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Register a new userResults of Meatoplasty in Radical Mastoidectomy By Rotating Door Flap Method
نتائج تصنيع مجرى السمع الظاهر في عملية حج الخشاء الجذري بطريقة شريحة الباب الدوار
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Damascus University ورقة بحثية
Publication date
2011
fields
Medicine
and research's language is
العربية
Authors
محمد نبيل دندشلي( باحث )
Created by
Shamra Editor
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الحاجة لتوسيع مجرى السمع الظاهر عند المرضى المجرى لهم عملية حج خشاء بالطريقة المفتوحة؛ وذلك من أجل التنظيف الجيد لجوف الخشاء بعد العمل الجراحي و لتخفيف نسبةً النكس مع المحافظة على ناحية جمالية مقبولة للمريض. هدف هذا البحث إلى دراسة نتائج طريقة شريحة الباب الدوار في تصنيع مجرى السمع الظاهر عند مرضى أجري لهم هذا العمل الجراحي.
The necessity of Meatoplasty In Radical Mastoidectomy for good postoperative cleaning of mastoid cavity and to reduce recurrence rate.This study aim to evaluate the results of Meatoplasty By Rotating door flap method In Radical or modified radical Mastoidectomy (open technique).
References used
Nikolopoulos TP, Gerbesiotis P. Surgical management of cholesteatoma: the two main options and the third way-atticotomy/limited mastoidectomy. Int J Pediatr Otorhinolaryngol. 2009 Sep;73(9):1222-7
J.Magnan.La chirurgie du Cholesteatome. Lُ Otite Chronique; 1995: 121-46
Hisham S Khalil , Paul C Windle-Taylor .Canal wall down mastoidectomy: A long term commitment to the outpatients? BMC Ear, Nose and Throat Disorders 2003 Mar; 3(1) :1186-93
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Radical cystectomy is the most effective therapeutic approach for patients with
muscle-invasive bladder cancer. Due to the incidence of sexual and continence complications associated
with this procedure, alternative techniques such as cystectomy wi
th partial prostatectomy have been
described in selected cases in order to reduce complications.
To evaluate the possible oncological risks of prostate-sparing cystectomy, and to determine the associated
pathological findings in the prostate for patients with invasive bladder cancer treated by radical
cystoprostatectomy.
The primary goal of any surgery for cholesteatoma is complete
eradication of this lesion aiming to reach a dry ear and to prevent the
complications and recurrence. The second goal is to preserve hearing or to
improve it. This study aims to discuss
cases of Cholesteatoma treated by
canal wall-up mastoidectomy (Closed technique) and to determine the
efficacy of this technique by studying the recurrence rates and hearing
results.
Aim:
To evaluate and compare the rate of cholesteatoma recurrence after Atticotomy surgery to that after Canal Wall Up Mastoidectomy (CWU).
Material and Methods:
The study involved 57 patients admitted to the ENT Department Almoassat Hospital. A
tticotomy was performed in 30 cases, whilst CWU mastoidectomy within 27 cases. Follow up period was extended for two years to compare the symptoms and the necessity for second Ossiculoplasty surgery.
Results:
The recurrence rate was 23.33 % within atticotomy group, whilst it was 22.21 % in CWU group. CWU mastoidectomy showed better outputs in diffused cholesteatoma cases.
Conclusion:
A limited cystic cholesteatoma can be treated effectively by atticotomy, however CWU mastoidectomy remains the favorable technique to manage a diffused cholesteatoma.
Coarctation represents 5-8% of congenital heart disease.We present here a
study which aimed to assess the results of this malformation correction by using left subclavian artery
flap aortoplasty technique(Waldhausen) and compare these results with those of other surgical options.
Our study included (84) patients: 86 cases suffering from chronic osteomyelitis: various causes, location and degrees.
All patients operated: after curettage of necrotic and infected tissues; system of continuous irrigation with antibiotics was in
serted to the infected zone; all cases were followed up for 1 year. 86% of positive results were obtained and results were bad in 14% of cases>
The high positive results (86%) confirm high effect of continuous irrigation with antibiotics as a good method for chronic osteomyelitis treatment, because this method allows delivery of suitable antibiotics in high concentration into the infected area, which is enough to kill microbes and allows to obtain best results.
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