Maxillofacial trauma is defined by the structures located between the capillary line upward and the tip of the chin downward.Our study is retrospective, covering 112 cases of extensive facial fractures over a period of two years from October 2016 to October 2018.Soft tissue lesions are excluded from our study.The goal is to define the epidemiological profile of facial fracture victims in Oujda and to adapt therapeutic modalities to local contexts.The incidence was highest in the 21 to 30 age group (36.6%).There were 7.6 men for a woman.The most common etiologies were in descending order; traffic accidents (60%), assaults (29%), sports accidents (6%).The frequency of these traumas increased in summer, especially in July-August.Mandible and nasal bone were the most affected (48.21% and 21.42%).In 16.96% of cases, it was a polytrauma.Head trauma was associated in 7.14% of cases.

Introduction: Brown tumors are osteolytic lesions that rarely reveal hyperparathyroidism. They usually occur at the terminal stage of primary or secondary hyperparathyroidism. We report the case of a patient with primary hyperparathyroidism revealed by a jaw’s tumor, at the ENT and Maxillo-facial department of Mohamed VI University Hospital, Oujda, Morocco. Case report: A medical examination of A 48-year-old woman with a left nasal obstruction associated to an ipsilateral tumefaction progressively increasing in size. The CT scan showed an aggressive osteolytic process of the maxillary sinus. The diagnosis of the brown tumor was suspected on a biological assessment highlighting an hypercalcemia. Etiological research has revealed a parathyroid adenoma. The parathyroid hormone test: 322 pmol / L confirmed the diagnosis. The surgery consisted of a conservative lumpectomy with left parathyroidectomy. The anatomopathological result showed a benign giant cell tumor of the maxillary sinus. Conclusion: We recall through this observation, and view to the insidious side of brown tumors, two essential points: the difficulty of establishing the diagnosis of osteolytic processes of the maxillary sinus and the need to think about an hyperparathyroidism in front of a giant cell lesion.

The reconstruction of zygomatic defects is a challenge for de facial surgeon. We report in this paper a new technique of reconstruction using an anterior bilobed cheek flap. A 60-year-old man had developed a tumor on his left cheek. A biopsy revealed basal cell carcinoma. The ulcerative cancer was resected then we designed an anterior bilobed cheek flap to reconstruct the cheek skin defect. The postoperative clinical course was uneventful, and the flap showed a good take.

Introduction: Rare examples from the literature report a possible degeneration of mucosal lesions of L.E.C. We report a case of squamous cell carcinoma grafted on a lesion of the lower lip in a patient followed for L.E.C. at the ENT and Maxillo-facial department of Mohamed VI University Hospital of Oujda.Case report: A 47-year-old man, with a notion of photosensitivity, presents atrophic erythematous-violet plaques in the photo-exposed zones evolving for 20 years, evoking chronic discoid lupus cutaneous without any clinical, biological or radiological sign of systematization. The patient had a painful lower ulcer-budding process that had been evolving for 2 years, with suspected bilateral cervical lymphadenopathy. The biopsy revealed a well-differentiated infiltrating squamous cell carcinoma. Surgical excision oncology is then performed with a labial plasty and an obviously bilateral lymph node. Conclusion: The risk of degeneration of skin lesions of lupus discoid is minimal and rare, although monitoring of lupus scars remains essential, especially in the context where exposure to ultraviolet radiation is added as a predisposing factor for possible malignant transformation, surgical treatment is required at the appearance of suspicious lesions confirmed histologically.