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Colin E, Paasche A, Destrez A, Devauchelle B, Bettoni J, Bouquet J, Dakpé S, Testelin S. Impact of the COVID-19 Pandemic on Head and Neck Cancer Management: The Experience of the Maxillo-Facial Surgery Department of a French Regional Referral Center in a High-Incidence Area. J Clin Med 2024; 13:2439. [PMID: 38673711 PMCID: PMC11050808 DOI: 10.3390/jcm13082439] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Revised: 03/15/2024] [Accepted: 04/19/2024] [Indexed: 04/28/2024] Open
Abstract
Background: Cancer patients are at a high risk of complications in cases of infection, and head and neck cancers (HNC) are no exception. Since late 2019, SARS-CoV-2 has caused a global health crisis, with high rates and severe forms of the disease in cancer patients. Hospitalization, surgery and radiotherapy were rapidly described as increasing the risk of infection. Since March 2020, the Amiens University Hospital (France) has been taking care of COVID-19 patients while its maxillofacial surgery department managed HNC patients without interruption, even during lockdown periods. However, many questions concerning the impact on patient care were still pending. The aim of this study is to describe HNC management in our center during the first epidemic peak and to evaluate the impact of containment measures on patient treatment. Methods: We retrospectively included 44 HNC patients treated in our department between 1 March and 31 August 2020. Two groups were defined according to the period of care: lockdown (March to May) and lighter restrictions (June to August). Results: The results show typical epidemiological characteristics, maintained management times and non-downgraded procedures. Conclusions: Thus, during the first epidemic peak, continuity of care and patients' safety could be ensured thanks to adequate means, adapted procedures and an experienced surgical team.
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Affiliation(s)
- Emilien Colin
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France; (A.P.); (A.D.); (B.D.); (J.B.); (J.B.); (S.D.); (S.T.)
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France
- Institut Faire Faces, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France
| | - Agnès Paasche
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France; (A.P.); (A.D.); (B.D.); (J.B.); (J.B.); (S.D.); (S.T.)
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France
- Institut Faire Faces, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France
| | - Alban Destrez
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France; (A.P.); (A.D.); (B.D.); (J.B.); (J.B.); (S.D.); (S.T.)
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France
- Institut Faire Faces, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France
| | - Bernard Devauchelle
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France; (A.P.); (A.D.); (B.D.); (J.B.); (J.B.); (S.D.); (S.T.)
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France
- Institut Faire Faces, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France
| | - Jérémie Bettoni
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France; (A.P.); (A.D.); (B.D.); (J.B.); (J.B.); (S.D.); (S.T.)
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France
- Institut Faire Faces, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France
| | - Julien Bouquet
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France; (A.P.); (A.D.); (B.D.); (J.B.); (J.B.); (S.D.); (S.T.)
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France
- Institut Faire Faces, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France
| | - Stéphanie Dakpé
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France; (A.P.); (A.D.); (B.D.); (J.B.); (J.B.); (S.D.); (S.T.)
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France
- Institut Faire Faces, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France
| | - Sylvie Testelin
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France; (A.P.); (A.D.); (B.D.); (J.B.); (J.B.); (S.D.); (S.T.)
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France
- Institut Faire Faces, Rond-Point du Pr Christian Cabrol, 80054 Amiens, France
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Olivetto M, Testelin S. Surgical navigation in maxillofacial surgery: A French national survey. J Stomatol Oral Maxillofac Surg 2023; 124:101468. [PMID: 37080359 DOI: 10.1016/j.jormas.2023.101468] [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: 02/12/2023] [Revised: 04/09/2023] [Accepted: 04/10/2023] [Indexed: 04/22/2023]
Abstract
PURPOSE to gain a national understanding of the utilization of surgical navigation among maxillofacial surgeons in France through a web-based questionnaire. METHODS A 14-point multiple-choice questionnaire was created and distributed to the participants, divided into two sections. The first section gathered general information about the respondents, and the second section provided an overview of the use of surgical navigation. RESULT A total of 75 participants completed the survey. The results showed that a majority of university hospital departments (65%) utilize an intra-operative 3D imaging system, while very few private clinics and general hospitals use this technology. CONCLUSION The survey suggests that surgical navigation is primarily used in university centers in French maxillofacial surgery, with limited utilization and non-standardized indications for use.
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Affiliation(s)
- Matthieu Olivetto
- Department of Maxillofacial Surgery, Hospital Center of Annecy-Genevois, Annecy, France.
| | - Sylvie Testelin
- Department of Maxillofacial Surgery, University Hospital of Amiens-Picardy, Amiens, France
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Destrez A, Colin E, Testelin S, Devauchelle B, Dakpé S, Naudot M. Evaluation of a Granular Bone Substitute for Bone Regeneration Using an Optimized In Vivo Alveolar Cleft Model. Bioengineering (Basel) 2023; 10:1035. [PMID: 37760137 PMCID: PMC10525109 DOI: 10.3390/bioengineering10091035] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 08/24/2023] [Accepted: 08/29/2023] [Indexed: 09/29/2023] Open
Abstract
Alveolar cleft is a common congenital deformity that requires surgical intervention, notably using autologous bone grafts in young children. Bone substitutes, in combination with mesenchymal stem cells (MSCs), have shown promise in the repair of these defects. This study aimed to evaluate the regenerative capabilities of a granular bone substitute using an optimized alveolar cleft model. Thirty-six rats underwent a surgical procedure for the creation of a defect filled with a fragment of silicone. After 5 weeks, the silicone was removed and the biomaterial, with or without Wharton's jelly MSCs, was put into the defect, except for the control group. The rats underwent μCT scans immediately and after 4 and 8 weeks. Analyses showed a statistically significant improvement in bone regeneration in the two treatment groups compared with control at weeks 4 and 8, both for bone volume (94.64% ± 10.71% and 91.33% ± 13.30%, vs. 76.09% ± 7.99%) and mineral density (96.13% ± 24.19% and 93.01% ± 27.04%, vs. 51.64% ± 16.51%), but without having fully healed. This study validates our optimized alveolar cleft model in rats, but further work is needed to allow for the use of this granular bone substitute in the treatment of bone defects.
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Affiliation(s)
- Alban Destrez
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France; (A.D.); (S.T.); (B.D.); (S.D.); (M.N.)
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-point du Pr Christian Cabrol, 80054 Amiens, France
| | - Emilien Colin
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France; (A.D.); (S.T.); (B.D.); (S.D.); (M.N.)
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-point du Pr Christian Cabrol, 80054 Amiens, France
- Institut Faire Faces, Rond-point du Pr Christian Cabrol, 80054 Amiens, France
| | - Sylvie Testelin
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France; (A.D.); (S.T.); (B.D.); (S.D.); (M.N.)
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-point du Pr Christian Cabrol, 80054 Amiens, France
- Institut Faire Faces, Rond-point du Pr Christian Cabrol, 80054 Amiens, France
| | - Bernard Devauchelle
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France; (A.D.); (S.T.); (B.D.); (S.D.); (M.N.)
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-point du Pr Christian Cabrol, 80054 Amiens, France
- Institut Faire Faces, Rond-point du Pr Christian Cabrol, 80054 Amiens, France
| | - Stéphanie Dakpé
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France; (A.D.); (S.T.); (B.D.); (S.D.); (M.N.)
- Maxillofacial Surgery Department, Amiens University Hospital, Rond-point du Pr Christian Cabrol, 80054 Amiens, France
- Institut Faire Faces, Rond-point du Pr Christian Cabrol, 80054 Amiens, France
| | - Marie Naudot
- UR 7516 CHIMERE, University of Picardie Jules Verne, Chemin du Thil, CS 52501, 80025 Amiens, France; (A.D.); (S.T.); (B.D.); (S.D.); (M.N.)
- Institut Faire Faces, Rond-point du Pr Christian Cabrol, 80054 Amiens, France
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Olivetto M, Testelin S. Use of intraoperative 3D imaging in the maxillofacial operating room: A French national survey. J Stomatol Oral Maxillofac Surg 2023:101542. [PMID: 37394099 DOI: 10.1016/j.jormas.2023.101542] [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] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Revised: 06/18/2023] [Accepted: 06/27/2023] [Indexed: 07/04/2023]
Abstract
PURPOSE To gain a comprehensive understanding of the utilization of intraoperative 3D imaging among maxillofacial surgeons practicing in France through a web-based questionnaire. METHODS An 18-point multiple-choice questionnaire was developed and distributed to participants. The questionnaire was divided into two sections, with the first section gathering general information about the respondents and the second section providing an overview of the utilization of 3D imaging techniques, such as cone-beam computed tomography (CBCT), computed tomography (CT) scan, and magnetic resonance imaging (MRI), including the conditions, frequencies, and indications for use, with a particular focus on the number of acquisitions per procedure and the other departments with whom the equipment is shared. RESULTS A total of 75 participants completed the survey, with 30% of university hospital departments and 0% of private clinics currently utilizing intraoperative 3D imaging systems. The main indications for 50% of the users were for temporomandibular joint surgery and orbital fractures. CONCLUSION The results of this survey indicate that the utilization of intraoperative 3D imaging in French maxillofacial surgery is limited to university centers, with poor utilization and a lack of standardization in indications for use.
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Affiliation(s)
- Matthieu Olivetto
- Department of Maxillofacial Surgery, Hospital Center of Annecy-Geneva, Annecy, France.
| | - Sylvie Testelin
- Department of Maxillofacial Surgery, University Hospital of Amiens-Picardy, Amiens, France
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Lucas MF, Schlund M, Dapke S, Politis C, Aubert S, Wojcik T, Barry F, Mouawad F, Majoufre C, Leyman B, Testelin S, Nicot R. Surgical treatment outcomes of solitary fibrous tumors in the head and neck: A retrospective study. J Craniomaxillofac Surg 2023:S1010-5182(23)00094-X. [PMID: 37263831 DOI: 10.1016/j.jcms.2023.05.013] [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: 12/20/2022] [Revised: 02/14/2023] [Accepted: 05/23/2023] [Indexed: 06/03/2023] Open
Abstract
The aim of this study was to better characterize head and neck solitary fibrous tumors (SFTs) and to evaluate surgical treatment. This retrospective study included patients who presented with head and neck SFTs. Clinical, radiological, and histological information and data regarding the treatments performed were collected. The risk of locoregional and distant metastases was calculated, and for orbital SFTs a specific classification was used. Overall, 34 patients were included. The majority of the SFTs were found in the oral cavity (n = 10), followed by the neck region (n = 8). The mean time to recurrence was 67.4 months. All patients underwent primary surgical resection. Recurrence was observed in five patients with a low risk of locoregional recurrence and distant metastasis. The treatment of choice is complete resection. Recurrence seems to be highly correlated with positive surgical margins. The safety margin should be increased when removing the lesion, and long-term follow-up should be performed.
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Affiliation(s)
- Marti-Flich Lucas
- Univ. Angers, CHU Angers, Department of Oral and Maxillofacial Surgery, 49000, Angers, France.
| | - Matthias Schlund
- Univ. Bordeaux, CHU Bordeaux, Inserm, Department of Oral and Maxillofacial Surgery, U 1026 - Bioengineering of Tissues, F-33000, Bordeaux, France
| | - Stéphanie Dapke
- Maxillo-Facial Surgery Department, Amiens-Picardie University Hospital, 80000, Amiens, France
| | - Constantinus Politis
- Department OMFS, Department Imaging and Pathology, Faculty of Medicine, Leuven University Hospitals, Leuven, Belgium
| | - Sébastien Aubert
- Department of Pathology, Lille University Hospital, Lille, France; Inserm, CNRS, UMR9020, U1277 - CANTHER - Cancer Heterogeneity, Plasticity and Resistance to Therapies, University of Lille, Lille University Hospital, F-59000, Lille, France
| | - Thomas Wojcik
- Univ. Lille, CHU Lille, Inserm, Department of Oral and Maxillofacial Surgery, U 1008 - Controlled Drug Delivery Systems and Biomaterials, F-59000, Lille, France
| | - Florent Barry
- Univ. Angers, CHU Angers, Department of Oral and Maxillofacial Surgery, 49000, Angers, France
| | - François Mouawad
- ENT and Head and Neck Department, Lille, 59037, Cedex, France; University Lille, CNRS, Inserm, CHU Lille, UMR9020-U1277 - CANTHER - Cancer Heterogeneity Plasticity and Resistance to Therapies, Lille, F-59000, France
| | - Claire Majoufre
- Univ. Bordeaux, CHU Bordeaux, Department of Oral and Maxillofacial Surgery, F-33000, Bordeaux, France
| | - Bernard Leyman
- Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Herestraat 49, Leuven, Belgium
| | - Sylvie Testelin
- Maxillo-Facial Surgery Department, Amiens-Picardie University Hospital, 80000, Amiens, France
| | - Romain Nicot
- Univ. Lille, CHU Lille, Inserm, Department of Oral and Maxillofacial Surgery, U 1008 - Controlled Drug Delivery Systems and Biomaterials, F-59000, Lille, France
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6
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Sarhan FR, Olivetto M, Ben Mansour K, Neiva C, Colin E, Choteau B, Marie JP, Testelin S, Marin F, Dakpé S. Quantified analysis of facial movement: A reference for clinical applications. Clin Anat 2023; 36:492-502. [PMID: 36625484 DOI: 10.1002/ca.23999] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [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: 09/17/2022] [Revised: 12/21/2022] [Accepted: 12/24/2022] [Indexed: 01/11/2023]
Abstract
Most techniques for evaluating unilateral impairments in facial movement yield subjective measurements. The objective of the present study was to define a reference dataset and develop a visualization tool for clinical assessments. In this prospective study, a motion capture system was used to quantify facial movements in 30 healthy adults and 2 patients. We analyzed the displacements of 105 reflective markers placed on the participant's face during five movements (M1-M5). For each marker, the primary endpoint was the maximum amplitude of displacement from the static position (M0) in an analysis of variance. The measurement precision was 0.1 mm. Significant displacements of markers were identified for M1-M5, and displacement patterns were defined. The patients and age-matched healthy participants were compared with regard to the amplitude of displacement. We created a new type of radar plot to visually represent the diagnosis and facilitate effective communication between medical professionals. In proof-of-concept experiments, we collected quantitative data on patients with facial palsy and created a patient-specific radar plot. Our new protocol for clinical facial motion capture ("quantified analysis of facial movement," QAFM) was accurate and should thus facilitate the long-term clinical follow-up of patients with facial palsy. To take account of the limitations affecting the comparison with the healthy side, we created a dataset of healthy facial movements; our method might therefore be applicable to other conditions in which movements on one or both sides of the face are impaired. The patient-specific radar plot enables clinicians to read and understand the results rapidly.
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Affiliation(s)
- François-Régis Sarhan
- UR 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France.,Maxillofacial Surgery Department, CHU Amiens-Picardie, Amiens, France.,Institut Faire Faces, CHU Amiens-Picardie, Amiens, France.,Physiotherapy School, CHU Amiens-Picardie, Amiens, France
| | - Matthieu Olivetto
- UR 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France.,Maxillofacial Surgery Department, CHU Amiens-Picardie, Amiens, France.,Institut Faire Faces, CHU Amiens-Picardie, Amiens, France
| | - Khalil Ben Mansour
- UMR CNRS 7338, Biomécanique et Bioingénierie, Université de Technologie de Compiègne, Sorbonne Université, Compiègne, France
| | - Cécilia Neiva
- Maxillofacial Surgery Department, Hôpital Necker APHP, Paris, France
| | - Emilien Colin
- UR 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France.,Maxillofacial Surgery Department, CHU Amiens-Picardie, Amiens, France.,Institut Faire Faces, CHU Amiens-Picardie, Amiens, France
| | - Baptiste Choteau
- Maxillofacial Surgery Department, CHU Amiens-Picardie, Amiens, France.,UMR CNRS 7338, Biomécanique et Bioingénierie, Université de Technologie de Compiègne, Sorbonne Université, Compiègne, France
| | - Jean-Paul Marie
- Otorhinolaryngology and Head and Neck Surgery, CHU Rouen Normandie, Hôpital Charles-Nicolles, Rouen, France.,EA3830 GRHV, Université de Rouen Normandie, Rouen, France
| | - Sylvie Testelin
- UR 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France.,Maxillofacial Surgery Department, CHU Amiens-Picardie, Amiens, France.,Institut Faire Faces, CHU Amiens-Picardie, Amiens, France
| | - Frédéric Marin
- UMR CNRS 7338, Biomécanique et Bioingénierie, Université de Technologie de Compiègne, Sorbonne Université, Compiègne, France
| | - Stéphanie Dakpé
- UR 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France.,Maxillofacial Surgery Department, CHU Amiens-Picardie, Amiens, France.,Institut Faire Faces, CHU Amiens-Picardie, Amiens, France
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Chatelet F, Ferrand FR, Atallah S, Thariat J, Mouawad F, Fakhry N, Malard O, Even C, de Monès E, Uro-Coste E, Benzerdjeb N, Hans S, Testelin S, Mauvais O, Evrard D, Bastit V, Salas S, Espitalier F, Classe M, Digue L, Doré M, Wong S, Dupin C, Nguyen F, Bettoni J, Lapierre A, Colin E, Philouze P, Vergez S, Baujat B, Herman P, Verillaud B. Survival outcomes, prognostic factors, and effect of adjuvant radiotherapy and prophylactic neck dissection in salivary acinic cell carcinoma: A prospective multicenter REFCOR study of 187 patients. Eur J Cancer 2023; 185:11-27. [PMID: 36947928 DOI: 10.1016/j.ejca.2023.02.020] [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: 12/27/2022] [Revised: 02/17/2023] [Accepted: 02/22/2023] [Indexed: 03/05/2023]
Abstract
BACKGROUND Acinic cell carcinomas (AciCCs) are malignant tumours of the salivary glands. The aim of this work was to analyse data from the national REFCOR multicenter cohort (i) to investigate the prognostic factors influencing survival outcomes in AciCC, (ii) to assess the impact on survival of postoperative radiotherapy (RT) in patients treated for AciCC without high-grade transformation and (iii) to explore the prognostic impact of prophylactic neck dissection (ND) in patients treated for AciCC of the major salivary glands. PATIENTS AND METHODS Data from all the patients treated for salivary AciCC between 2009 and 2020 were extracted from the REFCOR database. Survival outcomes and prognostic factors influencing Disease-Free Survival (DFS) and Overall Survival (OS) were investigated using univariate and multivariate analyses. Propensity score matching was used to assess the impact of postoperative RT and prophylactic ND on DFS. RESULTS A total of 187 patients were included. After a median follow-up of 53 months, their 5-year OS and DFS rates were 92.8% and 76.2%, respectively. In multivariate analysis, male sex, older age, higher T and N status, and high grade were independently associated with a worse DFS. In the subpopulation analysed after propensity score matching, patients with cN0 AciCC without high-grade transformation who were treated by surgery and RT did not have an improved DFS compared to patients who were treated by surgery alone (hazard ratio (HR) = 0.87, p = 0.8). Factors associated with nodal invasion were T3-T4 status and intermediate/high histological grade. After propensity score matching, prophylactic ND was associated with a trend toward a better DFS (HR = 0.46, p = 0.16). CONCLUSIONS These results suggest that (i) long-term follow-up (>5 years) should be considered in patients with AciCC, (ii) treatment by surgery alone could be an option in selected cN0 patients with AciCC without high-grade transformation and (iii) prophylactic ND may be considered preferentially in patients with T3-T4 status and/or intermediate/high histological grade.
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Affiliation(s)
- Florian Chatelet
- Department of ENT-Head and Neck Surgery, AP-HP, Hôpital Lariboisière, 2 Rue Ambroise Paré, F-75010 Paris, France.
| | - François Régis Ferrand
- French Armed Forces Biomedical Research Institute, F-91220 Brétigny sur Orge, France; Head and Neck Oncology Department, Gustave Roussy Cancer Campus, 114 Rue Edouard Vaillant, F-94807 Villejuif, France
| | - Sarah Atallah
- Sorbonne University, APHP, Department of ENT-Head and Neck Surgery, Tenon Hospital, 4 rue de la chine, F-75020 Paris, France; Doctoral School of Public Health, CESP, University of Paris Sud, 16 Avenue Paul Vaillant Couturier, F-94807 Villejuif, France
| | - Juliette Thariat
- Department of Radiation Oncology, Centre Francois Baclesse, F-14000 Caen, France; ARCHADE Research Community, F-14000 Caen, France; Laboratoire de physique Corpusculaire IN2P3/ENSICAEN/CNRS UMR 6534-Normandie Université, F-14000 Caen, France
| | - François Mouawad
- Department of ENT-Head and Neck Surgery, Université de Lille, Hôpital Huriez, CHU de Lille, Rue Michel Polonovski, 59000 Lille, France; Inserm U 908, Université des Sciences et Technologies de Lille, UFR de Biologie - SN3, 59655 Villeneuve d'Ascq, France
| | - Nicolas Fakhry
- Department of ENT-Head and Neck Surgery, CHU La Conception, AP-HM. Aix-Marseille Univ (AMU), Marseille, France
| | - Olivier Malard
- Service d'ORL et de chirurgie cervico-faciale CHU 1, INSERM U1229-RMeS, Place A. Ricordeau Hôtel-Dieu, F-44093 Nantes Cedex, France
| | - Caroline Even
- Head and Neck Oncology Department, Gustave Roussy Cancer Campus, 114 Rue Edouard Vaillant, F-94807 Villejuif, France
| | | | - Emmanuelle Uro-Coste
- Department of Pathological Anatomy and Histology-Cytology, Rangueil Hospital, Toulouse, France
| | - Nazim Benzerdjeb
- Department of Otolaryngology-Head Neck Surgery, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France; Claude Bernard University, Lyon 1, France
| | - Stéphane Hans
- Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France
| | - Sylvie Testelin
- EA 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France; Department of Maxillofacial Surgery, Amiens-Picardy University Hospital, Université de Picardie Jules Verne, Amiens, France
| | - Olivier Mauvais
- Department of ENT-Head and Neck Surgery, Centre Hospitalier Universitaire de Besançon, Besançon, France
| | - Diane Evrard
- Université de Paris, Department of ENT-Head and Neck Surgery, Hôpital Bichat, AP-HP, 46 Rue Henri Huchard, F-75018 Paris, France
| | - Vianney Bastit
- Department of ENT-Head and Neck Surgery, François Baclesse Centre, 3 rue du Général Harris, 14000, Caen, France
| | - Sébastien Salas
- Medical Oncology Department, Centre Hospitalier (CHU) La Timone, F-13000, Marseille, France
| | - Florent Espitalier
- Department of Otolaryngology-Head and Neck Surgery, CHU de Nantes, F-44093 Nantes, France
| | - Marion Classe
- Pathology Department, Gustave Roussy Cancer Campus, France
| | | | - Mélanie Doré
- Institut de cancérologie de l'Ouest Nantes, 2 boulevard Jacques Monod, F-44805 Saint Herblain, France
| | - Stéphanie Wong
- Radiation Oncology Department, Hôpital Timone Adultes, 264 Rue Saint-Pierre, F-13005 Marseille, France
| | - Charles Dupin
- Department of Radiation Therapy, Hôpital de Haut Lévèque, Bordeaux University Hospital-CHU, F-33000 Bordeaux, France
| | - France Nguyen
- Onco-radiotherapy Department, Gustave Roussy Cancer Campus, 114 Rue Edouard Vaillant, F-94807 Villejuif, France
| | - Jeremie Bettoni
- EA 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France; Department of Maxillofacial Surgery, Amiens-Picardy University Hospital, Université de Picardie Jules Verne, Amiens, France
| | - Ariane Lapierre
- Claude Bernard University, Lyon 1, France; Department of Radiation Oncology, Centre Hospitalier Lyon Sud, 165 Chem. du Grand Revoyet, F-69310 Pierre-Bénite, France
| | - Emilien Colin
- EA 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France; Department of Maxillofacial Surgery, Amiens-Picardy University Hospital, Université de Picardie Jules Verne, Amiens, France
| | - Pierre Philouze
- Claude Bernard University, Lyon 1, France; Department of Otolaryngology-Head Neck Surgery, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France
| | - Sébastien Vergez
- Department of Surgery, University Cancer Institute Toulouse - Oncopôle, University Hospital of Toulouse, F-31100 Toulouse, France
| | - Bertrand Baujat
- Sorbonne University, APHP, Department of ENT-Head and Neck Surgery, Tenon Hospital, 4 rue de la chine, F-75020 Paris, France
| | - Philippe Herman
- Department of ENT-Head and Neck Surgery, AP-HP, Hôpital Lariboisière, 2 Rue Ambroise Paré, F-75010 Paris, France; Université de Paris, INSERM U1141, Unité"NeuroDiderot", Université de Paris, F-75006 Paris, France
| | - Benjamin Verillaud
- Department of ENT-Head and Neck Surgery, AP-HP, Hôpital Lariboisière, 2 Rue Ambroise Paré, F-75010 Paris, France; Université de Paris, INSERM U1141, Unité"NeuroDiderot", Université de Paris, F-75006 Paris, France
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Doosterlinck Q, Barthomeuf C, Badoual C, Testelin S, Cordonnier C. Tuméfaction jugale congénitale. Ann Pathol 2023; 43:158-160. [PMID: 36333267 DOI: 10.1016/j.annpat.2022.09.008] [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] [Received: 10/05/2021] [Revised: 09/20/2022] [Accepted: 09/30/2022] [Indexed: 01/15/2023]
Affiliation(s)
- Quentin Doosterlinck
- Service d'anatomopathologie, CHU d'Amiens - Picardie, 2, place Victor-Pauchet, 80000 Amiens, France.
| | - Clémence Barthomeuf
- Service d'anatomopathologie, CHU d'Amiens - Picardie, 2, place Victor-Pauchet, 80000 Amiens, France
| | - Cécile Badoual
- Service d'anatomopathologie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75908 Paris, France
| | - Sylvie Testelin
- Service de chirurgie maxillo-faciale et stomatologie, CHU d'Amiens - Picardie, 1, rond-point du Professeur Christian-Cabrol, Amiens, France
| | - Carole Cordonnier
- Service d'anatomopathologie, CHU d'Amiens - Picardie, 2, place Victor-Pauchet, 80000 Amiens, France
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9
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Galmiche A, Saidak Z, Babin E, Brenet E, Davrou J, Fournier I, Devauchelle B, Testelin S, Dakpe S, Pellet A, Thariat J, Bastit V, Clatot F, Saintigny P, Bouaoud J, Foy JP. From precise surgery to precision surgery: The multiple dimensions of therapeutic precision for head and neck cancer. J Stomatol Oral Maxillofac Surg 2023; 124:101342. [PMID: 36423829 DOI: 10.1016/j.jormas.2022.11.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 11/20/2022] [Indexed: 11/23/2022]
Affiliation(s)
- Antoine Galmiche
- UR7516 CHIMERE (Chirurgie, imagerie et régénération tissulaire de l'extrémité céphalique), université de Picardie Jules Verne, Amiens, France; Institut Faire Face, CHU Amiens, 80054 Amiens, France; Centre de Biologie Humaine, CHU Amiens, 80054 Amiens, France.
| | - Zuzana Saidak
- UR7516 CHIMERE (Chirurgie, imagerie et régénération tissulaire de l'extrémité céphalique), université de Picardie Jules Verne, Amiens, France; Institut Faire Face, CHU Amiens, 80054 Amiens, France; Centre de Biologie Humaine, CHU Amiens, 80054 Amiens, France
| | - Emmanuel Babin
- Service d'ORL-CCF, laboratoire Anticipe Inserm U1086, CHU de Caen, Normandie université France, 14033 Caen, France
| | - Esteban Brenet
- Department of Otorhinolaryngology and Head and neck surgery, CHU Reims, Hôpital Robert Debré, Rue du Général Koenig, 51100, Reims, France ; Faculty of Medicine, Reims Champagne Ardenne University, 51100, Reims, France
| | - Julien Davrou
- Sorbonne Université, Paris, France; Department of Maxillo-Facial Surgery, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, Paris, France
| | - Isabelle Fournier
- Laboratoire Protéomique, Réponse Inflammatoire et Spectrométrie de Masse (PRISM), Inserm U1192, Université de Lille, F-59000 Lille, France ; Institut Universitaire de France (IUF), F-75000 Paris, France
| | - Bernard Devauchelle
- UR7516 CHIMERE (Chirurgie, imagerie et régénération tissulaire de l'extrémité céphalique), université de Picardie Jules Verne, Amiens, France; Institut Faire Face, CHU Amiens, 80054 Amiens, France; Department of Maxillofacial Surgery and Stomatology, University Hospital of Amiens, Amiens, France
| | - Sylvie Testelin
- UR7516 CHIMERE (Chirurgie, imagerie et régénération tissulaire de l'extrémité céphalique), université de Picardie Jules Verne, Amiens, France; Institut Faire Face, CHU Amiens, 80054 Amiens, France; Department of Maxillofacial Surgery and Stomatology, University Hospital of Amiens, Amiens, France
| | - Stephanie Dakpe
- UR7516 CHIMERE (Chirurgie, imagerie et régénération tissulaire de l'extrémité céphalique), université de Picardie Jules Verne, Amiens, France; Institut Faire Face, CHU Amiens, 80054 Amiens, France; Department of Maxillofacial Surgery and Stomatology, University Hospital of Amiens, Amiens, France
| | - Adrien Pellet
- Sorbonne Université, Paris, France ; Department of Maxillo-Facial Surgery, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, 47-83 boulevard de l'Hôpital, Paris 75013, France ; Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon 69008, France
| | - Juliette Thariat
- Department of Radiation Oncology, Centre François Baclesse, Caen, France; Laboratoire de Physique Corpusculaire UMR6534 IN2P3 ENSICAEN CNRS, Normandy University, Caen, France
| | - Vianney Bastit
- Department of Head and Neck Surgery, Centre François Baclesse, Caen, France
| | - Florian Clatot
- Normandie Univ, UNIROUEN, Inserm U1245, Rouen, France; Department of Medical Oncology, Centre Henri Becquerel, Rouen, France
| | - Pierre Saintigny
- Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon 69008, France ; Department of Medical Oncology, Centre Léon Bérard, 28 rue Laennec, 69373 Lyon cedex 08, Lyon 69008, France; Department of Translational Medicine, Centre Léon Bérard, Lyon 69008, France
| | - Jebrane Bouaoud
- Sorbonne Université, Paris, France ; Department of Maxillo-Facial Surgery, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, 47-83 boulevard de l'Hôpital, Paris 75013, France ; Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon 69008, France
| | - Jean-Philippe Foy
- Sorbonne Université, Paris, France ; Department of Maxillo-Facial Surgery, Hôpital Pitié-Salpêtrière, Assistance Publique des Hôpitaux de Paris, 47-83 boulevard de l'Hôpital, Paris 75013, France ; Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de recherche en cancérologie de Lyon, Lyon 69008, France
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Olivetto M, Bettoni J, Testelin S, Lefranc M. Zygomatic implant placement using a robot-assisted flapless protocol: proof of concept. Int J Oral Maxillofac Surg 2022; 52:710-715. [PMID: 36517307 DOI: 10.1016/j.ijom.2022.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Revised: 12/03/2022] [Accepted: 12/07/2022] [Indexed: 12/15/2022]
Abstract
Robotic assistance can help in physically guiding the drilling trajectory during zygomatic implant positioning. A new robot-assisted strategy for a flapless zygomatic implant placement protocol is reported here. In this protocol, a preoperative computed tomography scan is used to plan the surgical path. After surface registration, the ROSA robot (Zimmer Biomet Robotics) guides several steps, which are performed with shared control. The surgeon performs the drilling and tapping, guided by the robotic arm, which is positioned according to the planned trajectory. Placement of the zygomatic implant is done manually. Immediate intraoperative 3D verification is performed by cone beam computed tomography (flat-panel detector, Medtronic O-arm II). Four zygomatic implants were placed in the case patient according to the flapless protocol, with a mean vector error of 1.78 mm (range 0.52-4.70 mm). A screw-retained temporary prosthesis was placed on the same day. No significant complications were observed. The application of this robot-assisted surgical protocol, which guarantees a very high degree of precision, may reduce inaccuracies in the positioning of zygomatic implants that could deviate from the surgeon's plan. This appears to be a potentially safe flapless surgery technique. Drill slipping on the crest or on the maxillary wall is the main source of error in this procedure, emphasizing the usefulness of the assisted surgical guidance with haptic feedback.
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Affiliation(s)
- M Olivetto
- Department of Maxillofacial Surgery, Hospital Centre of Annecy Geneva, Épagny Metz-Tessy, France; Department of Maxillofacial Surgery, University Hospital of Amiens-Picardy, University Medical Centre, Amiens, France.
| | - J Bettoni
- Department of Maxillofacial Surgery, University Hospital of Amiens-Picardy, University Medical Centre, Amiens, France
| | - S Testelin
- Department of Maxillofacial Surgery, University Hospital of Amiens-Picardy, University Medical Centre, Amiens, France
| | - M Lefranc
- Department of Neurosurgery, University Hospital of Amiens-Picardy, University Medical Centre, Amiens, France
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11
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Boussida S, François Y, Heintz A, Saidak Z, Dakpé S, Coutte A, Chauffert B, Devauchelle B, Galmiche A, Testelin S, Goudot P, Constans JM. Evaluation of Proton MR Spectroscopy for the Study of the Tongue Tissue in Healthy Subjects and Patients With Tongue Squamous Cell Carcinoma: Preliminary Findings. Front Oral Health 2022; 3:912803. [PMID: 35924279 PMCID: PMC9339644 DOI: 10.3389/froh.2022.912803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 06/20/2022] [Indexed: 12/24/2022] Open
Abstract
PurposeTo noninvasively assess spectroscopic and metabolic profiles of healthy tongue tissue and in an exploratory objective in nontreated and treated patients with tongue squamous cell carcinoma (SCC).MethodsFourteen healthy subjects (HSs), one patient with nontreated tongue SCC (NT-SCC), and two patients with treated tongue SCC (T-SCC) underwent MRI and single-voxel proton magnetic resonance spectroscopy (1H-MRS) evaluations (3 and 1.5T). Multi-echo-times 1H-MRS was performed at the medial superior part (MSP) and the anterior inferior part (AIP) of the tongue in HS, while 1H-MRS voxel was placed at the most aggressive part of the tumor for patients with tongue SCC. 1H-MRS data analysis yielded spectroscopic metabolite ratios quantified to total creatine.ResultsIn HS, compared to MSP and AIP, 1H-MRS spectra revealed higher levels of creatine, a more prominent and well-identified trimethylamine-choline (TMA-Cho) peak. However, larger prominent lipid peaks were better differentiated in the tongue MSP. Compared to HS, patients with NT-SCC exhibited very high levels of lipids and relatively higher values of TMA-Cho peak. Interestingly, patients with T-SCC showed almost nonproliferation activity. However, high lipids levels were measured, although they were relatively lower than lipids levels measured in patients with NT-SCC.ConclusionThe present study demonstrated the potential use of in-vivo1H-MRS to noninvasively assess spectroscopic and metabolic profiles of the healthy tongue tissue in a spatial location-dependent manner. Preliminary results revealed differences between HS and patients with tongue NT-SCC as well as tongue T-SCC, which should be confirmed with more patients. 1H-MRS could be included, in the future, in the arsenal of tools for treatment response evaluation and noninvasive monitoring of patients with tongue SCC.
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Affiliation(s)
- Salem Boussida
- Radiology Department, University Hospital of Amiens Picardie, Amiens, France
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
| | - Yvener François
- Faculty of Medicine, Assistance Publique - Hôpitaux de Paris (AP-HP), Sorbonne University, Paris, France
| | - Adrien Heintz
- Radiology Department, University Hospital of Amiens Picardie, Amiens, France
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
| | - Zuzana Saidak
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Biochemistry, University Hospital of Amiens, Amiens, France
| | - Stéphanie Dakpé
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Maxillofacial Surgery and Stomatology, University Hospital of Amiens, Amiens, France
| | - Alexandre Coutte
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Radiotherapy, University Hospital of Amiens, Amiens, France
| | - Bruno Chauffert
- Department of Medical Oncology, University Hospital of Amiens, Amiens, France
| | - Bernard Devauchelle
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Maxillofacial Surgery and Stomatology, University Hospital of Amiens, Amiens, France
| | - Antoine Galmiche
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Biochemistry, University Hospital of Amiens, Amiens, France
| | - Sylvie Testelin
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- Department of Maxillofacial Surgery and Stomatology, University Hospital of Amiens, Amiens, France
| | - Patrick Goudot
- Faculty of Medicine, Assistance Publique - Hôpitaux de Paris (AP-HP), Sorbonne University, Paris, France
| | - Jean-Marc Constans
- Radiology Department, University Hospital of Amiens Picardie, Amiens, France
- CHIMERE UR 7516 Research Team for Head & Neck, Institute Faire Faces, University of Picardie Jules Verne, Amiens, France
- *Correspondence: Jean-Marc Constans
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12
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Caillouey A, Bettoni J, Olivetto M, Dakpé S, Testelin S. Masseteric nerve position on the "temporomandibular joint-chin tip" artificial axis: an anatomical study. Surg Radiol Anat 2022; 44:1017-1023. [PMID: 35737087 DOI: 10.1007/s00276-022-02972-1] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 06/02/2022] [Indexed: 11/25/2022]
Abstract
PURPOSE The use of the masseteric nerve develops in the surgery of facial paralysis rehabilitation. The objective of this study was to determine the topography of the masseteric nerve and to deduce and predict a precise and reproducible anatomical cluster to facilitate its clinical identification during V-VII neurotization surgery. METHOD For the purpose of this work, a cadaveric study was performed on 31 hemi-faces. All dissections were performed bilaterally and comparatively, following steps aiming at simulating, as close as possible, the clinical conditions of a facial palsy rehabilitation by V-VII anastomosis. RESULT For the identification of the masseteric nerve, bony reference points were used, i.e., the temporomandibular joint (TMJ) and the chin point (CT). A virtual axis was drawn between the TMJ and the CT, and the distance [TMJ-MN] determining the smallest length h was then plotted against the distance [TMJ-CT] determining the largest length H, thus allowing the calculation of an h/H proportion ratio (PR) indicating the proximal part of the masseteric nerve from the TMJ. The average length h between the TMJ and the NM was 3.5 cm (± 0.1 cm) from the TMJ, i.e., an average ratio h/H [TMJ-MN]/[TMJ-CT] of 28.1% 4.0 and a median ratio of 28.6% of the distance [TMJ-CT]. CONCLUSION Our study opens new perspectives for facilitating its identification and use, offering practitioners a tool to make V-VII the neurotization procedure less complex, with the eventual prospect of a minimally invasive procedure combining imaging, surgery, and augmented reality.
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Affiliation(s)
- Alan Caillouey
- Laboratory of Anatomy and Morphogenesis, University of Picardie Jules Verne, Chemin du Thil, 80025, Amiens, France.
| | - Jérémie Bettoni
- Department of Maxillofacial Surgery, University Hospital of Amiens, Avenue Laennec, 80000, Amiens, France
| | - Matthieu Olivetto
- Department of Maxillofacial Surgery, University Hospital of Amiens, Avenue Laennec, 80000, Amiens, France
| | - Stéphanie Dakpé
- EA CHIMERE, Picardie Jules Verne University, Avenue Laennec, 80000, Amiens, France
| | - Sylvie Testelin
- Department of Maxillofacial Surgery, University Hospital of Amiens, Avenue Laennec, 80000, Amiens, France
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Saidak Z, Galmiche A, Ouendo M, Chatelain D, Constans JM, Testelin S. Principe et applicabilité de la chirurgie de précision aux cancers de la tête et du cou. Med Sci (Paris) 2022; 38:562-569. [DOI: 10.1051/medsci/2022082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
La chirurgie est la modalité de traitement curatif la plus fréquemment utilisée dans les cancers de la tête et du cou. Elle est intégrée dans des schémas de stratification thérapeutique précis, mais la conduite de l’acte chirurgical et son évaluation ne tiennent, la plupart du temps, pas compte de la biologie tumorale. Nous présentons dans cette revue plusieurs études qui montrent comment les analyses de la biologie tumorale pourraient préciser les indications et le contour d’une résection chirurgicale, personnaliser la prise en charge péri-opératoire du patient, et faciliter la détection des récurrences tumorales. Ces études apportent ainsi une preuve de principe qu’une chirurgie de précision, c’est-à-dire adossée à la biologie tumorale, à la façon de la médecine de précision pour d’autres cancers, est applicable aux cancers de la tête et du cou.
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14
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Bennedjai A, Hennocq Q, Simon F, Testelin S, Devauchelle B, Tulasne JF, Bouheraoua N, Adam R, Nordmann JP, Khonsari RH. Orbital in juries in wartime: Historical study from Paul Tessier's work in Iran. J Fr Ophtalmol 2022; 45:628-632. [PMID: 35597681 DOI: 10.1016/j.jfo.2022.02.005] [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: 12/02/2021] [Revised: 01/17/2022] [Accepted: 02/01/2022] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Paul Tessier was a leading French oculoplastic surgeon who took part in several surgical missions in Iran to manage victims of the Iraq-Iran conflict in the late 1980's and early 1990's. METHODS We collected the records of 322 patients who underwent surgical procedures for the management of wartime injuries by Paul Tessier's team in Iran from 1990 to 1993. We also report one of the most representative cases of orbital reconstruction performed by Tessier. RESULTS Mean age at the time of trauma was 20.65±7.04 years (range: 2--62). Craniofacial CT-scans were available for 54 patients. The bones of the upper third of the face and the orbital contents were affected in 124/322 patients (38.50%). Soft-tissue lesions of the upper third included 13 frontal lacerations (4.04%), 60 orbital injuries (18.63%) and 95 uni- or bilateral enucleations (29.50%). Thirty-nine uni- or bilateral lid injuries (12.11%) and 8 tear duct injuries (2.48%) were reported. A specific case of orbital reconstruction using antero-internal and posterior iliac bone grafts was reported as a representative example of Tessier's techniques. CONCLUSION This study highlights the challenges of orbital reconstruction in wartime injuries and provides insights on the work of one of the most renowned surgeons in this field.
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Affiliation(s)
- A Bennedjai
- Centre Hospitalier National d'Ophtalmologie des 15-20, Service 2, Université de Paris, Paris, France.
| | - Q Hennocq
- Assistance Publique-Hôpitaux de Paris, Hôpital Necker-Enfants Malades, Service de chirurgie maxillo-faciale et chirurgie plastique, Université de Paris, Paris, France
| | - F Simon
- Assistance Publique-Hôpitaux de Paris, Hôpital Necker-Enfants Malades, Service de chirurgie oto-rhino-laryngologie, Université de Paris, Paris, France
| | - S Testelin
- CHU Amiens Picardie-Service de chirurgie maxillo-faciale, Université de Picardie Jules Vernes, Amiens, France
| | - B Devauchelle
- CHU Amiens Picardie-Service de chirurgie maxillo-faciale, Université de Picardie Jules Vernes, Amiens, France
| | | | - N Bouheraoua
- Centre Hospitalier National d'Ophtalmologie des 15-20, Service 5, Sorbonne Université, Paris, France
| | - R Adam
- Centre Hospitalier National d'Ophtalmologie des 15-20, Service 2, Université de Paris, Paris, France
| | - J-P Nordmann
- Centre Hospitalier National d'Ophtalmologie des 15-20, Service 2, Université de Paris, Paris, France
| | - R H Khonsari
- Assistance Publique-Hôpitaux de Paris, Hôpital Necker-Enfants Malades, Service de chirurgie maxillo-faciale et chirurgie plastique, Université de Paris, Paris, France
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Olivetto M, Testelin S, Sorrel Dejerine E, Devauchelle B. [Lessons from a master in tissue transfer: A study of the surgical notebooks of General Gustave Ginestet during the Foch years]. ANN CHIR PLAST ESTH 2022; 67:57-67. [PMID: 35459580 DOI: 10.1016/j.anplas.2022.02.003] [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: 02/15/2022] [Accepted: 02/24/2022] [Indexed: 11/16/2022]
Abstract
The surgical notebooks (1945-1959) of General Gustave Ginestet are the last direct testimony of the quintessential period in which autoplastic techniques were used, before their twilight, favored by the advent of axial pedicle flaps, musculocutaneous flaps and later free flaps. They summarize all the refinements of the experience accumulated at the National Center for Reconstructive Surgery (Centre Médico-Chirurgical Foch-Suresnes). They appear to be more informative than the various books of the time, which were intended for an experienced public or for those benefiting from a companionship, thus eluding a certain number of precautionary advice, which are undoubtedly tacit but essential to obtain a successful operation in the hypothesis of their current use. This paper aims to establish the principles of historical surgical techniques and to integrate them into the management of patients in therapeutic impasse. One hundred and seven clinical situations requiring tissue displacement were analyzed by reconstructed region and by type of flap used. This technical view of the past, as close as possible to the daily practice of a famous reconstructive surgery center, does not offer absolute methodological or technical precepts. From the surgical notebooks studied, the only thing that emerges is a rigorous approach that allows us to contain a permanent doubt and an experimental process. This notion of constant evolution of the autoplastic practice, guided by its errors, intuitions and beliefs, highlights the importance of a surgical culture, which, with a humanistic approach, must be nourished by the paths of the past.
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Affiliation(s)
- M Olivetto
- Service de chirurgie maxillo-faciale, CH Annecy-Genevois, 1, avenue de l'Hôpital, 74370 Épagny-Metz-Tessy, France; Service de chirurgie maxillo-faciale, CHU Amiens-Picardie, 1, rue du Pr Christian Cabrol, 80 000 Amiens, France.
| | - S Testelin
- Service de chirurgie maxillo-faciale, CHU Amiens-Picardie, 1, rue du Pr Christian Cabrol, 80 000 Amiens, France
| | - E Sorrel Dejerine
- Service de chirurgie plastique et reconstructrice, clinique Lambert, 63/67 avenue Foch, 92250 La Garenne-Colombes, France
| | - B Devauchelle
- Service de chirurgie maxillo-faciale, CHU Amiens-Picardie, 1, rue du Pr Christian Cabrol, 80 000 Amiens, France
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Ogrinc N, Attencourt C, Colin E, Boudahi A, Tebbakha R, Salzet M, Testelin S, Dakpé S, Fournier I. Mass Spectrometry-Based Differentiation of Oral Tongue Squamous Cell Carcinoma and Nontumor Regions With the SpiderMass Technology. Front Oral Health 2022; 3:827360. [PMID: 35309279 PMCID: PMC8929397 DOI: 10.3389/froh.2022.827360] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Accepted: 01/26/2022] [Indexed: 12/14/2022] Open
Abstract
Oral cavity cancers are the 15th most common cancer with more than 350,000 new cases and ~178,000 deaths each year. Among them, squamous cell carcinoma (SCC) accounts for more than 90% of tumors located in the oral cavity and on oropharynx. For the oral cavity SCC, the surgical resection remains the primary course of treatment. Generally, surgical margins are defined intraoperatively using visual and tactile elements. However, in 15–30% of cases, positive margins are found after histopathological examination several days postsurgery. Technologies based on mass spectrometry (MS) were recently developed to help guide surgical resection. The SpiderMass technology is designed for in-vivo real-time analysis under minimally invasive conditions. This instrument achieves tissue microsampling and real-time molecular analysis with the combination of a laser microprobe and a mass spectrometer. It ultimately acts as a tool to support histopathological decision-making and diagnosis. This pilot study included 14 patients treated for tongue SCC (T1 to T4) with the surgical resection as the first line of treatment. Samples were first analyzed by a pathologist to macroscopically delineate the tumor, dysplasia, and peritumoral areas. The retrospective and prospective samples were sectioned into three consecutive sections and thaw-mounted on slides for H&E staining (7 μm), SpiderMass analysis (20 μm), and matrix-assisted laser desorption ionization (MALDI) MS imaging (12 μm). The SpiderMass microprobe collected lipidometabolic profiles of the dysplasia, tumor, and peritumoral regions annotated by the pathologist. The MS spectra were then subjected to the multivariate statistical analysis. The preliminary data demonstrate that the lipidometabolic molecular profiles collected with the SpiderMass are significantly different between the tumor and peritumoral regions enabling molecular classification to be established by linear discriminant analysis (LDA). MALDI images of the different samples were submitted to segmentation for cross instrument validation and revealed additional molecular discrimination within the tumor and nontumor regions. These very promising preliminary results show the applicability of the SpiderMass to SCC of the tongue and demonstrate its interest in the surgical treatment of head and neck cancers.
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Affiliation(s)
- Nina Ogrinc
- University of Lille, Inserm, CHU Lille, U1192 - Protéomique Réponse Inflammatoire Spectrométrie de Masse – PRISM, Lille, France
- *Correspondence: Nina Ogrinc
| | - Christophe Attencourt
- Department of Pathology, CHU Amiens-Picardie, Amiens, France
- UR7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
| | - Emilien Colin
- UR7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
- Department of Maxillofacial Surgery, CHU Amiens-Picardie, Amiens, France
- Institut Faire Faces, Amiens, France
| | - Ahmed Boudahi
- Department of Pathology, CHU Amiens-Picardie, Amiens, France
| | - Riad Tebbakha
- Tumorothèque de Picardie, CHU Amiens-Picardie, Amiens, France
| | - Michel Salzet
- University of Lille, Inserm, CHU Lille, U1192 - Protéomique Réponse Inflammatoire Spectrométrie de Masse – PRISM, Lille, France
- Institut Universitaire de France (IUF), Paris, France
| | - Sylvie Testelin
- UR7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
- Department of Maxillofacial Surgery, CHU Amiens-Picardie, Amiens, France
- Institut Faire Faces, Amiens, France
| | - Stéphanie Dakpé
- UR7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
- Department of Maxillofacial Surgery, CHU Amiens-Picardie, Amiens, France
- Institut Faire Faces, Amiens, France
- Stéphanie Dakpé
| | - Isabelle Fournier
- University of Lille, Inserm, CHU Lille, U1192 - Protéomique Réponse Inflammatoire Spectrométrie de Masse – PRISM, Lille, France
- Institut Universitaire de France (IUF), Paris, France
- Isabelle Fournier
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Galmiche A, Saidak Z, Bettoni J, Ouendo M, Testelin S. Therapeutic Perspectives for the Perioperative Period in Oral Squamous Cell Carcinoma (OSCC). Front Oral Health 2022; 2:764386. [PMID: 35088056 PMCID: PMC8787059 DOI: 10.3389/froh.2021.764386] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 12/14/2021] [Indexed: 12/16/2022] Open
Abstract
The perioperative period is the relatively short window of time, usually measured in days or weeks, around the surgical procedure. Despite its short duration, this time period is of great importance for cancer patients. From a biological point of view, the perioperative period is complex. Synchronous with primary tumor removal, surgery has local and distant consequences, including systemic and local inflammation, coagulation and sympathetic activation. Furthermore, the patients often present comorbidities and receive several medical prescriptions (hypnotics, pain killers, anti-emetics, hemostatics, inotropes, antibiotics). Because of the complex nature of the perioperative period, it is often difficult to predict the oncological outcome of tumor resection. Here, we review the biological consequences of surgery of Oral Squamous Cell Carcinoma (OSCC), the most frequent form of primary head and neck tumors. We briefly address the specificities and the challenges of the surgical care of these tumors and highlight the biological and clinical studies that offer insight into the perioperative period. The recent trials examining neoadjuvant immunotherapy for OSCC illustrate the therapeutic opportunities offered by the perioperative period.
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Affiliation(s)
- Antoine Galmiche
- EA7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
- Service de Biochimie, Centre de Biologie Humaine, Centre Hospitalier Universitaire (CHU) Amiens, Amiens, France
- *Correspondence: Antoine Galmiche
| | - Zuzana Saidak
- EA7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
- Service de Biochimie, Centre de Biologie Humaine, Centre Hospitalier Universitaire (CHU) Amiens, Amiens, France
| | - Jérémie Bettoni
- EA7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
- Service de Chirurgie Maxillo-Faciale, Centre Hospitalier Universitaire (CHU) Amiens, Amiens, France
| | - Martial Ouendo
- EA7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
- Service d'Anesthésie Réanimation, Centre Hospitalier Universitaire (CHU) Amiens, Amiens, France
| | - Sylvie Testelin
- EA7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
- Service de Chirurgie Maxillo-Faciale, Centre Hospitalier Universitaire (CHU) Amiens, Amiens, France
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18
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Baudequin T, Naudot M, Dupont S, Testelin S, Devauchelle B, Bedoui F, Marolleau JP, Legallais C. Donor variability alters differentiation and mechanical cohesion of tissue-engineered constructs with human endothelial/MSC co-culture. Int J Artif Organs 2021; 44:868-879. [PMID: 34643146 DOI: 10.1177/03913988211051758] [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] [Indexed: 11/17/2022]
Abstract
To move towards clinical applications, tissue engineering (TE) should be validated with human primary cells and offer easy connection to the native vascularisation. Based on a sheet-like bone substitute developed previously, we investigated a mesenchymal stem cells/endothelial cells (MSCs/ECs) coculture to enhance pre-vascularisation. Using MSCs from six independent donors whose differentiation potential was assessed towards two lineages, we focused on donor variability and cell crosstalk regarding bone differentiation. Coculture was performed on calcium phosphate granules in a specific chamber during 1 month. MSCs were seeded first then ECs were added after 2 weeks, with respective monocultures as control groups. Cell viability and organisation (fluorescence, electronic microscopy), differentiation (ALP staining/activity, RT-qPCR) and mechanical cohesion were analysed. Adaptation of the protocol to coculture was validated (high cell viability and proliferation). Activity and differentiation showed strong trends towards synergistic effects between cell types. MSCs reached early mineralisation stage of maturation. The delayed addition of ECs allowed for their attachment on developed MSCs' matrix. The main impact of donor variability could be here the lack of cell proliferation potential with some donors, leading to low differentiation and mechanical cohesion and therefore absence of sheet-like shape successfully obtained with others. We suggest therefore adapting protocols to cell proliferation potentials from one batch of cells to the other in a patient-specific approach.
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Affiliation(s)
- Timothée Baudequin
- Université de technologie de Compiègne, CNRS, Biomechanics and Bioengineering, Centre de recherche Royallieu , Compiègne Cedex
| | - Marie Naudot
- Normal and Pathological Lymphocytes and Cancer, EA4666, Université de Picardie Jules Verne, Amiens, France
| | - Sébastien Dupont
- Normal and Pathological Lymphocytes and Cancer, EA4666, Université de Picardie Jules Verne, Amiens, France.,UMR 1148, Inserm-Paris7 - Denis Diderot University, Xavier Bichat Hospital, Paris, France
| | - Sylvie Testelin
- Service de Chirurgie maxillo-faciale, CHU Amiens Picardie Sud, Amiens, France
| | - Bernard Devauchelle
- Service de Chirurgie maxillo-faciale, CHU Amiens Picardie Sud, Amiens, France
| | - Fahmi Bedoui
- Université de technologie de Compiègne, CNRS, Roberval (Mechanics energy and electricity), Centre de recherche Royallieu, Compiègne Cedex
| | - Jean-Pierre Marolleau
- Normal and Pathological Lymphocytes and Cancer, EA4666, Université de Picardie Jules Verne, Amiens, France
| | - Cécile Legallais
- Université de technologie de Compiègne, CNRS, Biomechanics and Bioengineering, Centre de recherche Royallieu , Compiègne Cedex
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Saidak Z, Lailler C, Testelin S, Chauffert B, Clatot F, Galmiche A. Correction to: ASO Visual Abstract: Contribution of Genomics to the Surgical Management and Study of Oral Cancer. Ann Surg Oncol 2021. [PMID: 34255248 DOI: 10.1245/s10434-021-10334-1] [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: 11/18/2022]
Affiliation(s)
- Zuzana Saidak
- UR7516 « CHIMERE », Université de Picardie Jules Verne, Amiens, France. .,Centre de Biologie Humaine, CHU Amiens, Amiens, France.
| | - Claire Lailler
- UR7516 « CHIMERE », Université de Picardie Jules Verne, Amiens, France.,Centre de Biologie Humaine, CHU Amiens, Amiens, France
| | - Sylvie Testelin
- UR7516 « CHIMERE », Université de Picardie Jules Verne, Amiens, France.,Department of Maxillofacial Surgery, CHU Amiens, Amiens, France
| | - Bruno Chauffert
- UR7516 « CHIMERE », Université de Picardie Jules Verne, Amiens, France.,Department of Oncology, CHU Amiens, Amiens, France
| | - Florian Clatot
- Centre Henri Becquerel, Rouen, France.,INSERM U1245/team IRON, Rouen, France
| | - Antoine Galmiche
- UR7516 « CHIMERE », Université de Picardie Jules Verne, Amiens, France.,Centre de Biologie Humaine, CHU Amiens, Amiens, France
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20
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Lavagen N, Nokovitch L, Algrin A, Dakpe S, Testelin S, Devauchelle B, Gbaguidi C. Efficiency of advanced-PRF usage in the treatment of alveolar cleft with iliac bone graft: A retrospective study. J Craniomaxillofac Surg 2021; 49:923-928. [PMID: 34158223 DOI: 10.1016/j.jcms.2021.06.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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: 11/09/2020] [Revised: 05/10/2021] [Accepted: 06/02/2021] [Indexed: 12/25/2022] Open
Abstract
The aim of this study was to evaluate the efficiency of a new alveolar bone grafting protocol using advanced-PRF (a-PRF) by comparing the volumes of newly formed bone after a bone graft combining autogenous iliac crest bone with either PRF or a-PRF. Patients presenting with unilateral or a bilateral alveolar cleft were included retrospectively in two groups: one group was grafted using cancellous iliac crest bone with PRF (PRF group), whereas for the other group the same procedure was followed using a-PRF (a-PRF group). CBCT scans were performed 3 months preoperatively and 6 months postoperatively. The volume of newly formed bone was measured by subtracting the postoperative cleft volume from the preoperative cleft volume. The mean volume of newly formed bone was compared between the two groups using Student's t-test. Twenty-four patients were included, with 12 allocated to each group. Forty-eight CBCT scans were analyzed. The mean volume of newly formed bone was 0.29 (±0.09) cm3 in the a-PRF group, versus 0.20 (±0.08) cm3 in the PRF group (Student's t-test, p = 0.024). The percentage of newly formed bone was 60.4 (±10.4) % in the a-PRF group versus 51.4 (±18.4) % in the PRF group (Student's t-test, p = 0.165). Our study demonstrated improved bone regeneration in the a-PRF group. While bearing in mind the limitations of this study, the a-PRF procedure should be adopted in cleft bone grafting whenever possible.
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Affiliation(s)
- Nolwenn Lavagen
- Oral and Maxillofacial Surgery Department, University Hospital of Amiens, Rond-point Pf Christian Cabrol, 80 000, Amiens, France; Chimère UR 75.16, France.
| | - Lara Nokovitch
- Oral and Maxillofacial Surgery Department, Beaujon Hospital, 100 Boulevard Du Général Leclerc, 92110, Clichy, France
| | - Amandine Algrin
- Oral and Maxillofacial Surgery Department, Hospital of Compiègne, 8 Avenue Henri Adnot, 60200, Compiègne, France; Chimère UR 75.16, France
| | - Stéphanie Dakpe
- Oral and Maxillofacial Surgery Department, University Hospital of Amiens, Rond-point Pf Christian Cabrol, 80 000, Amiens, France; Chimère UR 75.16, France
| | - Sylvie Testelin
- Oral and Maxillofacial Surgery Department, University Hospital of Amiens, Rond-point Pf Christian Cabrol, 80 000, Amiens, France; Chimère UR 75.16, France
| | - Bernard Devauchelle
- Oral and Maxillofacial Surgery Department, University Hospital of Amiens, Rond-point Pf Christian Cabrol, 80 000, Amiens, France; Chimère UR 75.16, France
| | - Cica Gbaguidi
- Oral and Maxillofacial Surgery Department, University Hospital of Amiens, Rond-point Pf Christian Cabrol, 80 000, Amiens, France; Chimère UR 75.16, France
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21
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Dahan LS, Giorgi R, Vergez S, Le Taillandier de Gabory L, Costes-Martineau V, Herman P, Poissonnet G, Mauvais O, Malard O, Garrel R, Uro-Coste E, Barry B, Bach C, Chevalier D, Mouawad F, Merol JC, Bastit V, Thariat J, Gilain L, Dufour X, Righini CA, Moya-Plana A, Even C, Radulesco T, Michel J, Baujat B, Fakhry N, Albert S, Andry G, Babin E, Bach C, Badet JM, Badoual C, Baglin A, Banal A, Barry B, Baudin E, Baujat B, Bensadoun R, Bertolus C, Bessède JP, Blanchard D, Borel C, Bozorg-Grayeli A, Breheret R, Breton P, Brugel L, Calais G, Casiraghi O, Cassagnau E, Castillo L, Ceruse P, Chabolle F, Chevalier D, Chobaut J, Choussy O, Cosmidis A, Coste A, Costes V, Crampette L, Darrouzet V, Demez P, Dessi P, Devauchelle B, Dolivet G, Dubrulle F, Duflo S, Dufour X, Faivre S, Fakhry N, Ferron C, Floret F, de Gabory L, Garrel R, Geoffrois L, Gilain L, Giovanni A, Girod A, Guerrier B, Hans S, Herman P, Hofman P, Housset M, Jankowski R, Jegoux F, Juliéron M, Kaminsky MC, Kolb F, St Guily JL, Laccoureye L, Lallemant B, Lang P, Lartigau E, Lavieille JP, Lefevre M, Leroy X, Malard O, Massip F, Mauvais O, Merol JC, Michel J, Mom T, Morinière S, de Monès E, Moulin G, Noel G, Poissonnet G, Prades JM, Radulesco T, de Raucourt D, Reyt E, Righini C, Robin YM, Rolland F, Ruhin B, Sarroul N, Schultz P, Serrano E, Sterkers O, Strunski V, Sudaka A, Tassart M, Testelin S, Thariat J, Timochenko A, Toussaint B, Coste EU, Valette G, Van den Abbeele T, Varoquaux A, Veillon F, Vergez S, Wassef M. Mucoepidermoid carcinoma of salivary glands: A French Network of Rare Head and Neck Tumors (REFCOR) prospective study of 292 cases. Eur J Surg Oncol 2021; 47:1376-1383. [DOI: 10.1016/j.ejso.2020.11.123] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 10/31/2020] [Accepted: 11/13/2020] [Indexed: 12/18/2022] Open
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22
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Devauchelle B, Testelin S, Dakpe S, Bettoni J, Davrou J, Klap B. [Odyssey of the iliac. "Mandibular reconstruction by bone free flaps"]. ANN CHIR PLAST ESTH 2021; 66:193-200. [PMID: 33966904 DOI: 10.1016/j.anplas.2021.03.001] [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: 02/24/2021] [Accepted: 03/04/2021] [Indexed: 10/21/2022]
Abstract
The authors proposed here a retrospective analysis of a surgical procedure they performed for long time. It allows to put into questions some established principles, to find some unkwown datas which could be important to predict complications. It is also interesting to discuss about the use of indication and choice of the flaps along years of reconstructive surgery history in the way to improve protocoles and management of those large reconstruction. During ten years in one maxillofacial surgery departement, more than 200 bone free flaps (essentially fibula and iliac crest) have been used for mandibular reconstruction and analyse with a three years follow-up. The global failure rate is estimated as 28 % included all various complications from fistulas to infections. Five different points are discussed from the ambiguity of the reported studies to the way of doing of such surgery. It is also pointed out the importance of the biological dimension of all surgical procedures and the place of clinical figures regarding of the technical processes which usually forget the main clinical purpose.
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Affiliation(s)
- B Devauchelle
- Service CMF, CHU Amiens Picardie, rond point du professeur Cabrol, 80000 Amiens, France; Unité de recherche 7516 CHIMERE - université de Picardie Jules Verne, chemin du Thill, 80000 Amiens Picardie, France; Institut Faire-Faces, place Cabrol, Amiens Picardie, France.
| | - S Testelin
- Service CMF, CHU Amiens Picardie, rond point du professeur Cabrol, 80000 Amiens, France; Unité de recherche 7516 CHIMERE - université de Picardie Jules Verne, chemin du Thill, 80000 Amiens Picardie, France; Institut Faire-Faces, place Cabrol, Amiens Picardie, France
| | - S Dakpe
- Service CMF, CHU Amiens Picardie, rond point du professeur Cabrol, 80000 Amiens, France; Unité de recherche 7516 CHIMERE - université de Picardie Jules Verne, chemin du Thill, 80000 Amiens Picardie, France; Institut Faire-Faces, place Cabrol, Amiens Picardie, France
| | - J Bettoni
- Service CMF, CHU Amiens Picardie, rond point du professeur Cabrol, 80000 Amiens, France; Unité de recherche 7516 CHIMERE - université de Picardie Jules Verne, chemin du Thill, 80000 Amiens Picardie, France; Institut Faire-Faces, place Cabrol, Amiens Picardie, France
| | - J Davrou
- Unité de recherche 7516 CHIMERE - université de Picardie Jules Verne, chemin du Thill, 80000 Amiens Picardie, France; Service de chirurgie maxillo-faciale, AP-HP, Pitié-Salpêtrière, boulevard de l'Hôpital, 75013 Paris, France; Institut Faire-Faces, place Cabrol, Amiens Picardie, France
| | - B Klap
- Service de chirurgie maxillo-faciale, AP-HP, Pitié-Salpêtrière, boulevard de l'Hôpital, 75013 Paris, France
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Saidak Z, Lailler C, Testelin S, Chauffert B, Clatot F, Galmiche A. ASO Visual Abstract: Contribution of Genomics to the Surgical Management and Study of Oral Cancer. Ann Surg Oncol 2021. [PMID: 33956278 DOI: 10.1245/s10434-021-10004-2] [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: 11/18/2022]
Affiliation(s)
- Zuzana Saidak
- UR7516 « CHIMERE », Université de Picardie Jules Verne, Amiens, France. .,Centre de Biologie Humaine, CHU Amiens, Amiens, France.
| | - Claire Lailler
- UR7516 « CHIMERE », Université de Picardie Jules Verne, Amiens, France.,Centre de Biologie Humaine, CHU Amiens, Amiens, France
| | - Sylvie Testelin
- UR7516 « CHIMERE », Université de Picardie Jules Verne, Amiens, France.,Department of Maxillofacial Surgery, CHU Amiens, Amiens, France
| | - Bruno Chauffert
- UR7516 « CHIMERE », Université de Picardie Jules Verne, Amiens, France.,Department of Oncology, CHU Amiens, Amiens, France
| | - Florian Clatot
- Centre Henri Becquerel, Rouen, France.,INSERM U1245/team IRON, Rouen, France
| | - Antoine Galmiche
- UR7516 « CHIMERE », Université de Picardie Jules Verne, Amiens, France.,Centre de Biologie Humaine, CHU Amiens, Amiens, France
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Saidak Z, Lailler C, Testelin S, Chauffert B, Clatot F, Galmiche A. Contribution of Genomics to the Surgical Management and Study of Oral Cancer. Ann Surg Oncol 2021; 28:5842-5854. [PMID: 33846893 PMCID: PMC8460589 DOI: 10.1245/s10434-021-09904-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 03/07/2021] [Indexed: 02/06/2023]
Abstract
Background Oral squamous cell carcinoma (OSCC) is the most frequent type of tumor arising from the oral cavity. Surgery is the cornerstone of the treatment of these cancers. Tumor biology has long been overlooked as an important contributor to the outcome of surgical procedures, but recent studies are challenging this concept. Molecular analyses of tumor DNA or RNA provide a rich source of information about the biology of OSCC. Methods We searched for relevant articles using PubMed. We examined in particular the prospect of applying molecular methods for minimally invasive exploration of OSCC biology. Results We examined five potential applications of genomics to the surgical management and study of OSCC: i) assessing oral potentially malignant lesions; ii) tumor staging prior to surgery; iii) predicting postoperative risk in locally advanced tumors; iv) measuring minimal residual disease and optimizing the longitudinal monitoring of OSCC; and v) predicting the efficacy of medical treatment. Conclusions Genomic information can be harnessed in order to identify new biomarkers that could improve the staging, choice of therapy and management of OSCC. The identification of new biomarkers is awaited for better personalization of the surgical treatment of OSCC.
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Affiliation(s)
- Zuzana Saidak
- UR7516 "CHIMERE, Université de Picardie Jules Verne", Amiens, France. .,Centre de Biologie Humaine, CHU Amiens, Amiens, France.
| | - Claire Lailler
- UR7516 "CHIMERE, Université de Picardie Jules Verne", Amiens, France.,Centre de Biologie Humaine, CHU Amiens, Amiens, France
| | - Sylvie Testelin
- UR7516 "CHIMERE, Université de Picardie Jules Verne", Amiens, France.,Department of Maxillofacial Surgery, CHU Amiens, Amiens, France
| | - Bruno Chauffert
- UR7516 "CHIMERE, Université de Picardie Jules Verne", Amiens, France.,Department of Oncology, CHU Amiens, Amiens, France
| | - Florian Clatot
- Centre Henri Becquerel, Rouen, France.,INSERM U1245/Team IRON, Rouen, France
| | - Antoine Galmiche
- UR7516 "CHIMERE, Université de Picardie Jules Verne", Amiens, France.,Centre de Biologie Humaine, CHU Amiens, Amiens, France
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25
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Deneuve S, Majoufre C, Testelin S, Barry B, Louis MY, Longis J, Bouchet J, Damecourt A, Salvan D, Atallah S, Saroul N, Nokovitch L, Bach C, Berta E, Dupret-Bories A, Julieron M. Donor site sequelae and patient satisfaction after head and neck reconstruction with a radial forearm free flap. Eur Arch Otorhinolaryngol 2021; 278:4051-4058. [PMID: 33721068 DOI: 10.1007/s00405-021-06649-0] [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: 11/04/2020] [Accepted: 01/27/2021] [Indexed: 11/28/2022]
Abstract
PURPOSE Radial forearm free flap (RFFF) being a workhorse flap in head and neck reconstruction, we investigated its donor site delayed consequences. METHODS Multicentric case series evaluating 189 patients who underwent RFFF for carcinologic reasons at least 6 months before. Patients and surgeon's appreciation regarding the aesthetic and functional consequences of the flap harvest on their daily life were evaluated by questionnaires using likert scales. Medical data were collected from patients' charts retrospectively. RESULTS Thirty percent of patients had at least one sequelae. Experiencing a graft necrosis did not worsen long-term results. Cosmetic satisfaction was significantly worst for women, according to patients' and surgeons' opinion. For 81% and 92% patients, respectively, the flap harvest had no impact on daily life nor sport practice. Ratio between the benefits of reconstruction and the sequelae at the donor site was judged "excellent" for 77% patients. CONCLUSIONS Although objectively important, RFFF morbidity has little impact in head and neck cancer patient's life.
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Affiliation(s)
- Sophie Deneuve
- Surgical Oncology Department, Centre Léon Berard, 28 rue Laennec, 69008, Lyon, France.
| | - Claire Majoufre
- Maxillofacial Surgery Department, University Hospital-Bordeaux, Bordeaux, France
| | - Sylvie Testelin
- Maxillofacial Surgery Department, University Hospital-Amiens, Amiens, France
| | - Béatrix Barry
- Head and Neck Surgery Department, University Hospital Bichat, Paris, France
| | | | - Julie Longis
- Head and Neck Surgery Department, University Hospital-Nantes, Nantes, France
| | - Justine Bouchet
- Head and Neck Surgery Department, Comprehesive Cancer Center Oscar Lambret, Lille, France
| | - Arnaud Damecourt
- Head and Neck Department, University Hospital Montpellier, Montpellier, France
| | - Didier Salvan
- ENT Department, Sud Francilien General Hospital, Corbeil, France
| | - Sarah Atallah
- ENT Department, University Hospital Tenon, Paris, France
| | - Nicolas Saroul
- ENT Department, University Hospital-Clermont-Ferrand, Clermont-Ferrand, France
| | - Lara Nokovitch
- Surgical Oncology Department, Centre Léon Berard, 28 rue Laennec, 69008, Lyon, France
| | - Christine Bach
- Head and Neck Surgery Department, Hopital Foch General Hospital, Suresnes, France
| | - Etienne Berta
- Maxilofacial Surgery Department, Annecy General Hospital, Annecy, France
| | - Agnès Dupret-Bories
- Head and Neck Surgery Department, Institut Universitaire du Cancer de Toulouse Oncopole, Toulouse, France
| | - Morbize Julieron
- Head and Neck Surgery Department, Comprehesive Cancer Center Oscar Lambret, Lille, France
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Olivetto M, Bettoni J, Duisit J, Dakpé S, Testelin S, Bouaoud J, Devauchelle B. Challenges in lower face soft tissue reconstruction: The value of the historical bipedicled scalp flap procedure. J Plast Reconstr Aesthet Surg 2021; 74:407-447. [DOI: 10.1016/j.bjps.2020.08.107] [Citation(s) in RCA: 2] [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] [Received: 08/03/2019] [Revised: 05/30/2020] [Accepted: 08/01/2020] [Indexed: 10/23/2022]
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27
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Soudet S, Dakpe S, Le Gloan S, Carmi E, Arnault JP, Testelin S, Plancq MC, Devauchelle B, Sevestre MA. Thrombotic Complications in Venous Malformations: Are There Differences Between Facial and Other Localizations? Clin Appl Thromb Hemost 2020; 26:1076029620968143. [PMID: 33085511 PMCID: PMC7588756 DOI: 10.1177/1076029620968143] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Venous thrombosis (VT) is a frequent complication in venous malformations (VM) in
relation with blood stasis and localized intravascular coagulopathy (LIC). Our
aim was to describe the clinical characteristics and the treatment of patients
with facial and non facial VM with VT. We implemented an observational
retrospective study of patients with VM followed between 2002 and 2017. We
compared features of facial and non facial VM. Descriptive and bivariate
statistics were computed and the P value was set at 0.05. Fifty patients were
included between 2002 and 2017. 24 of them were women (44%). The median age of
the patients at diagnosis was 16,5 [8-31] years. The median follow up was 2 [2;
4] years. In non facial VM venous thrombosis occurred in 12 cases. In facial VM,
3 patients had thrombotic complication (15%). We demonstrate no difference of VT
between facial VM and other localization. No patients had clinical risk factors
for VT at diagnosis. Our study showed that VT is a frequent complication of VM
and its proportion is not different between facial and non facial VM. Studies
are needed to confirm the role of LIC in VT in VM, particularly in facial
VM.
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Affiliation(s)
- Simon Soudet
- Department of Vascular Medicine, 36673Centre Hospitalo-Universitaired'Amiens Avenue Laennec, Amiens, France
| | - Stephanie Dakpe
- Maxillo-facial Surgery Department, 36673Centre Hospitalo-Universitaired'Amiens Avenue Laennec, Amiens, France
| | - Sandra Le Gloan
- Department of Vascular Medicine, 36673Centre Hospitalo-Universitaired'Amiens Avenue Laennec, Amiens, France
| | - Esther Carmi
- Department of Dermatology, 36673Centre Hospitalo-Universitaired'Amiens Avenue Laennec, Amiens, France
| | - Jean Philippe Arnault
- Department of Dermatology, 36673Centre Hospitalo-Universitaired'Amiens Avenue Laennec, Amiens, France
| | - Sylvie Testelin
- Maxillo-facial Surgery Department, 36673Centre Hospitalo-Universitaired'Amiens Avenue Laennec, Amiens, France
| | - Marie-Christine Plancq
- Department of Pediatric Surgery, 36673Centre Hospitalo-Universitaired'Amiens Avenue Laennec, Amiens, France
| | - Bernard Devauchelle
- Maxillo-facial Surgery Department, 36673Centre Hospitalo-Universitaired'Amiens Avenue Laennec, Amiens, France
| | - Marie Antoinette Sevestre
- Department of Vascular Medicine, 36673Centre Hospitalo-Universitaired'Amiens Avenue Laennec, Amiens, France
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Bouquet J, Bettoni J, Dakpe S, Testelin S. Asymptomatic palatine swelling with rapid worsening of young children. J Stomatol Oral Maxillofac Surg 2020; 122:325-326. [PMID: 33017687 DOI: 10.1016/j.jormas.2020.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 09/17/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Julien Bouquet
- Maxillo-Facial Surgery Department, Amiens-Picardie University Hospital, Avenue Laennec, 80000 Amiens, France.
| | - Jeremie Bettoni
- Maxillo-Facial Surgery Department, Amiens-Picardie University Hospital, Avenue Laennec, 80000 Amiens, France
| | - Stephanie Dakpe
- Maxillo-Facial Surgery Department, Amiens-Picardie University Hospital, Avenue Laennec, 80000 Amiens, France
| | - Sylvie Testelin
- Maxillo-Facial Surgery Department, Amiens-Picardie University Hospital, Avenue Laennec, 80000 Amiens, France
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29
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Olivetto M, Bettoni J, Testelin S, Dakpé S, Devauchelle B. Second metatarsal free transfer in total temporomandibular joint reconstruction for ankylosis in a child: 10-year follow-up. Int J Oral Maxillofac Surg 2020; 50:610-614. [PMID: 32994034 DOI: 10.1016/j.ijom.2020.07.017] [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: 12/29/2019] [Revised: 05/14/2020] [Accepted: 07/15/2020] [Indexed: 11/16/2022]
Abstract
The management of temporomandibular joint (TMJ) ankylosis requires complete removal of the ankylosed block and the prevention of recurrence. For this purpose, the ramus-condyle unit can be reconstructed with a second metatarsal free flap. This article reports the use of this flap in a young patient treated for left TMJ ankylosis, post costochondral graft for the treatment of hemifacial microsomia. Data from the 10-year follow-up are reported. The glenoid fossa was reconstructed with a graft of the second metatarsal base, enabling the juxtaposition of two cartilaginous joint surfaces, with the aim of optimizing the functional result and preventing the recurrence of ankylosis. At the 10-year follow-up after this surgery, there was no recurrence of the ankylosis and no articular disorder, and the morphological result was satisfactory. Bone fixation was stable over the 10-year period and the metatarsal head was still in place. Quantitative measurements obtained by computed tomography scan did not show any growth of the second metatarsal free flap compared to the right unaffected condylar process.
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Affiliation(s)
- M Olivetto
- Department of Maxillofacial Surgery, Amiens-Picardy University Medical Centre, Amiens, France.
| | - J Bettoni
- Department of Maxillofacial Surgery, Amiens-Picardy University Medical Centre, Amiens, France
| | - S Testelin
- Department of Maxillofacial Surgery, Amiens-Picardy University Medical Centre, Amiens, France
| | - S Dakpé
- Department of Maxillofacial Surgery, Amiens-Picardy University Medical Centre, Amiens, France
| | - B Devauchelle
- Department of Maxillofacial Surgery, Amiens-Picardy University Medical Centre, Amiens, France
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30
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Brigant B, Demont Y, Ouled-Haddou H, Metzinger-Le Meuth V, Testelin S, Garçon L, Metzinger L, Rochette J. TRIM37 is highly expressed during mitosis in CHON-002 chondrocytes cell line and is regulated by miR-223. Bone 2020; 137:115393. [PMID: 32353567 DOI: 10.1016/j.bone.2020.115393] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [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: 01/24/2020] [Revised: 04/24/2020] [Accepted: 04/24/2020] [Indexed: 02/06/2023]
Abstract
Multiple molecular disorders can affect mechanisms regulating proliferation and differentiation of growth plate chondrocytes. Mutations in the TRIM37 gene cause the Mulibrey nanism, a heritable growth disorder. Since chondrocytes are instrumental in long bone growth that is deficient in nanism, we hypothesized that TRIM37 defect could contribute to dysregulation of the chondrocyte cell cycle. Western blotting, confocal microscopy and imaging flow cytometry determined TRIM37 expression in CHON-002 cell lineage. We showed that TRIM37 is expressed during mitosis of chondrocytes and directly impacted their proliferation. During the chondrocyte cell cycle, TRIM37 was present in both nucleus and cytoplasm. During M phase we observed an increase of the TRIM37-Tubulin co-localization in comparison with G1, S and G2 phases. TRIM37 knock down inhibited proliferation, together with cell cycle anomalies and increased autophagy, while overexpression accordingly enhanced cell proliferation. We demonstrated that microRNA-223 directly targets TRIM37, and suggest that miR-223 regulates TRIM37 gene expression during the cell cycle. In summary, our results give clues to explain why TRIM37 deficiency in chondrocytes impacts bone growth. Modulating TRIM37 using miR-223 could be an approach to increase chondrogenesis.
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Affiliation(s)
- Benjamin Brigant
- HEMATIM EA4666, Centre Universitaire de Recherche en Santé, Université de Picardie Jules Verne, Amiens, France
| | - Yohann Demont
- HEMATIM EA4666, Centre Universitaire de Recherche en Santé, Université de Picardie Jules Verne, Amiens, France
| | - Hakim Ouled-Haddou
- HEMATIM EA4666, Centre Universitaire de Recherche en Santé, Université de Picardie Jules Verne, Amiens, France
| | | | - Sylvie Testelin
- Maxillo-Facial Surgery Department, Centre Hospitalo-Universitaire d'Amiens, Avenue Laennec, 80000 Amiens, France; EA CHIMERE, université de Picardie-Jules-Verne, Avenue Laennec, 80000 Amiens, France; Facing Faces Institute, Avenue Laennec, 80000 Amiens, France
| | - Loïc Garçon
- HEMATIM EA4666, Centre Universitaire de Recherche en Santé, Université de Picardie Jules Verne, Amiens, France
| | - Laurent Metzinger
- HEMATIM EA4666, Centre Universitaire de Recherche en Santé, Université de Picardie Jules Verne, Amiens, France
| | - Jacques Rochette
- HEMATIM EA4666, Centre Universitaire de Recherche en Santé, Université de Picardie Jules Verne, Amiens, France.
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31
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Olivetto M, Bettoni J, Bouaoud J, Testelin S, Dakpé S, Lefranc M, Devauchelle B. Use of an occlusal splint and intraoperative imaging with an intraoral approach in the management of mandibular subcondylar fractures. J Craniomaxillofac Surg 2020; 48:751-755. [PMID: 32680670 DOI: 10.1016/j.jcms.2020.05.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 11/09/2019] [Revised: 04/13/2020] [Accepted: 05/20/2020] [Indexed: 10/24/2022] Open
Abstract
INTRODUCTION To evaluate the feasibility of safely managing subcondylar fractures using an original surgical procedure combining an intraoral approach, the use of a custom-made occlusal overlay splint, and intraoperative imaging. MATERIALS AND METHODS Condylar fragment was freed from surrounding soft tissues, was laterally exposed to the ramus, and a miniplate was fixed in place for osteosynthesis. An overlay splint maintaining the dental occlusion was used to facilitate reduction and stabilization during fixation. Intraoperative monitoring by cone-beam computed tomography (CBCT) was performed before completing the fixation. RESULTS Between November 2018 and June 2019, 10 patients were treated using this procedure. The median length of the proximal condylar fragment was 29 mm (range 24-39 min). Five patients had an associated mandibular fracture. The median duration of the condylar fracture surgery was 54.5 min (range 38-79 min). All patients had satisfactory reduction and osteosynthesis with no complications. CONCLUSION It is feasible to safely manage subcondylar fractures with this surgical procedure that could facilitate open reduction using intraoral approaches. Occlusal splints maintain downward pressure on the rami bilaterally and symmetrically, helping to anatomically reposition condylar process fractures. Intraoperative imaging is used to monitor this step.
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Affiliation(s)
- Matthieu Olivetto
- Department of Maxillofacial Surgery, University Hospital of Amiens-Picardy, Amiens, France.
| | - Jérémie Bettoni
- Department of Maxillofacial Surgery, University Hospital of Amiens-Picardy, Amiens, France.
| | - Jebrane Bouaoud
- Department of Maxillofacial Surgery and Stomatology, Pitié-Salpétrière Hospital, Pierre et Marie Curie University Paris 6, Sorbonne Paris Cite University, AP-HP, Paris, 75013, France.
| | - Sylvie Testelin
- Department of Maxillofacial Surgery, University Hospital of Amiens-Picardy, Amiens, France.
| | - Stéphanie Dakpé
- Department of Maxillofacial Surgery, University Hospital of Amiens-Picardy, Amiens, France.
| | - Michel Lefranc
- Department of Neurosurgery, University Hospital of Amiens-Picardy, Amiens, France.
| | - Bernard Devauchelle
- Department of Maxillofacial Surgery, University Hospital of Amiens-Picardy, Amiens, France.
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32
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Vassiliou LV, Acero J, Gulati A, Hölzle F, Hutchison IL, Prabhu S, Testelin S, Wolff KD, Kalavrezos N. Management of the clinically N 0 neck in early-stage oral squamous cell carcinoma (OSCC). An EACMFS position paper. J Craniomaxillofac Surg 2020; 48:711-718. [PMID: 32718880 DOI: 10.1016/j.jcms.2020.06.004] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Accepted: 06/20/2020] [Indexed: 12/12/2022] Open
Abstract
Metastasis of oral squamous cell carcinoma (OSCC) to the cervical lymph nodes has a significant impact on prognosis. Accurate staging of the neck is important in order to deliver appropriate treatment for locoregional control of the disease and for prognosis. The management of the neck in early, low volume disease (clinically T1/T2 oral cavity tumours) has long been debated. The risk of occult nodal involvement in cT1/T2 OSCC is estimated around 20-30%. We describe the natural evolutionary history of OSCC and its patterns of spread and metastasis to the local lymphatic basins. We discuss most published literature and studies on management of the clinically negative neck (cN0). Particular focus is given to prospective randomized trials comparing the outcomes of upfront elective neck dissection against the observational stance, and we summarize the results of the sentinel node biopsy studies. The paper discusses the significance of the primary tumour histological characteristics and specifically the tumour's depth of invasion (DOI) and its impact on predicting nodal metastasis. The DOI has been incorporated in the TNM staging highlighting its significance in aiding the treatment decision making and this is reflected in world-wide oncological guidelines. The critical analysis of all available literature amalgamates the existing evidence in early OSCC and provides recommendations in the management of the clinically N0 neck.
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Affiliation(s)
- Leandros V Vassiliou
- Department of Oral and Maxillofacial Surgery, Royal Blackburn Hospital, Haslingden Road, Blackburn, UK
| | - Julio Acero
- Department of Oral and Maxillofacial Surgery, Ramon y Cajal University Hospital, Alcala University, Madrid, Spain
| | - Aakshay Gulati
- Maxillofacial Unit, Queen Victoria Hospital, Holtye Road, East Grinstead, UK
| | - Frank Hölzle
- Department of Oral and Maxillofacial Surgery, Aachen University Hospital, Aachen, Germany
| | - Iain L Hutchison
- Department of Oral & Maxillofacial Surgery, Barts Health NHS Trust, Saving Faces-The Facial Surgery Research Foundation, London, UK
| | - Satheesh Prabhu
- Division of Oral & Maxillofacial Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Oxford, UK
| | - Sylvie Testelin
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Amiens, France
| | - Klaus-Dietrich Wolff
- Department of Oral and Maxillofacial Surgery, Technical University of Munich, University Hospital Rechts der Isar, Munich, Germany
| | - Nicholas Kalavrezos
- Department of Head & Neck Surgery, University College London Hospital, London, UK.
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Devauchelle B, Testelin S. La couleur en face - (2e partie). ANN CHIR PLAST ESTH 2020; 65:108-109. [PMID: 32005599 DOI: 10.1016/j.anplas.2019.12.003] [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: 10/25/2022]
Affiliation(s)
- B Devauchelle
- Chirurgie maxillo-faciale, hôpital Nord, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 1.
| | - S Testelin
- Chirurgie maxillo-faciale, hôpital Nord, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 1
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34
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Bouaoud J, Olivetto M, Testelin S, Dakpe S, Bettoni J, Devauchelle B. Fraser syndrome: review of the literature illustrated by a historical adult case. Int J Oral Maxillofac Surg 2020; 49:1245-1253. [PMID: 31982235 DOI: 10.1016/j.ijom.2020.01.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [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: 07/03/2019] [Revised: 11/11/2019] [Accepted: 01/09/2020] [Indexed: 11/26/2022]
Abstract
Fraser syndrome (cryptophthalmos-syndactyly syndrome) is a rare autosomal recessive malformation disorder. The first description of the syndrome was reported by George Fraser in 1962. Diagnosis is based on the major and minor criteria established by van Haelst et al. in 2007. Unilateral or bilateral cryptophthalmos, syndactyly, unilateral renal agenesis, and genital anomalies are the most frequent anomalies. Several maxillofacial, oro-dental, ear-nose-throat, hormonal, and anorectal disorders are reported. Cardiac malformations and musculoskeletal anomalies are uncommon. The syndrome is related to mutations in three different genes (FRAS1, FREM2, and GRIP1) resulting in failure of the apoptosis program and disruption of the epithelial-mesenchymal interactions during embryonic development. Prenatal diagnosis is based on the detection of renal agenesis and laryngeal atresia, together with a family history. Most foetuses with severe anomalies are terminated or are stillborn. All patients or pregnancies with a diagnosis of Fraser syndrome should be referred to expert centres. A collaborative approach including anaesthetists, ENT specialists, maxillofacial surgeons, and geneticists is necessary for the management of this syndrome. In vivo and in vitro research models are available to better understand the underlying aetiology.
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Affiliation(s)
- J Bouaoud
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France; Department of Maxillofacial Surgery and Stomatology, Pitié-Salpétrière Hospital, Pierre et Marie Curie University Paris 6, Sorbonne Paris Cite University, AP-HP, Paris, France.
| | - M Olivetto
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France
| | - S Testelin
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France
| | - S Dakpe
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France
| | - J Bettoni
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France
| | - B Devauchelle
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France
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35
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Naudot M, Barre A, Caula A, Sevestre H, Dakpé S, Mueller AA, Devauchelle B, Testelin S, Marolleau JP, Le Ricousse S. Co-transplantation of Wharton's jelly mesenchymal stem cell-derived osteoblasts with differentiated endothelial cells does not stimulate blood vessel and osteoid formation in nude mice models. J Tissue Eng Regen Med 2020; 14:257-271. [PMID: 31713308 DOI: 10.1002/term.2989] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Revised: 09/23/2019] [Accepted: 10/11/2019] [Indexed: 12/30/2022]
Abstract
A major challenge in bone tissue engineering is the lack of post-implantation vascular growth into biomaterials. In the skeletal system, blood vessel growth appears to be coupled to osteogenesis-suggesting the existence of molecular crosstalk between endothelial cells (ECs) and osteoblastic cells. The present study (performed in two murine ectopic models) was designed to determine whether co-transplantation of human Wharton's jelly mesenchymal stem cell-derived osteoblasts (WJMSC-OBs) and human differentiated ECs enhances bone regeneration and stimulates angiogenesis, relative to the seeding of WJMSC-OBs alone. Human WJMSC-OBs and human ECs were loaded into a silicate-substituted calcium phosphate (SiCaP) scaffold and then ectopically implanted at subcutaneous or intramuscular sites in nude mice. At both subcutaneous and intramuscular implantation sites, we observed ectopic bone formation and osteoids composed of host cells when WJMSC-OBs were seeded into the scaffold. However, the addition of ECs was associated with a lower level of osteogenesis, and we did not observe stimulation of blood vessel ingrowth. in vitro studies demonstrated that WJMSC-OBs lost their ability to secrete vascular endothelial growth factor and stromal cell-derived factor 1-including when ECs were present. In these two murine ectopic models, our cell-matrix environment combination did not seem to be optimal for inducing vascularized bone reconstruction.
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Affiliation(s)
- Marie Naudot
- EA 7516, CHIMERE, University of Picardie Jules Verne, Amiens, France
| | - Anaïs Barre
- EA 7516, CHIMERE, University of Picardie Jules Verne, Amiens, France
| | - Alexandre Caula
- Service de chirurgie maxillo-faciale, Centre Hospitalier Universitaire Amiens Picardie, Amiens, France
| | - Henri Sevestre
- Service d'anatomie et de cytology pathologique, Centre Hospitalier Universitaire Amiens Picardie, Amiens, France
| | - Stéphanie Dakpé
- EA 7516, CHIMERE, University of Picardie Jules Verne, Amiens, France.,Service de chirurgie maxillo-faciale, Centre Hospitalier Universitaire Amiens Picardie, Amiens, France.,Institut Faire Faces, Amiens, France
| | - Andreas Albert Mueller
- Department of Cranio-Maxillofacial Surgery, University and University Hospital Basel, Basel, Switzerland.,Department of Biomedical Engineering, Regenerative Medicine and Oral Health Technologies, University of Basel, Allschwil, Switzerland
| | - Bernard Devauchelle
- EA 7516, CHIMERE, University of Picardie Jules Verne, Amiens, France.,Service de chirurgie maxillo-faciale, Centre Hospitalier Universitaire Amiens Picardie, Amiens, France.,Institut Faire Faces, Amiens, France
| | - Sylvie Testelin
- EA 7516, CHIMERE, University of Picardie Jules Verne, Amiens, France.,Service de chirurgie maxillo-faciale, Centre Hospitalier Universitaire Amiens Picardie, Amiens, France.,Institut Faire Faces, Amiens, France
| | - Jean Pierre Marolleau
- Service d'Hématologie Clinique, Centre Hospitalier Universitaire Amiens Picardie, Amiens, France.,EA 4666, HEMATIM, University of Picardie Jules Verne, Amiens, France
| | - Sophie Le Ricousse
- EA 7516, CHIMERE, University of Picardie Jules Verne, Amiens, France.,Institut Faire Faces, Amiens, France
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36
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Bettoni J, Olivetto M, Duisit J, Caula A, Testelin S, Dakpé S, Lengele B, Devauchelle B. The value of reconstructive surgery in the management of refractory jaw osteoradionecrosis: a single-center 10-year experience. Int J Oral Maxillofac Surg 2019; 48:1398-1404. [DOI: 10.1016/j.ijom.2019.06.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 03/29/2019] [Accepted: 06/03/2019] [Indexed: 02/03/2023]
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37
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Dakpé S, Colin E, Bettoni J, Davrou J, Diouf M, Devauchelle B, Testelin S. Intraosseous microdialysis for bone free flap monitoring in head and neck reconstructive surgery: A prospective pilot study. Microsurgery 2019; 40:315-323. [PMID: 31638286 PMCID: PMC7155115 DOI: 10.1002/micr.30529] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Revised: 06/28/2019] [Accepted: 10/01/2019] [Indexed: 12/25/2022]
Abstract
BACKGROUND Although some researchers have positioned microdialysis catheters in the soft tissue surrounding bone, the results did not accurately reflect bone metabolism. The present study's objective was to establish the feasibility of microdialysis with a catheter positioned directly in bone. METHODS Thirty-four patients (19 males, 15 females; median age: 59) were included in a prospective, nonrandomized clinical trial in the Department of Maxillofacial Surgery at Amiens-Picardie University Hospital (Amiens, France). Fibula or iliac crest free flaps were used in reconstructive head and neck surgery (for cancer, osteoradionecrosis, trauma, or ameloblastoma) and monitored with microdialysis catheters positioned in a hole drilled into the bone. Glucose, lactate, pyruvate, and glycerol concentrations were analyzed for 5 days. RESULTS All catheters were positioned successfully, and thrombosis did not occur during the monitoring. In two patients, an increase in the lactate concentration and a glucose level close to 0 were associated with signs of flap necrosis, with removal on Days 9 and 50. In viable flaps, the mean glucose level was 2.02 mmol/L, the mean lactate level was 8.36 mmol/L, and the mean lactate/pyruvate ratio was 53. Forty percent of the glucose values were below 1 mmol/L, and 50% of the lactate/pyruvate ratio values were above 50-suggesting a specific metabolic pattern because these values would be considered as alert values in soft tissue. CONCLUSION Monitoring bone free flaps with intraosseous microdialysis is feasible. This technique specifically assesses bone viability, and further studies are now necessary to define the alert values in bone.
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Affiliation(s)
- Stéphanie Dakpé
- Department of Maxillofacial Surgery and Stomatology, Amiens-Picardie University Hospital, Amiens, France.,EA 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France.,Facing Faces Institute, Amiens-Picardie University Hospital, Amiens, France
| | - Emilien Colin
- Department of Maxillofacial Surgery and Stomatology, Amiens-Picardie University Hospital, Amiens, France.,EA 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
| | - Jérémie Bettoni
- Department of Maxillofacial Surgery and Stomatology, Amiens-Picardie University Hospital, Amiens, France.,EA 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France
| | - Julien Davrou
- EA 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France.,Facing Faces Institute, Amiens-Picardie University Hospital, Amiens, France.,Department of Maxillofacial Surgery and Stomatology, La Pitié-Salpêtrière University Hospital, AP-HP, Paris, France
| | - Momar Diouf
- Clinical Research Department, Amiens-Picardie University Hospital, Amiens, France
| | - Bernard Devauchelle
- Department of Maxillofacial Surgery and Stomatology, Amiens-Picardie University Hospital, Amiens, France.,EA 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France.,Facing Faces Institute, Amiens-Picardie University Hospital, Amiens, France
| | - Sylvie Testelin
- Department of Maxillofacial Surgery and Stomatology, Amiens-Picardie University Hospital, Amiens, France.,EA 7516 CHIMERE, Université de Picardie Jules Verne, Amiens, France.,Facing Faces Institute, Amiens-Picardie University Hospital, Amiens, France
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Olivetto M, Bettoni J, Testelin S, Dakpé S. Small cell carcinoma of the floor of mouth: Difficulties of a therapeutic choice. Journal of Stomatology, Oral and Maxillofacial Surgery 2019; 120:255-259. [DOI: 10.1016/j.jormas.2018.10.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 10/18/2018] [Accepted: 10/28/2018] [Indexed: 11/29/2022]
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Bettoni J, Olivetto M, Duisit J, Caula A, Bitar G, Lengele B, Testelin S, Dakpé S, Devauchelle B. Treatment of mandibular osteoradionecrosis by periosteal free flaps. Br J Oral Maxillofac Surg 2019; 57:550-556. [PMID: 31104917 DOI: 10.1016/j.bjoms.2019.01.028] [Citation(s) in RCA: 8] [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: 10/22/2018] [Accepted: 01/29/2019] [Indexed: 11/25/2022]
Abstract
Mandibular osteoradionecrosis (ORN) is one of the most serious complications of radiotherapy of the head and neck, and is characterised by hypoxia, hypovascularisation, and hypocellularity. Periosteal free flaps have intrinsic osteogenic, and extrinsic neoangiogenic, properties that are related to the periosteum. Our objective was to present our experience with the use of periosteal free flaps in the treatment of ORN (Notani class I or II) that are refractory to conservative management or have a large area of bone (≥2 cm) exposed. We organised a single-centre, retrospective study between 2003 and 2013 and describe the management of 11 patients (4 women and 7 men) who were being treated for refractory mandibular ORN. Thirteen periosteal free flaps were used: inner femoral condylar periosteum (n = 4), iliac crest (n = 1), external brachial with humeral periosteum (n = 1), and forearm with radial periosteum (n = 7). During follow-up we found three acute complications (haematoma, partial necrosis, and total vascular necrosis) that required immediate construction of a second periosteal free flap. There were also two chronic complications (fistula and post-traumatic fracture). With only one progressive lesion identified, the ORN was stopped in 11/12 patients. Two examples of osteoconduction were identified on postoperative images at six months and two years. Because of its osteoconductive and neoangiogenic capacities, the periosteal free flap seems to offer a real biological dimension to the treatment of ORN, and its efficiency favours its early revascularisation.
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Affiliation(s)
- J Bettoni
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Avenue Laennec, 80000 Amiens, France; EA CHIMERE, Picardie Jules Verne University, Avenue Laennec, 80000 Amiens, France.
| | - M Olivetto
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Avenue Laennec, 80000 Amiens, France; EA CHIMERE, Picardie Jules Verne University, Avenue Laennec, 80000 Amiens, France.
| | - J Duisit
- Department of Plastic and Reconstructive Surgery, Université catholique de Louvain-Clinique Universitaire, St-Luc Avenue Hippocrate, 1200 Bruxelles, Belgium.
| | - A Caula
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Avenue Laennec, 80000 Amiens, France.
| | - G Bitar
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Avenue Laennec, 80000 Amiens, France.
| | - B Lengele
- Department of Plastic and Reconstructive Surgery, Université catholique de Louvain-Clinique Universitaire, St-Luc Avenue Hippocrate, 1200 Bruxelles, Belgium.
| | - S Testelin
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Avenue Laennec, 80000 Amiens, France; EA CHIMERE, Picardie Jules Verne University, Avenue Laennec, 80000 Amiens, France.
| | - S Dakpé
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Avenue Laennec, 80000 Amiens, France; EA CHIMERE, Picardie Jules Verne University, Avenue Laennec, 80000 Amiens, France.
| | - B Devauchelle
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Avenue Laennec, 80000 Amiens, France; EA CHIMERE, Picardie Jules Verne University, Avenue Laennec, 80000 Amiens, France.
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Ternifi R, Pouletaut P, Dakpé S, Testelin S, Devauchelle B, Charleux F, Constans JM, Bensamoun SF. Development of a new MR elastography protocol to measure the functional properties of facial muscles. Comput Methods Biomech Biomed Engin 2019. [DOI: 10.1080/10255842.2020.1714926] [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: 10/24/2022]
Affiliation(s)
- R. Ternifi
- UMR CNRS 7338 Biomechanics and Bioengineering, Centre de Recherches de Royallieu, Sorbonne University, Université de Technologie de Compiègne, Compiègne, France
| | - P. Pouletaut
- UMR CNRS 7338 Biomechanics and Bioengineering, Centre de Recherches de Royallieu, Sorbonne University, Université de Technologie de Compiègne, Compiègne, France
| | - S. Dakpé
- Facing Faces Institute, Department of Maxillofacial Surgery, Amiens University Medical Center, Amiens, France
| | - S. Testelin
- Facing Faces Institute, Department of Maxillofacial Surgery, Amiens University Medical Center, Amiens, France
| | - B. Devauchelle
- Facing Faces Institute, Department of Maxillofacial Surgery, Amiens University Medical Center, Amiens, France
| | - F. Charleux
- ACRIM-Polyclinique Saint Côme, Radiologie Médicale, Compiègne, France
| | - J. M. Constans
- Facing Faces Institute, Department of Maxillofacial Surgery, Amiens University Medical Center, Amiens, France
- Imagerie et Radiologie Médicale, EA 7516 CHIMERE, Université de Picardie Jules Verne, CHU, Amiens, France
| | - S. F. Bensamoun
- UMR CNRS 7338 Biomechanics and Bioengineering, Centre de Recherches de Royallieu, Sorbonne University, Université de Technologie de Compiègne, Compiègne, France
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Bettoni J, Olivetto M, Duisit J, Caula A, Bitar G, Lengele B, Testelin S, Dakpé S, Devauchelle B. Role of "revascularisation surgery" in the management of mandibular osteoradionecrotic lesions: A report of 21 years of experience. Clin Otolaryngol 2018; 44:388-392. [PMID: 30549436 DOI: 10.1111/coa.13272] [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] [Received: 07/06/2018] [Revised: 11/21/2018] [Accepted: 12/05/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Jérémie Bettoni
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Amiens, France.,EA CHIMERE, Picardie Jules Verne University, Amiens, France
| | - Matthieu Olivetto
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Amiens, France.,EA CHIMERE, Picardie Jules Verne University, Amiens, France
| | - Jérôme Duisit
- Department of Plastic and Reconstructive Surgery, Université catholique de Louvain-Clinique Universitaire, St-Luc, Bruxelles, Belgique
| | - Alexandre Caula
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Amiens, France
| | - Ghassan Bitar
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Amiens, France
| | - Benoit Lengele
- Department of Plastic and Reconstructive Surgery, Université catholique de Louvain-Clinique Universitaire, St-Luc, Bruxelles, Belgique
| | - Sylvie Testelin
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Amiens, France.,EA CHIMERE, Picardie Jules Verne University, Amiens, France
| | - Stéphanie Dakpé
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Amiens, France.,EA CHIMERE, Picardie Jules Verne University, Amiens, France
| | - Bernard Devauchelle
- Department of Maxillo-Facial Surgery, University Hospital of Amiens, Amiens, France.,EA CHIMERE, Picardie Jules Verne University, Amiens, France
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Olivetto M, Sarhan FR, Mansour KB, Colin E, Testelin S, Devauchelle B, Marin F, Dakpé S. Analyse quantifiée de la mimique par motion capture (AQMF) : application à la paralysie faciale. Neurophysiol Clin 2018. [DOI: 10.1016/j.neucli.2018.10.056] [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] Open
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Belanger K, Schlatter G, Hébraud A, Marin F, Testelin S, Dakpé S, Devauchelle B, Egles C. A multi-layered nerve guidance conduit design adapted to facilitate surgical implantation. Health Sci Rep 2018; 1:e86. [PMID: 30623049 PMCID: PMC6295612 DOI: 10.1002/hsr2.86] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [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: 11/25/2017] [Revised: 07/16/2018] [Accepted: 07/18/2018] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND AND AIMS The gold standard procedure after a severe nerve injury is the nerve autograft, yet this technique has drawbacks. In recent years, progress has been made in the development of artificial nerve guides to replace the autograft, but no device has been able to demonstrate superiority. The present study introduces an adaptable foundation design for peripheral nerve regeneration. METHODS Silk fibroin was electrospun, creating a tri-layered material with aligned fiber surfaces and a randomly deposited fiber interior. This material was rolled into a micro-channeled conduit, which was then enveloped by a jacket layer of the same tri-layered material. RESULTS The proposed implant design succeeds in incorporating various desirable aspects of synthetic nerve guides, while facilitating the surgical implantation process for medical application. The aligned fiber surfaces of the conduit support axon guidance, while the tri-layered architecture improves its structural integrity compared with a fully aligned fiber material. Moreover, the jacket layer creates a small niche on each end which facilitates surgical implantation. An in vivo study in rats showed that nerve regeneration using this device was comparable to results after direct suture. CONCLUSION This proof-of-principle study, therefore, advances the development of tissue engineered nerve grafts by creating an optimized guidance conduit design capable of successful nerve regeneration.
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Affiliation(s)
- Kayla Belanger
- UMR 7338, Biomécanique et Bioingénierie, Centre de recherches de RoyallieuSorbonne Universités, Université de Technologie de Compiègne, CNRSCompiègne cedexFrance
| | - Guy Schlatter
- ICPEES Institut de Chimie et Procédés pour l'Energie, l'Environnement et la Santé, UMR 7515, CNRSUniversité de StrasbourgStrasbourg cedexFrance
| | - Anne Hébraud
- ICPEES Institut de Chimie et Procédés pour l'Energie, l'Environnement et la Santé, UMR 7515, CNRSUniversité de StrasbourgStrasbourg cedexFrance
| | - Frédéric Marin
- UMR 7338, Biomécanique et Bioingénierie, Centre de recherches de RoyallieuSorbonne Universités, Université de Technologie de Compiègne, CNRSCompiègne cedexFrance
| | - Sylvie Testelin
- Facing Faces Institute, Amiens University Hospital CenterAmiens Cedex 1France
| | - Stéphanie Dakpé
- Facing Faces Institute, Amiens University Hospital CenterAmiens Cedex 1France
| | - Bernard Devauchelle
- Facing Faces Institute, Amiens University Hospital CenterAmiens Cedex 1France
| | - Christophe Egles
- UMR 7338, Biomécanique et Bioingénierie, Centre de recherches de RoyallieuSorbonne Universités, Université de Technologie de Compiègne, CNRSCompiègne cedexFrance
- Tufts University, School of Dental MedicineBostonMAUSA
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Thuong M, Petruzzo P, Landin L, Mahillo B, Kay S, Testelin S, Jablecki J, Laouabdia-Sellami K, Lopez-Fraga M, Dominguez-Gil B. Vascularized composite allotransplantation - a Council of Europe position paper. Transpl Int 2018; 32:233-240. [DOI: 10.1111/tri.13370] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Revised: 01/19/2018] [Accepted: 10/25/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Marie Thuong
- Intensive Care Unit; Hospital René Dubos; Cergy Pontoise France
| | - Palmina Petruzzo
- Department of Vascular Surgery; Hôpital Edouard Herriot; Lyon France
| | - Luis Landin
- Plastic & Reconstructive Surgery; Hospital Universitario La Paz; Madrid Spain
| | | | - Simon Kay
- Leeds Teaching Hospitals NHS Trust; Leeds UK
| | - Sylvie Testelin
- Department of Maxillofacial Surgery; Centre Hospitalier Universitaire Amiens-Picardie; Amiens France
| | | | | | - Marta Lopez-Fraga
- European Committee on Organ Transplantation (CD-P-TO); Council of Europe; Strasbourg France
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Bettoni J, Pagé G, Salsac AV, Constans JM, Testelin S, Devauchelle B, Balédent O, Dakpé S. Quantitative assessment of the flow distribution in the branches of the external carotid by non-injected flow MRI. Dentomaxillofac Radiol 2018; 47:20180153. [PMID: 29916728 DOI: 10.1259/dmfr.20180153] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Owing to the lack of databases of blood flow distributions in the external carotid branches, surgeons currently rely on per-operative imaging and on their experience to choose the recipient vessels for microsurgical facial reconstructions. But, thanks to three-dimensional phase contrast angiography (PCA) and kinematic CINE phase contrast (PC) sequences, MRI technologies have the potential to provide quantitative anatomical and hemodynamic information without injection of contrast agent. Having developed and optimized PC-MRI sequences for the small facial vessels, our objective was to investigate the haemodynamic and blood flow distribution in the external carotid branches. We included 31 healthy volunteers in an MRI prospective study. Two-dimensional CINE PC-MRI sequences (average duration time of 2 min 40 s ± 24 s) were performed in the external carotid collaterals (n = 290). A statistical analysis of the flow measurements showed that, despite large interpersonal variabilities, a general flow distribution pattern was obtained by dividing the vessel flow rates by the external carotid artery one (providing local percentages of the incoming flow). The vessels could then be classified in three haemodynamic groups (p < 0.05 Student's test): "low flow" group (lingual artery-12.5 ± 5% of incoming flow), "intermediate flow" group (superior thyroid artery-16.5 ± 10%, internal maxillary artery-20.5 ± 11%, superficial temporal artery-18.4 ± 6%), "high flow" group (facial artery -26.6 ± 10%). Thanks to this general flow distribution mapping, it is now possible to estimate the flow rates in the distal branches of any individual from a single blood flow measurement in the external carotid artery.
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Affiliation(s)
- Jérémie Bettoni
- 1 Maxillo-facial Surgery Department, Centre Hospitalo-Universitaire d'Amiens Avenue Laennec , Amiens , France.,2 BiFloImage Laboratory, Université de Picardie Jules Verne Avenue Laennec , Amiens , France.,3 Facing Faces Institute Avenue Laennec , Amiens , France.,4 EA CHIMERE, Université de Picardie Jules Verne Avenue Laennec , Amiens , France
| | - Gwénaël Pagé
- 2 BiFloImage Laboratory, Université de Picardie Jules Verne Avenue Laennec , Amiens , France.,3 Facing Faces Institute Avenue Laennec , Amiens , France.,4 EA CHIMERE, Université de Picardie Jules Verne Avenue Laennec , Amiens , France
| | - Anne-Virginie Salsac
- 5 Biomechanics & Bioengineering Laboratory, Université de technologie de Compiègne-CNRS, Sorbonne Universités , Compiègne , France
| | - Jean-Marc Constans
- 3 Facing Faces Institute Avenue Laennec , Amiens , France.,4 EA CHIMERE, Université de Picardie Jules Verne Avenue Laennec , Amiens , France.,6 Radiology Department, Centre Hospitalo-Universitaire d'Amiens Avenue Laennec , Amiens , France
| | - Sylvie Testelin
- 1 Maxillo-facial Surgery Department, Centre Hospitalo-Universitaire d'Amiens Avenue Laennec , Amiens , France.,3 Facing Faces Institute Avenue Laennec , Amiens , France.,4 EA CHIMERE, Université de Picardie Jules Verne Avenue Laennec , Amiens , France
| | - Bernard Devauchelle
- 1 Maxillo-facial Surgery Department, Centre Hospitalo-Universitaire d'Amiens Avenue Laennec , Amiens , France.,3 Facing Faces Institute Avenue Laennec , Amiens , France.,4 EA CHIMERE, Université de Picardie Jules Verne Avenue Laennec , Amiens , France
| | - Olivier Balédent
- 2 BiFloImage Laboratory, Université de Picardie Jules Verne Avenue Laennec , Amiens , France.,3 Facing Faces Institute Avenue Laennec , Amiens , France.,4 EA CHIMERE, Université de Picardie Jules Verne Avenue Laennec , Amiens , France
| | - Stéphanie Dakpé
- 1 Maxillo-facial Surgery Department, Centre Hospitalo-Universitaire d'Amiens Avenue Laennec , Amiens , France.,3 Facing Faces Institute Avenue Laennec , Amiens , France.,4 EA CHIMERE, Université de Picardie Jules Verne Avenue Laennec , Amiens , France
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Bettoni J, Olivetto M, Testelin S, Dakpé S, Devauchelle B. Isolated lateral cervical swelling in a adolescent. J Stomatol Oral Maxillofac Surg 2018; 119:451-452. [PMID: 29574111 DOI: 10.1016/j.jormas.2018.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2017] [Revised: 03/05/2018] [Accepted: 03/18/2018] [Indexed: 11/29/2022]
Affiliation(s)
- J Bettoni
- Maxillo-facial surgery department, centre hospitalo-universitaire d'Amiens, avenue Laennec, 80000 Amiens, France; EA CHIMERE, université de Picardie-Jules-Verne, avenue Laennec, 80000 Amiens, France; Facing Faces Institute, avenue Laennec, 80000 Amiens, France.
| | - M Olivetto
- Maxillo-facial surgery department, centre hospitalo-universitaire d'Amiens, avenue Laennec, 80000 Amiens, France; EA CHIMERE, université de Picardie-Jules-Verne, avenue Laennec, 80000 Amiens, France; Facing Faces Institute, avenue Laennec, 80000 Amiens, France
| | - S Testelin
- Maxillo-facial surgery department, centre hospitalo-universitaire d'Amiens, avenue Laennec, 80000 Amiens, France; EA CHIMERE, université de Picardie-Jules-Verne, avenue Laennec, 80000 Amiens, France; Facing Faces Institute, avenue Laennec, 80000 Amiens, France
| | - S Dakpé
- Maxillo-facial surgery department, centre hospitalo-universitaire d'Amiens, avenue Laennec, 80000 Amiens, France; EA CHIMERE, université de Picardie-Jules-Verne, avenue Laennec, 80000 Amiens, France; Facing Faces Institute, avenue Laennec, 80000 Amiens, France
| | - B Devauchelle
- Maxillo-facial surgery department, centre hospitalo-universitaire d'Amiens, avenue Laennec, 80000 Amiens, France; EA CHIMERE, université de Picardie-Jules-Verne, avenue Laennec, 80000 Amiens, France; Facing Faces Institute, avenue Laennec, 80000 Amiens, France
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Bettoni J, Pagé G, Salsac AV, Constans JM, Testelin S, Devauchelle B, Balédent O, Dakpé S. 3T non-injected phase-contrast MRI sequences for the mapping of the external carotid branches: In vivo radio-anatomical pilot study for feasibility analysis. J Craniomaxillofac Surg 2018; 46:98-106. [DOI: 10.1016/j.jcms.2017.09.005] [Citation(s) in RCA: 7] [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: 03/08/2017] [Revised: 07/19/2017] [Accepted: 09/11/2017] [Indexed: 10/18/2022] Open
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Racz C, Dakpé S, Kadlub N, Testelin S, Devauchelle B, Rachwalski M, Picard A. Phenotypic spectrum of Tessier facial cleft number 5. J Craniomaxillofac Surg 2017; 46:22-27. [PMID: 29239768 DOI: 10.1016/j.jcms.2017.10.012] [Citation(s) in RCA: 3] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2017] [Revised: 09/12/2017] [Accepted: 10/09/2017] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION Craniofacial clefts belong to the most disfiguring and rare congenital malformations of the face and among these, orbito-facial clefts constitute approximately 0.22 % of the cases with Tessier cleft number 5 being the least common. Our aim was to define the phenotypic spectrum for this subgroup to improve clinical management. METHODS Our study group consisted of four patients which were treated at two different cleft centers. Retrospective chart review and anatomical analysis were conducted for each patient based on clinical evaluation and imaging studies. Morphological anomalies including soft tissue, bone and oral components were recorded. RESULTS Based on our analysis and literature review, we could define two subtypes of Tessier facial cleft number 5. (1) Medial clefts are the more severe subtype, creating a significant soft tissue and bone defect that runs vertically, through the eyelid, infraorbital rim, maxillary sinus and cheek. They have the poorer esthetic and functional prognosis, due to orbital dystopia and absence of lower eyelid. (2) Lateral clefts are a less severe subtype characterized by the presence of a vertical furrow of the cheek running laterally to the maxillary sinus. CONCLUSIONS We identified two subtypes of facial cleft number 5 which require an individualized surgical management.
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Affiliation(s)
- Caroline Racz
- Department of Maxillofacial Surgery, University Hospital Center, Place Victor Pauchet, 80054, Amiens Cedex 1, France; University of Picardie Jules Verne, Pôle santé 3, Rue des Louvels, 80036, Amiens Cedex 1, France.
| | - Stéphanie Dakpé
- Department of Maxillofacial Surgery, University Hospital Center, Place Victor Pauchet, 80054, Amiens Cedex 1, France; Facing Faces Institute, Amiens University Hospital Center, Place Victor Pauchet, 80054, Amiens Cedex 1, France
| | - Natacha Kadlub
- Department of Maxillofacial and Plastic Surgery, National Reference Center for Cleft Lip and Palate, Hôpital Universitaire Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France; University Paris Descartes, 12 rue de l'Ecole de Médecine, 75006 Paris, France
| | - Sylvie Testelin
- Department of Maxillofacial Surgery, University Hospital Center, Place Victor Pauchet, 80054, Amiens Cedex 1, France; University of Picardie Jules Verne, Pôle santé 3, Rue des Louvels, 80036, Amiens Cedex 1, France; Facing Faces Institute, Amiens University Hospital Center, Place Victor Pauchet, 80054, Amiens Cedex 1, France
| | - Bernard Devauchelle
- Department of Maxillofacial Surgery, University Hospital Center, Place Victor Pauchet, 80054, Amiens Cedex 1, France; University of Picardie Jules Verne, Pôle santé 3, Rue des Louvels, 80036, Amiens Cedex 1, France; Facing Faces Institute, Amiens University Hospital Center, Place Victor Pauchet, 80054, Amiens Cedex 1, France
| | - Martin Rachwalski
- Department of Maxillofacial and Plastic Surgery, National Reference Center for Cleft Lip and Palate, Hôpital Universitaire Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France; Department of Pediatric Neurosurgery, National Reference Center for Craniofacial Malformations, Hôpital Universitaire Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France
| | - Arnaud Picard
- Department of Maxillofacial and Plastic Surgery, National Reference Center for Cleft Lip and Palate, Hôpital Universitaire Necker-Enfants Malades, 149 rue de Sèvres, 75015, Paris, France; University Paris Descartes, 12 rue de l'Ecole de Médecine, 75006 Paris, France
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Morelon E, Petruzzo P, Kanitakis J, Dakpé S, Thaunat O, Dubois V, Choukroun G, Testelin S, Dubernard JM, Badet L, Devauchelle B. Face Transplantation: Partial Graft Loss of the First Case 10 Years Later. Am J Transplant 2017; 17:1935-1940. [PMID: 28141920 DOI: 10.1111/ajt.14218] [Citation(s) in RCA: 73] [Impact Index Per Article: 10.4] [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: 11/17/2016] [Revised: 12/30/2016] [Accepted: 01/20/2017] [Indexed: 01/25/2023]
Abstract
Ten years after the first face transplantation, we report the partial loss of this graft. After two episodes of acute rejection (AR) occurred and completely reversed in the first posttransplantation year, at 90 months posttransplantation the patient developed de novo class II donor-specific antibodies, without clinical signs of AR. Some months later, she developed several skin rejection episodes treated with steroid pulses. Despite rapid clinical improvement, some months later the sentinel skin graft underwent necrosis. Microscopic examination showed intimal thickening, thrombosis of the pedicle vessel, and C4d deposits on the endothelium of some dermal vessels of the facial graft. Flow magnetic resonance imaging of the facial graft showed a decrease of the distal right facial artery flow. Three steroid pulses of 500 mg each, followed by intravenous immunoglobulins (2 g/kg), five sessions of plasmapheresis, and three cycles of bortezomib 1.3 mg/m2 , were administered. Despite rescue therapy with eculizumab, necrosis of the lips and the perioral area occurred, which led to surgical removal of the lower lip, labial commissures, and part of the right cheek in May 2015. In January 2016, the patient underwent conventional facial reconstruction because during the retransplantation evaluation a small-cell lung carcinoma was discovered, causing the patient's death in April 2016.
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Affiliation(s)
- E Morelon
- Department of Transplantation, Nephrology and Clinical Immunology, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.,INSERM U 1111, Lyon, France
| | - P Petruzzo
- Department of Transplantation, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.,Department of Surgery, University of Cagliari, Cagliari, Italy
| | - J Kanitakis
- Department of Dermatology, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France
| | - S Dakpé
- Department of Maxillofacial Surgery, CHU Amiens-Picardie, Facing Faces Institute, Amiens, France
| | - O Thaunat
- Department of Transplantation, Nephrology and Clinical Immunology, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.,INSERM U 1111, Lyon, France
| | - V Dubois
- Laboratoire HLA, Etablissement Français du Sang Rhône Alpes, Lyon, France
| | - G Choukroun
- Nephrology, Dialysis and Transplantation Department, CHU Amiens Picardie, Amiens, France
| | - S Testelin
- Department of Maxillofacial Surgery, CHU Amiens-Picardie, Facing Faces Institute, Amiens, France
| | - J-M Dubernard
- Department of Transplantation, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France
| | - L Badet
- Department of Transplantation, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France
| | - B Devauchelle
- Department of Maxillofacial Surgery, CHU Amiens-Picardie, Facing Faces Institute, Amiens, France
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Kanitakis J, Petruzzo P, Gazarian A, Badet L, Testelin S, Devauchelle B, Dubernard JM, Morelon E. Allogreffes de tissus composites vascularisés : suivi dermatopathologique à 15ans. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.128] [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: 11/28/2022]
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