Raphaël B, Brix M, Sadek H, Moutet F, Lebeau J
chemin de Cressanet, Saint-Ismier, France.
Ann Chir Plast Esthet. 2010 Aug;55(4):267-71. doi: 10.1016/j.anplas.2009.11.002. Epub 2010 Jun 17.
Central-facial mutilations, located within the nose lips and chin triangle, require great quality repairs regarding morphology and function. Plastic surgery history affords the ideas evolution in this field crossing over nose and lips reconstructions, which were the subject of successive reports within our society, in 1994 (nose reconstruction) and 2002 (lips reconstruction). Now a day, following this progress, the plastic surgeon has a large choice of reliable techniques. His choice is dictated by a precise evaluation of the limits of the substance loss to repair, according to a (mapping) classification of the nose-lip and chin triangle. This classification defines three units (nose-labial, bilabial and chin-labial) as reflexion bases to the therapeutic indications. This anatomical and surgical approach was built starting from a retrospective study of 195 central-facial mutilations caused by ballistic damage and dog bites. The results evaluation makes possible to carry out a reflexion on the potential indications regarding allograft as a therapeutic alternative to the traditional reconstructions of this territory.
位于鼻唇和下巴三角区域的面部中央毁损伤，在形态和功能方面需要高质量的修复。整形手术的历史展现了该领域的理念演变，涵盖了鼻唇重建，这也是我们协会在1994年（鼻重建）和2002年（唇重建）相继报道的主题。如今，随着这一进展，整形外科医生有了大量可靠的技术可供选择。根据鼻唇和下巴三角区域的（图谱）分类，对需修复的组织缺失范围进行精确评估后，他的选择就有了依据。这种分类将三个单元（鼻唇、双侧唇和下巴唇）定义为治疗指征的思考基础。这种解剖学和手术方法是基于对195例由弹道损伤和狗咬伤导致的面部中央毁损伤的回顾性研究建立的。对结果的评估使得我们能够思考关于同种异体移植作为该区域传统重建治疗替代方案的潜在指征。
