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Cochlear Implant in Common Cavity

زراعة الحلزون في تشوه الجوف الواحد باستخدام الجهاز المفصل خصيصاً حسب حجم الجوف

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 Publication date 2008
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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to evaluate the results of cochlear implant operations performed on patients with common cavity anomalies in the inner ear; whereas, the ear stopped developing at the end of the third week. In the past, the presence of any anomaly in the cochlea was considered a counter-indication for surgery but experimentation has been carried out worldwide and there were some major breakthroughs, which encouraged other centers worldwide to carry out this surgery and I was encouraged myself to perform 3 surgeries.

References used
Jackler pk, Luxford WM, House WF, congenital malformation of the inner ear: a classification based on embryongenosis laryngoscope 1987; 97 (supple 4): 2-14
(Linthicum FH, Jr, Fayad J, Otto S, et al. inner ear morphologic changes resulting from cochlear implantation: Am J Otol 1991;12 supple (8-10
Miyamoto RT, Robbins AJM, Myres WA, et al. Cochlear implantation in the Mondini inner ear malformation. Am J Otal 1986; 7: 258-61
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Background& Objective: The acetabular bone deficiency secondary to acetabular fractures presents a complex clinical problem and a big challenge to the orthopedic surgeons due to the technical difficulties related to this deficiency, considering tha t significant number of patients treated either surgically or without surgery will require T.H.A in the future. The purpose of our study was to determine the outcome of T.H.R performed in patients with a history of acetabular fracture. Materials & Methods: We performed T.H.R in 21 patients with previous acetabular fractures in Al-Assad Hospital between2004-2009prespectively, these cases were divided into 3 groups: -first group formed of 7 patients were treated conservatively. Second group formed of 9 patients did an open reduction and internal fixation by screws and plates. -Third group formed of 5 elderly patients with fresh acetabular fractures and were treated primarily by a total prosthesis with use a reinforcement Muller ring . For the clinical evaluation of our cases we used the modified Harris Hip Score Scale and for the radiological evaluation we used the Delee and Charnley scale system . Results: Our overage Harris Hip Score was 83.(80 for the first group, 86 for the second group, and 83 for the third group). -No complications were encountered intraoperative, in the early postoperative period one case developed superficial wound infection and treated by repeated dressing and antibiotic, there was one case of D.V.T on the 4th day treated by rest and anticoagulant, and one case developed loosening of acetabular component 8 months after T.H.A and underwent to revision. Conclusion: T.H.R in acetabular fractures despite the difficulties faced during the procedure is a safe and effective way to salvage the hip when secondary osteoarthritis develops, open reduction and internal fixation of acetabular fractures may have benefits even if it fails to prevent posttraumatic arthritis .Furthermore the clinical results of T.H.R after surgical treatment of acetabular fractures are better than it after conservative treatment of these fractures. Reinforcement ring is an ideal solution when the decision of T.H.R is taken as a primary treatment of acetabular fractures depending on the indications described by Joly.
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Mandible articulates with the cranium via the TMJ. All the components of the TMJ, including the TMJ disc, seem to be associated with altered characteristics of the craniofacial complex and its growth. However, the exact role of the TMJ disc thickne ss during the process of the facial growth is not clear yet. Aim: The aim of this study is to investigate the association between the TMJ disc thickness and the facial growth determined according to Jarabak in adult male subjects with no clinical or MRI symptoms of Temporomandibular Joint Disorders.
Existing bone loss still remains an important challenge when implant placement is required to rehabilitate the compromised site. A new way to place dental implants in cases of alveolar atrophy, described in some articles, is the ridge-splitting tec hnique, which allows the ridge to be widened by a less invasive procedure than the traditional grafting approaches. The aim of this study is to evaluate the efficiency of this technique in bone augmentation, evaluate the relationship between peri-implant alveolar bone loss after Use of the Bone Splitting Technique, and to study the alveolar ridge width before and after split.

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