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

Effects of metformin on spontaneous and clomiphene - induced ovulattion in the polycystic ovary syndrome

The objective of this work was to assess the use of metformin in reducing hyperinsulinemia in order to increase ovulation, whether spontaneously or with the use of clomiphene in obese women with polycystic ovary syndrome. Oral glucose-tolerance tests were done before and after the administration of 500 mg metformin or placebo, 3 times daily for 34 days in 60 obese women with the polycystic ovary syndrome [divided into two equal groups]. Then, women who did not ovulate spontaneously were given 50 mg of clomiphene daily for 5 days while continuing to take metformin or placebo. Serum progesterone was measured on days 35 and 50 and ovulation was presumed to occur if the concentration exceeded 8 ng per milliliter on any of these days. The study concluded that ovulation increased spontaneously and with clomiphene in obese women with polycystic ovary syndrome by decreasing insulin secretion with metformin

Patellar denervation in non - patellar resurfacing total knee arthroplasty

This prospective randomized study was done to study the effect of patellar denervation on the outcome of patients undergoing non- patellar resurfacing total knee arthroplasty. Forty patients with knee osteoarthritis that were indicated for total knee arthroplasty and having evident patellofemoral osteoarthritis were randomized into two groups of 20 patients each. Every patient in each group underwent non-patellar resurfacing total knee arthroplasty with the same technique, but one group had only debridement of the patella from osteophytes and the other group had patellar denervation in addition to debridement. The patients were followed up for at least nine months. The study showed that using the technique of patellar denervation with non-resurfacing total knee arthroplasty resulted in a better pain relief and gives better results based on the Knee Society scoring system with very few complications