The management of mandibular ameloblastoma is currently radical by many teams, to reduce the risk of recurrence. And this consists of interrupted mandibulectomy often in the course of a diagnosis based on radiological, clinical and epidemiological elements without prior histopathological certainty. The document provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, describe the case a patient of ages 29 years, received for mandibular swelling evolving for 3 years with slowly increasing volume. The clinical and radiological signs simulating ameloblastoma. In place of an interrupted subtotal mandibulectomy that was usually planned, a simple biopsy was performed and the results favored an epidermoid cyst rather than an ameloblastoma. The indication of an enucleation with curettage supported was carried out in place of an interrupted mandibulectomy usually performed before this radio-clinical chart. The biopsy prior to any radical surgery for suspicion of ameloblastoma has two notorious advantages: the diagnostic confirmation and the typology of the ameloblastoma therefore the precision of its high invasiveness or not.

Fractures of the frontal sinus are part of the fractures of the border between the facial and the cranial regions.They cause both aesthetic and vital problems, but also functional, requiring rapid and global care in a multidisciplinary setting. The document provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, describe describe 18case operated for frontal sinus fractures over a 2-year period. The ideal time of repair was beyond the 72nd hour, at best between the 8th and 15th days after the reduction of cerebral and facial edema and the exclusion of any lesions that require emergency intervention. Our indications were mainly influenced by aesthetic deformities, impaction and embarrure fracture of ethmoidal and orbital roofs with clinical expression, obliteration of the naso-frontal duct, posterior wall displacement predicting dura mater laceration, and by the time to management. The coronal approach was the most indicated with 83, 33% of the cases. We realized sinus exclusion in 72.22%, cranialization in 22.77%, and repair of dura mater injuries in 27.77%. The sequelae found in 27.77%, were essentially functional and aesthetic.

The control of Maxillo-facial traumas in the region of MARRAKECH TENSIFT AL HAOUZ can be done by putting the mapping of these traumas in perspective, thus allowing a concise and effective representation of the traumatisms on a geographical space by the determination of the social profile of the victim of the maxillofacial trauma and to determine the main places of occurrence of these traumas and their characteristics in order to help the rapid and relevant understanding of the problem. A prospective study data collection, conducted from January to June 2015, described the epidemiological, geographical and socioeconomic parameters of 418 patients that were admitted for maxillofacial trauma. The victims were predominantly male (77.27%), 37.79% were unemployed. The main mechanism of trauma was road accident (44.7%). The geographical distribution of the traumatized victims was majority of the patients coming from the surroundings of the city of Marrakech (rural area). For origins of patients, the first position was the surroundings of Marrakech or the district of the Medina, which are plagued by poverty and unemployment.

The purpose of this work is to describe the surgical approach in some situations of laterofacial loss, which pose a problem concerning the moment of their repair and the choice of the technique to be used considering the attainment of noble elements. The study provides a descriptive and cross sectional study with retrospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, on 82 cases of laterofacial cutaneous loss secondary to trauma and post tumor excision collected during 3 years. Etiologies were dominated by tumors in 60,97% of cases and trauma in 39,04%. The most frequent location was frontal and temporal in 41,46% of cases. Nobles elements were injured in 15,85%. 87,5% of traumatized patients had a primary reparation with locoregional flaps, while secondary reparation was proposed to 93,33% with malignant tumors until reception of histological results. The repair of laterofacial defects is subject to certain requirements before any surgery. Whenever usable, the locoregional reserve seems to us the most appropriate means of reconstruction.