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Comparison of the Effect of Using Collective Plus Ag Dressing and Vaseline Gauze Dressing in the Donor of Split-Thickness Burn Grafts. 比较使用 Collective Plus Ag 敷料和凡士林纱布敷料对裂开的烧伤移植物供体的效果。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.61186/wjps.12.3.57
Mostafa Dahmardehei, Raheleh Moin Ara, Hossein Akbari Ahmadabadi

Background: Skin graft involves removing a part of the skin and using it in another part of the body. One of the most common reasons for using a graft is burns. We aimed to compare the effect of Colactive plus Ag dressing with Vaseline gauze dressing in donor sites of split-thickness skin grafts of burned patients.

Methods: The present study was conducted as a randomized clinical trial (RCT) in the Motahari burn Hospital, Tehran, Iran in 1401. The sampling method was done using Cochran's formula and available patients so 15 people were enrolled. The findings of the study were collected using a researcher-made form.

Results: The average duration of recovery, the amount and intensity of pain, and the amount of itching between the two types of Colative plus Ag plus Ag dressing with Vaseline gauze are statistically significant at the 95% confidence level. (P-value<0.05). In addition, the findings showed that the average amount of scar left by the wound in the two types of dressings examined is not statistically significant at the 95% confidence level (P-value > 0.05).

Conclusion: The use of Colactive silver dressing has less pain, less itching in the donor area, and a shorter average recovery time than Vaseline gauze. The use of the Colactive plus Ag will be more effective than Vaseline gauze.

背景:皮肤移植是指切除部分皮肤,然后将其用于身体的另一部分。使用植皮的最常见原因之一是烧伤。我们的目的是比较 Colactive 加 Ag 敷料与凡士林纱布敷料在烧伤患者分层厚皮移植供体部位的效果:本研究是一项随机临床试验(RCT),于 1401 年在伊朗德黑兰的莫塔哈里烧伤医院进行。抽样方法采用科克兰公式和可用患者,因此有 15 人被纳入研究。研究结果通过研究人员自制的表格收集:在 95% 的置信水平下,两种类型的 Colative 加 Ag 加 Ag 敷料与凡士林纱布之间的平均恢复时间、疼痛量和强度以及瘙痒量均有统计学意义(P 值 0.05)。(P值为0.05):与凡士林纱布相比,使用 Colactive 银敷料的供体区疼痛更轻、瘙痒更少,平均恢复时间更短。使用 Colactive plus Ag 比凡士林纱布更有效。
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引用次数: 0
Etiology, Epidemiology, and Treatment Type of Maxillofacial Traumas in Razavi Khorasan Province with Certain Insurance between 2016 and 2021. 2016年至2021年期间拉扎维呼罗珊省有一定保险的颌面部创伤的病因、流行病学和治疗类型。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.61186/wjps.12.3.83
Mohammad Mashayekhian, Mehri Farhang Ranjbar, Saeidreza Maleki, Sahand Samieirad, Armaghan Salehi, Omid Alizadeh, Saleh Dadmehr

Background: Trauma is a leading cause of death and disability in developing countries, with maxillofacial fractures being a significant part of such cases. This study focuses on maxillofacial traumas among insured patients in Razavi Khorasan province (2016-2021), exploring the impact of gender, age, and trauma causes on injury prevalence and treatment approaches.

Methods: This retrospective cross-sectional study utilized the records of the patients who were treated for maxillofacial fractures in Mashhad Shahid Kamyab Hospital or a Private Trauma Center, from 2016 to 2021. Demographic characteristics of the patients (age and gender), educational backgrounds of surgeons, accident causes, year and location of the fractures, and reasons for referrals were recorded. The data were statistically analyzed using SPSS 20, and the significance level was set at 0.05.

Results: We examined the records of 60 patients (44 males, 16 females). Males (73.4%) exhibited a significantly higher prevalence of maxillofacial traumas compared to females (26%) (P Value < 0.05). Falling was identified as the most common cause of fractures (51.7%), followed by impacts from hard objects and motor vehicle accidents (MVA) (P Value = 0.63). Mandible fractures were observed in 48% of patients, followed by zygomaticomaxillary and panfacial fractures, subsequently (P Value < 0.05).

Conclusion: The study findings highlight the impact of age, gender, and trauma causes on maxillofacial fractures and treatments among patients with certain insurance. Understanding the origins and patterns of these fractures offers crucial insights for shaping effective health policies, providing valuable guidance for addressing such injuries in this population.

背景:在发展中国家,创伤是导致死亡和残疾的主要原因,而颌面部骨折是此类病例的重要组成部分。本研究重点关注拉扎维-呼罗珊省(2016-2021年)投保患者的颌面部创伤情况,探讨性别、年龄和创伤原因对损伤发生率和治疗方法的影响:这项回顾性横断面研究利用了2016年至2021年在马什哈德沙希德-卡姆亚布医院或一家私立创伤中心接受治疗的颌面部骨折患者的记录。研究记录了患者的人口统计学特征(年龄和性别)、外科医生的教育背景、事故原因、骨折的年份和部位以及转诊原因。数据使用 SPSS 20 进行统计分析,显著性水平设为 0.05:我们检查了 60 名患者(44 名男性,16 名女性)的病历。与女性(26%)相比,男性(73.4%)的颌面部创伤发病率明显更高(P 值小于 0.05)。坠落是最常见的骨折原因(51.7%),其次是硬物撞击和机动车事故(MVA)(P 值 = 0.63)。48%的患者出现下颌骨骨折,其次是颧颌骨骨折和全颌面骨折(P值<0.05):研究结果凸显了年龄、性别和外伤原因对颌面部骨折和特定保险患者治疗的影响。了解这些骨折的起源和模式为制定有效的医疗政策提供了重要的启示,为解决这类人群的伤害问题提供了宝贵的指导。
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引用次数: 0
Comparison of the Results of Delayed Repair of Flexor Pollicis Longus (FPL) Tendon with Tendon Transfer or with Tendon Graft. 用肌腱转移或肌腱移植延迟修复屈肌(FPL)肌腱的结果比较。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.64
Yousef Shafaei, Mehdi Tassallibakhsh, Mohamadreza Akhoondinasab, Noorahmad Latifi

Background: In Flexor Pollicis Longus (FPL) injuries, primary repair with end-to-end suture is the treatment of choice. In cases where primary repair is not possible, tendon transfer or tendon grafting is used, each of which has its strengths and weaknesses. We aimed to investigate the effectiveness of each of the above two methods in patients.

Methods: Patients with FPL injury who referred to Hazrat Fatemeh Hospital, Tehran, Iran late in 2020 to 2021, if primary tendon repair was not possible, were randomly repaired with tendon transfer or tendon graft. After the appropriate time, the splint was opened and physiotherapy was performed for the patients. Then, at least three months after the repair, the range of motion of the IP and MP joints of the patients thumb was measured and compared in two groups.

Results: Ten patients in the tendon transfer group and 10 patients in the tendon graft group were studied. In the secondary repair of FPL with tendon grafting, the range of motion of both IP and MP joints of the thumb was not significantly different compared to repair with tendon transfer.

Conclusion: The findings of this research confirm controversies in this field. In order to obtain more accurate results, it is suggested to carry out a research with a larger number of patients and with strict control over the surgical technique and post-operative care, as well as taking into account the morbidities caused by donor tendon removal and examining the overall satisfaction of the patients.

背景:对于屈肌(Flexor Pollicis Longus,FPL)损伤,采用端对端缝合进行初次修复是首选治疗方法。在无法进行初次修复的情况下,可采用肌腱转移或肌腱移植,这两种方法各有优缺点。我们旨在研究上述两种方法对患者的疗效:方法:2020 年末至 2021 年初转诊至伊朗德黑兰 Hazrat Fatemeh 医院的 FPL 损伤患者,如果无法进行初次肌腱修复,则随机采用肌腱转移或肌腱移植进行修复。在适当的时间后,打开夹板并对患者进行物理治疗。然后,在修复术后至少三个月,测量患者拇指 IP 和 MP 关节的活动范围,并对两组患者进行比较:结果:研究了肌腱转移组和肌腱移植组的 10 名患者。在肌腱移植的 FPL 二次修复中,拇指 IP 和 MP 关节的活动范围与肌腱转移修复相比没有显著差异:结论:本研究结果证实了这一领域的争议。为了获得更准确的结果,建议对更多的患者进行研究,严格控制手术技巧和术后护理,同时考虑供体肌腱移除引起的发病率,并检查患者的总体满意度。
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引用次数: 0
Evaluation of Patient's Knowledge of Prevention and Treatment of Burn Injuries. 评估患者对烧伤预防和治疗的了解程度。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.71
Reza Vaghardoost, Aminollah Najafi, Behnam Sobouti, Yaser Ghavami

Background: Burn injuries are amongst the most devastating causes of trauma worldwide. Preventive measures can be of great value in decreasing burn incidents. Increasing the knowledge and education of patients is a crucial step in this process.

Methods: In this prospective cross-sectional study, we evaluated 82 patients with burn injuries who were divided into two groups randomly during the 2018 to 2019 at Shahid Motahari Hospital, Tehran, Iran. The first group received an e-Book, and the second group a paperback booklet to read before visiting their primary care. Besides, both groups received a questionnaire on their knowledge of burn injuries and prevention before and after the visit. The e-Book and paperback booklet included basic information about burn injuries and preventive measures. We compared the questionnaire results in both groups before and after reading the e-book and booklet using a paired t-test analysis.

Results: There was a significant improvement in self-reported knowledge of burn prevention (P < 0.05; CI: 95%). Subjects receiving the eBook performed significantly had better post-survey (P < .01, 95% CI), despite equivalent pre-survey scores compared to those receiving the booklet.

Conclusion: Increased use of interactive educational modalities, such as an e-book, can benefit patients with knowledge of their disease and improve the quality of care. These modalities may increase compliance with the physician's recommendations regarding their disease states and treatments.

背景:烧伤是全世界最具破坏性的创伤之一。预防措施对减少烧伤事故具有重要价值。方法:在这项前瞻性横断面研究中,我们对 82 名烧伤患者进行了评估:在这项前瞻性横断面研究中,我们对伊朗德黑兰沙希德-莫塔哈里医院在 2018 年至 2019 年期间随机分成两组的 82 名烧伤患者进行了评估。第一组收到一本电子书,第二组收到一本平装小册子,供他们在就诊前阅读。此外,两组人员在就诊前后都收到了一份关于烧伤知识和烧伤预防的调查问卷。电子书和平装小册子包括有关烧伤和预防措施的基本信息。我们使用配对 t 检验分析法比较了两组在阅读电子书和小册子前后的问卷结果:结果:受试者自我报告的烧伤预防知识有了明显提高(P < 0.05;CI:95%)。与接受小册子的受试者相比,接受电子书的受试者在调查后的表现明显更好(P < .01,95% CI),尽管他们在调查前的得分与接受小册子的受试者相当:结论:更多地使用电子书等互动教育模式,可以让患者了解自己的疾病并提高护理质量。这些方式可提高患者对医生关于其疾病状态和治疗建议的依从性。
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引用次数: 0
A Degloved Hand Was Resurfaced with Sandwich Flaps. 用三明治皮瓣重塑一只衰老的手
IF 0.9 Pub Date : 2023-01-01 DOI: 10.61186/wjps.12.3.90
Ahmadreza Afshar, Ali Tabrizi, Ali Aidenlou

The right hand of a 35-year-old man trapped in a roller machine and sustained an entire degloving injury of the right hand involving fingers, thumb and a part of palmar and dorsal surfaces of the hand. The denuded hand and fingers were covered with two anteriorly based random paired flaps, forming a hand sandwich, from the opposing surfaces of medial left arm and adjacent left lateral chest wall. The denuded thumb was covered with a separate pocket of paired random vis-à-vis flaps. Finally, the right hand was turned to a functional mitten hand with a 15x13 cm flap on the dorsal surface, 10x10 cm flap on the palm surface. The thumb's covered surface with flaps was 7x 6 cm.

一名 35 岁男子的右手被困在滚筒式机器中,手指、拇指以及部分手掌和手背完全脱臼。从左臂内侧和邻近的左胸外侧壁的对立面取材,用两块前向随机成对的皮瓣覆盖脱落的手掌和手指,形成手掌夹层。用一个单独的成对随机粘膜瓣袋覆盖被剥离的拇指。最后,右手变成了功能性手套手,背侧表面有 15x13 厘米的皮瓣,掌侧表面有 10x10 厘米的皮瓣。拇指带皮瓣的覆盖面为 7x6 厘米。
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引用次数: 0
A Giant Frontal Sinus Mucocele in an Opium Addict Patient: A Case Report. 鸦片瘾患者的巨大额窦黏液瘤:病例报告
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.107
Gholamreza Motazedian, Elnaz Koushki, Mehryar Nahaei, Fateme Salari, Hamid Reihani, Ebtesam Jabbari, Alireza Keshtkar

Mucocele is a benign soft tissue mass that could occur in all accessory glands. Mucocele can also occur in paranasal sinuses. It is mostly placed in the frontal sinus and barely grows larger than 1.5 centimeters(cm). Based on the affected site, it could cause facial pain and headache. Analgesics like opioids could relieve and potentially make patients ignore the headache and cause giant frontal mucocele. This article discusses a patient with giant frontal sinus mucocele (7×8×8 cm) and opium addiction that presented with severe and intolerable pain. A 32 yr old man came to Rajaee Trauma Hospital, Shiraz, Iran with a severe headache and a large swelling of the face frontal region that developed gradually. In physical examination, the mass was non-tender, non-pulsatile, and free from the overlying normal skin. Computed tomography (CT) scan and magnetic resonance imaging (MRI) demonstrated a frontal sinus mucocele. The operation was planned, and the patient was discharged after two days. Subsequently, the 6-month follow-up of the patient was normal. Two different hypotheses are declared in this article. First, the potential role of opium addiction as a risk factor for giant mucoceles was noted, then the analgesic non-responsiveness of sinus mucoceles was described. The latter hypothesis is more likely. So, we should consider that if the patient had an analgesic-resistant headache, one differential diagnosis could be sinus mucocele. Moreover, the pos sible psychological effect of addiction on discounting face beauty was acknowledged.

囊肿是一种良性软组织肿块,可发生在所有附属腺体中。鼻腔黏液瘤也可能发生在鼻旁窦。它大多位于额窦,几乎不会超过 1.5 厘米(cm)。根据受影响的部位,它可能会引起面部疼痛和头痛。阿片类等止痛药可以缓解头痛,并有可能使患者忽视头痛而导致巨大额粘液瘤。本文讨论了一名患有巨大额窦粘液瘤(7×8×8 厘米)并吸食鸦片成瘾的患者,该患者表现为剧烈且难以忍受的疼痛。一名 32 岁的男子因剧烈头痛和面部额区逐渐出现的巨大肿胀来到伊朗设拉子的 Rajaee 外伤医院就诊。体格检查显示,肿块无触痛,无搏动,与周围正常皮肤无粘连。计算机断层扫描(CT)和磁共振成像(MRI)显示为额窦粘液瘤。手术按计划进行,患者两天后出院。随后,对患者进行了 6 个月的随访,结果一切正常。本文提出了两个不同的假设。首先,指出了鸦片成瘾作为巨大粘液瘤风险因素的潜在作用,然后描述了鼻窦粘液瘤的镇痛无反应性。后一种假设的可能性更大。因此,我们应该考虑到,如果患者有镇痛药耐受性头痛,鉴别诊断之一可能是鼻窦粘液瘤。此外,上瘾对容貌美打折扣可能产生的心理影响也得到了认可。
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引用次数: 0
The Causes and Prevalence of Maxillofacial Fractures in Iran: A Systematic Review. 伊朗颌面骨折的原因和患病率:系统回顾。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.1.3
Faeze Sharifi, Sahand Samieirad, Ricardo Grillo, Maria Da Graça Naclério-Homem, Erfan Bardideh, Ali Manafi, Zeinab Mohammadi, Majid Eshghpour

Background: Maxillofacial fractures are a common type of injury that can result in significant morbidity and mortality. We aimed to systematically review the literature on the prevalence and causes of maxillofacial fractures in Iran to estimate the overall prevalence of maxillofacial fractures and the most common causes.

Methods: A systematic search of PubMed, Cochrane Library, Web of Science (WS) and Google Scholar (GS) electronic databases was conducted to identify relevant articles published up to January 2023. Studies reporting the prevalence and causes of maxillofacial fractures in Iran were included in the analysis. MOOSE guidelines were adopted for the current systematic review. No data or language restriction were applied. Risk of bias across the articles was assessed.

Results: A total of 32 studies comprising 35,720 patients were included in the analysis. The most common cause of maxillofacial fractures was road traffic accidents (RTAs), accounting for 68.97% of all cases, followed by falls (12.62%) and interpersonal violence (9.03%). The prevalence of maxillofacial fractures was higher in males (81.04%) and in the age group of 21-30 years (43.23%). Risk of bias across studies was considered low.

Conclusion: Maxillofacial fractures are a significant public health problem in Iran, with a high prevalence and RTAs being the leading cause. These results highlight the need for increased efforts to prevent maxillofacial fractures in Iran, especially through measures to reduce the incidence of RTAs.

背景:颌面部骨折是一种常见的损伤类型,可导致显著的发病率和死亡率。我们的目的是系统地回顾有关伊朗颌面骨折患病率和原因的文献,以估计颌面骨折的总体患病率和最常见的原因。方法:系统检索PubMed、Cochrane Library、Web of Science (WS)和Google Scholar (GS)电子数据库,检索截止到2023年1月发表的相关文章。报道伊朗颌面骨折患病率和原因的研究被纳入分析。目前的系统评价采用了MOOSE指南。没有数据或语言限制。评估了所有文章的偏倚风险。结果:共有32项研究,35,720例患者被纳入分析。颌面部骨折最常见的原因是道路交通事故,占68.97%,其次是跌倒(12.62%)和人际暴力(9.03%)。颌面部骨折发生率以男性高(81.04%),21 ~ 30岁年龄组高(43.23%)。研究的偏倚风险被认为很低。结论:颌面部骨折是伊朗重要的公共卫生问题,发病率高,rta是主要原因。这些结果强调了在伊朗加强努力预防颌面骨折的必要性,特别是通过采取措施减少rta的发生率。
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引用次数: 1
Comparison of Six-strand and Four-strand Techniques on the Repair of Injured Deep Flexor Tendons of Zone II of the Hand: A Randomized Controlled Clinical Trial. 六股和四股技术在修复手部 II 区受伤的深屈肌腱方面的比较:随机对照临床试验。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.34
Mohammad Bagher Heydari, Yusef Porhesam, Arian Karimi Rouzbahani, Golnaz Mahmoudvand, Hormoz Mahmoudvand

Background: Hand zone II flexor tendon repair had been associated with many complications thereby it was previously called no man's land. Although there is some agreement on the primary repair of flexor tendons in this area, it is challenging due to certain complications. We compared the six and four-strand techniques in the repair of flexor digitorum profundus (FDP) tendons of zone II.

Methods: This randomized controlled clinical trial was registered with the Iranian Registry of Clinical Trials (IRCT20130812014333N139). Fifty patients with damaged FDP in zone II of the hand who were referred to Taleghani Hospital, Kermanshah, Iran in 2020 were included and divided into two groups (n=25). In group 1, the damaged tendons were repaired using the four-strand technique and prolene suture while in group 2, the six-strand technique was used. Postoperatively, the patients were examined every week for the first three weeks. In the second and third weeks, sutures were removed. At the end of 3rd month, the outcomes of surgery were compared in the groups.

Results: Fifty patients (74% male) with 85 damaged fingers were investigated. Based on Buck-Gramcko criteria, the outcomes of surgery were excellent in 78%, good in 16%, fair in 4%, and bad in 2%. Complications after surgery were adhesion (8%) and 2 cases of rupture. There was no significant difference between 4 and 6-strand sutures regarding tendon adhesion and range of motion.

Conclusion: Both 4 and 6-strand sutures were associated with favorable outcomes in patients with damaged FDP in zone II of the hand.

背景:手部 II 区屈肌腱修复术与许多并发症有关,因此以前被称为 "无人区"。尽管人们对该区域屈肌腱的主要修复方法已达成一定共识,但由于某些并发症的存在,该区域的修复仍具有挑战性。我们比较了修复 II 区屈指肌腱的六股和四股技术:这项随机对照临床试验已在伊朗临床试验注册中心注册(IRCT20130812014333N139)。纳入 2020 年转诊至伊朗克尔曼沙阿 Taleghani 医院的 50 名手部 II 区肌腱受损患者,并将其分为两组(n=25)。第一组使用四线技术和 prolene 缝合线修复受损肌腱,第二组使用六线技术。术后前三周,每周对患者进行检查。第二周和第三周,拆除缝线。第三个月结束时,比较各组的手术效果:共调查了 50 名患者(74% 为男性)的 85 根受损手指。根据 Buck-Gramcko 标准,78% 的患者手术效果极佳,16% 的患者手术效果良好,4% 的患者手术效果一般,2% 的患者手术效果不佳。术后并发症为粘连(8%)和 2 例断裂。在肌腱粘连和活动范围方面,4股缝合线和6股缝合线没有明显差异:结论:对于手部II区FDP受损的患者来说,4股缝合线和6股缝合线都能带来良好的疗效。
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引用次数: 0
What is the Most Prevalent Type of Third Molar Impaction in Patients with Pericoronitis? 冠周炎患者最常见的第三磨牙嵌塞类型是什么?
IF 0.9 Pub Date : 2023-01-01 DOI: 10.52547/wjps.12.2.57
Alireza Shirzadeh, Siavash Bagheri Shirvan, Omid Alizadeh, Ricardo Grillo, Mohammad Vida, Sahand Samieirad

Background: Pericoronitis is a common pathological condition related to mandibular third molar teeth (wisdom teeth). It is an inflammation of the soft tissue surrounding the crown of an erupted or partially erupted tooth that causes pain and discomfort. We aimed to investigate the relation between third molar impaction types and pericoronitis.

Methods: This cross-sectional study assessed 60 patients referred to the Oral and Maxillofacial Surgery Department of Mashhad Dental School, Mashhad University of Medical Sciences, Mashhad, Iran in 2022 for totally and partially impacted mandibular third molar tooth surgery with pericoronitis. Their demographic data, including age and gender, was recorded. The impacted tooth's side and the symptoms of pericoronitis were identified using clinical examination and panoramic radiography imaging, based on the Pell & Gregory criteria and Peterson's classification. Third-molar tooth surgery was performed according to standard protocol. Patients' data were recorded and were analyzed using Excel 2019 and SPSS ver 21.

Results: The prevalence of pericoronitis symptoms in women was higher than in men (P< 0.001). The Class B type of third molar teeth impaction had a relation with the majority of pericoronitis cases (P< 0.001). Pericoronitis and systemic symptoms were more likely to occur in Class II than in Class I type of third molar teeth impaction (P< 0.001). The most frequent kind of impaction linked to pericoronitis and systemic symptoms such as malaise was mesio-angular (P< 0.001). The symptoms of pericoronitis were substantially correlated with smoking (P< 0.001).

Conclusion: Class B, Class II, and mesio-angular types of third molar impaction are linked with a higher risk of pericoronitis. This information might help in the early diagnosis and management of pericoronitis in patients with impacted third molar teeth.

背景:冠周炎是与下颌第三磨牙(智齿)有关的一种常见病症。它是萌出或部分萌出牙齿牙冠周围软组织的炎症,会引起疼痛和不适。我们旨在研究第三磨牙嵌塞类型与冠周炎之间的关系:这项横断面研究评估了 2022 年转诊至伊朗马什哈德市马什哈德医科大学口腔颌面外科的 60 名下颌第三磨牙完全或部分阻生并伴有冠周炎的患者。他们的人口统计学数据(包括年龄和性别)均已记录。根据佩尔和格雷戈里标准以及彼得森分类法,通过临床检查和全景放射摄影成像确定了受撞击牙齿的一侧和冠周炎的症状。第三磨牙手术按照标准方案进行。记录患者数据,并使用 Excel 2019 和 SPSS ver 21 进行分析:女性冠周炎症状的发生率高于男性(P< 0.001)。第三磨牙B类阻生与大多数冠周炎病例有关(P< 0.001)。第二类第三磨牙嵌塞比第一类第三磨牙嵌塞更容易出现冠周炎和全身症状(P< 0.001)。与冠周炎和全身症状(如乏力)相关的最常见阻生类型是中角阻生(P< 0.001)。冠周炎的症状与吸烟密切相关(P< 0.001):结论:B类、II类和中角型第三磨牙嵌塞与较高的冠周炎风险有关。这些信息可能有助于早期诊断和治疗第三磨牙阻生患者的冠周炎。
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引用次数: 0
Successful Microsurgical Replantation of Amputated Penis: A Case Report and Review of Literature. 成功的显微外科阴茎截肢再植术:病例报告和文献综述。
IF 0.9 Pub Date : 2023-01-01 DOI: 10.61186/wjps.12.3.18
Mohammad-Reza Akhoondinasab, Hamid-Reza Farahmand, Afshin Zahedi, Amir Saraee

This study aims to explain microscopic replantation in a rare case of a wholly amputated penis after prolonged ischemia. A 36-year-old patient underwent microscopic replantation of the penis after 9 hours. The penis was completely amputated due to self-mutilation. Microvascular replantation was performed after pre-operative preparation. On the second day after surgery, congestion was observed in the penis, and three sessions of leech therapy were conducted each time the leeches were placed for 30 minutes and then detached by themselves. The patient was referred to a psychiatrist to continue treatment after discharge from the hospital. Penile amputation is a rare situation and has different causes. There are various treatments to repair the amputated penis, which are both microvascular and microvascular. The microsurgery methods have shown the best results. In the present case, due to microsurgical artery repair and the early start of leech therapy, there was limited and predictable necrosis in the area of the penoscrotal junction flap, which underwent debridement and skin graft. Complete amputation of the penis is a rare phenomenon. Efforts should be made to perform the replantation surgery as soon as possible. The venous outflow is an essential factor in the success of penile re-implantation, and completely restored vascular and sensory function in this case. Early initiation of psychological care to control underlying disease leads to further cooperation of the patient to handle complications and avoid the recurrence of self-injury.

本研究旨在解释一例罕见的长期缺血后阴茎完全切除的显微再植手术。一名 36 岁的患者在 9 小时后接受了阴茎显微再植术。患者的阴茎因自残而完全截断。术前准备后进行了显微血管再植术。术后第二天,观察到阴茎充血,进行了三次水蛭疗法,每次放置水蛭 30 分钟,然后自行脱落。出院后,患者被转诊至精神科医生处继续治疗。阴茎截肢是一种罕见的情况,其原因各不相同。修复截断阴茎的治疗方法有很多种,既有显微手术,也有微血管手术。显微外科方法效果最好。在本病例中,由于采用了显微外科动脉修复术,并及早开始了水蛭疗法,阴茎阴囊交界皮瓣区域出现了有限的、可预见的坏死,进行了清创和植皮。阴茎完全切除是一种罕见的现象。应努力尽快进行再植手术。静脉流出是阴茎再植手术成功的关键因素,在本病例中,静脉流出完全恢复了血管和感觉功能。及早开展心理护理以控制潜在疾病,可促使患者进一步配合处理并发症,避免再次发生自残行为。
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World Journal of Plastic Surgery
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