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Sounthakith V, Kolb F, Bennedjai A, Orbach D, Picard A, Belhous K, Brémond-Gignac D, Kadlub N. Orbital exenteration reconstruction using a superficial temporalis muscle flap: The "Carpaccio flap", an innovative approach. J Stomatol Oral Maxillofac Surg 2023; 124:101490. [PMID: 37146792 DOI: 10.1016/j.jormas.2023.101490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 05/01/2023] [Accepted: 05/03/2023] [Indexed: 05/07/2023]
Abstract
INTRODUCTION Malignant orbital diseases may lead surgeons to practice an orbital exenteration associated with chemotherapy and/or radiotherapy to ensure curative treatment. That radical procedure makes physicians consider reconstructive filling in order to allow prothesis wearing and reduce esthetic and social after-effects. We first describe the clinical case of a 6-year-old patient who presented an orbital rhabdomyosarcoma and underwent an orbital exenteration with immediate reconstruction by a superficial temporal pedicled on the middle temporalis muscle flap. TECHNICAL NOTE Through that case-report, we propose an original temporal flap to repair ipsilateral midface defects which may reduce donor site side effects and allow furthers corrections. DISCUSSION In pediatrics cases, our Carpaccio flap was an available regional tool to rehabilitate an irradiated orbital socket with an appropriate bulking and vascularization effect after subtotal exenteration. Furthermore, we prescribe that flap as a posterior orbital filling, when eyelid and conjunctiva are spared, to prepare orbital prosthesis implementation. A mild sunken temporal fossa appears with our procedure but by preserving the deep layer of the temporalis muscle, autologous reconstruction such as lipofilling are permitted in post-radiotherapy condition to enhance esthetic sequelae.
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Affiliation(s)
- V Sounthakith
- Unit of Maxillofacial and Plastic Surgery, Reference Center for Cleft and Facial Malformation, Necker Children Hospital, AP-HP, Paris, France; Faculty of Health, Université Paris Cité, Paris, France.
| | - F Kolb
- Department of Plastic Surgery, UCSD, San Diego, CA, USA
| | - A Bennedjai
- Department of Ophthalmology, Quinze-Vingts National Ophtalmology Hospital, Paris, France
| | | | - A Picard
- Unit of Maxillofacial and Plastic Surgery, Reference Center for Cleft and Facial Malformation, Necker Children Hospital, AP-HP, Paris, France; Faculty of Health, Université Paris Cité, Paris, France
| | - K Belhous
- Department of Pediatric Radiology, Necker Children Hospital, AP-HP, Paris, France
| | - D Brémond-Gignac
- Faculty of Health, Université Paris Cité, Paris, France; Ophthalmology Department, Necker Children Hospital, AP-HP, Paris, France
| | - N Kadlub
- Unit of Maxillofacial and Plastic Surgery, Reference Center for Cleft and Facial Malformation, Necker Children Hospital, AP-HP, Paris, France; Faculty of Health, Université Paris Cité, Paris, France
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Barahona MJ, Langlet F, Labouèbe G, Croizier S, Picard A, Thorens B, García-Robles MA. GLUT2 expression by glial fibrillary acidic protein-positive tanycytes is required for promoting feeding-response to fasting. Sci Rep 2022; 12:17717. [PMID: 36271117 PMCID: PMC9587252 DOI: 10.1038/s41598-022-22489-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 10/14/2022] [Indexed: 01/18/2023] Open
Abstract
Feeding behavior is a complex process that depends on the ability of the brain to integrate hormonal and nutritional signals, such as glucose. One glucosensing mechanism relies on the glucose transporter 2 (GLUT2) in the hypothalamus, especially in radial glia-like cells called tanycytes. Here, we analyzed whether a GLUT2-dependent glucosensing mechanism is required for the normal regulation of feeding behavior in GFAP-positive tanycytes. Genetic inactivation of Glut2 in GFAP-expressing tanycytes was performed using Cre/Lox technology. The efficiency of GFAP-tanycyte targeting was analyzed in the anteroposterior and dorsoventral axes by evaluating GFP fluorescence. Feeding behavior, hormonal levels, neuronal activity using c-Fos, and neuropeptide expression were also analyzed in the fasting-to-refeeding transition. In basal conditions, Glut2-inactivated mice had normal food intake and meal patterns. Implementation of a preceeding fasting period led to decreased total food intake and a delay in meal initiation during refeeding. Additionally, Glut2 inactivation increased the number of c-Fos-positive cells in the ventromedial nucleus in response to fasting and a deregulation of Pomc expression in the fasting-to-refeeding transition. Thus, a GLUT2-dependent glucose-sensing mechanism in GFAP-tanycytes is required to control food consumption and promote meal initiation after a fasting period.
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Affiliation(s)
- M. J. Barahona
- grid.5380.e0000 0001 2298 9663Laboratorio de Biología Celular, Departamento de Biología Celular, Facultad de Ciencias Biológicas, Universidad de Concepción, Concepción, Chile ,grid.5380.e0000 0001 2298 9663Present Address: Laboratorio de Neurobiología y células madres (NeuroCellT), Departamento de Biología Celular, Facultad de Ciencias Biológicas, Universidad de Concepción, Concepción, Chile
| | - F. Langlet
- grid.9851.50000 0001 2165 4204Center for Integrative Genomics, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland ,grid.9851.50000 0001 2165 4204Present Address: Department of Biomedical Sciences, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - G. Labouèbe
- grid.9851.50000 0001 2165 4204Center for Integrative Genomics, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - S. Croizier
- grid.9851.50000 0001 2165 4204Center for Integrative Genomics, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - A. Picard
- grid.9851.50000 0001 2165 4204Center for Integrative Genomics, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - Bernard Thorens
- grid.9851.50000 0001 2165 4204Center for Integrative Genomics, Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland
| | - María A. García-Robles
- grid.5380.e0000 0001 2298 9663Laboratorio de Biología Celular, Departamento de Biología Celular, Facultad de Ciencias Biológicas, Universidad de Concepción, Concepción, Chile ,grid.412185.b0000 0000 8912 4050Instituto de Neurociencias, Centro Interdisciplinario de Neurociencias de Valparaíso, Universidad de Valparaíso, Valparaiso, Chile
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Dejean D, Chan-Chee C, Legendre G, Picard A, Krembel A, Gillard P, Gohier B, Duverger P, Riquin E. [Suicidality in the perinatal period: Descriptive study on factors associated with suicidal ideation among women hospitalized in the perinatal period at the specialized hospital center]. Encephale 2021; 48:139-147. [PMID: 33994157 DOI: 10.1016/j.encep.2021.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 01/12/2021] [Accepted: 02/01/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVES Suicide is the leading cause of maternal mortality in high-resource countries. The onset of suicidal ideation is a major risk factor for suicide attempts. Suicidality has a major impact on the mother-baby relationship and on child development. The main objective of the study was to identify factors associated with the occurrence of perinatal suicidal ideation in women requiring hospitalization. The secondary objectives of the study were to describe the socio-demographic and clinical characteristics of this specific population, to specify the follow-up procedures at hospital discharge and to develop a semi-directed interview framework for psychiatric evaluation of perinatal patients admitted to a psychiatric hospital in order to better identify those at risk of suicide and improve overall management, particularly in terms of referral to existing perinatal care services. METHODS Descriptive and retrospective study carried out at the Specialized Hospital Center of women hospitalized in the perinatal period between 2014 and 2019. The inclusion criteria were: inpatient pregnant or postpartum within one year of delivery, 16 to 43 years. A keyword search was performed to retrieve the computerized records. All records matching the inclusion criteria were included. We studied the occurrence of suicidal ideation according to the main known clinical and socio-demographic risk factors. RESULTS The sample included 25 pregnant patients and 57 post-partum patients. The presence of a psychiatric history increased the risk of suicidal ideation by 4.38 (P<0.03). The association between the occurrence of a stressful life event and the risk of suicidal ideation onset was close to significant (P<0.10). One third of the patients had been admitted for a reason related to suicidality. Less than one-third of the patients had been referred to existing perinatal services. CONCLUSIONS Suicidality in the perinatal period has a major impact on the dyad as well as on the whole family. The search for suicidal ideas must be systematic during psychiatric interviews, a fortiori when a psychiatric history has been authenticated. Every patient hospitalized in adult psychiatry should be referred to specialized outpatient perinatal psychiatry services. Prevention involves raising awareness and training of all health professionals, networking, but also informing the general public.
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Affiliation(s)
- D Dejean
- Service de Psychiatrie et d'Addictologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France
| | - C Chan-Chee
- Direction Santé Environnement Travail, Agence nationale de santé publique, 12, rue du Val d'Osne, 94415 Saint-Maurice cedex
| | - G Legendre
- Service de gynécologie obstétrique, CHU Angers, 4, rue Larrey, 49933 Angers cedex 9, France
| | - A Picard
- Service de psychiatrie périnatale, CHRU de Lille, 2, rue André Verhaeghe, 59037 Lille
| | - A Krembel
- Centre Roger Misès - Secteur Psychiatrie Infanto-Juvénile Ouest, 33, rue de la Charnasserie, 49100 Angers
| | - P Gillard
- Service de gynécologie obstétrique, CHU Angers, 4, rue Larrey, 49933 Angers cedex 9, France
| | - B Gohier
- Service de Psychiatrie et d'Addictologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France; Laboratoire de Psychologie, LPPL EA4638, Université d'Angers, Maison des sciences humaines, 5, bis boulevard Lavoisier, 49045 Angers cedex 01, France
| | - P Duverger
- Laboratoire de Psychologie, LPPL EA4638, Université d'Angers, Maison des sciences humaines, 5, bis boulevard Lavoisier, 49045 Angers cedex 01, France; Service de Psychiatrie de L'Enfant et de l'Adolescent, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France
| | - E Riquin
- Laboratoire de Psychologie, LPPL EA4638, Université d'Angers, Maison des sciences humaines, 5, bis boulevard Lavoisier, 49045 Angers cedex 01, France; Service de Psychiatrie de L'Enfant et de l'Adolescent, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France; Unité Mitovasc, UMR CNRS 6015-Inserm 1083, 3, rue Roger Amsler, 49100 Angers, France; Fondation Santé des Etudiants de France, Centre Pierre Daguet, route du Mans, 72302 Sablé-sur-Sarthe.
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Bouaoud J, Larousserie F, Galmiche-Rolland L, Bouvier C, Picard A, Khonsari RH. Protuberant fibro-osseous lesion of the temporal bone: report of four cases and review of the literature. Int J Oral Maxillofac Surg 2021; 50:1566-1570. [PMID: 33865660 DOI: 10.1016/j.ijom.2021.03.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 01/13/2021] [Accepted: 03/01/2021] [Indexed: 11/26/2022]
Abstract
'Bullough lesions', also referred to as protuberant fibro-osseous lesions (PFOL), are rare temporal bone lesions initially described in 1999. Since only 12 cases have been reported, several key issues, such as their origin and recommended management strategies, remain unresolved. This article reports the largest cohort included in the literature to date, comprising four patients with PFOL. PFOL appears to be characterized by female and right-side predominance. These lesions were consistently located regarding the mastoid, generally diagnosed in early adulthood, without functional symptoms, and were always fibro-osseous. Invasive/malignant features were not found on imaging or histology. The main differential diagnosis was malignant low-grade parosteal osteosarcoma. Clinical examination and computed tomography images provided strong elements supporting the diagnosis of PFOL. Biopsy allowed molecular biology investigations (MDM2 and CDK4 amplification), in order to rule out low-grade parosteal osteosarcoma.
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Affiliation(s)
- J Bouaoud
- Service de Chirurgie Maxillo-faciale et Chirurgie Plastique, Hôpital Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Université de Paris, Paris, France; Service de Chirurgie Maxillo-faciale et Stomatologie, Hôpital Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris, Sorbonne Université, Paris, France.
| | - F Larousserie
- Service d'Anatomopathologie, Hôpital Cochin - Port-Royal, Assistance Publique - Hôpitaux de Paris, Université de Paris, Paris, France
| | - L Galmiche-Rolland
- Service d'Anatomopathologie, Hôpital Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Université de Paris, Paris, France
| | - C Bouvier
- Service d'Anatomopathologie, Hôpital La Timone, APHM, Marseille, France
| | - A Picard
- Service de Chirurgie Maxillo-faciale et Chirurgie Plastique, Hôpital Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Université de Paris, Paris, France
| | - R H Khonsari
- Service de Chirurgie Maxillo-faciale et Chirurgie Plastique, Hôpital Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Université de Paris, Paris, France
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Morice A, Jablon E, Delevaque C, Khonsari R, Picard A, Kadlub N. Virtual versus traditional classroom on facial traumatology learning: Evaluation of medical student's knowledge acquisition and satisfaction. Journal of Stomatology, Oral and Maxillofacial Surgery 2020; 121:642-645. [DOI: 10.1016/j.jormas.2020.03.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2019] [Accepted: 03/02/2020] [Indexed: 11/25/2022]
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Fusade T, Zazurca F, Lafaye S, Picard A. Traitement des cicatrices post hémangiome de la lèvre supérieure par laser impulsionnel : 9 cas pédiatriques. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Morice A, Cornette R, Giudice A, Collet C, Paternoster G, Arnaud É, Galliani E, Picard A, Legeai-Mallet L, Khonsari RH. Early mandibular morphological differences in patients with FGFR2 and FGFR3-related syndromic craniosynostoses: A 3D comparative study. Bone 2020; 141:115600. [PMID: 32822871 DOI: 10.1016/j.bone.2020.115600] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 08/10/2020] [Accepted: 08/14/2020] [Indexed: 01/04/2023]
Abstract
Syndromic craniosynostoses are defined by the premature fusion of one or more cranial and facial sutures, leading to skull vault deformation, and midfacial retrusion. More recently, mandibular shape modifications have been described in FGFR-related craniosynostoses, which represent almost 75% of the syndromic craniosynostoses. Here, further characterisation of the mandibular phenotype in FGFR-related craniosynostoses is provided in order to confirm mandibular shape modifications, as this could contribute to a better understanding of the involvement of the FGFR pathway in craniofacial development. The aim of our study was to analyse early mandibular morphology in a cohort of patients with FGFR2- (Crouzon and Apert) and FGFR3- (Muenke and Crouzonodermoskeletal) related syndromic craniosynostoses. We used a comparative geometric morphometric approach based on 3D imaging. Thirty-one anatomical landmarks and eleven curves with sliding semi-landmarks were defined to model the shape of the mandible. In total, 40 patients (12 with Crouzon, 12 with Apert, 12 with Muenke and 4 with Crouzonodermoskeletal syndromes) and 40 age and sex-matched controls were included (mean age: 13.7 months ±11.9). Mandibular shape differed significantly between controls and each patient group based on geometric morphometrics. Mandibular shape in FGFR2-craniosynostoses was characterized by open gonial angle, short ramus height, and high and prominent symphysis. Short ramus height appeared more pronounced in Apert than in Crouzon syndrome. Additionally, narrow inter-condylar and inter-gonial distances were observed in Crouzon syndrome. Mandibular shape in FGFR3-craniosynostoses was characterized by high and prominent symphysis and narrow inter-gonial distance. In addition, narrow condylar processes affected patients with Crouzonodermoskeletal syndrome. Statistical analysis of variance showed significant clustering of Apert and Crouzon, Crouzon and Muenke, and Apert and Muenke patients (p < 0.05). Our results confirm distinct mandibular shapes at early ages in FGFR2- (Crouzon and Apert syndromes) and FGFR3-related syndromic craniosynostoses (Muenke and Crouzonodermoskeletal syndromes) and reinforce the hypothesis of genotype-phenotype correspondence concerning mandibular morphology.
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Affiliation(s)
- A Morice
- Service de Chirurgie Maxillo-Faciale et Chirurgie Plastique, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Centre de Référence Maladies Rares MAFACE Fentes et Malformations Faciales, Université de Paris, Paris, France; Laboratoire 'Bases Moléculaires et Physiopathologiques des Ostéochondrodysplasies', INSERM UMR 1163, Institut Imagine, Paris, France.
| | - R Cornette
- Institut de Systématique, Evolution, Biodiversité (ISYEB), Muséum National d'Histoire Naturelle, Sorbonne Université, Ecole Pratique des Hautes Etudes, Université des Antilles, CNRS, CP 50, 57 rue Cuvier, 75005 Paris, France
| | - A Giudice
- Università Degli Studi di Catanzaro 'Magna Graecia', Catanzaro, Italy
| | - C Collet
- BIOSCAR, INSERM U1132, Université de Paris, Hôpital Lariboisière, 75010 Paris, France; Service de Biochimie et Biologie Moléculaire, CHU-Paris-GH Saint Louis Lariboisière Widal, Paris, France
| | - G Paternoster
- Service de Neurochirurgie, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Centre de Référence Maladies Rares CRANIOST Craniosténoses et Malformations Craniofaciales, Université de Paris, Paris, France
| | - É Arnaud
- Service de Neurochirurgie, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Centre de Référence Maladies Rares CRANIOST Craniosténoses et Malformations Craniofaciales, Université de Paris, Paris, France
| | - E Galliani
- Service de Chirurgie Maxillo-Faciale et Chirurgie Plastique, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Centre de Référence Maladies Rares MAFACE Fentes et Malformations Faciales, Université de Paris, Paris, France
| | - A Picard
- Service de Chirurgie Maxillo-Faciale et Chirurgie Plastique, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Centre de Référence Maladies Rares MAFACE Fentes et Malformations Faciales, Université de Paris, Paris, France
| | - L Legeai-Mallet
- Laboratoire 'Bases Moléculaires et Physiopathologiques des Ostéochondrodysplasies', INSERM UMR 1163, Institut Imagine, Paris, France
| | - R H Khonsari
- Service de Chirurgie Maxillo-Faciale et Chirurgie Plastique, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Centre de Référence Maladies Rares MAFACE Fentes et Malformations Faciales, Université de Paris, Paris, France; Laboratoire 'Bases Moléculaires et Physiopathologiques des Ostéochondrodysplasies', INSERM UMR 1163, Institut Imagine, Paris, France; Service de Neurochirurgie, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Centre de Référence Maladies Rares CRANIOST Craniosténoses et Malformations Craniofaciales, Université de Paris, Paris, France
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Rougier G, Boisson J, Thurieau N, Kogane N, Mangione F, Picard A, Dallard J, Cherfa L, Szmytka F, Kadlub N. Sagittal split ramus osteotomy-related biomechanical properties. Br J Oral Maxillofac Surg 2020; 58:975-980. [PMID: 32624266 DOI: 10.1016/j.bjoms.2020.05.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2019] [Accepted: 05/02/2020] [Indexed: 10/23/2022]
Abstract
Sagittal split ramus osteotomy (SSRO) is one of the most common maxillofacial operations, and the technique relies on a directed fracture involving different biomechanical variables. The aim of this study was to find out the biomechanical characteristics involved during each step of sagittal split osteotomy. We sampled eight fully dentate human mandibles and used the right side for hardness tests and the left side for a traction-to-fracture test within an unfinished SSRO. Right sides were sampled in five parts underlying the corticotomy course and tested with a hardness testing automatic machine. The mean hardness measures ranked to 21.5HV (Hardness Vickers Unit): 17.8HV; 27.4HV; 22.7HV; 28.7HV; for the lingual, diagonal, vestibular, full ramus, and full body samples, respectively. Left sides were cut using Epker's technique, and split with an electromechanical testing machine. The higher values reached before fracture in the traction-to-fracture tests ranked to 99.1N/6.7mm; 137.2N/10.8mm; 36.2N/4.2mm; 93.0N/7.3mm; 74.0N/8.1mm; 78.1N/4.5mm; 90.9N/10.6mm; and 64.7N/4.1mm, respectively, for specimens I, II, III, IV, V, VI, VII and VIII. This study provides to our knowledge the first biomechanical characteristics of SSRO and proposes a reproducible method for evaluation.
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Affiliation(s)
- G Rougier
- Department of Maxillofacial Surgery and Plastic Surgery, National Reference Center for Cleft Lip and Palate, Hôpital Universitaire Necker-Enfants Malades, Paris, France; IMSIA, ENSTA Paris-Tech, Department of Mechanical Engineering, Palaiseau, France.
| | - J Boisson
- IMSIA, ENSTA Paris-Tech, Department of Mechanical Engineering, Palaiseau, France
| | - N Thurieau
- IMSIA, ENSTA Paris-Tech, Department of Mechanical Engineering, Palaiseau, France
| | - N Kogane
- Department of Maxillofacial Surgery and Plastic Surgery, National Reference Center for Cleft Lip and Palate, Hôpital Universitaire Necker-Enfants Malades, Paris, France; IMSIA, ENSTA Paris-Tech, Department of Mechanical Engineering, Palaiseau, France
| | - F Mangione
- EA 2496 Laboratory Orofacial Pathologies, Imagery and Biotherapies, Dental School and Life imaging Platform (PIV), University Paris Descartes Sorbonne Paris Cité, Montrouge, France
| | - A Picard
- Department of Maxillofacial Surgery and Plastic Surgery, National Reference Center for Cleft Lip and Palate, Hôpital Universitaire Necker-Enfants Malades, Paris, France; University of Paris, Paris, France
| | - J Dallard
- IMSIA, ENSTA Paris-Tech, Department of Mechanical Engineering, Palaiseau, France
| | - L Cherfa
- IMSIA, ENSTA Paris-Tech, Department of Mechanical Engineering, Palaiseau, France
| | - F Szmytka
- IMSIA, ENSTA Paris-Tech, Department of Mechanical Engineering, Palaiseau, France
| | - N Kadlub
- Department of Maxillofacial Surgery and Plastic Surgery, National Reference Center for Cleft Lip and Palate, Hôpital Universitaire Necker-Enfants Malades, Paris, France; University of Paris, Paris, France
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Moreau A, Charpuis-Vandenbogaerde C, Neiva-Vaz C, Sanquer E, Soupre V, Vazquez MP, Picard A, Kadlub N. Speech outcome after intravelar veloplasty. J Stomatol Oral Maxillofac Surg 2020; 122:147-150. [PMID: 32450319 DOI: 10.1016/j.jormas.2020.05.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 05/11/2020] [Accepted: 05/13/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE Cleft lip and palate is the main craniofacial malformation in France. Many surgical techniques had been described to restore cleft palate. In this study, we evaluate phonation in a homogeneous series of patient with isolated unilateral non-syndromic cleft lip and palate before (and after) alveolar cleft closure, operated according to our surgical protocol. METHODS We included retrospectively 71 patients with isolated non-syndromic unilateral cleft lip and palate (UCLP), operated in our department from 2009 to 2013. All patients underwent the same surgical protocol: modified Millard cheilorhinoplasty (from 5 to 9-month-old); direct hard palatal closure (from 12 to 20-month-old); alveolar cleft closure with cancellous iliac bone graft (from 4 to 6-year-old). The phonation and clinical statute were evaluated before and after alveolar cleft closure. Fistula rate and speech evaluation were recorded. RESULTS The rate of oronasal fistula was 12.7%. About phonation, 76% and 86% of patients were competent or borderline competent respectively before and after gingivoperiostoplasty. CONCLUSION This surgical protocol provided speech results in patients with isolated unilateral non-syndromic cleft lip and palate. The gingivoperiostoplasty improved the speech intelligibility.
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Affiliation(s)
- A Moreau
- Service de chirurgie maxillo-faciale et chirurgie plastique, Necker Enfants-Malades, AP-HP, 75015 Paris, France; Centre de référence fentes et malformations faciales, AP-HP, 75015 Paris, France
| | - C Charpuis-Vandenbogaerde
- Service de chirurgie maxillo-faciale et chirurgie plastique, Necker Enfants-Malades, AP-HP, 75015 Paris, France; Centre de référence fentes et malformations faciales, AP-HP, 75015 Paris, France
| | - C Neiva-Vaz
- Service de chirurgie maxillo-faciale et chirurgie plastique, Necker Enfants-Malades, AP-HP, 75015 Paris, France; Centre de référence fentes et malformations faciales, AP-HP, 75015 Paris, France
| | - E Sanquer
- Service de chirurgie maxillo-faciale et chirurgie plastique, Necker Enfants-Malades, AP-HP, 75015 Paris, France; Centre de référence fentes et malformations faciales, AP-HP, 75015 Paris, France
| | - V Soupre
- Service de chirurgie maxillo-faciale et chirurgie plastique, Necker Enfants-Malades, AP-HP, 75015 Paris, France; Centre de référence fentes et malformations faciales, AP-HP, 75015 Paris, France
| | - M P Vazquez
- Service de chirurgie maxillo-faciale et chirurgie plastique, Necker Enfants-Malades, AP-HP, 75015 Paris, France; Centre de référence fentes et malformations faciales, AP-HP, 75015 Paris, France
| | - A Picard
- Service de chirurgie maxillo-faciale et chirurgie plastique, Necker Enfants-Malades, AP-HP, 75015 Paris, France; Université de Paris, 75006 Paris, France; Centre de référence fentes et malformations faciales, AP-HP, 75015 Paris, France; Inserm, UMRS 1138, centre de recherche de Cordeliers, pathologie orale et moléculaire, 75006 Paris, France
| | - N Kadlub
- Service de chirurgie maxillo-faciale et chirurgie plastique, Necker Enfants-Malades, AP-HP, 75015 Paris, France; Université de Paris, 75006 Paris, France; Centre de référence fentes et malformations faciales, AP-HP, 75015 Paris, France; Inserm, UMRS 1138, centre de recherche de Cordeliers, pathologie orale et moléculaire, 75006 Paris, France.
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10
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Bence C, Hofman V, Chamorey E, Long-Mira E, Lassalle S, Albertini AF, Liolios I, Zahaf K, Picard A, Montaudié H, Lacour JP, Passeron T, Andea AA, Ilie M, Hofman P. Association of combined PD-L1 expression and tumour-infiltrating lymphocyte features with survival and treatment outcomes in patients with metastatic melanoma. J Eur Acad Dermatol Venereol 2019; 34:984-994. [PMID: 31625630 DOI: 10.1111/jdv.16016] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2019] [Accepted: 09/20/2019] [Indexed: 12/24/2022]
Abstract
BACKGROUND Recent advances obtained with immune checkpoint inhibitors (ICIs) targeting the programmed cell death-1 (PD-1) protein have significantly improved the outcome of patients with metastatic melanoma. The PD-L1 expression in tumour cells as detected by immunohistochemistry is a predictive biomarker in some solid tumours, but appears insufficient as prognostic or predictive factor of response to ICIs in metastatic melanomas. OBJECTIVES We investigated whether the presence and the features of pretreatment CD8+ tumour-infiltrating T lymphocytes (TILs) could be a complementary prognostic or predictive biomarker in patients with metastatic melanoma. METHODS In this retrospective study, we evaluated the association of PD-L1 expression ≥5% of tumour cells combined with TIL features (CD8, CD28, Ki67) with the overall survival (OS) among 51 patients treated with ICIs and 54 patients treated with other treatment options (non-ICIs). RESULTS PD-L1 positivity was observed in 33% and 39% of primary melanomas and matched metastases, respectively, with, however, poor concordance between the primary and the matched metastatic site (κ = 0.283). No significant association was noted between PD-L1 expression and CD8+ TIL profile analysed as single markers and OS or response to immunotherapy. Instead, their combined analysis in primary melanoma samples showed that the PD-L1-/CD8+ status was significantly associated with prolonged OS in the whole population (P = 0.04) and in the subgroup treated with non-ICIs (P = 0.009). Conversely, the PD-L1+/CD8+ status was a good prognostic factor in patients treated with ICIs (P = 0.022), whereas was significantly associated with poor prognosis in patients treated with non-ICIs (P = 0.014). While the expression of CD28 was not related to outcome, the Ki67 expression was significantly associated with poor OS in the subgroup CD8+ TIL+/PD-L1- (P = 0.02). CONCLUSIONS The pretreatment combination of PD-L1 expression with the level of CD8+ TILs could better assess OS and predict therapeutic response of patients with metastatic melanoma treated by either immunotherapy or other treatment regimens.
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Affiliation(s)
- C Bence
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | - V Hofman
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | - E Chamorey
- Biostatistics Unit, Antoine Lacassagne Comprehensive Cancer Center, Nice, France
| | - E Long-Mira
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | - S Lassalle
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | | | | | - K Zahaf
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | - A Picard
- Department of Dermatology, Archet Hospital, Université Côte d'Azur, Nice, France
| | - H Montaudié
- Department of Dermatology, Archet Hospital, Université Côte d'Azur, Nice, France
| | - J P Lacour
- Department of Dermatology, Archet Hospital, Université Côte d'Azur, Nice, France
| | - T Passeron
- Department of Dermatology, Archet Hospital, Université Côte d'Azur, Nice, France
| | - A A Andea
- Department of Pathology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA
| | - M Ilie
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
| | - P Hofman
- Laboratory of Clinical and Experimental Pathology, Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,CNRS, INSERM, Institute of Research on Cancer and Ageing of Nice (IRCAN), Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France.,Hospital-Related Biobank (BB-0033-00025), Pasteur Hospital, Université Côte d'Azur, University Hospital Federation OncoAge, Nice, France
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11
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Guo L, Montaudié H, Bouhlel L, Picard A, Otto J, Falk A, Poudenx M, Bondiau PY, Gal J, Lacour JP, Passeron T, Sumodhee S, Doyen J. Impact du schéma d’irradiation sur la survie des patients atteints de carcinomes bronchiques non à petites cellules et de mélanomes évolués traités par l’association d’irradiation et d’inhibiteurs de checkpoint de l’immunité. Cancer Radiother 2019. [DOI: 10.1016/j.canrad.2019.07.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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12
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Giudice A, Belhous K, Barone S, Soupre V, Morice A, Vazquez MP, Boddeart N, Abadie V, Picard A. The use of three-dimensional reconstructions of CT scans to evaluate anomalies of hyoid bone in Pierre Robin sequence: A retrospective study. J Stomatol Oral Maxillofac Surg 2019; 121:357-362. [PMID: 31499229 DOI: 10.1016/j.jormas.2019.08.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 08/30/2019] [Indexed: 10/26/2022]
Abstract
AIM The aim of the study was to investigate hyoid bone anomalies in patients with Pierre Robin sequence (PRS) compared to the control group, using computed tomography (CT) examination and three-dimensional reconstruction of the hyoid bone and mandible. METHODS A retrospective study was performed of patients between birth and 12 months old with isolated PRS (i-PRS) and syndromic PRS (ni-PRS), who had undergone CT examination, and whose results were compared to the control group of the same age. DICOM data was processed to highlight bone tissue. The mandible and hyoid bones were the main targets of the three-dimensional reconstruction. The study outcomes were the analysis of hyoid bone ossification, volume, and position (distance between hyoid and mandibular symphysis). Univariate and multivariate statistical analyses were performed with α=0.05 as level of significance. RESULTS The study sample included 29 i-PRS and 21 ni-PRS patients, while 43 infants in the control group. Hyoid ossification was present in 26/50 (52%) PRS patients (14 i-PRS; 12 ni-PRS) but in 31/43 controls (72%). Statistical analysis showed that absence of hyoid ossification was significantly associated with the diagnosis of PRS (P<0.05). Only ni-PRS patients showed a significant reduction of the distance between hyoid and mandible compared to the control group (P<0.001). Hyoid volume was significantly lower only in the ni-PRS group than in controls (P<0.001). CONCLUSION I-PRS and ni-PRS patients differ both etiologically and clinically. Ni-PRS patients confirmed their worst clinical condition than i-PRS with severe anomalies of hyoid development, helping for their ontogeny classification.
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Affiliation(s)
- A Giudice
- Department of Oral and Maxillofacial Surgery, Magna Graecia University of Catanzaro, Viale Europa, Catanzaro, 88100, Italy; Department of Maxillofacial and Plastic Surgery, Necker-Enfants Malades Hospital, 75015 Paris, France.
| | - K Belhous
- Department of Pediatric Radiology, Necker-Enfants Malades Hospital, 75015 Paris, France
| | - S Barone
- Department of Dentistry, Magna Graecia University, 88100 Catanzaro, Italy
| | - V Soupre
- Department of Maxillofacial and Plastic Surgery, Necker-Enfants Malades Hospital, 75015 Paris, France
| | - A Morice
- Department of Maxillofacial and Plastic Surgery, Necker-Enfants Malades Hospital, 75015 Paris, France
| | - M-P Vazquez
- Department of Maxillofacial and Plastic Surgery, Necker-Enfants Malades Hospital, 75015 Paris, France
| | - N Boddeart
- Department of Pediatric Radiology, Necker-Enfants Malades Hospital, 75015 Paris, France
| | - V Abadie
- Department of Pediatrics, Necker-Enfants Malades Hospital, 75015 Paris, France
| | - A Picard
- Department of Maxillofacial and Plastic Surgery, Necker-Enfants Malades Hospital, 75015 Paris, France
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13
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Rouillé T, Aractingi S, Kadlub N, Fraitag S, How-Kit A, Moguelet P, Picard A, Fontaine R, Guégan S. 530 Local inhibition of MEK/AKT prevents cellular growth in human congenital melanocytic nevi. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.07.445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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14
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Picard A, Zazurca F, Franchi G, Kadlub N, Galliani E, Neiva-Vaz C, Soupre V, Mitrofanoff M, Khonsari RH, Diner PA, Vazquez MP. [Secondary nasal surgery with cleft palates]. ANN CHIR PLAST ESTH 2019; 64:432-439. [PMID: 31421925 DOI: 10.1016/j.anplas.2019.07.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Accepted: 07/19/2019] [Indexed: 11/25/2022]
Abstract
Residual nasal deformity in patients with cleft palate remains the main demand of these patients. Performing primary nasal surgery has significantly improved the results. However, it is still often necessary to improve the nasal morphology. Respect of tissues during primary surgery is essential and allows easier secondary corrections. Anatomical reconstruction greatly facilitates the treatment of secondary deformities. Do not hesitate in case of major labionasales sequelae, to make revision, according to the rules of primary surgery, of the entire lip and nose.
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Affiliation(s)
- A Picard
- Centre de référence « Fentes et Malformations Faciales », MAFACE, université Paris Descartes, Paris 5, 149, rue de Sèvres, 75015 Paris, France; Université Paris Descartes, Paris 5, France.
| | - F Zazurca
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - G Franchi
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - N Kadlub
- Centre de référence « Fentes et Malformations Faciales », MAFACE, université Paris Descartes, Paris 5, 149, rue de Sèvres, 75015 Paris, France; Université Paris Descartes, Paris 5, France
| | - E Galliani
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - C Neiva-Vaz
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - V Soupre
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - M Mitrofanoff
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - R H Khonsari
- Centre de référence « Fentes et Malformations Faciales », MAFACE, université Paris Descartes, Paris 5, 149, rue de Sèvres, 75015 Paris, France; Université Paris Descartes, Paris 5, France
| | - P A Diner
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - M P Vazquez
- Centre de référence « Fentes et Malformations Faciales », MAFACE, université Paris Descartes, Paris 5, 149, rue de Sèvres, 75015 Paris, France; Université Paris Descartes, Paris 5, France
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15
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West AM, Schönfisch D, Picard A, Tarrier J, Hodder S, Havenith G. Shoe microclimate: An objective characterisation and subjective evaluation. Appl Ergon 2019; 78:1-12. [PMID: 31046940 DOI: 10.1016/j.apergo.2019.01.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 12/28/2018] [Accepted: 01/18/2019] [Indexed: 06/09/2023]
Abstract
Shoe microclimate (temperature and humidity) has been suggested to contribute to perceptions of foot thermal comfort. However, limited data is available for perceptual responses in relation to shoe microclimate development both over time and within different areas of the shoe. This study evaluates perceptions of foot thermal comfort for two running shoes different in terms of air permeability in relation to temporal and spatial characteristics of shoe microclimate. The temporal characteristics of shoe microclimate development were similar for both shoes assessed. However, higher temperatures and humidity were observed for the less permeable shoe. Changes to shoe microclimate over time and differences between shoes were perceivable by the users. This study provides the most detailed assessment of shoe microclimate in relation to foot thermal comfort to date, providing relevant information for footwear design and evaluation.
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Affiliation(s)
- A M West
- Environmental Ergonomics Research Centre, Loughborough Design School, Loughborough University, Loughborough, UK
| | - D Schönfisch
- Hochschule Kaiserslautern, University of Applied Sciences, Kaiserslautern, Germany
| | - A Picard
- Hochschule Kaiserslautern, University of Applied Sciences, Kaiserslautern, Germany
| | - J Tarrier
- adidas FUTURE, adidas AG-World of Sports, Herzogenaurach, Germany
| | - S Hodder
- Environmental Ergonomics Research Centre, Loughborough Design School, Loughborough University, Loughborough, UK
| | - G Havenith
- Environmental Ergonomics Research Centre, Loughborough Design School, Loughborough University, Loughborough, UK.
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Segna E, Khonsari RH, Meazzini MC, Battista VMA, Picard A, Autelitano L. Maxillary shape at the end of puberty in operated unilateral cleft lip and palate: A geometric morphometric assessment using computer tomography. J Stomatol Oral Maxillofac Surg 2019; 121:9-13. [PMID: 31255828 DOI: 10.1016/j.jormas.2019.06.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 06/11/2019] [Accepted: 06/18/2019] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Cleft lip and palate (CLP) surgery interferes with maxillary growth and contributes to transversal and sagittal growth impairment. Our retrospective descriptive study aimed to evaluate maxillary bone shape in a homogenous unilateral CLP patient group using geometric morphometrics based on CT-scan data. MATERIAL AND METHODS We included all patients with available CT-scans at the end of pubertal growth and operated on at Smile House of Milan, according to the standard protocol, involving two surgical steps: (1) primary closure of the lip and soft palate at 6 months of age and (2) early secondary gingivoalveoloplasty (GAP) associated with hard palate repair at 18-36 months. Shape differences between CLP and an age-matched control group were characterized using geometric morphometrics based on 15 3D landmarks. RESULTS We included 16 unilateral CLP patients and 20 age-matched controls. Principal component and canonical variate analyses showed that the maxillary shape in CLP was significantly different from controls but that this difference was limited. Linear and angular measurements confirmed these differences. CONCLUSION Early secondary GAP results in satisfactory maxillary shape, with significant but limited differences relative to controls.
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Affiliation(s)
- E Segna
- Service de Chirurgie Maxillofaciale et Chirurgie Plastique, filière maladies rares TeteCou, centre de référence maladies rares MAFACE, Hôpital Universitaire Necker-Enfants Malades, Université Sorbonne Paris-Cité, Université Paris-Descartes, AP-HP, 75015 Paris, France.
| | - R H Khonsari
- Service de Chirurgie Maxillofaciale et Chirurgie Plastique, filière maladies rares TeteCou, centre de référence maladies rares MAFACE, Hôpital Universitaire Necker-Enfants Malades, Université Sorbonne Paris-Cité, Université Paris-Descartes, AP-HP, 75015 Paris, France
| | - M C Meazzini
- Smile House Department of Craniofacial Surgery, San-Paolo Hospital, Milan, Italy
| | - V M A Battista
- Smile House Department of Craniofacial Surgery, San-Paolo Hospital, Milan, Italy
| | - A Picard
- Service de Chirurgie Maxillofaciale et Chirurgie Plastique, filière maladies rares TeteCou, centre de référence maladies rares MAFACE, Hôpital Universitaire Necker-Enfants Malades, Université Sorbonne Paris-Cité, Université Paris-Descartes, AP-HP, 75015 Paris, France
| | - L Autelitano
- Smile House Department of Craniofacial Surgery, San-Paolo Hospital, Milan, Italy
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Schreiber A, Soupre V, Kadlub N, Galliani E, Picard A, Chrétien-Marquet B, Pannier S, Guéro S, Khen-Dunlop N, Hadj-Rabia S, Delanoe P, Bodemer C, Boccara O. Does surgery of lymphatic malformations lead to an increase in superficial lymphangiectasia? A retrospective study of 43 patients. Br J Dermatol 2019; 181:1324-1325. [PMID: 31222726 DOI: 10.1111/bjd.18236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A Schreiber
- Dermatology and Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Institut Imagine, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - V Soupre
- Department of Plastic and Maxillo-Facial Surgery, Institut Imagine, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - N Kadlub
- Department of Plastic and Maxillo-Facial Surgery, Institut Imagine, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - E Galliani
- Department of Plastic and Maxillo-Facial Surgery, Institut Imagine, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - A Picard
- Department of Plastic and Maxillo-Facial Surgery, Institut Imagine, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - B Chrétien-Marquet
- Department of Plastic and Maxillo-Facial Surgery, Institut Imagine, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - S Pannier
- Department of Orthopaedic Surgery, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - S Guéro
- Department of Orthopaedic Surgery, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - N Khen-Dunlop
- Department of Paediatric Surgery, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - S Hadj-Rabia
- Dermatology and Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Institut Imagine, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - P Delanoe
- Dermatology and Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Institut Imagine, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - C Bodemer
- Dermatology and Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Institut Imagine, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
| | - O Boccara
- Dermatology and Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Institut Imagine, Hôpital Necker-Enfants Malades, AP-HP, 149 Rue de Sèvres, 75015, Paris, France, Université Paris Descartes - Sorbonne Paris Cité, Paris, France
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Dallard J, Debelmas A, Asiri S, Kogane N, Picard A, Kadlub N, Boisson J. Mechanical properties of the human periosteum in the mandibular ostegenesis context. Comput Methods Biomech Biomed Engin 2019. [DOI: 10.1080/10255842.2020.1713471] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- J. Dallard
- Department of mechanical Engineering, ENSTA Paris-Tech, Palaiseau, France
| | - A. Debelmas
- Unit of Maxillofacial Surgery and Plastic Surgery, APHP, Necker Enfant Malades, Paris, France
- Paris Descartes University, Paris, France
| | - S. Asiri
- Department of mechanical Engineering, ENSTA Paris-Tech, Palaiseau, France
| | - N. Kogane
- Department of mechanical Engineering, ENSTA Paris-Tech, Palaiseau, France
| | - A. Picard
- Unit of Maxillofacial Surgery and Plastic Surgery, APHP, Necker Enfant Malades, Paris, France
- Paris Descartes University, Paris, France
| | - N. Kadlub
- Unit of Maxillofacial Surgery and Plastic Surgery, APHP, Necker Enfant Malades, Paris, France
- Paris Descartes University, Paris, France
| | - J. Boisson
- Department of mechanical Engineering, ENSTA Paris-Tech, Palaiseau, France
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Vo Quang S, Galliani E, Eche S, Tomat C, Fauroux B, Picard A, Kadlub N. Contribution of a better maxillofacial phenotype in Silver–Russell syndrome to define a better orthodontics and surgical management. Journal of Stomatology, Oral and Maxillofacial Surgery 2019; 120:110-115. [DOI: 10.1016/j.jormas.2018.10.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Revised: 10/03/2018] [Accepted: 10/28/2018] [Indexed: 10/27/2022]
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Morice A, Galliani E, Amiel J, Rachwalski M, Neiva C, Thauvin-Robinet C, Vazquez MP, Picard A, Kadlub N. Diagnostic criteria in Pai syndrome: results of a case series and a literature review. Int J Oral Maxillofac Surg 2019; 48:283-290. [DOI: 10.1016/j.ijom.2018.08.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Revised: 06/01/2018] [Accepted: 08/20/2018] [Indexed: 10/28/2022]
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Girinon F, Ketoff S, Hennocq Q, Kogane N, Ullman N, Kadlub N, Galliani E, Neiva-Vaz C, Vazquez MP, Picard A, Khonsari RH. Maxillary shape after primary cleft closure and before alveolar bone graft in two different management protocols: A comparative morphometric study. J Stomatol Oral Maxillofac Surg 2019; 120:406-409. [PMID: 30763782 DOI: 10.1016/j.jormas.2019.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/24/2018] [Revised: 01/21/2019] [Accepted: 02/04/2019] [Indexed: 10/27/2022]
Abstract
AIM AND SCOPE Result assessment in cleft surgery is a technical challenge and requires the development of dedicated morphometric tools. Two cohorts of patients managed according to two different protocols were assessed at similar ages and their palatal shape was compared using geometric morphometrics. MATERIAL AND METHODS Ten patients (protocol No. 1) benefited from early lip closure (1-3 months) and secondary combined soft and hard palate closure (6-9 months); 11 patients (protocol No. 2) benefited from later combined lip and soft palate closure (6 months) followed by hard palate closure (18 months). Cone-Beam Computed Tomography (CBCT) images were acquired at 5 years of age and palatal shapes were compared between protocols No. 1 and No. 2 using geometric morphometrics. RESULTS Protocols No. 1 and No. 2 had a significantly different timing in their surgical steps but were assessed at a similar age (5 years). The inter-canine distance was significantly narrower in protocol No. 1. Geometric morphometrics showed that the premaxillary region was located more inferiorly in protocol No. 1. CONCLUSION Functional approaches to cleft surgery (protocol No. 2) allow obtaining larger inter-canine distances and more anatomical premaxillary positions at 5 years of age when compared to protocols involving early lip closure (protocol No. 1). This is the first study comparing the intermediate results of two cleft management protocols using 3D CBCT data and geometric morphometrics. Similar assessments at the end of puberty are required in order to compare the long-term benefits of functional protocols.
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Affiliation(s)
- F Girinon
- Arts et métiers ParisTech, LBM, Paris, France
| | - S Ketoff
- Arts et métiers ParisTech, LBM, Paris, France; Assistance publique Hôpitaux de Paris, Hôpital Universitaire Necker - Enfants Malades, Service de Chirurgie Maxillofaciale et Chirurgie Plastique, Centre de Référence des Malformations de la Face et de la Cavité Buccale (MAFACE), Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | - Q Hennocq
- Assistance publique Hôpitaux de Paris, Hôpital Universitaire Necker - Enfants Malades, Service de Chirurgie Maxillofaciale et Chirurgie Plastique, Centre de Référence des Malformations de la Face et de la Cavité Buccale (MAFACE), Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | - N Kogane
- Assistance publique Hôpitaux de Paris, Hôpital Universitaire Necker - Enfants Malades, Service de Chirurgie Maxillofaciale et Chirurgie Plastique, Centre de Référence des Malformations de la Face et de la Cavité Buccale (MAFACE), Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | - N Ullman
- Assistance publique Hôpitaux de Paris, Hôpital Universitaire Necker - Enfants Malades, Service de Chirurgie Maxillofaciale et Chirurgie Plastique, Centre de Référence des Malformations de la Face et de la Cavité Buccale (MAFACE), Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | - N Kadlub
- Assistance publique Hôpitaux de Paris, Hôpital Universitaire Necker - Enfants Malades, Service de Chirurgie Maxillofaciale et Chirurgie Plastique, Centre de Référence des Malformations de la Face et de la Cavité Buccale (MAFACE), Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | - E Galliani
- Assistance publique Hôpitaux de Paris, Hôpital Universitaire Necker - Enfants Malades, Service de Chirurgie Maxillofaciale et Chirurgie Plastique, Centre de Référence des Malformations de la Face et de la Cavité Buccale (MAFACE), Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | - C Neiva-Vaz
- Assistance publique Hôpitaux de Paris, Hôpital Universitaire Necker - Enfants Malades, Service de Chirurgie Maxillofaciale et Chirurgie Plastique, Centre de Référence des Malformations de la Face et de la Cavité Buccale (MAFACE), Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | - M P Vazquez
- Assistance publique Hôpitaux de Paris, Hôpital Universitaire Necker - Enfants Malades, Service de Chirurgie Maxillofaciale et Chirurgie Plastique, Centre de Référence des Malformations de la Face et de la Cavité Buccale (MAFACE), Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | - A Picard
- Assistance publique Hôpitaux de Paris, Hôpital Universitaire Necker - Enfants Malades, Service de Chirurgie Maxillofaciale et Chirurgie Plastique, Centre de Référence des Malformations de la Face et de la Cavité Buccale (MAFACE), Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France
| | - R H Khonsari
- Assistance publique Hôpitaux de Paris, Hôpital Universitaire Necker - Enfants Malades, Service de Chirurgie Maxillofaciale et Chirurgie Plastique, Centre de Référence des Malformations de la Face et de la Cavité Buccale (MAFACE), Filière Maladies Rares TeteCou, Université Paris Descartes, Université Sorbonne Paris Cité, Paris, France.
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Sanchez A, Montaudie H, Bory P, Belgodere X, Passeron T, Lacour J, Picard A. Syndrome des antiphospholipides induit par le pembrolizumab chez une patiente traitée pour un mélanome stade III non résécable. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Montaudié H, Kogay M, Viotti J, Combemale P, Dutriaux C, Dupin N, Robert C, Mortier L, Duval-Modeste AB, Dalle S, de Quatrebarbes J, Stefan A, Brunet-Possenti F, Picard A, Poissonnet G, Peyrade F. Données d’efficacité et de tolérance en vie réelle du cétuximab dans le carcinome épidermoïde cutané avancé : étude nationale rétrospective et multicentrique. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.257] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Peyrade F, Kogay M, Viotti J, Combemale P, Dutriaux C, Dupin N, Robert C, Mortier L, Duval-Modeste AB, Dalle S, De Quatrebarbes J, Stefan A, Brunet-Possenti F, Picard A, Poissonnet G, Montaudié H. Cetuximab in patients with unresectable cutaneous squamous cell carcinoma is safe and effective: A real-life analysis. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy289.049] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Franchi G, Neiva-Vaz C, Picard A, Vazquez MP. Injections d’acides hyaluroniques au niveau de visages atteints de malformations faciales. Étude préliminaire de l’assouplissement des zones cicatricielles et de l’amélioration esthétique. ANN CHIR PLAST ESTH 2018; 63:197-204. [DOI: 10.1016/j.anplas.2018.01.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Accepted: 01/03/2018] [Indexed: 12/20/2022]
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26
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Kadlub N, Chapuis Vandenbogaerde C, Joly A, Neiva C, Vazquez MP, Picard A. Speech evaluation after intravelar veloplasty. How to use Borel-Maisonny classification in the international literature? Journal of Stomatology, Oral and Maxillofacial Surgery 2018; 119:107-109. [DOI: 10.1016/j.jormas.2017.11.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Revised: 11/07/2017] [Accepted: 11/16/2017] [Indexed: 10/18/2022]
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Bouaoud J, Joly A, Picard A, Thierry B, Arnaud E, James S, Hennessy I, McGarvey B, Cairet P, Vecchione A, Vergnaud E, Duracher C, Khonsari RH. Severe macroglossia after posterior fossa and craniofacial surgery in children. Int J Oral Maxillofac Surg 2018; 47:428-436. [PMID: 29301676 DOI: 10.1016/j.ijom.2017.12.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Revised: 10/23/2017] [Accepted: 12/12/2017] [Indexed: 11/28/2022]
Abstract
Massive swelling of the tongue can occur after posterior fossa and craniofacial surgery. Several hypotheses have been proposed to explain the occurrence of such severe postoperative macroglossia, but this phenomenon is still poorly understood. Severe postoperative macroglossia can be a life-threatening condition due to upper airway obstruction. Three cases of severe postoperative macroglossia that occurred after cervical spine, craniofacial, and posterior fossa surgical procedures are reported here. These cases required specialized maxillofacial management and a prolonged stay in the intensive care unit. Causal factors involved in this condition are reported, in order to highlight appropriate prevention and treatment options adapted to the management of paediatric patients. An overview of the current literature on severe postoperative macroglossia in paediatric populations is also provided.
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Affiliation(s)
- J Bouaoud
- Assistance Publique - Hôpitaux de Paris, Service de Chirurgie Maxillo-faciale et Plastique, Hôpital Necker Enfants-Malades, Paris, France
| | - A Joly
- Assistance Publique - Hôpitaux de Paris, Service de Chirurgie Maxillo-faciale et Plastique, Hôpital Necker Enfants-Malades, Paris, France; Université Sorbonne Paris Cité, Université Paris Descartes, Paris, France
| | - A Picard
- Assistance Publique - Hôpitaux de Paris, Service de Chirurgie Maxillo-faciale et Plastique, Hôpital Necker Enfants-Malades, Paris, France; Université Sorbonne Paris Cité, Université Paris Descartes, Paris, France
| | - B Thierry
- Université Sorbonne Paris Cité, Université Paris Descartes, Paris, France; Assistance Publique - Hôpitaux de Paris, Service d'Oto-rhino-laryngologie et Chirurgie Cervico-faciale Pédiatriques, Hôpital Necker Enfants-Malades, Paris, France
| | - E Arnaud
- Assistance Publique - Hôpitaux de Paris, Service de Neurochirurgie et Chirurgie Crânio-faciale, Hôpital Necker Enfants-Malades, Paris, France
| | - S James
- Université Sorbonne Paris Cité, Université Paris Descartes, Paris, France; Assistance Publique - Hôpitaux de Paris, Service de Neurochirurgie et Chirurgie Crânio-faciale, Hôpital Necker Enfants-Malades, Paris, France
| | - I Hennessy
- Paediatric Anaesthesia, Children's University Hospital, Dublin, Ireland
| | - B McGarvey
- Paediatric Anaesthesia, Children's University Hospital, Dublin, Ireland
| | - P Cairet
- Assistance Publique - Hôpitaux de Paris, Service d'Anesthésie et de Réanimation, Hôpital Necker Enfants-Malades, Paris, France
| | - A Vecchione
- Assistance Publique - Hôpitaux de Paris, Service d'Anesthésie et de Réanimation, Hôpital Necker Enfants-Malades, Paris, France
| | - E Vergnaud
- Assistance Publique - Hôpitaux de Paris, Service d'Anesthésie et de Réanimation, Hôpital Necker Enfants-Malades, Paris, France
| | - C Duracher
- Assistance Publique - Hôpitaux de Paris, Service d'Anesthésie et de Réanimation, Hôpital Necker Enfants-Malades, Paris, France
| | - R H Khonsari
- Assistance Publique - Hôpitaux de Paris, Service de Chirurgie Maxillo-faciale et Plastique, Hôpital Necker Enfants-Malades, Paris, France; Université Sorbonne Paris Cité, Université Paris Descartes, Paris, France.
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Guichard G, Grange F, Saiag P, Charles J, Dreno B, Guillot B, Lacour JP, Gaudy C, Monestier S, Hesse S, Khammari A, Visseaux L, Kramkimel N, Finet A, Picard A, Malissen N, Troin L, Magis Q, Richard MA, Grob JJ. Il n’y a pas de surtoxicité des BRAF-MEK inhibiteurs lorsqu’ils sont prescrits immédiatement après l’arrêt des anti-PD1. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Picard A, Mahe M, Barbier JM, Grange C, Lefebvre M, Duc S, Bertucci W, Houel N. Principal Componant Analysis between perceptions and kinematics of the subject. An ergonomic case study at office work. Comput Methods Biomech Biomed Engin 2017; 20:159-160. [DOI: 10.1080/10255842.2017.1382911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- A. Picard
- ESO – Paris Recherche, Ecole Supérieure d’Ostéopathie – Paris
- Institut Technologique Foret Cellulose Bois-construction Ameublement
- GRESPI, EA4694/UFRSTAPS, Université de Reims Champagne-Ardenne
| | - M. Mahe
- ESO – Paris Recherche, Ecole Supérieure d’Ostéopathie – Paris
- Institut Technologique Foret Cellulose Bois-construction Ameublement
- GRESPI, EA4694/UFRSTAPS, Université de Reims Champagne-Ardenne
| | - J. M. Barbier
- Institut Technologique Foret Cellulose Bois-construction Ameublement
| | - C. Grange
- Institut Technologique Foret Cellulose Bois-construction Ameublement
| | - M. Lefebvre
- Institut Technologique Foret Cellulose Bois-construction Ameublement
| | - S. Duc
- GRESPI, EA4694/UFRSTAPS, Université de Reims Champagne-Ardenne
| | - W. Bertucci
- GRESPI, EA4694/UFRSTAPS, Université de Reims Champagne-Ardenne
| | - N. Houel
- ESO – Paris Recherche, Ecole Supérieure d’Ostéopathie – Paris
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Segna E, Caruhel JB, Corre P, Picard A, Biau D, Khonsari RH. Quantitative assessment of the learning curve for cleft lip repair using LC-CUSUM. Int J Oral Maxillofac Surg 2017; 47:366-373. [PMID: 29111102 DOI: 10.1016/j.ijom.2017.10.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2017] [Revised: 08/20/2017] [Accepted: 10/09/2017] [Indexed: 10/18/2022]
Abstract
The first step in cleft lip repair is the precise positioning of anatomical landmarks and tracing of the incisions on the patient's lip at the beginning of the procedure. The aim of this study was to evaluate progress made in learning cleft lip repair tracing using a quantitative assessment of learning curves: LC-CUSUM (learning curve - cumulative sum). Eight surgical residents were enrolled and asked to trace lip repair incisions on five cases of unilateral left cleft lip over 5 consecutive weeks. Results were compared to a reference tracing based on the positioning of nine anatomical landmarks and assessed using LC-CUSUM. Competence was defined as the accurate positioning of the nine landmarks (less than 1.4mm deviation from the reference positions, with an accepted 15% failure rate). After five tracing sessions, competence was not achieved evenly for all trainees, or for all landmarks, underlining differences in inter-individual learning ability even with similar training. However, despite an initial marked lack of theoretical and practical training in lip repair techniques, repeated drawings of cleft lip incisions allowed a satisfactory level of competence to be reached for most landmarks and most trainees. Nevertheless it was found that not all landmarks are understood by students with similar ease, and that landmark positioning reveals significant inter-individual differences. This approach allowed a global assessment of the teaching of cleft repair and will help to focus training on specific problematic points for which competence was not obtained according to the LC-CUSUM test.
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Affiliation(s)
- E Segna
- Ospedale Maggiore Policlinico di Milano, Unità Operativa di Chirurgia Maxillo-facciale e Odontostomatologia, Università di Milano-Bicocca, Milan, Italy
| | - J-B Caruhel
- Assistance Publique - Hôpitaux de Paris, Service de Chirurgie Maxillofaciale, Hôpital Universitaire Pitié-Salpêtrière, Université Paris-Descartes, Paris, France
| | - P Corre
- Centre Hospitalier Universitaire de Nantes, Université de Nantes, Nantes, France
| | - A Picard
- Assistance Publique - Hôpitaux de Paris, Service de Chirurgie Maxillofaciale et Plastique, Hôpital Necker Enfants-Malades, Université Paris-Descartes, Paris, France
| | - D Biau
- Assistance Publique - Hôpitaux de Paris, Service de Chirurgie Orthopédique, Hôpital Cochin Port-Royal, Université Paris-Descartes, Paris, France
| | - R H Khonsari
- Assistance Publique - Hôpitaux de Paris, Service de Chirurgie Maxillofaciale et Plastique, Hôpital Necker Enfants-Malades, Université Paris-Descartes, Paris, France.
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Lehur AC, Zielinski M, Pluvy J, Grégoire V, Diamantis S, Bleibtreu A, Rioux C, Picard A, Vallois D. Case of disseminated histoplasmosis in a HIV-infected patient revealed by nasal involvement with maxillary osteolysis. BMC Infect Dis 2017; 17:328. [PMID: 28476105 PMCID: PMC5418854 DOI: 10.1186/s12879-017-2419-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2016] [Accepted: 04/25/2017] [Indexed: 11/10/2022] Open
Abstract
Background Disseminated Histoplasmosis (DH) is a rare manifestation of Acquired Immune Deficiency Syndrome (AIDS) in European countries. Naso-maxillar osteolysis due to Histoplasma capsulatum var. capsulatum (Hcc) is unusual in endemic countries and has never been reported in European countries. Differential diagnoses such as malignant tumors, cocaine use, granulomatosis, vasculitis and infections are more frequently observed and could delay and/or bias the final diagnosis. Case presentation We report the case of an immunocompromised patient infected by Human Immunodeficiency Virus (HIV) with naso-maxillar histoplasmosis in a non-endemic country. Our aim is to describe the clinical presentation, the diagnostic and therapeutic issues. A 53-year-old woman, originated from Haiti, was admitted in 2016 for nasal deformation with alteration of general condition evolving for at least 6 months. HIV infection was diagnosed in 2006 and classified at AIDS stage in 2008 due to cytomegalovirus infection associated with pulmonary histoplasmosis. At admission, CD4 cell count was 9/mm3. Surgical biopsies were performed and ruled out differential or associated diagnoses. Mycological cultures identified Hcc and Blood Polymerase Chain Reaction (PCR) for Hcc was positive. The patient was given daily Amphothericin B liposomal infusion during 1 month. Hcc PCR became negative in the blood under treatment, and then oral switch by itraconazole was introduced. Antiretroviral treatment was reintroduced after a 3-week histoplasmosis treatment. Normalization of naso-maxillar mucosa enabled a palatal prosthesis. Conclusion Naso-maxillar histoplasmosis is extremely rare; this is the first case ever reported in a non-endemic country. Differential diagnoses must be ruled out by conducting microbiologic tools and histological examinations on surgical biopsies. Early antifungal treatment should be initiated in order to prevent DH severe outcomes.
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Affiliation(s)
- A C Lehur
- Infectious and Tropical Diseases Department, University Hospital Bichat-Claude Bernard, APHP, 46 rue Henri Huchard, 75018, Paris, France
| | - M Zielinski
- Otorhinolaryngology Department, University Hospital Bichat-Claude Bernard, APHP, Paris, France
| | - J Pluvy
- Infectious and Tropical Diseases Department, University Hospital Bichat-Claude Bernard, APHP, 46 rue Henri Huchard, 75018, Paris, France
| | - V Grégoire
- Hematology Department, Meaux Hospital, Meaux, France
| | - S Diamantis
- General Medecine and Infectious Diseases Department, Melun Hospital, Melun, France
| | - A Bleibtreu
- Infectious and Tropical Diseases Department, University Hospital Bichat-Claude Bernard, APHP, 46 rue Henri Huchard, 75018, Paris, France
| | - C Rioux
- Infectious and Tropical Diseases Department, University Hospital Bichat-Claude Bernard, APHP, 46 rue Henri Huchard, 75018, Paris, France
| | - A Picard
- Otorhinolaryngology Department, University Hospital Bichat-Claude Bernard, APHP, Paris, France
| | - D Vallois
- Infectious and Tropical Diseases Department, University Hospital Bichat-Claude Bernard, APHP, 46 rue Henri Huchard, 75018, Paris, France.
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Boulouis G, Dangouloff-Ros V, Boccara O, Garabedian N, Soupre V, Picard A, Couloigner V, Boddaert N, Naggara O, Brunelle F. Arterial Spin-Labeling to Discriminate Pediatric Cervicofacial Soft-Tissue Vascular Anomalies. AJNR Am J Neuroradiol 2017; 38:633-638. [PMID: 28104640 DOI: 10.3174/ajnr.a5065] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Accepted: 10/18/2016] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Differentiating major subtypes of cervicofacial vascular lesions is crucial for appropriate management. The aim of our study was to evaluate the performance of an MR imaging arterial spin-labeling perfusion sequence in discriminating pediatric cervicofacial soft-tissue vascular anomalies. MATERIALS AND METHODS We conducted a retrospective analysis of data from a prospectively maintained registry including pediatric patients at a tertiary pediatric center between January 2012 and January 2014. We included pediatric patients with a final diagnosis of soft-tissue vascular anomalies and an MR imaging, including an arterial spin-labeling sequence at presentation. We performed an analysis of lesion perfusion, blinded to clinical data, by using concurrent spiral 3D pseudocontinuous arterial spin-labeling (1.5T magnet; spiral matrix, 512 × 8 mm; postlabeling delay, 1025 ms). Lesional flow was recorded with calibrated intralesional ROIs. Perfusion characteristics were compared among lesion subtypes with the Mood Median test. RESULTS Among 840 patients screened, 46 matched the inclusion criteria and were included (median age, 1.45 years; interquartile range, 0.4-5.1 years; 27 females). Hemangiomas, including infantile hemangiomas (n = 18 patients) and noninvoluting (n = 2) and rapidly involuting (n = 1) congenital types, demonstrated marked hyperperfusion (median flow, 436 mL/min/100 g; interquartile range, 212.5-603 mL/min/100 g), significantly higher than that of lymphatic malformations (median, 22.5 mL/min/100 g; interquartile range, 16-60 mL/min/100 g; P < .001) or venous malformations (median, 25 mL/min/100 g; interquartile range, 15-66.5 mL/min/100 g; P = .003). CONCLUSIONS MR imaging arterial spin-labeling is a valuable tool for the assessment of soft-tissue vascular anomaly hemodynamics and for the classification of major lesion subtypes.
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Affiliation(s)
- G Boulouis
- From the Department of Pediatric Radiology (G.B., V.D.-R., N.B., O.N., F.B.) .,Institut National de la Santé et de la Recherche Médicale U894 (G.B., O.N.), Descartes University, Paris, France.,Department of Neuroradiology (G.B., O.N.), Centre Hospitalier Sainte Anne, Paris, France
| | - V Dangouloff-Ros
- From the Department of Pediatric Radiology (G.B., V.D.-R., N.B., O.N., F.B.).,Institut National de la Santé et de la Recherche Médicale U1000 (V.D.-R., N.B., F.B.)
| | - O Boccara
- Departments of Pediatric Dermatology (O.B.).,Pediatric Oto-Rhino-Laryngology (O.B., N.G., V.C.).,Pediatric Maxillo-Facial and Plastic Surgery (O.B., V.S., A.P., O.N.), Necker Children's Hospital, Descartes University, Paris, France.,Centre de Référence des Malformations Rares de la Face de la Cavite Buccale (O.B., V.S., A.P.), Maxillofacial Malformation Reference Center, Paris, France.,Faculté de Médecine Paris-Descartes (O.B., N.G., V.S., A.P., V.C., N.B., F.B.), Université Paris 5, Paris, France
| | - N Garabedian
- Pediatric Oto-Rhino-Laryngology (O.B., N.G., V.C.).,Faculté de Médecine Paris-Descartes (O.B., N.G., V.S., A.P., V.C., N.B., F.B.), Université Paris 5, Paris, France
| | - V Soupre
- Pediatric Maxillo-Facial and Plastic Surgery (O.B., V.S., A.P., O.N.), Necker Children's Hospital, Descartes University, Paris, France.,Centre de Référence des Malformations Rares de la Face de la Cavite Buccale (O.B., V.S., A.P.), Maxillofacial Malformation Reference Center, Paris, France.,Faculté de Médecine Paris-Descartes (O.B., N.G., V.S., A.P., V.C., N.B., F.B.), Université Paris 5, Paris, France
| | - A Picard
- Pediatric Maxillo-Facial and Plastic Surgery (O.B., V.S., A.P., O.N.), Necker Children's Hospital, Descartes University, Paris, France.,Centre de Référence des Malformations Rares de la Face de la Cavite Buccale (O.B., V.S., A.P.), Maxillofacial Malformation Reference Center, Paris, France.,Faculté de Médecine Paris-Descartes (O.B., N.G., V.S., A.P., V.C., N.B., F.B.), Université Paris 5, Paris, France
| | - V Couloigner
- Pediatric Oto-Rhino-Laryngology (O.B., N.G., V.C.).,Faculté de Médecine Paris-Descartes (O.B., N.G., V.S., A.P., V.C., N.B., F.B.), Université Paris 5, Paris, France
| | - N Boddaert
- From the Department of Pediatric Radiology (G.B., V.D.-R., N.B., O.N., F.B.).,Institut National de la Santé et de la Recherche Médicale U1000 (V.D.-R., N.B., F.B.).,Faculté de Médecine Paris-Descartes (O.B., N.G., V.S., A.P., V.C., N.B., F.B.), Université Paris 5, Paris, France.,Unite Mixte de Recherche 1163 (N.B., F.B.), Institut Imagine, Paris, France
| | - O Naggara
- From the Department of Pediatric Radiology (G.B., V.D.-R., N.B., O.N., F.B.).,Institut National de la Santé et de la Recherche Médicale U894 (G.B., O.N.), Descartes University, Paris, France.,Pediatric Maxillo-Facial and Plastic Surgery (O.B., V.S., A.P., O.N.), Necker Children's Hospital, Descartes University, Paris, France.,Department of Neuroradiology (G.B., O.N.), Centre Hospitalier Sainte Anne, Paris, France
| | - F Brunelle
- From the Department of Pediatric Radiology (G.B., V.D.-R., N.B., O.N., F.B.).,Institut National de la Santé et de la Recherche Médicale U1000 (V.D.-R., N.B., F.B.).,Faculté de Médecine Paris-Descartes (O.B., N.G., V.S., A.P., V.C., N.B., F.B.), Université Paris 5, Paris, France.,Unite Mixte de Recherche 1163 (N.B., F.B.), Institut Imagine, Paris, France
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Guegan S, Kadlub N, Picard A, Rouillé T, Charbel C, Coulomb A, How-Kit A, Fraitag S, Aractingi S, Fontaine R. Potentiel clonogénique et tumorigénique variable des nævus congénitaux mutés NRAS. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Picard A, Doyen J, Thyss A, Giacchero D, Leysalle A, Bondiau PY, Passeron T, Lacour JP, Montaudié H. Tolérance et efficacité de l’association radiothérapie et immunothérapie chez les patients atteints de mélanome métastatique. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Vazquez MP, Kadlub N, Soupre V, Galliani E, Neiva-Vaz C, Pavlov I, Picard A. [Facial trauma and injury in children]. ANN CHIR PLAST ESTH 2016; 61:543-559. [PMID: 27614719 DOI: 10.1016/j.anplas.2016.07.022] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2016] [Accepted: 07/27/2016] [Indexed: 11/25/2022]
Abstract
Facial traumas are common in children but often unconsidered. Facial injury is responsible of impressive bleeding because of the rich vascularization of the face; this bleeding is often underestimated because of the immediate arterial vasoconstriction that is very strong for children. The blood volume is 80ml/kg for a newborn, with a total of 250ml, reaching 70ml/kg at one year of age. The evaluation must be rigorously performed due to the risk of a sudden decompensation. Regarding the wounds, the primary repair must be performed directly neat or optimal in case of damaged tissues. The rule is to keep maximum of the integrity and to limit debridement. Careful repair often requires general anesthesia, especially in young children, to facilitate a perfect joining of the edges and of the mucocutaneous lines. Losses of substance should be treated by directed cicatrization. Flaps are never performed in children as a first intention for reasons developed below. Given the elasticity of the facial skeleton, fractures require a brutal shock to occur, but the clinical signs can be misleading. For instance, too specific and sometimes ignored, fractures can show weakly symptomatic signs : the fractures of the condylar and the orbital floor, with their respective complication that are temporomandibular bone ankylosis and definitive diplopia. Possible children abuse should be suspected in case of different age lesions and discrepancies between the told story and types of injuries. Once the vital urgency is eliminated, the orbital emergency should be first considered in facial traumas within the ophthalmology specialty because wounds and contusions of the globe are often under-evaluated and threaten the vision. The second emergency is the orbital floor fracture in its 'trapdoor' type, specific to the child. Combined with a motionless eye and uncontrollable vomiting, this is the second true urgency because it involves the prognosis of the oculomotricity and requires emergency surgery. Finally, dental trauma should not be overlooked because of their functional and aesthetic consequences. Primary cicatrization is usually rapid but scars remain inflammatory during a long time. The risk of hypertrophy exists in case of contusions and lacerations associated with wounds but also during puberty and in some locations. Age interfere with the result because growth will either improve or worsen the initial result, depending on the location and mechanism. The secondary specialized and prolonged managing and monitoring is capital on the functional, aesthetic and psychological points of view.
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Affiliation(s)
- M-P Vazquez
- Service de chirurgie maxillo-faciale et chirurgie plastique pédiatrique, hôpital Necker, faculté de médecine Paris Descartes, Paris 5, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
| | - N Kadlub
- Service de chirurgie maxillo-faciale et chirurgie plastique pédiatrique, hôpital Necker, faculté de médecine Paris Descartes, Paris 5, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - V Soupre
- Service de chirurgie maxillo-faciale et chirurgie plastique pédiatrique, hôpital Necker, faculté de médecine Paris Descartes, Paris 5, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - E Galliani
- Service de chirurgie maxillo-faciale et chirurgie plastique pédiatrique, hôpital Necker, faculté de médecine Paris Descartes, Paris 5, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - C Neiva-Vaz
- Service de chirurgie maxillo-faciale et chirurgie plastique pédiatrique, hôpital Necker, faculté de médecine Paris Descartes, Paris 5, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - I Pavlov
- Service de chirurgie maxillo-faciale et chirurgie plastique pédiatrique, hôpital Necker, faculté de médecine Paris Descartes, Paris 5, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - A Picard
- Service de chirurgie maxillo-faciale et chirurgie plastique pédiatrique, hôpital Necker, faculté de médecine Paris Descartes, Paris 5, AP-HP, 149, rue de Sèvres, 75015 Paris, France
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Durazzo A, Boccara O, Fraitag S, Fusade T, Picard A, Kadlub N. [Congenital "kissing" lesions: Nevus or "café au lait" spot?]. ACTA ACUST UNITED AC 2016; 117:433-437. [PMID: 27717672 DOI: 10.1016/j.revsto.2016.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Revised: 05/24/2016] [Accepted: 09/06/2016] [Indexed: 10/20/2022]
Abstract
INTRODUCTION "Café au lait" spots (CLS) are pigmented skin lesions principally located at the trunk and the limbs. Histologically, CLSs consist in an excessive pigmentation of the epidermis, with no risk of malignant transformation. The "kissing" nevus is a rare pigmented congenital nevus affecting both lower and upper eyelids in a mirror layout. As other nevi, it presents a theoretical risk of malignant transformation. These two pigmented lesions are responsible for aesthetic discomfort when affecting the face. OBSERVATION Three patients presenting with a congenital pigmented lesion affecting the two eyelids in a mirror layout are presented. In two cases, the lesions, initially considered as "kissing" nevi, were classified as CLSs. The diagnosis of CLS was made on a biopsy in one patient and after surgery in the other one. DISCUSSION Pigmented mirror layout lesions, called "kissing" lesions, are exclusively described for the nevi. We describe two cases of CLSs affecting the eyelids in a mirror layout. Difficulties in diagnostic are exposed and the possible treatments are discussed.
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Affiliation(s)
- A Durazzo
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - O Boccara
- Service de dermatologie, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - S Fraitag
- Service d'anatomie et cytologie pathologique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - T Fusade
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence des malformations faciales et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France
| | - A Picard
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence des malformations faciales et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France; Université Paris Descartes, 75005 Paris, France
| | - N Kadlub
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence des malformations faciales et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France; Université Paris Descartes, 75005 Paris, France.
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Vo Quang S, Dichamp J, Tomat C, Vazquez MP, Picard A, Kadlub N. [Functional treatment of children subcondylar fractures: An axiographic assessment]. ACTA ACUST UNITED AC 2016; 117:372-378. [PMID: 27692999 DOI: 10.1016/j.revsto.2016.07.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Revised: 04/12/2016] [Accepted: 07/22/2016] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Subcondylar fractures are common in children. Occlusion disorders resulting from these fractures in deciduous or mixed dentition do not have as much impact as in adults due to alveolar adaption possibilities. Functional treatment allows for good functional results, but does not treat the dynamic shortening of the ramus. The objective of this study was to evaluate the axiographic condylar slope changes after subcondylar fracture in children. MATERIALS AND METHODS A prospective study was conducted from 2010 to 2015, including all the under-18 patients presenting with a subcondylar fracture. Examination by mean of a Quick Axis axiograph measured the length of propulsion and the condylar inclination on both sides. The main evaluation criterion was the amount of condylar inclination decrease on the fractured side. RESULTS Twelve patients (mean age: 10.42; 5-16) were included. Eleven children had a loss of condylar inclination on the fractured side without occlusion disorders at 33.2 months on average (3-144 months) after the initial trauma. Only one patient had symmetric axiographies without loss of condylar inclination on the fractured side. DISCUSSION Dynamic shortening of the ramus on the side of the subcondylar fracture is consistent at short and medium terms in children. Surgical treatment may be the solution for avoiding this dynamic disorder of the mandible and should be evaluated.
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Affiliation(s)
- S Vo Quang
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - J Dichamp
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - C Tomat
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - M P Vazquez
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Université Paris Descartes, 75006 Paris, France
| | - A Picard
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Université Paris Descartes, 75006 Paris, France
| | - N Kadlub
- Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Université Paris Descartes, 75006 Paris, France.
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Kuentz P, Fraitag S, Gonzales M, Dhombres F, St‐Onge J, Duffourd Y, Joyé N, Jouannic J, Picard A, Marle N, Thevenon J, Thauvin‐Robinet C, Faivre L, Rivière J, Vabres P. Mosaic‐activating
FGFR2
mutation in two fetuses with papillomatous pedunculated sebaceous naevus. Br J Dermatol 2016; 176:204-208. [DOI: 10.1111/bjd.14681] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/12/2016] [Indexed: 01/14/2023]
Affiliation(s)
- P. Kuentz
- Equipe d'Accueil 4271 Génétique des Anomalies du Développement Université de Bourgogne Franche‐Comté F‐21079 Dijon France
- Fédération Hospitalo‐Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD) Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
- Laboratoire de Génétique Chromosomique et Moléculaire Plateau Technique de Biologie Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
- Génétique Biologique Histologie Centre Hospitalier Universitaire de Besançon F‐25000 Besançon France
| | - S. Fraitag
- Service d'Anatomie et de Cytologie Pathologiques APHP Groupe Hospitalier Necker‐Enfants Malades F‐75743 Paris France
| | - M. Gonzales
- Service de Médecine Fœtale Centre Pluridisciplinaire de Diagnostic Prénatal de l'Est Parisien APHP Hôpital Armand Trousseau Université Pierre et Marie Curie Paris France
| | - F. Dhombres
- Service de Médecine Fœtale Centre Pluridisciplinaire de Diagnostic Prénatal de l'Est Parisien APHP Hôpital Armand Trousseau Université Pierre et Marie Curie Paris France
| | - J. St‐Onge
- Equipe d'Accueil 4271 Génétique des Anomalies du Développement Université de Bourgogne Franche‐Comté F‐21079 Dijon France
- Fédération Hospitalo‐Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD) Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
| | - Y. Duffourd
- Equipe d'Accueil 4271 Génétique des Anomalies du Développement Université de Bourgogne Franche‐Comté F‐21079 Dijon France
- Fédération Hospitalo‐Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD) Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
| | - N. Joyé
- Département de Génétique Médicale APHP Hôpital Armand Trousseau Université Pierre et Marie Curie Paris France
| | - J.‐M. Jouannic
- Service de Médecine Fœtale Centre Pluridisciplinaire de Diagnostic Prénatal de l'Est Parisien APHP Hôpital Armand Trousseau Université Pierre et Marie Curie Paris France
| | - A. Picard
- Service de Chirurgie Maxillo‐Faciale et Chirurgie Plastique APHP Groupe Hospitalier Necker‐Enfants Malades F‐75743 Paris France
- Centre de Référence Malformations Rares de la Face et de la Cavité Buccale UFR Paris Descartes Université Paris France
| | - N. Marle
- Equipe d'Accueil 4271 Génétique des Anomalies du Développement Université de Bourgogne Franche‐Comté F‐21079 Dijon France
- Fédération Hospitalo‐Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD) Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
- Laboratoire de Génétique Chromosomique et Moléculaire Plateau Technique de Biologie Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
| | - J. Thevenon
- Equipe d'Accueil 4271 Génétique des Anomalies du Développement Université de Bourgogne Franche‐Comté F‐21079 Dijon France
- Fédération Hospitalo‐Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD) Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
- Service de Pédiatrie 1 et de Génétique Médicale Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
| | - C. Thauvin‐Robinet
- Equipe d'Accueil 4271 Génétique des Anomalies du Développement Université de Bourgogne Franche‐Comté F‐21079 Dijon France
- Fédération Hospitalo‐Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD) Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
- Service de Pédiatrie 1 et de Génétique Médicale Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
| | - L. Faivre
- Equipe d'Accueil 4271 Génétique des Anomalies du Développement Université de Bourgogne Franche‐Comté F‐21079 Dijon France
- Fédération Hospitalo‐Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD) Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
- Service de Pédiatrie 1 et de Génétique Médicale Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
| | - J.‐B. Rivière
- Equipe d'Accueil 4271 Génétique des Anomalies du Développement Université de Bourgogne Franche‐Comté F‐21079 Dijon France
- Fédération Hospitalo‐Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD) Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
- Laboratoire de Génétique Chromosomique et Moléculaire Plateau Technique de Biologie Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
| | - P. Vabres
- Equipe d'Accueil 4271 Génétique des Anomalies du Développement Université de Bourgogne Franche‐Comté F‐21079 Dijon France
- Fédération Hospitalo‐Universitaire Médecine Translationnelle et Anomalies du Développement (TRANSLAD) Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
- Service de Dermatologie Centre Hospitalo‐Universitaire Dijon‐Bourgogne F‐21079 Dijon France
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Arnaud E, Paternoster G, James S, Morisseau-Durand MP, Couloigner V, Diner P, Tomat C, Viot-Blanc V, Fauroux B, Cormier-Daire V, Baujat G, Robert M, Picard A, Antunez S, Khonsari R, Pamphile-Tabuteau L, Legros C, Zerah M, Meyer P. Stratégie craniofaciale pour les faciocraniosténoses. ANN CHIR PLAST ESTH 2016; 61:408-419. [DOI: 10.1016/j.anplas.2016.08.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Accepted: 08/31/2016] [Indexed: 10/20/2022]
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Guegan S, Kadlub N, Picard A, Rouillé T, Charbel C, Coulomb-L’hermine A, How-Kit A, Fraitag S, Aractingi S, Fontaine R. 519 Varying proliferative and clonogenic potential in NRAS -mutated congenital melanocytic nevi according to size. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.06.542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Boisson J, Strozyk H, Diner P, Picard A, Kadlub N. Feasibility of magnetic activation of a maxillofacial distraction osteogenesis, design of a new device. J Craniomaxillofac Surg 2016; 44:684-8. [DOI: 10.1016/j.jcms.2016.03.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 02/11/2016] [Accepted: 03/18/2016] [Indexed: 12/14/2022] Open
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Picard A, Obst M, Schmid G, Zeitvogel F, Kappler A. Limited influence of Si on the preservation of Fe mineral-encrusted microbial cells during experimental diagenesis. Geobiology 2016; 14:276-292. [PMID: 26695194 DOI: 10.1111/gbi.12171] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Accepted: 11/10/2015] [Indexed: 06/05/2023]
Abstract
The reconstruction of the history of microbial life since its emergence on early Earth is impaired by the difficulty to prove the biogenicity of putative microfossils in the rock record. While most of the oldest rocks on Earth have been exposed to different grades of diagenetic alterations, little is known about how the remains of micro-organisms evolve when exposed to pressure (P) and temperature (T) conditions typical of diagenesis. Using spectroscopy and microscopy, we compared morphological, mineralogical, and chemical biosignatures exhibited by Fe mineral-encrusted cells of the bacterium Acidovorax sp. BoFeN1 after long-term incubation under ambient conditions and after experimental diagenesis. We also evaluated the effects of Si on the preservation of microbial cells during the whole process. At ambient conditions, Si affected the morphology but not the identity (goethite) of Fe minerals that formed around cells. Fe-encrusted cells were morphologically well preserved after 1 week at 250 °C-140 MPa and after 16 weeks at 170 °C-120 MPa in the presence or in the absence of Si. Some goethite transformed to hematite and magnetite at 250 °C-140 MPa, but in the presence of Si more goethite was preserved. Proteins-the most abundant cellular components-were preserved over several months at ambient conditions but disappeared after incubations at high temperature and pressure conditions, both in the presence and in the absence of Si. Other organic compounds, such as lipids and extracellular polysaccharides seemed well preserved after exposure to diagenetic conditions. This study provides insights about the composition and potential preservation of microfossils that could have formed in Fe- and Si-rich Precambrian oceans.
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Affiliation(s)
- A Picard
- Center for Applied Geoscience, Eberhard Karls University Tübingen, Tübingen, Germany
| | - M Obst
- Center for Applied Geoscience, Eberhard Karls University Tübingen, Tübingen, Germany
| | - G Schmid
- Center for Applied Geoscience, Eberhard Karls University Tübingen, Tübingen, Germany
| | - F Zeitvogel
- Center for Applied Geoscience, Eberhard Karls University Tübingen, Tübingen, Germany
| | - A Kappler
- Center for Applied Geoscience, Eberhard Karls University Tübingen, Tübingen, Germany
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Picard A, Duranton-Tanneur V, Peyrade F, Chamorey E, Saudes L, Cardot-Leccia N, Sudaka A, Kubiniek V, Poissonnet G, Michiels JF, Lacour JP, Passeron T, Pedeutour F, Montaudié H. Évaluation du statut mutationnel des gènes KRAS, NRAS, HRAS, BRAF et EGFR comme facteur prédictif de la réponse au traitement par cétuximab chez les patients atteints de carcinomes épidermoïdes cutanés inopérables. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Franchi G, Kadlub N, Diner P, Bandini M, Vazquez MP, Picard A. Corrigendum to: “Orbital soft tissue surgery for patients with Treacher-Collins or Nager syndrome. A new surgical approach with early correction of soft tissue: prospective study” [Br. J. Oral Maxillofac. Surg. 53 (2015) 421–425]. Br J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.bjoms.2015.05.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Neiva C, Dakpe S, Davrou J, Dîner PA, Devauchelle B, Vazquez MP, Picard A, Kadlub N. Anatomical study of the course of the inferior alveolar nerve in craniofacial microsomia using three-dimensional computed tomography: correlation with the Pruzansky classification. Br J Oral Maxillofac Surg 2015; 53:426-9. [PMID: 25765599 DOI: 10.1016/j.bjoms.2015.02.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2014] [Accepted: 02/06/2015] [Indexed: 10/23/2022]
Abstract
Dysmorphogenesis of the mandible complicates assessment of the course of the inferior alveolar nerve in patients with craniofacial microsomia. Our aim in the present study was to correlate the anatomical description of the course with the Pruzansky classification (which indicates the severity of hemifacial microsomia), in the mandibles of 22 affected patients using 3-dimensional computed tomography (CT). We measured the distance between fixed landmarks on the normal and the microsomic sides. The normal sides served as controls. In the group of five patients with type I disease, we found no significant differences between the unaffected and the microsomic side. In the nine patients with Pruzansky type II disease morphological views of the course showed a between-side difference in the length of the bony canal and the height of the mandibular ramus. In the five patients with Pruzansky type III disease, there was no bony canal. Three-dimensional CT analysis may be of value in plotting the course of the inferior alveolar nerve and assisting the surgeon in mandibular osteotomy or distraction osteogenesis.
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Affiliation(s)
- C Neiva
- Jules Verne University of Picardy, Amiens, France; Department of Maxillofacial Surgery, Amiens University Medical Center, Amiens, France.
| | - S Dakpe
- Jules Verne University of Picardy, Amiens, France; Department of Maxillofacial Surgery, Amiens University Medical Center, Amiens, France; Facing Faces Institute, Amiens University Medical Center, Amiens, France
| | - J Davrou
- Paris Descartes University, Paris, France; Department of Maxillofacial and Plastic Surgery, Necker Children's Hospital, Paris, France
| | - P-A Dîner
- Department of Maxillofacial and Plastic Surgery, Necker Children's Hospital, Paris, France
| | - B Devauchelle
- Jules Verne University of Picardy, Amiens, France; Department of Maxillofacial Surgery, Amiens University Medical Center, Amiens, France; Facing Faces Institute, Amiens University Medical Center, Amiens, France
| | - M-P Vazquez
- Paris Descartes University, Paris, France; Department of Maxillofacial and Plastic Surgery, Necker Children's Hospital, Paris, France
| | - A Picard
- Pierre and Marie Curie University, Paris, France; Department of Maxillofacial and Plastic Surgery, Necker Children's Hospital, Paris, France
| | - N Kadlub
- Paris Descartes University, Paris, France; Department of Maxillofacial and Plastic Surgery, Necker Children's Hospital, Paris, France
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Kadlub N, Dainese L, Coulomb-L'Hermine A, Galmiche L, Soupre V, Lepointe HD, Vazquez MP, Picard A. Intraosseous haemangioma: semantic and medical confusion. Int J Oral Maxillofac Surg 2015; 44:718-24. [PMID: 25703595 DOI: 10.1016/j.ijom.2015.01.025] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 01/20/2015] [Accepted: 01/29/2015] [Indexed: 01/18/2023]
Abstract
The literature is rich in case reports of intraosseous haemangioma, although most of these are actually cases of venous or capillary malformations. To illustrate this confusion in terminology, we present three cases of slow-flow vascular malformations misnamed as intraosseous haemangioma. A retrospective study of children diagnosed with intraosseous haemangioma was conducted. Clinical and radiological data were evaluated. Histopathological examinations and immunohistochemical studies were redone by three independent pathologists to classify the lesions according to the International Society for the Study of Vascular Anomalies (ISSVA) and World Health Organization (WHO) classifications. Three children who had presented with jaw haemangiomas were identified. Computed tomography scan patterns were not specific. All tumours were GLUT-1-negative and D2-40-negative. The lesions were classified as central haemangiomas according to the WHO, and as slow-flow malformations according to the ISSVA. The classification of vascular anomalies is based on clinical, radiological, and histological differences between vascular tumours and malformations. Based on this classification, the evolution of the lesion can be predicted and adequate treatment applied. The binary ISSVA classification is widely accepted and should be applied for all vascular lesions.
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Affiliation(s)
- N Kadlub
- APHP, Hôpital Necker Enfants Malades, Service de Chirurgie Maxillo-faciale et Plastique Pédiatrique, Paris, France; Université Paris Descartes, Paris, France; INSERM, UMRS 1138, Oral and Molecular Pathology, Centre de Recherche des Cordeliers, 75006 Paris, France; APHP, CRMR des Malformations Rares de la Face et de la Cavité Buccale, 75015 Paris, France.
| | - L Dainese
- APHP, Hôpital d'Enfants Armand Trousseau, Service de Cytologie et Pathologie, Paris, France; Université Paris 6, Faculté de Médecine Pierre et Marie Curie, Paris, France
| | - A Coulomb-L'Hermine
- APHP, Hôpital d'Enfants Armand Trousseau, Service de Cytologie et Pathologie, Paris, France; Université Paris 6, Faculté de Médecine Pierre et Marie Curie, Paris, France
| | - L Galmiche
- Université Paris Descartes, Paris, France; APHP, Hôpital Necker Enfants Malades, Service de Cytologie et Pathologie, Paris, France
| | - V Soupre
- APHP, Hôpital Necker Enfants Malades, Service de Chirurgie Maxillo-faciale et Plastique Pédiatrique, Paris, France; APHP, CRMR des Malformations Rares de la Face et de la Cavité Buccale, 75015 Paris, France
| | - H Ducou Lepointe
- Université Paris 6, Faculté de Médecine Pierre et Marie Curie, Paris, France; APHP, Hôpital d'Enfants Armand Trousseau, Service d'Imagerie Médicale, Paris, France
| | - M-P Vazquez
- APHP, Hôpital Necker Enfants Malades, Service de Chirurgie Maxillo-faciale et Plastique Pédiatrique, Paris, France; Université Paris Descartes, Paris, France; INSERM, UMRS 1138, Oral and Molecular Pathology, Centre de Recherche des Cordeliers, 75006 Paris, France; APHP, CRMR des Malformations Rares de la Face et de la Cavité Buccale, 75015 Paris, France
| | - A Picard
- APHP, Hôpital Necker Enfants Malades, Service de Chirurgie Maxillo-faciale et Plastique Pédiatrique, Paris, France; Université Paris Descartes, Paris, France; INSERM, UMRS 1138, Oral and Molecular Pathology, Centre de Recherche des Cordeliers, 75006 Paris, France; APHP, CRMR des Malformations Rares de la Face et de la Cavité Buccale, 75015 Paris, France
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Picard A, Long-Mira E, Chuah SY, Passeron T, Lacour JP, Bahadoran P. Interest of high-definition optical coherent tomography (HD-OCT) for non-invasive imaging of dermatofibroma: a pilot study. J Eur Acad Dermatol Venereol 2015; 30:485-7. [PMID: 25588890 DOI: 10.1111/jdv.12868] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- A Picard
- Department of Dermatology, CHU de Nice, Nice, France
| | - E Long-Mira
- Department of Pathology, LPCE, CHU de Nice, Nice, France
| | - S-Y Chuah
- Department of Dermatology, CHU de Nice, Nice, France
| | - T Passeron
- Department of Dermatology, CHU de Nice, Nice, France.,INSERM U 1065, Team 12, CHU de Nice, Nice, France
| | - J-P Lacour
- Department of Dermatology, CHU de Nice, Nice, France
| | - P Bahadoran
- Department of Dermatology, CHU de Nice, Nice, France.,INSERM U 1065, Team 1, CHU de Nice, Nice, France.,Centre de Recherche Clinique, CRC, Nice, France
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Dutot MC, Soupre V, Vazquez MP, Picard A, Kadlub N. [Wiedemann-Beckwith syndrome: a new approach for reduction glossoplasty using Ultracision(®)]. ACTA ACUST UNITED AC 2015; 116:82-5. [PMID: 25582551 DOI: 10.1016/j.revsto.2014.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2014] [Revised: 09/30/2014] [Accepted: 11/20/2014] [Indexed: 11/24/2022]
Abstract
INTRODUCTION A reduction glossectomy may be complicated by tongue and mouth floor edema and extend the recovery time for a normal tongue function. We performed reduction glossectomy using Ultracision(®), an ultrasonic vibrating device, so as to limit these complications. TECHNICAL NOTE We performed a keyhole glossoplasty under general anesthesia. The initial tongue incision was performed with a cold scalpel, then the glossectomy was continued with Ultracision(®) only. We also used CURVED SHEARS(®). We evaluated our preliminary results with 3 patients presenting with Wiedemann-Beckwith syndrome. CONCLUSION Ultracision(®) is a useful tool for intra-oral surgery, and should soon be more frequently used. It is an alternative to electrocautery for this type of surgery.
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Affiliation(s)
- M-C Dutot
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France.
| | - V Soupre
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence de malformation faciale et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France
| | - M-P Vazquez
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence de malformation faciale et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France; Université Paris Descartes, 75006 Paris, France; UMRS 972, équipe 5, Inserm, centre de recherche des Cordeliers, 75006 Paris, France
| | - A Picard
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence de malformation faciale et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France; UMRS 972, équipe 5, Inserm, centre de recherche des Cordeliers, 75006 Paris, France; Université Pierre et Marie Curie, 75005 Paris, France
| | - N Kadlub
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence de malformation faciale et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France; Université Paris Descartes, 75006 Paris, France; UMRS 972, équipe 5, Inserm, centre de recherche des Cordeliers, 75006 Paris, France
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Picard A, Cardinne C, Denoux Y, Wagner I, Chabolle F, Bach CA. Extranodal lymphoma of the head and neck: a 67-case series. Eur Ann Otorhinolaryngol Head Neck Dis 2014; 132:71-5. [PMID: 25553969 DOI: 10.1016/j.anorl.2014.07.005] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2014] [Revised: 07/02/2014] [Accepted: 07/05/2014] [Indexed: 12/11/2022]
Abstract
UNLABELLED The present study sought to describe clinical presentation in extranodal lymphoma of the head and neck (ELHN), with the aim of improving diagnostic management. MATERIAL AND METHODS A single-center retrospective observational study was conducted over the period 2001-13. Age, gender, histologic type, location, type of clinical presentation, time interval between symptom onset and histologic diagnosis and presence of specific symptoms were recorded, as were the specialty of the physician initially consulted and of the physician taking the diagnostic sample. RESULTS Sixty-seven cases of ELHN were diagnosed: 39 male and 28 female patients, with a median age of 68 years. B-cell lymphoma (84%) was more frequent than plasmacytoma (7%) or T-cell lymphoma (6%). Location was mainly palatine tonsil (28%), nasal fossa and sinus (19%), nasopharynx (14%) or parotid (13%). Revelation often involved a mass (33%), and only rarely any specific symptoms (9%). Time interval from symptom onset to diagnosis was short in aggressive lymphoma and longer in low-grade lymphoma (mean 4 and 10 months respectively). The physician initially consulted was an ENT specialist in 67% of cases, and an ENT specialist performed diagnostic sampling in 97% of cases. CONCLUSION ELHN is a rare pathology (5 cases per year in our department) of highly variable clinical presentation depending on location and histologic type. The ENT physician should be prepared for diagnosis regardless of anatomic location, so as to optimize diagnostic management.
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Affiliation(s)
- A Picard
- Service de chirurgie ORL et cervico-faciale, hôpital Foch, 40, rue Worth, 92150 Suresnes, France
| | - C Cardinne
- Service de chirurgie ORL et cervico-faciale, hôpital Foch, 40, rue Worth, 92150 Suresnes, France; Université de Versailles Saint-Quentin-en-Yvelines, UFR de médecine Paris Ouest Saint-Quentin-en-Yvelines, 78280 Guyancourt, France
| | - Y Denoux
- Service d'anatomo-pathologie, hôpital Foch, 40, rue Worth, 92150 Suresnes, France
| | - I Wagner
- Service de chirurgie ORL et cervico-faciale, hôpital Foch, 40, rue Worth, 92150 Suresnes, France
| | - F Chabolle
- Service de chirurgie ORL et cervico-faciale, hôpital Foch, 40, rue Worth, 92150 Suresnes, France; Université de Versailles Saint-Quentin-en-Yvelines, UFR de médecine Paris Ouest Saint-Quentin-en-Yvelines, 78280 Guyancourt, France
| | - C A Bach
- Service de chirurgie ORL et cervico-faciale, hôpital Foch, 40, rue Worth, 92150 Suresnes, France; Université de Versailles Saint-Quentin-en-Yvelines, UFR de médecine Paris Ouest Saint-Quentin-en-Yvelines, 78280 Guyancourt, France.
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Adjadj L, Debelmas A, Franois-Fiquet C, Diner PA, Buis J, Franchi G, Chrétien-Marquet B, Vazquez MP, Picard A, Kadlub N. [Orbital congenital nevi: Principles of treatment about 51 cases]. ANN CHIR PLAST ESTH 2014; 61:29-38. [PMID: 25524448 DOI: 10.1016/j.anplas.2014.11.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2014] [Accepted: 11/08/2014] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The incidence of congenital nevi is one over 20,000 newborns per year, 14 % of them are located in the head and neck area. Nevi of the orbital region are particularly difficult to handle on the aesthetic and functional side. The objectives of this study were to conduct an analysis of different clinical presentations of congenital nevi of the eyelid orbital region in children to establish a treatment algorithm. MATERIEL AND METHODS We realised a bi-centric retrospective study including 51 children with orbito-palpebral congenital nevi. We analysed the different clinical presentations, their treatments and their results. RESULTS Nineteen underwent direct suture excision; three a total skin graft; 15 a combination of treatments, among them four underwent tissular expansion and 14 patients were not operated and clinically followed-up. The average follow-up time was 6.6 years. In 33 cases residual nevic area was still present. The postoperative sequelae were: dyschromia (n=17), anatomical deformation of the eye (n=10), nevi outbreaks (n=8), internal canthus deformation (n=5) and ectropion (n=1). CONCLUSION The results of our study show that therapeutic abstention is preferred when the aesthetic wrong is accepted by the patient and when there is not a higher risk of malignant degeneration. In order to minimise the risk of postoperative sequelae, we propose a therapeutic algorithm for the management of congenital orbital nevi.
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Affiliation(s)
- L Adjadj
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - A Debelmas
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - C Franois-Fiquet
- Service de chirurgie plastique, CHU de Reims, 51000 Reims, France; UFR de médecine, université de Reims-Champagne-Ardennes, 51000 Reims, France
| | - P-A Diner
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence des malformations faciales et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France
| | - J Buis
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence des malformations faciales et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France
| | - G Franchi
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence des malformations faciales et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France
| | - B Chrétien-Marquet
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France
| | - M-P Vazquez
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence des malformations faciales et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France; Université Paris Descartes, 75005 Paris, France; UMRS 972, équipe 5, Inserm, centre de recherche des Cordeliers, 75006 Paris, France
| | - A Picard
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence des malformations faciales et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France; Université Paris Descartes, 75005 Paris, France; UMRS 972, équipe 5, Inserm, centre de recherche des Cordeliers, 75006 Paris, France
| | - N Kadlub
- Service de chirurgie maxillo-faciale et plastique, hôpital Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Centre de référence des malformations faciales et de la cavité buccale, MAFACE, AP-HP, 75015 Paris, France; Université Paris Descartes, 75005 Paris, France; UMRS 972, équipe 5, Inserm, centre de recherche des Cordeliers, 75006 Paris, France.
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