Reconstruction of cheek skin defects by the ‘Yin-Yang’ rotation of the Mustardé flap and the temporoparietal scalp

Belmahi, A.; Oufkir, Ayat Allah; Bron, T.; Ouezzani, Seloua El

doi:10.1016/j.bjps.2007.11.012

Cited by 19 publications

(12 citation statements)

References 2 publications

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“…In 1 patient, lesions were restricted to mucous membranes [10]. Ten patients suffered from skin lesions only [3, 5, 8, 13, 15, 17, 22, 31, 32]. Notably, in 7 of these, as in our patient, anti-Dsg3 antibodies were detected although mucous membranes were spared [8, 13, 15, 17, 22, 31, 32].…”

Section: Review Of the Literature And Discussionmentioning

confidence: 75%

“…To compare our patient's antibody profile with autoimmunological findings of previously described patients suffering from PVeg, we reviewed the Anglophone literature from December 1988 to January 2017, considering all available full-text publications providing information on mucous membranes and/or skin involvement and autoantibody levels (at least anti-Dsg1 and/or anti-Dsg3 reactivity; Table 1) [2, 3, 4, 5, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34]. …”

Section: Review Of the Literature And Discussionmentioning

confidence: 99%

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Atypical Clinical and Serological Manifestation of Pemphigus Vegetans: A Case Report and Review of the Literature

et al. 2017

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Pemphigus vegetans (PVeg) is a rare variant of pemphigus vulgaris characterized by pustules and/or papillomatous vegetations, preferentially affecting intertriginous and periorificial areas. Exceptional manifestations may be misdiagnosed resulting in delayed diagnosis and treatment. Diagnosis is confirmed by immunofluorescence and detection of anti-desmoglein (Dsg) 3 and/or anti-Dsg1 antibodies. We herein report an unusual manifestation of PVeg. At the time of first presentation, lesions were restricted to the right ring finger’s tip. Although mucous membranes were initially not affected, high levels of anti-Dsg3 antibodies were detected while anti-Dsg1 and anti-desmocollin (Dsc) 1, 2, and 3 antibodies were absent. To compare our immunological findings with previous reports, all accessible Anglophone literature published since December 1988 was evaluated. We identified 52 patients suffering from PVeg, 7 of these showed anti-Dsg3 antibodies without any mucous membrane involvement. Notably, the detection of anti-Dsg1 and anti-Dsg3 antibodies does not necessarily correlate with the involvement of skin and/or mucous membranes. This might be due to more specific and complex antibody constellations in nonclassical or atypical pemphigus.

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Section: Review Of the Literature And Discussionmentioning

confidence: 75%

Section: Review Of the Literature And Discussionmentioning

confidence: 99%

Atypical Clinical and Serological Manifestation of Pemphigus Vegetans: A Case Report and Review of the Literature

et al. 2017

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“…(2) Using Z-plasty for flap reconstruction in the presideburn area avoids the dislocation of the sideburn and lateral canthus and eases the problem of closing the Mustarde flap in the preauricular donor area. 9 (3) Following flap transposition in Z-plasty, the incision line at the lateral canthus was nearly in a vertical direction, and scar contraction pulled the skin upward, which further prevented the occurrence of lower eyelid ectropion. (4) The surgical method described here is in compliance with the principles of "replace like with like" and "for both appearance and function, use tissues from less important areas to reconstruct wounds in important areas".…”

Section: Discussionmentioning

confidence: 99%

“…However, this method used a scalp flap with hair to repair preauricular defects, producing an unnatural look, especially in female patients. 9,10 In this study, skin defects in the medial cheek were reconstructed with a lateral cheek rotation flap. Meanwhile, Z-plasties were performed along the lateral orbital flap incision line.…”

Section: Discussionmentioning

confidence: 99%

“…However, the sideburns are moved downward after the surgery, producing an unnatural look, especially in female patients. 9,10 In this study, reconstruction of skin defects in the medial cheek and adjacent areas were performed in nine patients using a lateral cheek rotation flap in combination with Z-plasty and achieved desirable results, which are reported below.…”

Section: Introductionmentioning

confidence: 95%

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