Pub Date : 2023-02-01DOI: 10.21608/ejprs.2023.188862.1257
H. Setta, Abdel Rahman M. Abdel Aal, Niveen Al Mahmoudy
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{"title":"Role of Lower Abdominal Flap Fixation in Abdominoplasty for Optimizing Scar Position","authors":"H. Setta, Abdel Rahman M. Abdel Aal, Niveen Al Mahmoudy","doi":"10.21608/ejprs.2023.188862.1257","DOIUrl":"https://doi.org/10.21608/ejprs.2023.188862.1257","url":null,"abstract":".","PeriodicalId":403343,"journal":{"name":"The Egyptian Journal of Plastic and Reconstructive Surgery","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120924105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-30DOI: 10.21608/ejprs.2023.182057.1247
H. Setta, Niveen Al Mahmoudy, M. Badawy
{"title":"The Versatility of Paraumbilical Perforator Flap in The Coverage of Large Posttraumatic Hand Defects","authors":"H. Setta, Niveen Al Mahmoudy, M. Badawy","doi":"10.21608/ejprs.2023.182057.1247","DOIUrl":"https://doi.org/10.21608/ejprs.2023.182057.1247","url":null,"abstract":"","PeriodicalId":403343,"journal":{"name":"The Egyptian Journal of Plastic and Reconstructive Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128515738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-17DOI: 10.21608/ejprs.2023.186041.1252
M. Hussein, A. Wilson, Ibrahim Botros, Dawlat Emara
Background: Post burn leukoderma had been characterized by chalk white depigmented areas of variable sizes and shapes. Re-pigmentation of the hypopigmented lesion is still a big challenge, current treatment modalities for post burn leukoderma include non-surgical techniques and many surgical interventions. Objective: To evaluate the efficacy of minced skin graft in the treatment of post burn leukoderma. Material and Methods: Twenty Patients (18 female & 2 males) with post burn leukoderma were included. Patients' age ranging from 10 to 50 years. The minimum leukoderma surface area was 0.5% whereas the maximum was 3%. Patients were assessmed one year post operatively using Vancouver Scar Scale and Patient Observer Scar Assessment Scale (POSAS). Results: Vancouver scar scale results were; Good pigmentation were obtained in 75%, Hyperpigmentation in 20% and Partial pigmentation was in 5%. For POSAS The overall patient opinion scale was 1 (which denote best skin colour) in 80%, score 2 in 10%, score 3 in 5%, score 4 in 5% of patients. Conclusion: Minced skin graft can be used safely for the treatment of post burn leukoderma. It is a simple reliable technique that can be easily integrated in our daily practice, no need for special instruments or laboratory preparations, gives a satisfactory result for patients with minimal donor morbidity.
{"title":"Evaluation of minced skin grafts in the treatment of post burn leukoderma.","authors":"M. Hussein, A. Wilson, Ibrahim Botros, Dawlat Emara","doi":"10.21608/ejprs.2023.186041.1252","DOIUrl":"https://doi.org/10.21608/ejprs.2023.186041.1252","url":null,"abstract":"Background: Post burn leukoderma had been characterized by chalk white depigmented areas of variable sizes and shapes. Re-pigmentation of the hypopigmented lesion is still a big challenge, current treatment modalities for post burn leukoderma include non-surgical techniques and many surgical interventions. Objective: To evaluate the efficacy of minced skin graft in the treatment of post burn leukoderma. Material and Methods: Twenty Patients (18 female & 2 males) with post burn leukoderma were included. Patients' age ranging from 10 to 50 years. The minimum leukoderma surface area was 0.5% whereas the maximum was 3%. Patients were assessmed one year post operatively using Vancouver Scar Scale and Patient Observer Scar Assessment Scale (POSAS). Results: Vancouver scar scale results were; Good pigmentation were obtained in 75%, Hyperpigmentation in 20% and Partial pigmentation was in 5%. For POSAS The overall patient opinion scale was 1 (which denote best skin colour) in 80%, score 2 in 10%, score 3 in 5%, score 4 in 5% of patients. Conclusion: Minced skin graft can be used safely for the treatment of post burn leukoderma. It is a simple reliable technique that can be easily integrated in our daily practice, no need for special instruments or laboratory preparations, gives a satisfactory result for patients with minimal donor morbidity.","PeriodicalId":403343,"journal":{"name":"The Egyptian Journal of Plastic and Reconstructive Surgery","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123836251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-16DOI: 10.21608/ejprs.2023.184449.1244
T. Shoukr, Hazem Abd Elkhalek, M. Sadaka
Background: Arteriovenous malformations (AVMs) are composed of an abnormal communication between arterialand venous channels without intervening capillary bed. In the face, they commonly present with asymmetry, bleeding, tooth mobility and headache. The most successful treatment to date is embolization followed by surgical excision. Objectives: To evaluate the safety and efficacy of embolization followed by surgical reconstruction in the treatment of extensive facial AVMs. Patients and Methods: In this study we present the outcome of treatment of 25 patients presented with extensive facial AVMs and admitted in the department of plastic and reconstructive surgery at Tanta University Hospital in the period from January 2016 to July 2021. Our treatment strategy wasembolization guided by digital subtraction angiography followed by surgical excision. Results: Twelve patients had one anatomic facial subunit affected by the lesion while nine cases had two subunits affected and four patients had 3 subunits affected. The average length of the widest dimension of the lesion was 6cm. Mostof our cases (19 of 25) were in Schobinger stage 2 at the initial presentation. All our patients were followed for at least 1 year and none of them showed any evidence of recurrence of the lesion during the follow-up period. All our cases had controlled disease. Conclusion: Preoperative embolization followed by surgical excision is the ideal treatment for extensive AVMs of the face.
{"title":"Extensive facial arterio-venous malformations; combined approach, embolization followed by surgical reconstruction","authors":"T. Shoukr, Hazem Abd Elkhalek, M. Sadaka","doi":"10.21608/ejprs.2023.184449.1244","DOIUrl":"https://doi.org/10.21608/ejprs.2023.184449.1244","url":null,"abstract":"Background: Arteriovenous malformations (AVMs) are composed of an abnormal communication between arterialand venous channels without intervening capillary bed. In the face, they commonly present with asymmetry, bleeding, tooth mobility and headache. The most successful treatment to date is embolization followed by surgical excision. Objectives: To evaluate the safety and efficacy of embolization followed by surgical reconstruction in the treatment of extensive facial AVMs. Patients and Methods: In this study we present the outcome of treatment of 25 patients presented with extensive facial AVMs and admitted in the department of plastic and reconstructive surgery at Tanta University Hospital in the period from January 2016 to July 2021. Our treatment strategy wasembolization guided by digital subtraction angiography followed by surgical excision. Results: Twelve patients had one anatomic facial subunit affected by the lesion while nine cases had two subunits affected and four patients had 3 subunits affected. The average length of the widest dimension of the lesion was 6cm. Mostof our cases (19 of 25) were in Schobinger stage 2 at the initial presentation. All our patients were followed for at least 1 year and none of them showed any evidence of recurrence of the lesion during the follow-up period. All our cases had controlled disease. Conclusion: Preoperative embolization followed by surgical excision is the ideal treatment for extensive AVMs of the face.","PeriodicalId":403343,"journal":{"name":"The Egyptian Journal of Plastic and Reconstructive Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123868047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-15DOI: 10.21608/ejprs.2023.185093.1248
K. Elsherbeny, A. Hweidi, A. Gad
{"title":"Nerve sparing Antegrade Homodigital Island Flap","authors":"K. Elsherbeny, A. Hweidi, A. Gad","doi":"10.21608/ejprs.2023.185093.1248","DOIUrl":"https://doi.org/10.21608/ejprs.2023.185093.1248","url":null,"abstract":"","PeriodicalId":403343,"journal":{"name":"The Egyptian Journal of Plastic and Reconstructive Surgery","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131030957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-15DOI: 10.21608/ejprs.2023.185508.1250
Eman Mohamed, A. Elshahat, Riham Lashin
Background: Microtia is a complex and challenging condition for plastic surgeons, especially when it is bilateral, due to lack of a standard contralateral ear that could be used as a guide to achieve proper size and position of the newly reconstructed ear. Usually in bilateral cases each side is operated separately in two stages, with an overall four operative times for both sides. Objective: In the current study, we aim at reconstruction of bilateral ears in only three stages, taking into consideration the aesthetic outcomes, similarity of both sides, and overall patient satisfaction. Patients and Methods: In the current study, 12 patients with bilateral microtia underwent bilateral total ear reconstruction in three stages. The first and second stages are completed separately, one side at a time with one month interval. Then, the third stage is performed for both sides at the same time, three to six months after the second stage. According to the length of a line between the eyebrow and tip of the nose, a 3D model of a patient with a previously reconstructed ear will be selected, with the model length that should match the length of this line. This model will be used as a template in total auricular reconstruction. In the first stage reconstruction of one side was done. Then, in the second stage reconstruction of the other side was performed. In the third stage separation of both sides was done simultaneously. The aesthetic outcome, similarity of both sides, cost saving, postoperative complications and patient satisfaction were assessed. Results: The patients were followed-up for 1 year postoperatively. The aesthetic outcome shows good patient satisfaction and similarity of frameworks between both sides. There was a decrease in the number of surgical stages without an increase in the rate of complications or donor site morbidity. Also, reduction in the surgical cost is considered one of the advantages. Conclusion: Management of patients with bilateral microtia is feasible and effective in a three stages reconstruction. It is considered both time and cost-effective treatment modality with a significant aesthetic outcome, and high patient satisfaction.
{"title":"Enhancement Of Aesthetic Outcomes In Patients With Bilateral Microtia","authors":"Eman Mohamed, A. Elshahat, Riham Lashin","doi":"10.21608/ejprs.2023.185508.1250","DOIUrl":"https://doi.org/10.21608/ejprs.2023.185508.1250","url":null,"abstract":"Background: Microtia is a complex and challenging condition for plastic surgeons, especially when it is bilateral, due to lack of a standard contralateral ear that could be used as a guide to achieve proper size and position of the newly reconstructed ear. Usually in bilateral cases each side is operated separately in two stages, with an overall four operative times for both sides. Objective: In the current study, we aim at reconstruction of bilateral ears in only three stages, taking into consideration the aesthetic outcomes, similarity of both sides, and overall patient satisfaction. Patients and Methods: In the current study, 12 patients with bilateral microtia underwent bilateral total ear reconstruction in three stages. The first and second stages are completed separately, one side at a time with one month interval. Then, the third stage is performed for both sides at the same time, three to six months after the second stage. According to the length of a line between the eyebrow and tip of the nose, a 3D model of a patient with a previously reconstructed ear will be selected, with the model length that should match the length of this line. This model will be used as a template in total auricular reconstruction. In the first stage reconstruction of one side was done. Then, in the second stage reconstruction of the other side was performed. In the third stage separation of both sides was done simultaneously. The aesthetic outcome, similarity of both sides, cost saving, postoperative complications and patient satisfaction were assessed. Results: The patients were followed-up for 1 year postoperatively. The aesthetic outcome shows good patient satisfaction and similarity of frameworks between both sides. There was a decrease in the number of surgical stages without an increase in the rate of complications or donor site morbidity. Also, reduction in the surgical cost is considered one of the advantages. Conclusion: Management of patients with bilateral microtia is feasible and effective in a three stages reconstruction. It is considered both time and cost-effective treatment modality with a significant aesthetic outcome, and high patient satisfaction.","PeriodicalId":403343,"journal":{"name":"The Egyptian Journal of Plastic and Reconstructive Surgery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122093288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-10DOI: 10.21608/ejprs.2023.185719.1251
A. Gad, Raghda E. Tallal, A. Mabrouk
{"title":"Thumb Tip Injuries Meta-Analysis of Different Reconstruction Options.","authors":"A. Gad, Raghda E. Tallal, A. Mabrouk","doi":"10.21608/ejprs.2023.185719.1251","DOIUrl":"https://doi.org/10.21608/ejprs.2023.185719.1251","url":null,"abstract":"","PeriodicalId":403343,"journal":{"name":"The Egyptian Journal of Plastic and Reconstructive Surgery","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128837252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-09DOI: 10.21608/ejprs.2023.183357.1241
Kareem Alsharkawy, A. Elhefnawy, S. Ghoraba, I. Mostafa
{"title":"The Versatility Of Dorsal Intercostal Artery Perforator-Based Transposition Flap For Reconstruction Of Large Myelomeningocele","authors":"Kareem Alsharkawy, A. Elhefnawy, S. Ghoraba, I. Mostafa","doi":"10.21608/ejprs.2023.183357.1241","DOIUrl":"https://doi.org/10.21608/ejprs.2023.183357.1241","url":null,"abstract":"","PeriodicalId":403343,"journal":{"name":"The Egyptian Journal of Plastic and Reconstructive Surgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121228211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-09DOI: 10.21608/ejprs.2023.185132.1249
D. Saleh, A. Shaker, M. Abdelhalim, M. Badawy
{"title":"The use of facelift approach for removal of permanent facial fillers","authors":"D. Saleh, A. Shaker, M. Abdelhalim, M. Badawy","doi":"10.21608/ejprs.2023.185132.1249","DOIUrl":"https://doi.org/10.21608/ejprs.2023.185132.1249","url":null,"abstract":"","PeriodicalId":403343,"journal":{"name":"The Egyptian Journal of Plastic and Reconstructive Surgery","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122757733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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