Medicine and Health Sciences Commons^™

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. …

Autologous Fat Transfer For Gluteal Augmentation: A Meta-Analysis Study, Abd El Nasser Mohammed Khallaf, Al-Sayed Hussein El-Sharkawy, Mohammed Mohammed Ali Ahmed

Al-Azhar International Medical Journal

Background: In 1969, Bartels et al. presented the initial description of gluteal augmentation using a breast Cronin prosthesis to treat buttock asymmetry. In recent decades, gluteal fat grafting has seen one of the fastest-growing rates of any cosmetic surgery technique. Objectives: Analyze the published techniques of autologous fat transfer for Buttock augmentation (BBL), and compare different protocols to identify which technique is better in safety and effectiveness over the last 5 years, with demonstration of clinical cases. Subjects and methods: This research was carried out by the Plastic Surgery & Burn Unit of the Al-Azhar University School of Medicine. The …

Masseteric Nerve Transfer For Facial Reanimation: Meta-Analysis Study, Hossam Abdelatef Mahmoud, Moustafa Sayed Ahmed Meky, Sherif Hamdeno Youssif

Al-Azhar International Medical Journal

Background: Loss of facial nerve function, always follows facial nerve damage is called facial palsy. Since communicating emotions or intentions becomes difficult, this complicated condition hinders social connections. Thus, facial nerve repair requires a customized meticloulus techniques.

Objective: Meta-analysis study to evaluate masseteric nerve transmission role in reanimation of the face.

Methodology: This is Meta-analysis study for Literature that was implemented from January 2012 to 28th of Aug 2022, with the aid of these databases: Google Scholar, PubMed, Scopus, and Web of Science (ISI). We searched carfully all the included references of appropriate reviews in addition to the original articles …

Role Of Free-Tissue Transfer In Diabetic Foot Salvage With Systematic Review, Tarek Mahmoud Youssef El-Banoby, Hazem Hussein Dahshan, Belal Ismail Hassan Zidan

Al-Azhar International Medical Journal

Background; Lower extremity wounds that don't heal are still a difficult problem for reconstructive surgery. Over 50% of all amputations are caused by diabetic foot and peripheral artery illness.

Aim and objectives: The goal of this research was to evaluation of free flap in diabetic foot as regard eradication of infection, coverage durability, and lower extremity function.

Patient and methods: The research was done at the AL-Azhar University Department of Plastic and Reconstructive Surgery. From patients hospitalized to the department of cosmetic and reconstructive surgery at AL-Azhar University, 20 diabetic patients with lower extremities defects had been chosen for a …

Comparative Analysis Of Using Bone Graft, Hydroxyapatite Coralline And Titanium Mesh For Calvarial Bone Defects, Abdelrahman Awadeen Abdelrahman, Mohamed Abdelsamie Elzoeiky, Alaa Rashad Ibrahim, Ahmed Hosny Khalifa Ahmed

Al-Azhar International Medical Journal

Background: For individuals who have had decompressive craniectomy, it is seen as essential since it improves neurological function, normalizes cerebrospinal fluid & cerebral blood flow, & has aesthetic advantages. Aim: the goal of this work had been to compare the esthetic and functional results of using autologous bone graft; hydroxyapatite coralline and titanium mesh for reconstruction of calvarial bone defects. Patients & Methods: This had been a comparative study comprising thirty prospective studied cases admitted to the Plastic Surgery and Burn Departments and neurosurgery department, Alazhar University Hospitals (Alhussin and Said Galal Hospitals) scheduled for operative intervention from 1/2/2022 to …

Safety And Efficiency Of Wide-Awake Local Anaesthetic No Tourniquet (Walant) In Hand Surgery, Mubarak Hemdan Thabet, Samy Abd Elsattar Eleowa, Kallad Mohamed Abd Elfattah Sholkamy

Al-Azhar International Medical Journal

Background: Hand surgery under general or local anaesthesia with a tourniquet application has been changed in recent years. Wide-Awake Local Anaesthetic No Tourniquet (WALANT) involves the patient wide awake, local anaesthetic, often combined with epinephrine, and without tourniquet utilisation.

Aim of the work: Investigate the safety and efficiency of wide-awake local anaesthesia with no tourniquet in hand surgery.

Patient and methods: This study was a prospective observative study that has been conducted at the plastic surgery department, El-Hussin hospital, Al Azhar university from April 2021 till September 2022. Thirty patients are included in this study (24 male and 6 female) …

Role Of Buccinator Myomucosal Flap In Primary Repair Of Cleft Palate: Systematic Review, Mohamed Abdo Ali, Magdy Ahmed Abdal Moktader, Osama Abdel Reheem Elshhat, Khallad Mohamed Abd Elfattah Sholkamy

Al-Azhar International Medical Journal

Background: Existing palatal tissue is used in traditional cleft palate repair techniques to achieve closure. Insufficient palate length, improper positioning of the velar musculature, and scarring and development limitation are possible outcomes of these surgeries. buccinator myomucosal flap provide extra tissue and limits these drawbacks. Objective: to clarify the indication, limitation, draw backs of clinical application of buccinator myomucosal flap in primary repair of cleft palate with systematic review in English written papers since 2016. Patients and Methods: Systematic review was accomplished utilising the PRISMA statement, or preferred reporting items for systemic review and meta-analysis. The study obtained information about …

Evaluation Of Boomerang Pattern With J-Torsoplasty For Correction Of Gynecomastia After Massive Weight Loss, Ahmed Nabil Mohamed Emam, Abdel Moneam Hussien Hota, Ahmed Taha Sayed Hassan

Al-Azhar International Medical Journal

Background: Various degree of gynaecomastia with excessive ptosis, nipple malposition, overstretched skin, poorly defined infra-mammary fold, and prominent axillary and lat chest rolls, male chest deformity following significant weight loss is complicated and difficult to treat, so correction methods should allow for the technically correct removal of extra tissue without jeopardizing the blood and nerve supply to the nipple-areola complex. Aim of the work: To ascertain whether J torsoplasty with boomerang excision pattern correction of gynecomastia will result in well-hidden scars and adequate male chest contouring. Patients and methods: The study included 15 patients of bilateral gynecomastia with lateral chest …

Skin Graft For Treatment Of Crippled Hypospadias, Ahmed Salem, Khaled Abd Elhaleem Hefny, Mohammad El Sayed Daboos, Amr Mohamed Elsayed

Al-Azhar International Medical Journal

Background: Hypospadias is one of the most frequent birth defects, with an incidence of 1 in every 300 births. After several attempts at hypospadias surgery, the term "crippled hypospadias" has been used to describe patients with unresolved functional problems. Aim of the work: To evaluate the outcome of a two-stage skin graft for treatment of crippled hypospadias regarding graft uptake, penile reconstruction Patients and Method: This clinical study was done in Al-Azhar University Hospital on 15 cases presenting with crippled hypospadias from May 2021 to Oct 2022. After preoperative preparation, all patients were submitted for two-stage skin graft urethroplasty. Results: …

Evaluation Of Medial And Lateral Supramalleolar Flaps For Reconstruction Of Soft Tissue Defects Around Ankle, Mohammed Awad Abdelrahiem Awad, Wael Mohamed Ayad, Ayman Abdel-Moety Altramsy, Ahmed Mohamed Nafeh

Al-Azhar International Medical Journal

Background: In patients with underlying vascular disease, which can affect circulation, and in patients with chronic wounds brought on by severe trauma, plastic surgeons continue to struggle with the reconstruction of ankle and heel deformities. Due to their capacity to cover soft tissue defects in the lower limb without the need for microsurgical procedures and with reduced donor site morbidity, perforator-based propeller flaps have grown in popularity. Perforator-based propeller flaps were one of the first options for covering lower limb soft tissue defects, due to the idea of replacing "like with like" tissue.

Aim of the Work: to evaluate clinically …

Temporo Mandibular Joint Disorders In Condylar Fracure Management (Systematic Review And Meta-Analysis), Ahmed Elsayed Abdelmoghny, Tarek Mahmoud Youssef Elbanoby, Mohamed Hosny Khalefa Elkon

Al-Azhar International Medical Journal

Introduction: Condylar fractures represent about 10– 40% of all mandibular fractures. Different management options are prescribed. Methods: Four internet databases (Scopus, Web of Science, Cochrane Library, and PubMed) were searched for relevant published articles in the last five years from 2017 till 17th May 2022 without restrictions. We included all studies whether Cohort investigations, case investigations, or randomized clinical trials. All treatment options for mandible condylar fractures were included like ORIF, closed management, conservative management, osteosynthesis, and fixation with its combination. The assessed outcomes were maximum mouth opening (MMO), lateral excursion, occlusion deranged, pain assessed with the Visual Analogue Scale, …

Evaluation Of Aesthetic And Oncological Outcomes Of Immediate Versus Delayed Reconstruction In Patients Of Breast Cancer: A Meta-Analysis, Abd-Elrahman Awadeen Abd-Elrahman, Ahmed Mohammed El Mahdy Salem, Hesham Mahmoud Ahmed Emam

Al-Azhar International Medical Journal

Background; with a lifetime probability of up to 10%, breast cancer is considered the utmost prevalent type of cancer among women. One of the key elements for an achieving successful reconstruction is the optimal timing. It is still debated to take a decision choosing between the immediate and the delayed reconstruction.

Aim and objectives: The goal of the present research was the evaluation of both the aesthetic and oncological results of reconstruction: the immediate vs. the delayed, in patients having breast cancer.

Methods: a search in literature was conducted in publications of PUBMED, SienceDirect, EMBASE, Google Scholar and the Cochran …

Meta-Analysis Of Prognostic Indicators In Burned Patients, Fawzy Ahmed Hamza, Khallad Mohamed Abd Elfattah Sholkamy, Omar Mohamed Saad Abd Elfattah

Al-Azhar International Medical Journal

Background: The chance of death after a burn injury is considerable.There is a dearth of recent epidemiological data on burn injury and mortality rates in Egypt. Objective: This study used meta-analysis to look at the prognostic markers in burn victims. Materials and Methods: This was a meta-analysis, and articles from PubMed, PLOS, and Clarivate - Scopus were searched for relevant material.To retrieve articles from the previous ten years, we used a variety of search engines, including EKB. A total of 20 studies were included 6 were retrospective studies, 1 case series, 1 case control, 1 cross sectional and 1 prospective …

Comparative Study Between Four Strands Cruciate Technique Versus Two Strands Kessler Technique In Repair Of Flexor Tendon Injuries, Mahmoud Mohammed Elftatry, Ayman Abdel-Moety Altramsy, Ahmed Mohammed Nafeh, Asmaa Ali Dahy

Al-Azhar International Medical Journal

Background: Due to a variety of harmful agents, flexor tendon injuries of the hand are a problem that frequently occurs. It can sometimes be linked to phalangeal fractures and/or nerve or blood vessel injuries, which can have a significant negative impact on functional limitations and lifestyle choices. Aim of the Work: to contrast the two strands Kessler technique and the four-strand cruciate technique for the repair of flexor tendon injuries. Patients and Methods: our study included twenty patients who were divided into two groups for this prospective interventional controlled single blinded study, which was carried out at the plastic surgery …