Efficacy of hyperbaric oxygen therapy on second degree of burn wound of forearm

The purpose of the current study was to investigate the effects of hyperbaric oxygen therapy on second degree bum wound healing of the forearm. Thirty patients included in this study [eighteen males and twelve females]. All were suffering from deep second degree flame bum in the forearm, their age ranged from thirty to forty years. The total burned surface area was 15- 25%. They were randomly classified into two equal groups. The first group [15 patients] treated by the Hyperbaric Oxygen Therapy [HBOT] plus traditional conservative treatment, while the second group, sea level air-breathing equivelent control group 15 patients received placebo HBOT plus traditional conservative treatment. Assessment of the wound surface area was performed before starting the study and after 15 days by using the metric graph paper and computerized planimetry linked to summagraphic digitizer system .Procedure started 48 hrs post bum. The program was conducted at Naser Institute; oxygen was supplied 100% O[2] at 2.4 Atmospheric Absolute [ATA] for two hours during each treatment period. Treatment was given on four consecutive days each week for two weeks. The results of this study showed significant decrease of the wound surface area in the treatment group [43.6%] than the control group [18.91 %], reflecting efficacy of HBOT in healing process. It was concluded that, HBOT seems effective in accelerating the healing rate and shortening of hospitalization time on second degree bum wound of the forearm

Pedicled scalp island flap for successful one stage aesthetic eyebrow reconstruction

The use of scalp flap based on frontal branch of superficial temporal artery is one of the famous known methods of eyebrow reconstruction. But to achieve aesthetic eyebrow appearance it is important not only to have viable scalp flap but also normal width, length together with and more importantly the direction of the hairs and lastly the density of hairs. This study included 18 patients, six patients were males and 12 were females with age ranging from 13 to 50 years. The treated patients had unilateral partial or complete brow loss. Management was done for all patients by following some technical considerations to have aesthetic eyebrow shape. during using the scalp island flap based on one of the branches of superficial temporal artery. All cases were done as one stage operation with satisfactory appearance and survival rate [100%]. There was minimal swelling due to the subcutaneous pedicle in the temporal region which needed between 2-3 weeks to subside in all cases. One case of the post-burn alopecia of eye brows suffered partial flap congestion, which improved by conservative measures. The results were satisfactory as regard the eyebrow measurement [width and length], hair direction, but the hair density was higher than the normal density which was clearly noted in partial cases or unilateral reconstruction. And the hair growth also was noted to be faster than normal [they needed frequent shortening]. Scalp island superficial temporal artery flap is an excellent solution for aesthetic eye brow reconstruction. Perfect match with the undamaged eyebrow in partial loss or unilateral cases can be achieved by following some pre-operative and intraoperative important technical considerations

Dynamic versus static stitch, as a simple treatment for buried penis

The aim of this study was to correct cases with buried penis using a simple one-step procedure and to compare two techniques for treating these patients, using either Bucks fascia stitch [dynamic] or periosteal stitch [static]. Forty patients of buried penis were included in the study. The patients were divided into two groups: Group A, 27 patients, in whom the dynamic stitch was used and group B, in whom the static stitch was used. All results were statistically significant of the dynamic stitch technique, denoting its superiority, using delayed absorbable suture material. The procedure was better in the uncircumcised cases