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• W2337775447 abstract "Les pertes de substance de la main et du membre supérieur mettent facilement à nu les structures anatomiques sous-jacentes, leur reconstruction fait donc souvent appel aux lambeaux. Le lambeau idéal doit être fin et malléable permettant un resurfaçage de qualité et un résultat fonctionnel satisfaisant. L’objectif de cette revue est d’analyser les différents lambeaux cutanés amincis, de déceler leurs avantages et de souligner leurs limites. Nous avons effectué une revue de la littérature des différentes techniques de lambeaux minces publiées ces 20 dernières années. Dix-huit articles ont étés inclus (225 patients). Trois articles concernaient des lambeaux amincis par expansion préalable, 15 traitaient de lambeaux dégraissés lors du prélèvement. À la vue de la littérature, les lambeaux amincis semblent constituer une alternative chirurgicale intéressante dans la prise en charge des pertes de substance de la main et du membre supérieur, mais il serait intéressant de pouvoir comparer les résultats de ces lambeaux minces à ceux des lambeaux conventionnels. Cette analyse de la littérature nous a également conduits à proposer une classification des lambeaux minces en fonction de l’épaisseur de ceux-ci afin de clarifier la terminologie. Cutaneous defect of the hand and the upper limb expose the underlying anatomical structures. The reconstruction therefore often resorts to flaps. The ideal flap must be thin and flexible, allowing a good resurfacing and a satisfactory functional result. The objective of this study is to analyze the various thinned flaps, to reveal their advantages and to underline their limits. We presented a literature review on the various techniques of thin skin flaps developed over the last 20 years, bringing together 18 articles, and including 225 patients. For 3 articles, the skin flaps were thinned down by preliminary expansion and for the 15 others they were surgically thinned during the harvesting of the flap. Thinning the flap seems to be an interesting surgical alternative in the management of cutaneous defect of the hand and the upper limb, but it would be interesting to be able to compare the results of these thin flaps to those of the conventional ones. This study also led us to propose a classification of thin flaps according to their thickness in order to clarify the terminology." @default.
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• W2337775447 date "2017-02-01" @default.
• W2337775447 modified "2023-09-27" @default.
• W2337775447 title "Les lambeaux cutanés minces dans la prise en charge des pertes de substance cutanée de la main et du membre supérieur" @default.
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• W2337775447 doi "https://doi.org/10.1016/j.anplas.2016.03.001" @default.
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