[Replantation of fingers. 59 cases].
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Biomedical subjects
Publications and source records attributed to T Lahaye.
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Facio-craniostenosis. Facio-craniostenosis is associated with premature stenosis of one or several cranial sutures. The clinical variety is defined by the affected suture. In the complex forms, major disturbances of the anterior fossa of the cranial base are observed. Intracranial hypertension sometimes observed may lead to impairment of the function of the brain or the eyes. The authors have observed 73 children with craniostenosis and have operated upon 49 of them. Three types of methods have been used. The stress is made on the latest one combining advancement of the orbito-frontal "bandeau" and the regularization of the vault. Operating early is essential for prevention of functional sequellae. The optimal age for surgical treatment seems to be between 3 and 6 months. Complications have been remarkable benign.
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Reconstructive procedure of the upper and the lower limbs by free flaps are presented. The most frequently used donor sites are analysed in order to make a choice according to their characteristics and their reliability. Attention is drawn to the fact that these new procedures bringing cutaneous, muscular, osseous or composite tissues are especially interesting in reconstruction of the distal half of the limbs but will not systematically replace the classical reconstructive surgery procedures. The donor sites are summarized in a recapitulatory table.
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