François Simon1, S Anthony Wolfe2, Benjamin Guichard3, Chloé Bertolus4, Roman Hossein Khonsari4. 1. AP-HP, Hôpital Pitié-Salpêtrière, Service de chirurgie maxillo-faciale, Paris, F-75013, France; UPMC University Paris 06, F-75005, Paris, France. Electronic address: fsimon05@gmail.com. 2. Plastic and Reconstructive Surgery, Miami Children's Hospital, 3100 SW 62 Avenue, ACB #2230, Miami, FL, USA. 3. Hôpital Charles-Nicolle, Service de chirurgie maxillo-faciale, Rouen, F-76038, France; Université de Rouen, Rouen, France. 4. AP-HP, Hôpital Pitié-Salpêtrière, Service de chirurgie maxillo-faciale, Paris, F-75013, France; UPMC University Paris 06, F-75005, Paris, France.
Abstract
BACKGROUND: Paul Tessier was a pioneering plastic surgeon who founded craniofacial surgery and had an international influence in the field of reconstructive surgery. We reviewed his techniques in the reconstruction of post-noma defects in Iran in the late 1970s. PATIENTS AND METHODS: We studied a series of 23 patients operated on by Tessier from 1974 to 1978 in Iran (property of Association Française des Chirurgiens de la Face). They all suffered from noma in childhood with major facial defects. RESULTS: Ten suffered from simple lip and cheek defects, nine also from nose defects and four from extensive facial defects. Abbe flaps were used in 15 patients to reconstruct the lips completed by commissuroplasty in six patients. Nose defects were reconstructed with nasofrontal flaps (ten cases). The outer cheek was reconstructed with a rotation flap (four cases), or with a frontotemporal flap (six cases). The inner cheek was reconstructed using a Barron-Tessier myocutaneous flap (ten cases). Of the 23 patients, partial flap necrosis occurred in five cases. CONCLUSIONS: Tessier was a pioneering plastic surgeon who used local flaps to reconstruct these important facial defects. He had a high rate of success, although nowadays local flaps are commonly replaced by free flaps.
BACKGROUND: Paul Tessier was a pioneering plastic surgeon who founded craniofacial surgery and had an international influence in the field of reconstructive surgery. We reviewed his techniques in the reconstruction of post-noma defects in Iran in the late 1970s. PATIENTS AND METHODS: We studied a series of 23 patients operated on by Tessier from 1974 to 1978 in Iran (property of Association Française des Chirurgiens de la Face). They all suffered from noma in childhood with major facial defects. RESULTS: Ten suffered from simple lip and cheek defects, nine also from nose defects and four from extensive facial defects. Abbe flaps were used in 15 patients to reconstruct the lips completed by commissuroplasty in six patients. Nose defects were reconstructed with nasofrontal flaps (ten cases). The outer cheek was reconstructed with a rotation flap (four cases), or with a frontotemporal flap (six cases). The inner cheek was reconstructed using a Barron-Tessier myocutaneous flap (ten cases). Of the 23 patients, partial flap necrosis occurred in five cases. CONCLUSIONS: Tessier was a pioneering plastic surgeon who used local flaps to reconstruct these important facial defects. He had a high rate of success, although nowadays local flaps are commonly replaced by free flaps.
Authors: Shafi'u Isah; Mohana Amirtharajah; Elise Farley; Adeniyi Semiyu Adetunji; Joseph Samuel; Bukola Oluyide; Karla Bil; Muhammad Shoaib; Nura Abubakar; Annette de Jong; Monique Pereboom; Annick Lenglet; Mark Sherlock Journal: Trop Med Int Health Date: 2021-07-22 Impact factor: 3.918
Authors: Elise S Farley; Mohana Amirtharajah; Ryan D Winters; Abdurrazaq O Taiwo; Modupe J Oyemakinde; Adolphe Fotso; Linda A Torhee; Ushma C Mehta; Karla A Bil; Annick D Lenglet Journal: Trans R Soc Trop Med Hyg Date: 2020-11-06 Impact factor: 2.184