Management of extensive burns alopecia by pre-expanded bipedicle fronto-occipital flap

During the last two years, eight patients were treated from extensive post-burn cicatricial alopecia [including the frontal area] by bipedicle fronto-occipital flap using tissue expanders. The frontal hairline was recreated reasonably. Extensive scalp defects up to 350 cm2 or 40% of the skull surface were managed by this flap, obtaining a normal hair-bearing skin with a dense hair. The selected expander was according to its measurements and its shape in relation to the surface area of the defect and the site of expansion. Reconstruction of any residual sideburn can be accomplished by transferring a random postauricular scalp flap to the preauricular region [if available]. The technique advantages and results were discussed

use of tubing principle for correction of prominent ears

The most common cause of the undesired surgical result for correction of prominent ears is the failure to correctly analyze the complex deformities that compromise it. More than 200 techniques have been described for correction of this deformity, indicating that there is no single widely accepted procedure that has been adopted by most surgeons. Many techniques use permanent sutures to maintain the cartilage folding, whereas other techniques rely on cartilage incisions [partial thickness or full thickness]. During the last two years, I used the tubing principle in ten patient's treatment, eight bilateral and two unilateral cases, and the total numbers of ears operated on was eighteen. There were two complications, one requiring revision and one healed spontaneously. The follow up periods ranged between 6 months and 1 year, with all patients achieving satisfactory results. Detailed methods, advantages and results were discussed

Simultaneous primary cleft rhinoplasty and cleft lip repair

This study included a single operation for reconstruction of unilateral and asymmetric bilateral cleft of primary palate and evaluating its outcome in infancy and childhood. Twenty patients managed during 30 months are presented, 12 of them with unilateral cleft lip-nose deformity and 8 of them with asymmetric complete/incomplete bilateral cleft lip-nose deformity, in which the complete side was repaired primarily. The primary cleft nasal deformity was corrected at the time of lip repair by a similar technique used by Byrd and Salmon [2000]

Analytical study of stones and juice of the gall bladder

Twenty patients with gall bladder stone, admitted to Alexandria University Main Hospital, full clinical and laboratory examination and radiological examination were done. Cholecystectomy was done for each patient, bile juice and stone were analysed for chemical composition, cholesterol, phospholipids and bile salts, for the twenty patients [14 cases with mixed stones, 4 cases with cholesterol stones and two cases with pigment stones]

Spermatogenesis in undescended testicle

Twenty patients with true undescended testis at different ages were admitted for orchiopexy to evaluate future fertility. Biopsies from the dystopic testes were examined microscopically as regards the presence or absence of germinal epithelium as well as its stage of maturation. The results obtained pointed out that true undescended testis is a well developed organ which when uncorrected will undergo arrest of maturation and even degeneration. To maintain its fertile process orchiopexy is needed to be done in the age group from one to six years