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Biomedical subjects

D Marchac

Publications and source records attributed to D Marchac.

98 records · Page 6Linked to original sources
PubMedDate not supplied

Craniosynostosis.

Craniosynostosis affects approximately one infant out of one thousand. Increase of intracranial pressure and risks of functional problems are more frequent than previously thought, especially in single-suture synostosis. Frontocranial remodeling will correct both functional and esthetic consequences of craniosynostosis. The best time for surgery is the first year of life, 2-3 months of age for the brachycephalies, and 6-9 months of age for the other craniosynostoses. Not only does growth not deteriorate after forehead remodeling, but the adjacent orbitonasal areas improve with time. In Crouzon's disease and Apert's syndrome, early frontal advancement does not prevent the midface retrusion, and a radical frontofacial advancement may be occasionally indicated in very severe cases. Frontocranial remodeling is also indicated in children presenting with sequelae of classical neurosurgical treatment or those who have had no treatment.

Adult↗
PubMedDate not supplied

New aspects of craniofacial surgery.

The concept of craniofacial surgery, introduced by a French plastic surgeon named Paul Tessier, has completely transformed the treatment of facial deformities affecting the skeleton. Two of the more spectacular operations are correction of teleorbitism by orbital mobilization, and correction of facial retrusion by facial or fronto-facial advancement. These operations have evolved with the bipartition principle and the monobloc and splitting techniques. Craniofacial techniques applied in infancy for correction of craniosynostosis have proved very successful in most cases. The increasing use of miniplate fixation and utilization of cranial bone grafts are mentioned, as well as advances made in genetic and fetal diagnosis.

Bone Transplantation↗
PubMedDate not supplied

[Eyelid magnets for facial paralysis].

The author presents his experience in the use of lid magnets. The positioning is delicate but tolerance is good and the aesthetic and functional result satisfactory. The essential indication is the development of corneal problems overnight from defective occlusion.

Eyelids↗
PubMedDate not supplied

[Appraisal of oncological and cosmetic results of the surgical treatment of 138 baso-cell carcinomas (author's transl)].

The series concerning the treatment of baso-cell carcinoma often present large numbers, but the treatment has often been made according to different modalities, and several operators of varying experience have been involved. Also the cosmetic result has never been evaluated, which is strange since it is the face which is mostly concerned (96%). We are presenting only 138 reviewed lesions, but operated by one operator according to the same technique: surgical excision, immediate repair, frozen section being exceptional. The local flaps were favored, the distant flaps and full thickness grafts being made only when no local flap was available. The size and the site of the lesions (mainly centrofacial) is the same as in other series. The recurrence ratio with 3 years minimum of follow-up is 2,1%. The cosmetic result was evaluated by the patients and the non-operative author. The excellent results (no visible scar, no deformity) amounted to 61,4%, the good ones to 31,4% and are due essentially to local flaps. These results are discussed.

Basal Cell Carcinoma↗