Obstetrics and Gynecology Commons^™

Evaluation Of Transconjunctival Approach Mixed With Lower Lateral Tarsal Incision For Zygomatico-Maxillary Complex Fracture, Mahmoud Ahmed Amin, Sherif Hamdeno Youssif, Ahmed Moustafa Omran, Ahmed Mohammed Mekawy

Al-Azhar International Medical Journal

Background: Orbital fractures are typical in modern society due to various accidents affecting the craniofacial region. Transconjunctival incisions have the main benefit of causing minimum scar formation compared to other orbital access procedures.

Aim: To assess the value of the Transconjunctival Approach with Lower Lateral Tarsal Incision for accessing ZMC fractures.

Subject and Method: In this prospective clinical study, we recruited 20 patients with unilateral Orbito-Zygomatic-Maxillary complex fracture operated at the Plastic and Reconstruction Department, Al-Azhar University Hospital, Damietta.

Results: All participants were male, with a mean age of 35.4±11.3 years. We found the mean time needed for the incision …

Nerve To Anterior Belly Of Digastric Muscle As A Donor For Facial Re-Innervation: A Cadaveric Feasibility Study, Osama Abd El-Raheem Al Shahaat, Mohamed Abdel Hay Autifi, Al-Sayed Hussein El-Sharkawy, Mohamed Mahmoud Mohamed Elsayed

Al-Azhar International Medical Journal

Background: Cadaveric anatomical investigations are used to develop new surgical procedures. Surgeons all around the globe could benefit from publishing some cadaveric feasibility studies and using the results to enhance patient care. There have been further advancements in the surgical treatment of facial paralyzes.

Aim and objectives: To investigate the feasibility of using the part of the digastric muscle connected to the anterior belly as a new donor option for facial re-innervation through a cadaveric dissection study.

Patients and Methods: This cadaveric dissection feasibility study utilized five (10 sides) formalin-preserved cadavers of adults. The research was performed at Al-Azhar University's …

Dorsal Definition In Rhinoplasty Using Onlay Cartilage Graft, Moustafa Sayed Ahmed Meky, Tarek El-Bastawesy Zayid, Mahmoud Moustafa Mahmoud Mandour

Al-Azhar International Medical Journal

Background: Contemporary rhinoplasty demands aesthetic enhancement, concealment of the nasal dorsum, and accentuation of the dorsal aesthetic lines. The procedures utilized included onlay solid cartilage graft, diced cartilage graft, deep temporal fascia, rectus abdominis fascia, and diced cartilage encased in fascia.

Aim and objectives: To assess the dorsal definition in rhinoplasty using an onlay cartilage graft and assessment of its outcome with other common techniques used for this purpose.

Patients and methods: Fifteen patients were included in this prospective investigation within the Al Azhar University Hospitals. An onlay cartilage graft was inserted in these patients to define the dorsal nasal …

Freestyle Perforator Propellar Flaps For Gluteal And Perigluteal Pressure Ulcers Reconstruction, Magdy Ahmed Abd Elmoktader Abd Alkarem, Moustafa Sayed Ahmed Meky, Ahmed Mohamad Tag El-Din

Al-Azhar International Medical Journal

Background: Pressure ulcers frequently occur in the gluteal region, particularly in paraplegic patients with a high risk of recurrence. For this reason, future reconstructive treatments should be considered when choosing flaps for reconstructive surgery. Both the upper and superior gluteal artery perforator flaps (IGAP and SGAP) are examples of neural perforator flaps; first and second perforators from profundal femoris artery perforator (PFAP) are popular perforator flaps in the treatment of gluteal pressure sores.

Objective: To assess the gluteal and para-gluteal regions by providing different sizes and designs of perforator propeller flaps to reconstruct gluteal pressure ulcers.

Material and methods: A …

Assessment Of Outcome Of Distraction Osteogenesis For Bone Lengthening In The Hand: Meta-Analysis Study, Abd Elrahman Awadeen Abd Elrahman, Mohamed Hosney Khalifa, Ahmed Bendary Hosney Bendary

Al-Azhar International Medical Journal

Background: Distraction osteogenesis (DO), also known as callus distraction, allostasis & osteodistraction, is a technique utilized in podiatric surgery, orthopedic surgery, and oral & maxillofacial surgery for the correction of skeletal abnormalities and reconstructive purposes.

Aim and objectives: To undertake a systematic review and meta-analysis of published publications, including DO in hand; to calculate the time required for distraction, the length obtained, and the rate of complications; and to identify factors impacting case outcomes.

Patients and Methods: This was a systemic review and meta-analysis by utilizing the preferred reporting items for the systemic review & meta-analysis (PRISMA) statement. The search …

Cartilage Excision For Antihelix Creation In Prominent Ear Correction: A Prospective Study, Khaled Abdelbaset Hussein Elbeshbishy, Yasser Helmy Ismail Ali, Al-Sayed Hussein Hussein El-Sharkawy

Al-Azhar International Medical Journal

Background: More than one hundred different methods, including excisions, incisions, scoring, and suturing techniques, have been used for the treatment of prominent ears, indicating the lack of a single widely accepted strategy that has been adopted by the majority of surgeons. Aim This study aims to evaluate cartilage excision procedure to create the antihelix in prominent ear correction. Patients and methods: This prospective study utilized 20 cases with prominent ear deformity. The study conducted in the university hospitals, Faculty of Medicine, Al-Azhar university. Ethical approval was obtained from the same institution. Every patient wrote an informed written consent. Results: We …

Thermal Camera For Detection Of Perforator Territories In Fasciocutaneous Flaps For Leg Reconstruction, Magdy Ahmed Abd-Almoktader Abd-Alkareem, Mohamed Osama Mahmoud Ouf, Fathy Ahmad Mohammad Basha

Al-Azhar International Medical Journal

Background: Soft tissue abnormalities are often repaired utilizing perforator flaps. Accurate understanding of underlying vascular architecture and the precise positioning of perforators is essential for successful surgery. Dissection can be difficult because the path and placement of perforators might vary widely. Aim of the study: to evaluate skin flaps taken from the legs to see how well thermal imaging cameras can diagnose perforators and their respective territories on the skin. Methodology: This interventional prospective case series study was conducted in plastic and reconstructive surgery unit, Azhar university hospitals Between july 2021 and april 2023 on 12 male patients and 8 …

Tip Definition In Cleft Rhinoplasty Assessment And Outcomes Meta-Analysis, Ahmed Taha Sayed, Hazem Hussien Dahshan, Nader Mohamed Moshrif El-Feky

Al-Azhar International Medical Journal

Background: Congenital anatomic abnormalities, surgical scarring, and growth-related alterations all contribute to the ever-changing appearance of the cleft nasal malformation. In addition to nasal obstruction, symptoms of this condition include a shorter columella, depressed nasal tip, dislocated alar cartilage on both sides, everted alar bases, and a shortened ala. Aim and objective: assessment and outcomes of Tip definition in post cleft rhinoplasty. (Meta-analysis). Patients and Methods: This study was a meta-analysis study done in Department of plastic Surgery and Burn, Faculty of Medicine-Al Azhar University on 639 cases. Articles published within the previous five years that met the inclusion requirements. …