less morbidity.
Revue de stomatologie et de chirurgie maxillo-faciale 09/2012; · 0.35 Impact Factor
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ABSTRACT: The keloid scar is a fibrous skin tumor, intradermal, and exuberant. It is commonly found on the glabrous skin. The keloid of the palms and soles are rare. Small series are reported in English literature. The authors report a case of large keloids located on both palms and soles, within a context of keloid disease, in a man of 37 years. On the left hand, the keloid scar caused a partial syndactyly IV-V. Large keloid tumors occupied the inner edge and, weight-bearing areas of both feet. These tumors rendered wearing of shoes impossible and interfered with walking. The treatment consisted of total excision of palmar and plantar keloid tumors. The residual defects were covered by a total skin graft taken from the suprapubic region. The results were satisfactory aesthetically, functionally and psychosocially.
Chirurgie de la Main 08/2012; 31(4):210-3. · 0.53 Impact Factor
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ABSTRACT: The keloid scar is a thick skin or the cornea of man, due to excessive accumulation of type I collagen in the dermis. Morbidity of the keloid is high, given the frequent recurrences and unpredictable. African blacks and Asians are most affected. The purpose of this study was to analyze the results of treatment of 149 cases of keloids and discuss the reality of keloids in the dark. PATIENTS AND METHODS: From 1990 to 2011, 98 patients were supported for 149 keloid tumors. RESULTS: Seventy-eight adults (79.6%) and 20 children (20.4%) were received. Sixty-four women (65.3%) and 34 men (34.7%) were supported, including 94 blacks (96%) and four redheads (4%). The average age was 25 years with extremes of 2 years and 54 years. The trauma was the dominant etiology in 63.1% of cases. The infection, burns and surgery were implicated in 16.8%, respectively, 15% and 4.7% of cases. The cephalic end, was the seat of choice for keloids, with 84 cases or 56.4%. The ear has been the preferred unit in 38 cases, or 25.5%. The body, legs and genital area were the site of keloids, respectively, in 22.8%, 17.5%) and 3.3% of cases. Keloidal field was found in 24.5% of our cases. The reasons for consultation were the disgrace aesthetics (56.4%), pain (65%), households suppurative intrakeloidal (44.9%), functional impairment (40.8%), and the psychological impact minor (15.3%) and no major suicide attempt (66.3%). Two surgical techniques were used: total excision (TE), with total skin graft immediate or deferred, or not expanded, and intrakeloid excision (IKE) with suture surgery was associated with intra-lesional steroids. Many complications have favored the occurrence of early or late recurrence in 100% of our cases. CONCLUSION: The keloid is not a homogenous biological entity. Its prevalence is higher among black and yellow, and lowest among whites. The research results are still being evaluated. The best prevention is to avoid the scar itself.
Annales de chirurgie plastique et esthetique 04/2012; · 0.33 Impact Factor
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ABSTRACT: Two cases of juvenile gigantomastia treated by reduction mammaplasty with nipple-areola complex graft. Juvenile gigantomastia or virginal hypertrophy is a volume anomaly of breast of the teenager. It is unsightly. But often, it is pain, impaired spinal posture and the shoulder girdle and the psychological effects that bring the teenager to make an application for aesthetic surgery. We report two cases of juvenile and bilateral gigantomastia in adolescents aged 13 years old and unresolved. They have lost their hope before surgical procedure. In both cases, treatment consisted of a reduction mammaplasty with nipple-areola complex graft according to the technique of Thorek. The total resection was 3500 and 2900 g of breast tissue in one and 4000 g per breast in the other. Satisfaction regarding the shape, size and symmetry of the reconstructed breast was good. Although the effects on breastfeeding remain patent, the psychological impact was favorable in all cases.
Journal de Gynécologie Obstétrique et Biologie de la Reproduction 01/2011; 40(4):363-6. · 0.42 Impact Factor
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ABSTRACT: Following a snake bite to the penis, a 69 years old man presented a large defect of hemicircumferential ventral penis, destroying the penile urethra along its entire length exposing the erectile bodies. The authors proposed a two-stage reconstruction of the urethra with an inguinal axial pedicle flap of Mac Gregor. This well-vascularized flap thick after degreasing helped repair the penile urethra along its entire length and make up losses of substance with a good functional and aesthetic result.
Annales de chirurgie plastique et esthetique 11/2010; 56(1):65-9. · 0.33 Impact Factor
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ABSTRACT: Two cases of penoscrotal elephantiasis treated following Ouzilleau's technique. The authors present two cases of penoscrotal elephantiasis operated following Ouzilleau's technique. This pathology is characterized by his painless, that the reason of a long time evolution and hence in consultation. Filariosis is the common etiology in tropical area. In our cases, the aetiology is unknown. Scrotal and penis elephantiasis is responsible of aesthetic and functional embarrassment. Resection of a considerable cutaneous mass associated with a reconstruction of the scrotal purse and the cutaneous sleeve of the penis using local flaps remain the suitable means to give a comfort of life.
Annales de chirurgie plastique et esthetique 11/2009; 56(3):265-8. · 0.33 Impact Factor
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ABSTRACT: Rhinophyma is an irregular and progressive nasal hypertrophy, due to hyperplasia and fibrosis of the sebaceous glands and surrounding soft tissues. Its etiology is unknown. Its psychosocial, functional, and esthetic consequences may be severe. It is rare in the black African population. We present a case of glandular rhinophyma in a 70-year-old black male patient. OBSERVATION: A 70-year-old male patient consulted for nasal tumors. These lesions had appeared 11 years before, after rosacea acnea. The patient had no specific history, no alcohol addiction nor any particular treatment. The nose was voluminous. The tumors were located on the left nostril ala, the tip of the nose, and the tip and right nostril ala junction. The size of the pediculated lesions was variable. They covered most of the nostril opening and upper lip. Pressure forced out whitish, pasty, and fetid sebum. The lesions were an obstacle to nasal ventilation and feeding. This glandular rhinophyma was responsible for a severe social and affective handicap. It was treated by exeresis and simple closure, under local anesthesia. Operative follow-up was uneventful. No sign of relapse was noted at 20 months. The psychosocial, functional, and esthetic results were satisfactory. DISCUSSION: The rhinophyma is a rare presentation in the black African or Afro-American population. Three cases have been reported so far.
Revue de stomatologie et de chirurgie maxillo-faciale 06/2009; 110(6):347-9. · 0.35 Impact Factor
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ABSTRACT: The authors report a case of fibrolipoma of the median nerve in a 6-year old boy presenting as macrodactyly with clinodactyly. The causal relationship between the nerve lesion and the deformities is discussed. The difficulties of diagnosis of the condition are presented as are the difficulties of management where a balance has to be struck between conservative treatment and amputation.
Chirurgie de la Main 10/2008; 27(6):269-71. · 0.53 Impact Factor
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ABSTRACT: Having reported the first case of Dupuytren's disease in West Africa in 1990, the authors report two further cases, which brings the number of Dupuytren's disease reported in West Africa to three. The authors demonstrate by a literature review, that numerous cases had in fact been described in black people since 1974. The factors which are incriminated are always alcoholism, microtrauma and other factors like diabetes. Dupuytren's disease appears to be a condition, which is actually not so rare in black people after all.
Chirurgie de la Main 03/2008; 27(1):40-2. · 0.53 Impact Factor
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ABSTRACT: A retrospective study of 16 cases of ileo sigmoid knot, treated at Treichville Hospital in Abidjan Côte-d'Ivoire, is reported by the authors between 1970 and 1989. This pathology is not so seldom and concerned 14 men and 2 women from 14 years old to 61 years old with an average of 42 years. The more precise description of the physiopathology of this occlusion allows to classify this pathology as an independent entity from the other types of volvulus. The physiopathologic knowledge described allow a more precise diagnostic approach and a better codified therapeutic attitude.
Chirurgie 02/1992; 118(6-7):382-8.
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ABSTRACT: The authors report on a case of Darier-Ferrand's dermatofibroma on forehead. It was a very uncommon localization. They stress on the specific treatment applied: forehead cranioectomy and scalp plasty, made compulsory after several exercises and their reappearances.
Médecine tropicale: revue du Corps de santé colonial 52(4):385-8.
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ABSTRACT: The secondary eventrations after delivery are the prime cause of women's eventrations. These eventrations are enormous in Africa because the post-partum women do not make active movements to develop again the abdominal strap. In Europa or North America the treatment would make use of prosthetic materials but in Africa the climatic and working conditions do not take the utilization of such method. The authors purpose a cure allied aponevroplasty according to JUDD technique with abdominoplasty. The result is satisfactory and durable.
Médecine tropicale: revue du Corps de santé colonial 52(4):443-6.
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ABSTRACT: On a series of 38 keloid surgery patients the authors noted a strong female predominance and the frequency of ear lobule keloid. After some rather unsuccessful excision-suture of the keloid they recommend the intra- keloid excision to be followed by a late corticoid infiltration but deferred until the 15th day. The results obtained were encouraging but some researches have to be made with regard to the etiology of this affection which might probably resolve the therapeutic problem.
Médecine tropicale: revue du Corps de santé colonial 50(3):279-85.
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ABSTRACT: The skin expansion by inflatable prosthesis is a recent method to resolve insufficient tissue a short series of 7 cases. But the authors think that despite these inconveniences this technique needs to be largely diffused and used judiciously.
Médecine tropicale: revue du Corps de santé colonial 50(3):293-5.
