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, Mon premier souci sera de rétablir, de préserver ou de promouvoir la santé dans tous ses éléments, physiques et mentaux, individuels et sociaux

, Je respecterai toutes les personnes, leur autonomie et leur volonté, sans aucune discrimination selon leur état ou leurs convictions. J'interviendrai pour les protéger si elles sont affaiblies, vulnérables ou menacées dans leur intégrité ou leur dignité. Même sous la contrainte

, Admis dans l'intimité des personnes, je tairai les secrets qui me seront confiés

, J'apporterai mon aide à mes confrères ainsi qu'à leurs familles dans l'adversité

, Que les hommes et mes confrères m'accordent leur estime si je suis fidèle à mes promesses

, Il existe une alternative : le lambeau pédiculé musculo-cutané infra-hyoïdien. Le but de cette étude est de montrer la fiabilité carcinologique de ce lambeau

, Cette étude rétrospective inclus 337 patients opérés d'un carcinome épidermoïde de la cavité buccale reconstruit soit par lambeau infra-hyoïdien (LIH) soit par lambeau libre(LL). L'étude évalue la probabilité de survenue d'une récidive carcinologique selon le type de reconstruction, et recherche des facteurs associés à la récidive

, Ce résultat se retrouve sur l'analyse en sous-groupe sur les patients N+. Sont associés de manière significative à la récidive, après ajustement au statut T : la technique de reconstruction, L'analyse retrouve une probabilité de survenue de la récidive plus importante dans le groupe LL (p<0.05)

, Cette étude montre que le lambeau infra-hyoïdien est une alternative fiable sur le plan oncologique

, Evaluation of recurrence after infrahyoid pedicled flap versus free flap in oral cavity reconstruction Abstract : The infrahyoid myocutaneous pedicled flap (IHF) is a simpler and reliable alternative to free flap (FF) reconstruction in the oral cavity. However, because of the risk of involved neck nodes the oncological safety of the IHF remains controversial. Retrospective chart review from, Mots-clés : lambeau infra-hyoïdien, lambeau libre, reconstruction de la cavité buccale, récidive carcinologique, carcinome épidermoïde de la cavité buccale Titre en anglais, 2006.