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Primary Cutaneous Leiomyosarcoma of the Face: A Rare Tumor that Is Difficult to Diagnose

Open Journal of Stomatology 2023年第11期13卷 396-402页

作者： Bakary Ouattara Konan Marc Koffi ory opokou alexandre demisère Koffi Laurent Boka Rokiatou Kone Aké Lucien Jonathan Yapo Assoumou Lucien Asseke Mouan Beatrice Harding Pierre Breton Department of Stomatology Maxillofacial and Plastic Surgery of the Face The University Hospital of Abidjan Abidjan Ivory Coast Department of Stomatology Maxillofacial and Plastic Surgery of the Face The University Hospital of Bouaké Bouaké Ivory Coast Department of Maxillofacial Surgery Plastic Surgery of the Face and Stomatology The University Hospital of Lyon-Sud Lyon France

Leiomyosarcoma is a rare malignant tumour of the lower limbs. Its differential histological diagnosis is difficult and is made in the presence of young scar tissue, leimyoma, dermatofibroma, melanoma, rabdomyosarcoma, sarcomatoid carcinoma, fibroxantoma, Darrier Ferrand dermatofibrosarcoma and myofibroblastic tumours. Treatment is essentially surgical, with margins of 3 to 5 centimetres. We report two observations of tumours localised to the face, including one case of a known leiomyosarcoma and another case initially diagnosed as a leiomyosarcoma which turned out to be a cellular myofibroma with no sign of malignancy after several readings. The aim of this work is to review the literature on this pathology while highlighting the diagnostic and therapeutic difficulties. Conclusion: A rare smooth muscle tumour with a high risk of local recurrence in the event of incomplete treatment, leiomyosarcoma in its dermal component is preferentially located in the head and neck. Its treatment is exclusively surgical and highly mutilating.

关键词： Malignant Tumour Smooth Muscle Face Surgery

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Ophthalmologic repercussions of Orbital Fractures

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Open Journal of Ophthalmology 2023年第2期13卷 248-255页

作者： Philippe Emile France Koffi Bile opokou alexandre demisères ory Gosse François Diomande Kouassi Franck-Herman Koffi Ernest Martial Djemi Ange Mickael Goule Liliane Ella Gode Raheemotu Llahi Opeyemi Babajeyu Zana Diabaté Yves Ouattara Ibrahim Abib Diomande Ophthalmology Department Bouaké University Hospital Bouake C&#244te d’Ivoire Maxillofacial Surgery and Stomatology Department Bouaké University Hospital Bouake C&#244te d’Ivoire

Orbital fractures refer to all continuity solutions involving the wall of the orbit. They are responsible for serious complications, particularly ophthalmological. Objective: To identify the epidemiological, anatomical and clinical aspects as well as the possible ocular complications of orbital fractures in the Gbêkê region. Methods: Prospective study from July 1, 2020, to October 31, 2020, i.e., a duration of 4 months. It took place in the ophthalmology department of the University Hospital of Bouaké. Patients with orbital fractures with ocular repercussions received during the study period were included. results: Out of 27 cases of orbital floor fracture received, 20 had ocular complications, i.e., a prevalence of 74.07%. The average age was 32 years with extremes of 18 and 48 years. The male gender predominated with 80%, i.e. a sex ratio of 4. Subconjunctival hemorrhage was the most frequent reason for consultation (70%). The etiology was dominated by road traffic accidents (85%). The average consultation time was 24 hours. 80% of the patients had a distance visual acuity (DVA) between 3/10 and 10/10.) Diplopia was observed in 60% of patients. Blow out fracture (70%) was the most prominent orbital lesion. At the paraclinical level, 80% of the patients had performed a CT scan of the orbit. Evisceration was the predominant ophthalmologic surgical management (4 patients). At the bone level, reconstruction of the orbital floor with a polydioxanone plate (PDS) was performed in 50% of patients. Conclusion: The risk of ocular injury in orbital fractures is frequent because of the close relationship between the orbit and the eyeball.

关键词： Orbit Fracture Ophthalmologic repercussions

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Study of Mortality and Causes of Death in the Service of Stomatology, Maxillofacial and Plastic Surgery of the Face at Cocody Teaching Hospital (RCI)

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Open Journal of Stomatology 2018年第12期8卷 338-344页

作者： Konan Marc Koffi Bakary Ouattara Abou Dramane Sangaré Harefeteguena Christophe Bissa Mouan Béatrice Harding-Kaba De Misères opokou alexandre ory Rokiatou Koné Bi Epiphane Kouai Department of Stomatology Maxillo-Facial and Plastic Surgery of the Face CHU Cocody Abidjan C&ocirc te d’Ivoire Department of Public Health UFR-OS UFHB Abidjan C&ocirc te d’Ivoire Department of Stomatology Maxillo-Facial and Plastic Surgery of the Face CHU Bouaké Abidjan C&ocirc te d’Ivoire

Introduction: The study of mortality is an indicator that allows a control and a review of the therapeutic measures in the hospital environment. The purpose of this work was to determine the epidemiological profile of the patients who died and analyse the circumstances of the death in a hospital service. Material and Methods: It is a retrospective descriptive study conducted in the service of Stomatology, maxillofacial and plastic surgery of the face over a period of 10 years (from January 1999 to December 2008). Seventy-two cases have been taken into account. results: The crude death rate was 4.29%. Higher level of male has been noted with a sex ratio of 1.77. The most affected age groups were the 3rd and 2nd decades, respectively with 20.8% and 19.4% with an average age of 39 years. Cellulitis of the face and their complications were responsible for deaths in 58.33% of cases. The majority of deaths occurred between 6 p.m. and 6 a.m. (65.28%). These deaths were preventable in 5.6% of cases. Conclusion: Facing the lack of description of the ultimate circumstances of death in the medical records, the conclusion of this study has been the establishment of a regular medical audit in the service, which would track mortality in order to reduce its rate.

关键词： Mortality Causes of Death Facial Cellulitis

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