N. Robert

Paris Diderot University, Lutetia Parisorum, Île-de-France, France

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Publications (4)3.24 Total impact

  • I. Alghamdi, N. Robert, M. Revol
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    ABSTRACT: Les carcinomes épidermoïdes des extrémités digitales sont une pathologie rare. À cause de l’absence ou du retard au diagnostique, le doigt atteint peut subir une amputation. L’objectif de notre étude est d’évaluer les résultats des excisions chirurgicales des carcinomes épidermoïdes des extrémités digitales. Entre 2005 et 2011, 18 doigts chez 8 patients ont été opérés avec une moyenne d’âge de 62,5 ans. L’excision chirurgicale a été réalisée avec une marge de 5 mm et la perte de substance couverte par une greffe de peau totale. Trois doigts ont été repris au bloc opératoire pour marges non saines avec des marges plus importantes et 2 doigts ont dû être amputés de la phalange distale. Le résultat fonctionnel était bon ou excellents pour les traitements conservateurs, et bon ou mauvais pour les doigts amputés. Les résultats esthétiques étaient jugés bon ou très bon, à l’exception d’un cas jugé mauvais.
    Annales de Chirurgie Plastique Esthétique 10/2014; DOI:10.1016/j.anplas.2014.09.002 · 0.59 Impact Factor
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    ABSTRACT: Since more than 50 years, many surgeons all around the world try to find the perfect surgical technique to treat limb lymphedemas. Decongestive physiotherapy associated with the use of a compressive garment has been the primary choice for lymphedema treatment. Many different surgical techniques have been developed, however, to date, there is no consensus on surgical procedure. Most surgical experts of lymphedema met in the second European Conference on supermicrosurgery, organized on March 1st and 2nd 2012, in San Pau Hospital, Barcelona. Together they tried to clarify these different options and ideally a strategy for using these techniques.
    Annales de Chirurgie Plastique Esthétique 12/2012; 57(6):594–599. DOI:10.1016/j.anplas.2012.08.003 · 0.59 Impact Factor
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    ABSTRACT: Since more than 50years, many surgeons all around the world try to find the perfect surgical technique to treat limb lymphedemas. Decongestive physiotherapy associated with the use of a compressive garment has been the primary choice for lymphedema treatment. Many different surgical techniques have been developed, however, to date, there is no consensus on surgical procedure. Most surgical experts of lymphedema met in the second European Conference on supermicrosurgery, organized on March 1st and 2nd 2012, in San Pau Hospital, Barcelona. Together they tried to clarify these different options and ideally a strategy for using these techniques.
    Annales de chirurgie plastique et esthetique 10/2012; · 0.59 Impact Factor
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    ABSTRACT: The scalp is a useful and reliable donor site for the paediatric burn population that can be harvested several times with minimal morbidity. However, the scalp cannot be used as skin graft donor site with impunity. Scalp alopecia and chronic folliculitis can be observed among the complications. In these cases, the reconstruction phase offers different surgical procedures such as primary closure, staged excision or tissue expansion. We report the case of a patient (29-years-old), treated 20 years ago for second-degree burns covering up to 20% total body surface area (TBSA) by using thin split-thickness skin grafts of his scalp. As a teenager, he developed multiple episodes of folliculitis at the donor site of the scalp and then of recurrent abscesses, resistant to all existing medical treatments. Surgical treatment consisted in the skin excision of his scalp donor site which was immediately covered by a thin split-thickness skin graft. Four months after surgery, the patient was satisfied with the functional and aesthetic result.
    Journal of Plastic Reconstructive & Aesthetic Surgery 02/2011; 64(5):e118-20. DOI:10.1016/j.bjps.2010.08.031 · 1.47 Impact Factor