Treatment of aneurysmal bone cysts in childhood period

15 cases of Aneurysmal Bone Cysts [ABCs] were treated in Mansoura University Hospital [Oncology unit] and Sohag University Hospital from 1996 to 1999 with subtotal resection and transplant fibular and iliac graft from the mother. All cases were type II according to Capanna's classification. There were 9 boys and 6 girls. The site of the lesion was in mletadiaphysis area. The distribution of the lesion were 6 cases in the upper third of the tibia, 5 cases in the upper third of the humerus and 4 cases in the upper third of the femur. All cases immobilized in the plaster cast for 3 months. The follow up period ranged from 6 month to 3 years [average 2 years]. The results were evaluated clinically, radiologically and functionally. There was no recurrence and complete healing in 87% of cases and 13% of cases has incomplete healing but there is no recurrence. The overall end results were excellent in 80% of cases, 13% of cases has good result and 7% of cases has fair result. Subtotal resection and allograft from the mother is a good alternative in the treatment of the huge aggressive ABCs in which the subtotal resection prevent the recurrence and allograft from the mother to fill the defect in the child

New concept of alar reconstruction

This study was carried out on 20 patients with nasal alar defect aiming to apply a new concept of alar reconstruction. The alar defect is changed into a perforation which is completely surrounded by tissue in all its circumstance. This is achieved by rotation of a composite flap from the upper edge of the defect to be sutured to the lateral part of the ala nazi. The resulting perforation is filled by a superiorly based nasolabial flap which contains cartilage making it strong enough to resist collapse during inspiration and elastic to keep the shape if normal ala nazi. It was concluded that this method is ideal for alar reconstruction with the best functional and aesthetic results