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Register a new userAssesment of the efficiency of titanium mesh in management of orbital floor fracture
تقييم فعالية شبكة التيتانيوم في تدبير كسور قاع الحجاج
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هدفت هذه الدراسة إلى تقييم فعالية شبكة التيتانيوم في إصلاح كسور قاعدة الحجاج المعزولة أحادية الجانب . تألفت عينة البحث من 15حالة راجعت قسمي العينية و جراحة الفم و الفكين في مشفى الأسد الجامعي، مع كسور قاعدة حجاح معزولة أحادية الجانب و تم أخذ عامل الزمن لإجراء الجراحة بعد الرض بعين الاعتبار . تضمنت المراقبة السريرية دراسة حركات العين و التوضع العمودي لكرة العين و ازدواجية الرؤيا خلال 15يوما و شهر و ثلاثة أشهر بعد العمل الجراحي. و تمت متابعة الخوص خلال ثلاثة أشهر و ستة أشهر بعد الجراحة . أظهرت النتائج وجود فروق ذات دلالة إحصائية خلال فترة المتابعة بعد للعمل الجراحي حيث عادت حركات العين بشكل كامل بعد ثلاثة أشهر و كذلك عاد التموضع الطبيعي لكرة العين للناحية المصابة مقارنة بكرة العين للجهة السليمة و كذلك تراجع الشفع خلال فترة المتابعة . أدى استخدام شبكة التيتانيوم في إصلاح كسور قاع الحجاح إلى تحسين الناحية الوظيفية لكرة العين و عودة الناحية الوظيفية و الجمالية لهذا الجزء الهام من الوجه.
The aim of this study to assesment the effect of using titanium mesh to repair isolated monolateral blow- out orbital fractures. The research sample comprised 15cases reported to the Department of ophthalmology and department of oral and maxillofacial surgery at Alassad University Hospital Latakia-Syria , the time between trauma and procedure of surgery was taken into account. The clinical observation contained studying of eye movement , vertical localization of eyeball, diplopia through15 day, month, and 3month after the surgery . The enophthalmos was monitored also through: 3 months ans 6 months after the surgery Results showed that there is statistical difference before and after the surgery operation. Eye movement returned completely normal after 3 months, the localization of injured side of eyeball returned natural when compared to the localization of intact side, and diplopia was corrected through the catamnesis Using Titanium mesh in repairing blow- out fractures led to improve the functional side of eyeball, so this important part of face was returned functionally and esthetically.
References used
FERREIRA, P.; MARQUES, M.; PINHO, C.; RODRIQUES, J.; REIS, J.; AMARANTE, J. Midfacial fractures in children and adolescents: A review of 492 cases. Br. J. Oral. Maxillofac. Surg. 2004; 42: 501-505
CARINCI, F.; ZOLLINO, I.; BRUNELLIi, G.; CENZI, R. Orbital Fractures: A new Classification and Staging of 190 patients. J. Craniofac. Surg. 2006; 17: 1040-1044.1. Schendel SA. Orbital trauma. Oral and maxillofacial surgery clinics of North America. W.B. Saunders Company, 1993: 5
TANRIKULU, R.; EROL, B. Comparison of computed tomography with conventional radiography for midfacial fractures. Dentomaxillofacial Radiology, 2001; 30: 141-146
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without bone grafting and osseointegration of implants have been reported in several studies, recently,
successful bone reformation in the sinus using autologous platelet-rich fibrin (PRF) concentrateas an
alternative to bone grafting has been reported.
The aim of this study: was to assess the useof PRF clots and membranes as the sole filling material during
a lateral sinus lift with immediate implantation using radiologic exam (cone beam ct).
Overview: Otitis media with effusion (OME) is the most common type of Otitis
media (OM), especially in young children between 2-5 years. The main cause of this type
is the decrease in ventilation of the middle ear, which creates purulent fluid. Sev
eral factors
play a significant role in etiology as Eustachian tube dysfunction, adenoid hypertrophy and
allergically causes, in addition to the immunological and metabolic disorders. The main
symptom of (OME) is poor hearing, which may lead to permanent hearing loss if
untreated. The traditional treatment of (OME) has not been successful in quite a number of
cases.
Aim of study: Evaluation of the effect of bite opening technique in management of
chronic otitis media with effusion in children.
Materials and Methods:This clinical study included 30 cases of otitis media with
effusion. Ages of patients were between 2 - 10 years old, which were managed at the
Auditory Clinics at Al-Assad University Hospital in Lattakia.
The cases of foreign body aspiration constitute a significant proportion of
emergency cases that present to emergency departments around the clock. These cases demand quick
management and wisdom to decide the therapeutic procedure, in order to achi
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encompasses evaluation of clinical findings along with investigations will help to increase the accuracy of
decision making process and reduce complications.
To outline helpful measures in the management of suspected cases of foreign-body aspirations in order to
increase the accuracy of bronchoscopy indications, and thus decrease negative bronchoscopies and also
reduce morbidity and mortality associated with suspected aspiration’s cases.
Management of tibiodiaphysial fractures in the age group of 5-15 years is
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TENS(titanium elastic nailing system) in particular. We performed a retrospective
review
of pediatric tibial fractures treated by TENS. The data was collected from cases operated
between 2010 and 2014 at Al Assad university hospital ,Lattakia. We had treated 34
children (boys and girls) with TENS for tibial shaft fractures. Average load of age was 11
years(range 5-15 years).All fractures were radiographically united at a mean of 7,5 weeks
(range 5-10) weeks.The nails were removed mean of 22 weeks (range 6-31 weeks)
postoperatively. At follow up we had found leg length discrepancy of 1 cm in one child
and 10 degrees of internal rotational deformity in another. No angular deformity had
occured.Titanium elastic nailing seems to be a safe and effective method for treatment of
tibial shaft fractures in childreen between 5 and 15 years of age.
The dissolution rate of Iron and Titanium from Syrian basalt rock was
studied by hydrochloric acid, sulfuric acid, mixture of hydrochloric acid
methanol, sulfuric acid methanol solutions. The effects of temperature, time of
digesting and concentra
tions of acids have been investigated, the ratios of solid
to liquid and stirring speed were constant (S/L=0.02). It has been clear that
when the mixture of hydrochloric acid and methanol (100:50(V:V)
HCL:CH3OH) was used, the best dissolution for both iron and titanium was
obtained when we digested the rock and it took 6h at 100 ˚C where as the
concentration of hydrochloric acid and methanol were [HCl]=11M, [CH3OH]
=0.92M, the resulting ratios of dissolution of iron and titanium in the
mentioned conditions were 75.53%, 63.19 % respectively.
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