[Aesthetic aspects of eyelid reconstruction].

In eyelid reconstruction, filling the defect is not sufficient. In young patients, the aim is to obtain a reconstructed eyelid, as normal as possible. In elderly patients, the large amount of available skin and the good quality of scars seem to be favorable.

[Notes apropos of cartilage grafts in secondary rhinoplasties according to Sheen's technique. Apropos of an analysis of 67 cases].

Between 1989 and 1992, eighty-one rhinoplasties included the addition of free autologous cartilage grafts, sixty-seven of which were secondary procedures. The aesthetic and respiratory results were assessed with at least one year of follow-up post-op for fifty four cases representing the true material of the study. This paper illustrates the advantages of septal cartilage graft versus conchal grafts, particularly for restitution of the dorsum of the nose.

[Histological typing of the breast by multifocal biopsies].

The current concept of high risk mastopathy was revolutionised by the work of Dupont and Page (1985), who demonstrated the importance of proliferative mastopathies in the assessment of the risk, particularly when they are associated with epidemiological factors. Based on these data, the Montpellier breast pathology study and research group (GERPAMM) developed on original method designed to define the precise histological profile of women considered to be at risk of breast cancer, despite the absence of any focal mammographic signs. This typing, consisting of a rigorous surgical protocol strictly complying with Page's histological definitions, was performed in women presenting a certain risk defined by clinical, cytological and radiological criteria (density and disseminated microcalcifications).

[Surgery of mammary hypertrophy and ptosis using the dermal vault technique. 5 years' use (apropos of 230 surgically-treated patients].

Using the simplest possible criteria, the author reviews the results obtained in 230 patients who underwent breast reduction using the dermal vault technique. A part from the usual criticisms of the technique defined by J.P.

[Tuberous breast: clinical and therapeutic considerations. Report of 20 cases].

Tuberous breast is a so-called mammary deformity which associates: deficient and contracted base, enlarged nipple-areolar complex, glandular herniation through the areola. The parenchyma is reduced, cylindrical, asymmetric, and frequently posted. Surgery reveals a basic glandular ring.

[Mammaplasty on breast implants (or cutaneous expansion in treating distended skin)].

The authors present their experience of the use of skin expansion in secondary surgery to previously implanted breasts. This technique constituted a relatively simple solution with minimal scarring for certain cases in which the residual breast volume was insufficient or non-existent and in which it was impossible to reconstruct a breast with acceptable shape and volume after removal of the implant.

[Specificity of hatchet flaps in the laterofacial region].

The hatchet flap, well known for the repair after skin resection of the nasal pyramid, is adapted, in a cutaneo-aponeurotic form, to the laterofacial region. The authors describe the principle of the technique which they illustrate by several clinical cases. Its simplicity, its harmonious adaptation and its reliability led them to consider that it has a place in the therapeutic arsenal for skin repair after resection of jugal and temporo-jugal lesions.

[Breast reconstruction using skin expansion after radiotherapy: limitations of the procedure. Apropos of 10 cases].

The incidence of failure, be it partial or possibly total, in breast reconstruction after amputation and radiotherapy, appears to be too high in the author's experience. The analysis of ten of such cases focuses attention on what was really done concerning X-ray therapy. It is no longer acceptable to rely on a dose limit on of 50 GY for, expressed in this way, it is not sufficiently accurate.

[Esthetic surgery of large nasal tips. Contribution of the "flying wing" procedure].

The "flying wing" procedure has been known for a long time. It is classically used in the treatment of moderately severe saddle nose. The author proposes the use of this technique for the aesthetic correction of certain flattened nasal tips.

[Continuous mandibular traction as adjuvant treatment in dysmorphism].

We use the Delbet and Tessier's head frame in order to complete a continuous traction on the jaw. In post operative period, this method can achieve a better result of major facial deformities.