[Use of a temporofrontal musculocutaneous flap in reconstruction of the oropharynx after cancer excision].
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Biomedical subjects
Publications and source records attributed to P Verge.
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Precise definition of indications for surgery in patients with craniofacial injury is impossible, and individual assessment of each case by the surgeon can be a source of errors. These may be due to excess or omission when confronted with bone lesions which fail to supply information on the state of the dura mater, and with rhinorrhea with lack of sufficient criteria to assess the condition of the dura mater and its capacity for healing. Indications should therefore be modulated as a function of the different anatomoclinical types involving different risks. On the other hand, one should not search for perfection since other factors are involved when operating under emergency conditions, and one must not err by presumption, knowing that no reconstruction is perfect.
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The value of short-term prophylaxis with antibiotics in maxillo-facial surgery and plastic facial surgery is studied. 200 patients were included in the study and compared to 200 controls who were given the usual systematic antibiotic therapy, with a different antibiotic, for more than 6 days. 400 case-reports were thus retrospectively analyzed. The results show that when the surgical procedure lasts for less than three hours, short-term prophylaxis with antibiotics is more effective than the usual systematic antibiotic therapy given for more than 6 days.
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Explore the source record for details and available documents.