45 results on '"Moris V"'
Search Results
2. The infragluteal fold: An appraisal by MRI combined with an anatomic study
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Stivala, A., di Summa, P. G., Bernard, C., Moris, V., See, L. A., Loffroy, R., Zwetyenga, N., Cheynel, N., and Guillier, D.
- Published
- 2021
- Full Text
- View/download PDF
3. Fluorescent indocyanine green angiography: Preliminary results in microsurgery monitoring
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Moris, V., Cristofari, S., Stivala, A., Lehre, B., Gengler, C., Rabuel, V., Srouji, A., Zwetyenga, N., and Guilier, D.
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- 2019
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- View/download PDF
4. Intraoperative superficial inferior epigastric vein preservation for venous compromise prevention in breast reconstruction by deep inferior epigastric perforator flap
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Al Hindi, A., Ozil, C., Rem, K., Rausky, J., Moris, V., Guillier, D., Binder, J.P., Revol, M., and Cristofari, S.
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- 2019
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- View/download PDF
5. Évaluation du risque de saignement postopératoire en chirurgie de la main sans interruption des anticoagulants de type AntiVitamines K (AVK), étude rétrospective
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Gerenton, B., Moris, V., Shipkov, H., Regnard, P.J., and Guillier, D.
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- 2019
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6. Are prostaglandins or calcium channel blockers efficient for free flap salvage? A review of the literature
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Huby, M., Rem, K., Moris, V., Guillier, D., Revol, M., and Cristofari, S.
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- 2018
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7. Improving free-flap survival using intra-operative heparin: Ritualistic practice or evidence-base medicine? A systematic review
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Couteau, C., Rem, K., Guillier, D., Moris, V., Revol, M., and Cristofari, S.
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- 2018
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8. Surgical approaches in neck dissection: Comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André’s approach
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Guillier, D., Moris, V., Al Hindi, A.A., Rem, K., Chatel, H., See, L.-A., Revol, M., and Mazouz Dorval, S.
- Published
- 2018
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- View/download PDF
9. Augmentation de la projection du mamelon dans les reconstructions mammaires par injection de derme artificiel
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Serre, A., Guillier, D., Moris, V., Rem, K., Revol, M., François, C., and Cristofari, S.
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- 2017
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10. Classification proposed of malignant intraosseous odontogenic tumors (MIOT)
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Zwetyenga, N., Broly, E., Guillier, D., Hallier, A., Levasseur, J., and Moris, V.
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- 2017
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11. Complications postopératoires des nymphoplasties de réduction. Étude comparative rétrospective entre résections longitudinale et cunéiforme
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Ouar, N., Guillier, D., Moris, V., Revol, M., Francois, C., and Cristofari, S.
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- 2017
- Full Text
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12. Functional and radiographic evaluation of the treatment of traumatic bone loss of the hand using the Masquelet technique
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Moris, V., Loisel, F., Cheval, D., See, L.A., Tchurukdichian, A., Pluvy, I., Gindraux, F., Pauchot, J., Zwetyenga, N., and Obert, L.
- Published
- 2016
- Full Text
- View/download PDF
13. Necrotizing fasciitis caused by genogroup × Neisseria meningitidis
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Moris, V., Chapuis, A., Guillier, D., Jeudy, G., Huther, M., Auffret, N., Piroth, L., and Blot, M.
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- 2017
- Full Text
- View/download PDF
14. Peri-oral symptoms of immunodepression caused by COVID-19 infection
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Moris, V., primary, Bompy, L., additional, Zwetyenga, N., additional, and Neuwirth, C., additional
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- 2021
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15. Traumatic atlanto-axial rotatory subluxation after surgical correction of prominent ears: Case report and review of the literature
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Macheboeuf, Y., primary, Moris, V., additional, Cristofari, S., additional, Rizzi, P., additional, See, L.-A, additional, Beaurain, J., additional, Zwetyenga, N., additional, and Guillier, D., additional
- Published
- 2019
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16. Clinical outcomes with of the Contix Faecal Incontinence Management System: preliminary results
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Moris Venturero, Reuma Yehuda-Margalit, Carla Maradey-Romero, Yael Corcos, Dan Carter, and Marc Beer-Gabel
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fecal incontinence ,anal plug ,faecal incontinence management system ,forconti contix ,accdental bowel leakage ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Fecal incontinence (FI) has a significant long-term impact on patient quality of life for which there is a range of medical and surgical management alternatives. We report the preliminary outcome using the ForConti Contix Faecal Incontinence Management System (FIMS) in FI patients who had failed conservative therapy and who were recruited at 2 tertiary institutions between September 2018 and September 2020. Comparative assessments were made before and after 2 week periods of treatment using bowel diaries and subjective Wexner and Faecal Incontinence Quality of Life scores. Of 17 patients enrolled, 11 completed an 8-week assessment with a significant fall in the average percentage of FI days reported from 84% before treatment to 16.8% at the first posttreatment assessment and down to 13.2% by the second assessment period. This finding correlated with a similar reduction in the total weekly number of episodes of frank FI, minor soiling, and fecal urgency reported by patients along with concomitant improvements in the Wexner scores. For those using the device, there was less concern about accidental bowel leakage, high rates of satisfaction, and minimal problems with the device. Initial results are encouraging warranting further study.
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- 2023
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17. Reconstruction faciale complexe sur mesure : un cas de remplacement total de l’articulation temporo-mandibulaire, de l’arcade zygomatique et du zygoma
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Guillier , D, Moris , V., See , L-A, Girodon , M, Wajszczak , B-L, Zwetyenga , Narcisse, Service Chirurgie Maxillo-Faciale - Stomatologie - Chirurgie Plastique Réparatrice et Esthétique - Chirurgie de la main (CHU de Dijon), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand ( CHU Dijon ), Equipe NuTox (LNC - U1231) ( NUTOX ), Lipides - Nutrition - Cancer [Dijon - U1231] ( LNC ), and Université de Bourgogne ( UB ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Université de Bourgogne ( UB ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Institut National de la Santé et de la Recherche Médicale ( INSERM )
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Zygomatic ,Bone dysplasia ,Ankylose ,Dysplasie osseuse ,Agenesis ,Ankylosis ,Prothèse ,Agénésie ,Zygomatique ,Prosthesis ,[ SDV.MHEP.CHI ] Life Sciences [q-bio]/Human health and pathology/Surgery ,TMJ ,Articulation temporo-mandibulaire - Abstract
International audience; IntroductionTotal prosthetic replacement of the temporo-mandibular joint (TMJ) has become a common procedure, but it is usually limited to the TMJ itself. We report about one case of complex prosthetic joint reconstruction extending to the neighbouring bony structures.CaseA 57-year-old patient, operated several times for a cranio-facial fibrous dysplasia, presented with a recurring TMJ ankylosis and a complexe latero-facial bone loss on the right side. We performed a reconstruction procedure including the TMJ, the zygomatic arch and the malar bone by mean of custom made composite prosthesis (chrome–cobalt–molybdenum-titanium and polyethylene). Five years postoperatively, mouth opening, nutrition, pain and oral hygiene were significantly improved.DiscussionNowadays technical possibilities allow for complex facial alloplastic reconstructions with good medium term results.; IntroductionLe remplacement total prothétique de l’articulation temporo-mandibulaire (ATM) est devenu une intervention courante, mais ce remplacement prothétique se cantonne habituellement à l’ATM. Nous présentons le cas d’une reconstruction prothétique complexe sur mesure étendue l’articulation et les structures osseuses voisines.ObservationUn patient de 57 ans, multi-opéré pour une dysplasie fibreuse crânio-faciale droite, présentait une récidive d’ankylose de l’ATM droite et une perte de substance osseuse latéro-faciale droite complexe. Nous sommes intervenus pour procéder à une reconstruction incluant l’ATM, l’arcade zygomatique et le zygoma à l’aide d’une prothèse sur mesure composite (chrome–cobalt–molybdène-titane et polyéthylène). À 5 ans postopératoires, l’ouverture buccale, l’alimentation, la douleur et l’hygiène buccodentaire étaient significativement améliorées.DiscussionGrâce aux possibilités techniques actuelles, des reconstructions alloplastiques faciales complexes peuvent être envisagées avec de bons résultats à moyen terme.
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- 2017
18. Isolated unilateral temporalis muscle hypertrophy: First case in an 8-year-old boy and review
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Zwetyenga, N., primary, Hallier, A., additional, Girodon, M., additional, Levasseur, J., additional, Loison-Robert, L., additional, and Moris, V., additional
- Published
- 2018
- Full Text
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19. Prothèses totales des articulations temporomandibulaires
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Zwetyenga , N., Amroun , S, Wajszczak , B-L, Moris , V, Physiologie de la Nutrition et Toxicologie (NUTox) (U866, Lipides et nutrition, équipe 7) ( NUTox ), Lipides - Nutrition - Cancer (U866) ( LNC ), Université de Bourgogne ( UB ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Ecole Nationale Supérieure de Biologie Appliquée à la Nutrition et à l'Alimentation de Dijon ( ENSBANA ) -Université de Bourgogne ( UB ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Ecole Nationale Supérieure de Biologie Appliquée à la Nutrition et à l'Alimentation de Dijon ( ENSBANA ), Service Chirurgie Maxillo-Faciale - Stomatologie - Chirurgie Plastique Réparatrice et Esthétique - Chirurgie de la main (CHU de Dijon), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand ( CHU Dijon ), and Société Française de Stomatologie, Chirurgie Maxillo-Faciale et Chirurgie Orale
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[ SDV.MHEP ] Life Sciences [q-bio]/Human health and pathology ,Prothèse ,Prosthesis ,TMJ ,Articulation temporomandibulaire ,DICOM - Abstract
International audience; The temporomandibular joint (TMJ) is probably the most complex human joint. As in all joints, its prosthetic replacement may be indicated in selected cases. Significant advances have been made in the design of TMJ prostheses during the last three decades and the indications have been clarified. The aim of our work was to make an update on the current total TMJ total joint replacement. Indications, contraindications, prosthetic components, advantages, disadvantages, reasons for failure or reoperation, virtual planning and surgical protocol have been exposed.; L’articulation temporomandibulaire (ATM) est probablement l’articulation humaine la plus complexe. Comme pour toutes les articulations, son remplacement prothétique peut être indiqué dans certains cas. D’importantes avancées ont été faites dans la conception des prothèses d’ATM durant les trois dernières décennies et les indications ont été précisées. Le but de notre travail était de faire une mise au point sur les possibilités actuelles de remplacement total de l’ATM. Les indications, les contre-indications, les composants prothétiques, les avantages, les inconvénients, les causes d’échec ou de reprise, la planification virtuelle et le protocole chirurgical ont été précisés.
- Published
- 2016
20. Prothèses totales des articulations temporomandibulaires
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Zwetyenga, N., primary, Amroun, S., additional, Wajszczak, B.-L., additional, and Moris, V., additional
- Published
- 2016
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21. Transanal total mesorectal excision for rectal cancer: Surgical outcomes and short-term oncological outcomes in a single-institution consecutive series
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Irit Shimoni, Moris Venturero, Ron Shapiro, Gali Westrich, Gal Schtrechman, David Hazzan, Aviram Nissan, Douglas Zippel, and Lior Segev
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minimally invasive rectal surgery ,rectal cancer ,transanal total mesorectal excision ,Surgery ,RD1-811 ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Introduction: Rectal cancer surgery is continuously evolving. Transanal total mesorectal excision (TaTME) is a relatively new surgical approach with possible advantages in comparison to current standard surgical techniques. Several studies in recent years have validated this approach regarding safety and effectiveness. We describe our initial experience with TaTME evaluating surgical parameters, post-operative outcomes and short-term oncological outcomes. Methods: This is a retrospective study reviewing all patients who underwent TaTME in a single institution from May 2015 to April 2018. Results: The cohort included 25 patients with an average age of 60.4 (range: 40–86), of which 13 (52%) patients were male. The average body mass index was 26.1. The overall 30-day morbidity rate was 40%, with 20% (five cases) being severe complications, defined by Clavien–Dindo Grade of 3b or above. There were three major interoperative complications. Four cases (16%) required reoperation during the first 30 post-operative days. The median length of stay was 8 days. The surgery duration was on average 296 min (range: 205–510). Negative resection margins were achieved in all patients. At a median follow-up period of 14 months, there were no local recurrences, and 4 cases (16%) had a distant recurrence. Conclusion: This study describes our initial experience with TaTME, which requires a substantial learning curve to minimise complications and morbidity. Oncological outcomes as expressed by the resection margins, number of lymph nodes harvested and local recurrence rates were all comparable to previously published data.
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- 2021
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22. Vibrofluidized Bed Drying of Adipic Acid
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Silva-Moris, V. A., primary and Rocha, S. C. S., additional
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- 2006
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23. Necrotizing fasciitis caused by genogroup x Neisseria meningitidis.
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Moris, V., Chapuis, A., Guillier, D., Jeudy, G., Huther, M., Auffret, N., Piroth, L., and Blot, M.
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NEISSERIA meningitidis , *SYMPTOMS , *DIAGNOSIS of diseases in women , *TREATMENT of diseases in women - Published
- 2017
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24. Actors of recycling chain: Influence and impacts on the material sorting activity in a cooperative of sorocaba-sp,Atores da cadeia de reciclagem: Influência e impactos na atividade de triagem de materiais em uma cooperativa de sorocaba-sp
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Santos, F. F., Andréa Regina Martins Fontes, Moris, V. A. D. S., and Souza, R. L. R.
25. Biomechanical and biological advantages of retaining the silicone-induced capsule for cartilage graft survival in revision rhinoplasty.
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Moris V, Zwetyenga N, and Habre SB
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- Humans, Middle Aged, Cartilage transplantation, Graft Survival physiology, Male, Prostheses and Implants adverse effects, Biomechanical Phenomena physiology, Female, Rhinoplasty methods, Rhinoplasty adverse effects, Reoperation, Silicones chemistry, Silicones adverse effects
- Abstract
To answer the increased demand for augmentation rhinoplasty, particularly in Asian demographics, a shift from autogenous materials to synthetic implants like silicone and expanded polytetrafluoroethylene has been witnessed. These materials present an increased risk of complications like infection, extrusion, capsular contracture, and dissatisfaction. This study focuses on a case of revision rhinoplasty in a 48-year-old patient with a previous silicone implant and propose an innovative approach in managing the implant capsule. The use of the existing capsule as a mechanical and biological support structure for the diced cartilage graft in dorsal reconstruction showcases a promising method to mitigate risks and improve outcomes in revision surgeries. The capsule around the silicone is biologically active and provides a good environment for the cartilage graft to survive and improve the healing process. This approach tends to minimize the dissection to avoid potential revision complications like skin necrosis, fibrotic tissue, and infections., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Masson SAS.. All rights reserved.)
- Published
- 2024
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26. Long-term enophthalmos after complex orbital bone loss successfully treated with patient-specific porous titanium implants: A case series.
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Moris V, Cousin A, Chauvel-Picard J, Lange E, Bourlet J, Zwetyenga N, and Gleizal A
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Introduction: Long-term enophthalmos and diplopia resulting from orbital bone loss pose significant challenges in reconstructive surgery. This study evaluated the effectiveness of patient-specific porous titanium implants (PSIs) for addressing these conditions., Materials and Methods: This retrospective study involved 12 patients treated at Croix-Rousse Hospital, Lyon, from April 2015 to April 2022 who underwent late reconstruction via PSI for unilateral complex orbital bone loss. These implants were customized via 3D mirroring techniques on the basis of high-resolution computed tomography (CT) scans of the patients' unaffected orbits., Results: All 12 patients presented with significant preoperative enophthalmos, with an average displacement of 3.24 mm, which was effectively corrected postoperatively to an average of 0.17 mm (p < 0.001). Orbital volume notably improved from a preoperative average of 3.38 mL to 0.37 mL postsurgery (p < 0.001). Functional improvements were evident as both enophthalmos and diplopia resolved completely. The Lancaster test revealed an improvement in the visual field, with 83.3 % of patients achieving normal results postoperatively., Discussion: By ensuring anatomical accuracy, patient-specific porous titanium implants, tailored from patient-specific imaging and fabricated via advanced 3D printing technology, provide a precise, effective, and reliable solution for reconstructing complex orbital defects and performing complicated revision surgeries., Competing Interests: Declaration of competing interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier Masson SAS.)
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- 2024
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27. Randomized comparative study of negative pressure wound therapy versus compression dressing on split-thickness skin grafts of the lower limbs in an elderly population.
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Moris V, Cristofari S, See LA, Guillier D, Zwetyenga N, and Pluvy I
- Abstract
Introduction: Failure to adequately secure the skin graft to the lower limbs recipient bed can result in loss of the graft. Our objective was to compare the healing of split-thickness skin grafts three weeks postoperatively, using either negative pressure wound therapy (NPWT) or conventional compression bandaging., Methods: In this multicenter randomized controlled study, patients with tissue loss ranging from 50 cm
2 to 600 cm2 on the lower limbs and treated with split-thickness skin grafts were included in three French hospitals. A digital photographic evaluation was performed at 3 weeks., Results: During 9 years, 70 patients were included in the study and allocated to a treatment group. The grafted area was similar in both groups. Loss of graft was significantly reduced in the NPWT group with 14.6 cm2 compared to 29 cm2 in the control group ( p = 0.0003). The hospital stay was also significantly reduced in the NPWT group, at 4 days versus 6.5 days in the control group ( p = 0.0284). In the NPWT group, 60% reported pain compared to 22.9% in the control group ( p = 0.0048)., Conclusions: The use of NPWT dressings improves skin graft take by reducing necrosis, improving the graft's adherence to the recipient site, and reducing hospital length-of-stay.- Published
- 2024
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28. Time to return to work after total trapeziometacarpal prosthesis.
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Tchurukdichian A, Delgove A, Essid L, Moris V, di Summa PG, Camuzard O, Ornetti P, Zwetyenga N, and Guillier D
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- Humans, Retrospective Studies, Prosthesis Failure, Arthroplasty, Replacement, Joint Prosthesis, Carpometacarpal Joints surgery, Osteoarthritis surgery, Trapezium Bone surgery
- Abstract
Objectives: This study assessed return to work and prosthesis survival after trapeziometacarpal prosthesis surgery., Material and Methods: A multicenter retrospective study was carried out on patients operated on between 2002 and 2020. All working patients who had undergone trapeziometacarpal prosthesis surgery were included. Return to work was defined as resuming the same full-time position. Postoperative events and their specific treatment and failure to return to work were reported., Results: 240 prostheses in 211 patients were included. The complications rate was 7.5%, with 97% prosthesis survival. 94.3% of patients returned to work, at a mean 48 days (range, 29-210 days; SD, 22.7 days), with no significant difference according to age. Twelve patients did not return to work, half of whom because of prosthetic complications., Conclusion: Trapeziometacarpal arthroplasty enables most patients to return to work within 6 weeks. In this series, the prosthetic survival rate was 97%., (Copyright © 2023 SFCM. Published by Elsevier Masson SAS. All rights reserved.)
- Published
- 2023
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29. What is the best technic to dislodge Staphylococcus epidermidis biofilm on medical implants?
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Moris V, Lam M, Amoureux L, Magallon A, Guilloteau A, Maldiney T, Zwetyenga N, Falentin-Daudre C, and Neuwirth C
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- Humans, Silicones, Sonication, Biofilms, Staphylococcus epidermidis
- Abstract
Background: Bacterial biofilm can occur on all medical implanted devices and lead to infection and/or dysfunction of the device. In this study, artificial biofilm was formed on four different medical implants (silicone, piccline, peripheral venous catheter and endotracheal tube) of interest for our daily clinical and/or research practice. We investigated the best conventional technic to dislodge the biofilm on the implants and quantified the number of bacteria. Staphylococcus epidermidis previously isolated from a breast implant capsular contracture on a patient in the university hospital of Dijon was selected for its ability to produce biofilm on the implants. Different technics (sonication, Digest-EUR®, mechanized bead mill, combination of sonication plus Digest-EUR®) were tested and compared to detach the biofilm before quantifying viable bacteria by colony counting., Results: For all treatments, the optical and scanning electron microscope images showed substantial less biofilm biomass remaining on the silicone implant compared to non-treated implant. This study demonstrated that the US procedure was statistically superior to the other physical treatment: beads, Digest-EUR® alone and Digest-EUR® + US (p < 0.001) for the flexible materials (picc-line, PIV, and silicone). The number of bacteria released by the US is significantly higher with a difference of 1 log on each material. The result for a rigid endotracheal tube were different with superiority for the chemical treatment dithiothreitol: Digest-EUR®. Surprisingly the combination of the US plus Digest-EUR® treatment was consistently inferior for the four materials., Conclusions: Depending on the materials used, the biofilm dislodging technique must be adapted. The US procedure was the best technic to dislodge S. epidermidis biofilm on silicone, piccline, peripheral venous catheter but not endotracheal tube. This suggested that scientists should compare themselves different methods before designing a protocol of biofilm study on a given material., (© 2022. The Author(s).)
- Published
- 2022
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30. Pectoral Plane Block versus Local Anesthetic Infiltration in Breast Implant Augmentation Surgery: A Retrospective Study.
- Author
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Moris V, Sanchez A, Guilloteau A, Guillier D, Heranney J, Zwetyenga N, and Kerfant N
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- Analgesics, Opioid therapeutic use, Anesthetics, Local therapeutic use, Humans, Pain, Postoperative diagnosis, Pain, Postoperative drug therapy, Pain, Postoperative etiology, Retrospective Studies, Breast Implants adverse effects, Mammaplasty, Nerve Block methods
- Abstract
Background: Pectoral plane blocks are routinely used in analgesia for patients undergoing dual-plane breast augmentation with implants. Local anesthetic infiltration is a simple alternative technique with the same aim. The authors evaluated both techniques., Methods: In this single-center retrospective study, patients received pectoral plane block (ropivacaine 0.2%, 10 ml for pectoral plane I; 20 ml for pectoral plane II) or local anesthetic infiltration. The primary outcome measure was pain, according to the visual analogue scale, at 24 hours after surgery. Secondary outcomes included the measure of pain at 1, 2, 6, and 12 hours after surgery; total opioid consumption at 24 hours; and opioid side effects., Results: Eighty-one patients were finally recruited: 37 in the pectoral plane group and 44 in the local anesthetic infiltration group. Patient characteristics were comparable between the two groups. At 24 hours after surgery, the local anesthetic infiltration group showed a decrease in pain, with a visual analogue scale score of 0.7 versus 1.5 in the pectoral plane group ( p = 0.007). There was no difference in visual analogue scale score between the two groups at 1, 2, 6, or 12 hours after surgery. The duration of anesthesia was increased in the pectoral plane group, with 153 minutes versus 120 minutes in the local anesthetic infiltration group ( p < 0.001). There was no difference in rescue morphine consumption between the two groups., Conclusions: The authors found that local anesthetic infiltration had a superior analgesic effect at 24 hours after surgery for dual-plane breast implant augmentation compared with pectoral plane block. These findings are a good indication that the local anesthetic infiltration technique is at least as effective as pectoral plane block while being safe, fast, and easy to use., Clinical Question/level of Evidence: Therapeutic, III., (Copyright © 2022 by the American Society of Plastic Surgeons.)
- Published
- 2022
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31. Outcomes of Double-Mobility Prosthesis in Trapeziometacarpal Joint Arthritis With a Minimal 3 Years of Follow-Up: An Advantage for Implant Stability.
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Tchurukdichian A, Gerenton B, Moris V, See LA, Stivala A, and Guillier D
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- Humans, Thumb surgery, Arthroplasty, Replacement, Carpometacarpal Joints surgery, Joint Prosthesis, Osteoarthritis surgery
- Abstract
Background: New generation of total trapeziometacarpal joint prosthesis using double mobility concept has been used for several years. The aim of this study was to evaluate the dislocation rate with this implant after a minimal 3 years of follow-up. Methods: From September 2013 to August 2015, 200 trapeziometacarpal prostheses were implanted in 179 patients. Clinico-radiological follow-up was performed with an average of 48.2 months (36-60 months). Survival rate and dislocation rate were analyzed. Loosening of the implants and other intercurrent events were noticed. Results: Visual analog scale, Quick-DASH, strengths and range of motion improved significantly. We report a survival rate of 97% with only 0.5% of dislocation of prosthesis at 48 months of follow-up. Intercurrent events rate were similar to the ones found in literature or other studies. Conclusions: After a minimal of 3 years of follow-up, prosthesis with double mobility seemed to bring better stability in implant for thumb prosthetic replacement.
- Published
- 2021
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32. Streptococcal toxic shock syndrome revealed phlegmasia cerulea dolens of the arm.
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Moris V, Guillier D, Zwetyenga N, and Steinmetz E
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- Anti-Bacterial Agents therapeutic use, Anticoagulants therapeutic use, Fasciitis diagnosis, Fasciitis microbiology, Fasciitis surgery, Fasciotomy, Fatal Outcome, Female, Humans, Middle Aged, Shock, Septic diagnosis, Shock, Septic drug therapy, Shock, Septic microbiology, Streptococcal Infections diagnosis, Streptococcal Infections drug therapy, Streptococcal Infections microbiology, Thrombophlebitis diagnosis, Thrombophlebitis drug therapy, Venous Thrombosis diagnosis, Venous Thrombosis drug therapy, Arm pathology, Fasciitis complications, Shock, Septic complications, Streptococcal Infections complications, Streptococcus pyogenes isolation & purification, Thrombophlebitis complications, Venous Thrombosis complications
- Published
- 2020
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33. Recell in post-traumatic cases: Preliminary results.
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Moris V, Cristofari S, Stivala A, Mondoloni C, Schein A, Rabuel V, Srouji A, Zwetyenga N, and Guilier D
- Subjects
- Adult, Aged, Female, Humans, Male, Middle Aged, Wound Healing, Cell Transplantation, Dermatologic Surgical Procedures methods, Skin cytology, Skin injuries, Skin Diseases surgery
- Abstract
Competing Interests: Declaration of Competing Interest No conflict of Interest, no financial support.
- Published
- 2020
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34. Results of 110 IVORY® prostheses for trapeziometacarpal osteoarthritis with a minimum follow-up of 10 years.
- Author
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Tchurukdichian A, Guillier D, Moris V, See LA, and Macheboeuf Y
- Subjects
- Follow-Up Studies, Humans, Prospective Studies, Prosthesis Design, Treatment Outcome, Carpometacarpal Joints surgery, Joint Prosthesis, Osteoarthritis surgery
- Abstract
The IVORY® prosthesis is a total trapeziometacarpal joint prosthesis used for the treatment of symptomatic trapeziometacarpal osteoarthritis. The aim of this prospective study was to evaluate its long-term outcomes with a minimum follow-up of 10 years. From 2004 to 2007, 110 trapeziometacarpal prostheses (95 patients) were implanted. The implant survival curve was constructed using the Kaplan-Meier method. Five patients were lost from follow-up and two died. Six prosthesis (5.5%) were removed after dislocation or fracture of the trapezium. The survival rate of the prosthesis was 95%. After 10 years, the mean visual analogue pain score was 0.24/10 and the key-pinch force was similar to the other hand. Dislocations occurred for eight implants (7.3%). No radiological loosening was noted. In conclusion, the long-term results with the IVORY® prosthesis are very satisfactory in terms of pain relief, function and survival. Level of evidence: II.
- Published
- 2020
- Full Text
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35. Assessment of Somatosensory Reorganization by Functional Magnetic Resonance Imaging After Hand Replantation.
- Author
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Guillier D, Moris V, Daubail B, Rizzi P, Tchurukdichian A, Baudoin N, Bejot Y, Zwetyenga N, and Jacquin-Piques A
- Subjects
- Accidents, Occupational, Adolescent, Electromyography methods, Follow-Up Studies, Humans, Male, Nerve Regeneration physiology, Neuronal Plasticity physiology, Occupational Injuries diagnosis, Occupational Injuries surgery, Recovery of Function, Replantation rehabilitation, Somatosensory Cortex physiology, Treatment Outcome, Amputation, Traumatic surgery, Hand Injuries surgery, Magnetic Resonance Imaging methods, Monitoring, Physiologic methods, Replantation methods, Somatosensory Cortex diagnostic imaging
- Abstract
Introduction: Amputation of the hand is a rare and extremely intense trauma. Replanting and allografting after this type of injury require a major reorganization of the brain. Brain plasticity, though better known in the context of disorders of the central nervous system, is just as indispensable when the extremities are damaged., Materials and Methods: A 17-year-old patient underwent replantation of the nondominant hand after transmetaphyseal amputation after traumatic injury. After 18 days in hospital and subsequent treatment in a physical rehabilitation center, the patient attended clinical and radiology follow-up sessions over the next 2 years., Results: The management of this patient led to an excellent functional outcome in conjunction with successful social and professional reintegration. Electromyography at 18 months confirmed nerve regrowth. Functional magnetic resonance imaging was done at 2 years to evaluate cerebral plasticity. Motor function, largely dependent on the primary motor area, is aided by the addition of secondary and accessory motor areas for both simple and complex movements. A change in sensory information is stimulation in its own right hemisphere and increases solicitation of the contralateral precentral and postcentral gyrus., Conclusions: There seems to be a real reversible dynamic plasticity under the balance of inhibitory and excitatory influences exerted on the cortical neurons. Any disruption of this balance requires the brain to adapt to the new circumstances to reestablish the hand as a functioning part of the body.
- Published
- 2019
- Full Text
- View/download PDF
36. The cervicofacial lift under pure local anaesthesia diminishes the incidence of post-operative haematoma.
- Author
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Moris V, Bensa P, Gerenton B, Rizzi P, Cristofari S, Zwetyenga N, and Guilier D
- Subjects
- Adult, Aged, Female, Hematoma etiology, Humans, Incidence, Male, Middle Aged, Postoperative Complications etiology, Rhytidoplasty adverse effects, Anesthesia, Local, Hematoma epidemiology, Postoperative Complications epidemiology, Rhytidoplasty methods
- Abstract
The cervicofacial lift is a frequently performed procedure in plastic surgery. It is the reference technique for facial rejuvenation and restoration of the oval form of the face and it is essential to treat excess skin. One of the most frequent complications of this procedure is the formation of haematomas. The aim of this article is to analyse the incidence of bleeding in the standard cervicofacial lift carried out under pure local anaesthesia. The entire operation, including liposuction and tightening of the SMAS, can be done under local anaesthesia. A total of 1500 patients, who have undergone cervicofacial lift under pure local anaesthesia between November 1995 and January 2016, were included in the study. The incidence of early bleeding (in the first 15 days following the operation) was recorded and analysed. Pre- intra- and post-operative monitoring of the arterial blood pressure revealed stable pressure in the peri‑operative period. The mean difference in blood pressure when comparing the intra-operative to the post-operative periods was 7 mmHg for the systolic BP [range from 3 to 25] and 4 mmHg [range from 2 to 12] for the diastolic BP, with lower mean values in the post-operative period. We identified nine bleeding events in 1500 patients (0.6%). The cervicofacial lift under pure local anaesthesia does not radically modify the surgical technique. It allows better control of arterial blood pressure of patients throughout the surgical procedure and avoids fluctuations in blood pressure, which is one of the main causes of bleeding and haematoma formation. The infiltration of xylocaine adrenaline combined with the absence of hypotensive general anaesthesia diminishes the incidence of haematoma and ensures an early return home for the patients., (Copyright © 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2019
- Full Text
- View/download PDF
37. Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study.
- Author
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Bompy L, Gerenton B, Cristofari S, Stivala A, Moris V, See LA, Rizzi P, Braye F, Meningaud JP, Zwetyenga N, and Guillier D
- Subjects
- Adult, Breast Feeding methods, Breast Implantation adverse effects, Cohort Studies, Esthetics, Female, Follow-Up Studies, France, Hospitals, University, Humans, Middle Aged, Pregnancy, Reference Values, Retrospective Studies, Risk Assessment, Breast Feeding statistics & numerical data, Breast Implantation methods, Patient Safety
- Abstract
Background: Exclusive breastfeeding is highly recommended by the World Health Organization during the first 6 months of life. In parallel, breast augmentation with implants is one of the most performed operations in aesthetic surgery., Objective: The goal of our study was therefore to analyze the potential impact of aesthetic breast implants on breastfeeding., Study Design: A retrospective study was carried out in 3 French university hospitals. The main inclusion criterion was adult women of childbearing age (18-50 years old) with bilateral breast hypoplasia. Some features of the surgery, such as the operative indication, the surgical approach, the implant position against the pectoral muscle, and implants features (material, volume, profile), were collected. We conducted a survey by phone about childbirth after the procedure. If the women had children after surgery, we asked them if they breastfed and the characteristics of breastfeeding., Results: In total, 1316 patients received breast implants in the 3 centers from January 2011 to October 2016 and met our inclusion criteria. We included 1073 patients; 998 women had breast implants with no pregnancy. Among the 75 patients (7%) who gave birth after the surgery, 51 wanted to breastfeed (68%). The patients with a retroglandular implant were significantly less able to breastfeed compared with the patients with retromuscular implants (P = 0.0005). No difference was found for age, the type of surgery, the surgical approach, and the shape or type of implant between the successful breastfeeding group and failed breastfeeding group., Conclusion: A woman with aesthetic breast implants has a 75% chance of breastfeeding if desired, regardless of the type and the volume of the implant and the surgical approach. She has an 82% probability of breastfeeding with retromuscular implants and 17% with retroglandular implants.
- Published
- 2019
- Full Text
- View/download PDF
38. Monitoring of Myocutaneous Flaps by Measuring Capillary Glucose and Lactate Levels: Experimental Study.
- Author
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Guillier D, Moris V, Cristofari S, Gerenton B, Hallier A, Rizzi P, Henault B, and Zwetyenga N
- Subjects
- Animals, Blood Glucose analysis, Lactates blood, Ligation, Models, Animal, Monitoring, Physiologic, Swine, Myocutaneous Flap blood supply
- Abstract
Introduction: In surgery, certain defects require reconstruction with a microsurgical flap. The free flap failure rate varies between 2% and 5%. Vascular thrombosis is the most frequent complication and represents 15% to 73% of failures. The success rate of salvage therapy is greater when salvage surgery is early. Currently, clinical monitoring is the criterion standard but many noninvasive or minimally invasive techniques have been developed to improve early diagnosis of complications of vascular thrombosis. The aim of our experimental study was to compare clinical assessments with measurements of capillary glycemia and lactatemia during the monitoring of free flaps., Materials and Methods: Myocutaneous latissimus dorsi flaps with skin paddles were created in pigs under general anesthesia. For each animal, 2 flaps were created (right and left) using the same technique. Four groups were made: group 1 (no flap ligation: control group), group 2 (flap with permanent ligation of the artery), group 3 (flap with permanent ligation of the two veins), group 4 (flap with transient ligation of the artery and 2 veins for 1 hour). The postoperative monitoring protocol consisted of monitoring the clinical, biological (glucose and lactate), and histological parameters., Results: Eight animals were operated on and sixteen flaps were created. Each flap was clinically and biologically tested 25 times. Clinical, biological, and histological monitoring showed significant variations between the groups. The analysis of variance of capillary glycemia and lactatemia showed statistically significant difference between control group and group 2 (P < 0,0001), group 3 (P < 0,0001), or group 4 (P < 0,0001). There were no histological abnormalities after transient ligature at different times contrary to permanent ligature., Discussion-Conclusion: Measuring capillary levels of lactate and glucose associated with clinical monitoring may shorten the time to diagnosis of flap failure. Ultimately, this will save lives and achieve better functional and aesthetic results.
- Published
- 2018
- Full Text
- View/download PDF
39. [Nipple projection augmentation in breast reconstruction by artificial derm injection].
- Author
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Serre A, Guillier D, Moris V, Rem K, Revol M, François C, and Cristofari S
- Subjects
- Aged, Female, Humans, Injections, Intralesional methods, Middle Aged, Retrospective Studies, Time Factors, Treatment Outcome, Chondroitin Sulfates administration & dosage, Collagen administration & dosage, Mammaplasty methods, Nipples surgery, Patient Satisfaction, Surgical Flaps
- Abstract
Introduction: The reconstruction of the Nipple-Areola Complex (NAC) is the last step and a key part in breast reconstruction. The technique to be used should be chosen as to avoid any complications on previous reconstruction steps. The use of local flaps for NAC reconstruction could be associated with implant exposure especially in the presence of a history of radiation therapy. The pure dermal flap could be indicated for the nipple reconstruction after breast reconstruction by implant after radiotherapy. The limit stay in the nipple hypoprojection. We suggest to assess the increase of the nipple projection, reconstructed by pure dermal flap, by injection of Integra
® Flowable Wound Matrix (Integra LifeSciences® , Plainsboro, New jersey)., Patients and Method: Nipple projection has been measured among patients enclosed from february to March 2016 reconstructed by pure dermal flap: before, after and also at a 6months term from the injection of Integra® Flowable Wound Matrix. Patient satisfaction and complications have been measured retrospectively., Results: Ten patients with an average of 55years have been enclosed, with an average limit of time of 19months (7 to 33months) between the breast nipple reconstruction by dermal flap and the injection. A volume of 1 to 1.6cc has been injected. A significative increase projection of 2mm at a 6months term has been measured (1.5 to 2.5mm, P<0.01), without complication and a satisfaction rate of 4.5/5., Conclusion: The injection of an artificial derm-like Integra® Flowable Wound Matrix seems to be efficient to increase the nipple projection reconstructed by pure dermal flap after a breast reconstruction and moreover, without complications., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)- Published
- 2017
- Full Text
- View/download PDF
40. Efficacy of ultrasound, mammography and magnetic resonance imaging in detecting breast implant rupture: A retrospective study of 175 reconstructive and aesthetic sub-pectoral breast augmentation cases.
- Author
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Stivala A, Rem K, Leuzzi S, Moris V, François C, Revol M, and Cristofari S
- Subjects
- Female, Follow-Up Studies, Humans, Middle Aged, Prosthesis Failure, Retrospective Studies, Ultrasonography, Mammary methods, Breast Implants adverse effects, Magnetic Resonance Imaging methods, Mammaplasty adverse effects, Mammography methods, Silicone Gels adverse effects
- Abstract
To date, the effectiveness of radiological imaging in detecting silicone breast implant rupture is uncertain. The purpose of this study is to retrospectively evaluate the effectiveness of radiological imaging when diagnosing a rupture. In this study, 175 patients with 242 breast implants were included, of which 168 and 74 implants were used for breast reconstruction and aesthetic augmentation, respectively. All patients who underwent revision surgery, between January 2015 and June 2016, following breast augmentation or reconstruction were included, regardless of any pre-operative diagnosis of rupture that had been made. The diagnosis of intracapsular rupture was verified intraoperatively and compared to the pre-operative findings. With regard to pre-operative diagnostic imaging methods, we compared magnetic resonance imaging (MRI), mammography, and ultrasonography (US) findings. Among the 242 implants that were explanted, 35 clinical ruptures were confirmed and compared with the related radiological findings. We reported 22 false positives and 15 false negatives. US was the least specific and least accurate method because of its lowest positive predictive value (PPV) and negative predictive value (NPV). Mammography was the most specific and most accurate method, with the highest PPV (96%). Surprisingly, MRI was the most sensitive; however, it was neither the most specific nor the most accurate method despite having the highest NPV (98%). After comparing these three radiological techniques, we conclude that US along with MRI can be useful for young patients. Mammography, which was characterised by high specificity and accuracy, could be useful along with MRI in investigating patients over the age of 40., (Copyright © 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2017
- Full Text
- View/download PDF
41. [Postoperative complications of labia minora reduction. Comparative study between wedge and edge resection].
- Author
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Ouar N, Guillier D, Moris V, Revol M, Francois C, and Cristofari S
- Subjects
- Adult, Female, Follow-Up Studies, Humans, Middle Aged, Postoperative Complications surgery, Plastic Surgery Procedures methods, Reoperation, Retrospective Studies, Treatment Outcome, Vulva abnormalities, Young Adult, Esthetics, Gynecologic Surgical Procedures methods, Patient Satisfaction, Vulva surgery
- Abstract
Background: Labia minora reduction interventions rise in Europe and in North America. Several techniques are described. The objective of this study was to compare postoperative complications of the two most practiced interventions: wedge resection and edge resection., Methods: Primary labia minora reductions realized in our unit between October 2009 and July 2016 have been retrospectively identified. Two techniques were used by two surgeons: edge resection technique and wedge resection technique. The main evaluation criterion was the occurrence and the quantity of wound dehiscence: superior to 50% (total or subtotal) and inferior to 50% (partial). Patients were systematically examined at 1 week, 1 month and 6 months postoperatively. Data analysis between both groups was made with an exact Fisher test., Results: Mean follow-up was 5.3 months after intervention. Sixty-four patients have been included, 42 wedge resections (group C) and 22 edge resections (group L). Global complication rate at 1 month was 13% (n=8). Among wedge resections 14% (n=6) developed complication and 2% (n=9) among edge resection. Seven surgical revisions were necessary: 5 for wound dehiscence (4 in the group C and 1 in the group L) and 2 for hematoma, one in each group. Three (5%) partial wound dehiscence (inferior to 50%) have been identified and let in secondary intention healing: 2 (19%) in the group C and 1 (27%) in the group L. Complication rates between both techniques were not significantly different., Conclusions: Postoperative wound dehiscence is the main labia minora reduction complication. Our global complication rate, 13%, matches with the current literature. A tendency can be shown where wedge resection is more likely to develop wound dehiscence than edge resection., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)
- Published
- 2017
- Full Text
- View/download PDF
42. Correction of tuberous breast deformity: A retrospective study comparing lipofilling versus breast implant augmentation.
- Author
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Brault N, Stivala A, Guillier D, Moris V, Revol M, François C, and Cristofari S
- Subjects
- Adipose Tissue transplantation, Adolescent, Adult, Female, Humans, Patient Satisfaction, Quality of Life, Retrospective Studies, Surveys and Questionnaires, Treatment Outcome, Young Adult, Breast abnormalities, Breast Implantation methods, Breast Implants, Mammaplasty methods
- Abstract
Breast implants and, more recently, autologous fat grafting are the two most common treatments used to correct tuberous breast deformity (TBD). The post-surgical quality of life between the two techniques is not well demonstrated. This study aimed to compare satisfaction and health-related quality of life in patients affected by TBD between these two techniques. All TBD patients operated between January 2008 and May 2015 were retrospectively identified, and only those treated with implants or lipofilling were included. Satisfaction was evaluated at least 6 months after surgery with the postoperative Breast-Q
® augmentation module. From January 2008 to May 2015, 62 patients were recruited in our study, and 37 patients were evaluated using a Breast-Q questionnaire after at least 6 months of follow-up. Breast implant-augmented patients were significantly more satisfied concerning the "satisfaction with breasts" module (p = 0.002) and the "satisfaction with outcome" module (p = 0.00008). A question-by-question analysis revealed several interesting and significant differences, showing higher scores in most of the questions in the breast implant group. Patients in the lipofilling group, interestingly, had a mean of 1.6 interventions compared to the mean 1.36 interventions in the implant group (p = 0.23). This reflects the need to perform more surgical sessions in the lipofilling group to achieve a satisfactory result. Our study demonstrated that tuberous breast correction with implants can achieve better satisfaction along with good outcomes than lipofilling usually does., (Copyright © 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)- Published
- 2017
- Full Text
- View/download PDF
43. [Custom-made implant for complex facial reconstruction: A case of total replacement of temporo-mandibular joint, zygomatic arch and malar bone].
- Author
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Guillier D, Moris V, See LA, Girodon M, Wajszczak BL, and Zwetyenga N
- Subjects
- Bone Diseases, Developmental complications, Bone Diseases, Developmental surgery, Humans, Joint Prosthesis, Male, Mandibular Reconstruction methods, Middle Aged, Ankylosis surgery, Arthroplasty, Replacement methods, Face surgery, Plastic Surgery Procedures methods, Temporomandibular Joint surgery, Temporomandibular Joint Disorders surgery, Zygoma surgery
- Abstract
Introduction: Total prosthetic replacement of the temporo-mandibular joint (TMJ) has become a common procedure, but it is usually limited to the TMJ itself. We report about one case of complex prosthetic joint reconstruction extending to the neighbouring bony structures., Case: A 57-year-old patient, operated several times for a cranio-facial fibrous dysplasia, presented with a recurring TMJ ankylosis and a complexe latero-facial bone loss on the right side. We performed a reconstruction procedure including the TMJ, the zygomatic arch and the malar bone by mean of custom made composite prosthesis (chrome-cobalt-molybdenum-titanium and polyethylene). Five years postoperatively, mouth opening, nutrition, pain and oral hygiene were significantly improved., Discussion: Nowadays technical possibilities allow for complex facial alloplastic reconstructions with good medium term results., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)
- Published
- 2017
- Full Text
- View/download PDF
44. [Total temporomandibular joint prostheses].
- Author
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Zwetyenga N, Amroun S, Wajszczak BL, and Moris V
- Subjects
- Contraindications, Facial Paralysis pathology, Facial Paralysis surgery, Humans, Postoperative Complications etiology, Temporomandibular Joint pathology, Temporomandibular Joint Disorders pathology, Arthroplasty, Replacement adverse effects, Arthroplasty, Replacement methods, Arthroplasty, Replacement statistics & numerical data, Joint Prosthesis statistics & numerical data, Temporomandibular Joint surgery, Temporomandibular Joint Disorders surgery
- Abstract
The temporomandibular joint (TMJ) is probably the most complex human joint. As in all joints, its prosthetic replacement may be indicated in selected cases. Significant advances have been made in the design of TMJ prostheses during the last three decades and the indications have been clarified. The aim of our work was to make an update on the current total TMJ total joint replacement. Indications, contraindications, prosthetic components, advantages, disadvantages, reasons for failure or reoperation, virtual planning and surgical protocol have been exposed., (Copyright © 2016 Elsevier Masson SAS. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
45. Complex reconstruction of the dorsal hand using the induced membrane technique associated with bone substitute: A case report.
- Author
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Moris V, Guillier D, Rizzi P, De Taddeo A, Henault B, Tchurukdichian A, and Zwetyenga N
- Abstract
Introduction: High-energy trauma of the hand often causes tissue loss involving bone, tendon and skin and is sometimes accompanied by devascularization of digits. Bone stabilization is the first step in the management of such injuries., Materials and Methods: A young patient presented composite tissue loss of the dorsum of his right (dominant) hand following an accident with a surface planer. Tissue loss involved the diaphyses of the first 4 metacarpals, tendons and skin with almost complete amputation of the 3rd finger. Bone stabilization comprised osteosynthesis using pins associated with cement to fill the bone defect. Hunter tendon rods were used for tendon repair and a pedicle groin flap (McGregor) was used to achieve skin coverage. The cement was replaced with autologous cortico-cancellous bone graft combined with bone paste (Nanostim) 3 months after the cement stabilization., Results: Eleven months after the accident, the patient was able to return to work as a carpenter. Pinch and Grasp strength in the injured hand were half that in the contralateral hand, but there was no loss of sensitivity. Mobility was very satisfactory with a Kapandji score of 9 and a mean TAM of 280°. The patient can write, open a bottle and does not feel limited for everyday activities. Radiographically, the bone of the 3 reconstructed metacarpals appears consolidated., Conclusion: The induced membrane technique allowed the reconstruction of small bone deficits in the long bones of the hand in a two-step procedure, the first step taking place in an emergency context of composite tissue trauma.
- Published
- 2015
- Full Text
- View/download PDF
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