RESUMO
Reconstruction of the chin region represents a technical challenge due to its three-dimensional configuration and its location close to the mouth. It requires both a functional approach by restoring mobility and an aesthetic approach by restoring the perioral furrows. For men who want to wear a beard, it becomes more difficult to choose the donor site for hairy skin. In that case, strategies of full thickness skin graft or pre-expanded loco-regional flaps are unusable. We propose here a functional, aesthetic and hairy reconstruction by performing a pre-expanded temporal free flap which allowed to resolve the problem of adjacent cervical contractures and to restore an integrated the bearded chin subunit.
RESUMO
In recent years, we have seen an increase in the frequency of the misuse of nitrous oxide as a narcotic. The risks associated with its use are now well-known, such as neurological and psychiatric risks. In this study, we report our experience with specific thigh burns when using nitrous oxide canisters for narcotic purposes. PATIENTS AND METHODS: Between November 2021 and August 2022 we treated 4 patients burned during a nitrous oxide use accident. RESULTS: We report the cases of three women and one man with an average age of 28. Two of them were treated in addictology. We observed an average delay before consultation of a healthcare professional of 7days. The burns were all rounded and deep, localized at the level of the thighs. For three of the patients (one having been lost to sight), a split thickness skin graft was performed within an average of 32days. CONCLUSIONS: The non-medical use of nitrous oxide represents a real public health problem in addition to the adverse effects of the substance itself. Prevention and health security measures seem to be becoming essential.