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Register a new userReconstruction of soft tissue defects in the leg using muscle flaps (gastrocnemius، soleus) and fasciocutaneous flaps (sural)
ترميم الضياعات المادية للأنسجة الرخوة في الساق باستخدام السدائل العضلية (التوأمية و النعلية) و السدائل الجلدية السفاقية (الربلية)
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Tishreen University ورقة بحثية
Publication date
2018
fields
Medicine
and research's language is
العربية
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Shamra Editor
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مدخل إلى البحث: تعتبر الضياعات المادية في الساق من أهم التحديات التي تواجه جراحي الترميم بسبب قلة الأنسجة الرخوة المغطية للوجه الأمامي للساق و نقص التروية الدموية في الثلث البعيد منها، و يعتبر الترميم بالسدائل العضلية و الجلدية السفاقية من أهم خيارات الترميم، قمنا في دراستنا بتقويم استخدام هذه السدائل حيث لا توجد دراسة محلية لذلك حتى الآن. هدف البحث: تقويم طرق ترميم الضياعات المادية للأنسجة الرخوة في الساق باستخدام السدائل العضلية و الجلدية السفاقية و مقارنتها بالدراسات العالمية. طرائق البحث و مواده: قمنا بإجراء دراسة استرجاعية لمرضى الضياعات المادية في الساق و الذين أجري لهم ترميم بالسديلتين العضليتين التوأمية و النعلية و السديلة الجلدية السفاقية المعكوسة (الربلية) بين عامي2015 و 2017 في مشفيي الأسد و تشرين الجامعيين في اللاذقية، من حيث سبب الضياع، وقت الترميم، السديلة المستخدمة و عيوشيتها و نجاحها، و كذلك الوظيفة الحركية و الاضطرابات الحسية التالية، و رضا المرضى من الناحية الجمالية.
Background: The defects in the leg is one of the most important challenges facing reconstructive surgeons because of the lack of soft tissue covering the front surface of the leg and the lack of blood perfusion in the lower third of the leg. The muscle and fasciocutaneous flaps are one of the most important reconstruction options as there have been no local studies about this method so far. Objective: Evaluation of methods of reconstruction the defects of the soft tissues of the leg using the muscle flaps and fasciocutaneous flaps and comparing them with the international studies. Methods: The study included 25 patients undergoing transposition of the gastrocnemius and / or soleus flaps, sural flaps for treating soft tissues in the leg, from 2015 to 2017 in both Al-Asaad and Tishreen University hospitals in Lattakia , gathering information on the etiology the lesion, the time of reconstruction, the flap used to cover the lesion, and the function of the gastrocnemius-soleus unit, and the following Sensory disorders.
References used
COURT-BROWN CM , BREWSTER N. Epidemiology of open fractures. In Court-Brown MM. London 1996; 1-30
FIX RJ, VASCONEZ LO. Fasciocutaneous flaps in reconstruction of the lower extremity. Clin Plast Surg 18: 1991; 571
AHMED SK, et al. The versatile reverse flow sural artery neurocutaneous flap: A case series and review of literature. J Orthop Surg Res 2008; 3(1):15–20
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The micro surgery did not take its role correctly in our
country in spite of it being well known and widespread throughout the
world for a relatively long time. The micro surgery is an essential part in
the reconstruction of tissue of skin, muscle
s, bones and nerves with its blood
vessels where it could re-connect (anastomos) in the right place. The wide
loss of full thickness tissue in the scalp is considered as a serious challenge
for the reconstructive surgeon and the micro surgery is considered one of
the most important methods of reconstruction of such defects.
Objective: To study the importance of the use of free flaps in the
reconstruction of the wide defects and loss of tissue in the scalp in Al
Mouassat Hospital patients.
The management of lower extremity trauma has evolved over the last two decades to
the point that many extremities that would have required amputation are routinely
salvaged. The use of transposition muscle is regarded as the optimal method for the
treatment of extensive defects of soft tissues in limb traumatology. The aim of the study is
to investigate the therapeutic effect of repairing soft tissue defects of mid-tibia open
fractures with muscle flap pedicled with medial half of soleus. A retrospective study of our
outcome of 10 performed soft-tissue reconstruction of an open tibial wound cases. All
these patients were operated using the proposed surgical technique between 2013 and 2015
in AL-ASSAD University Hospital in Lattakia, Syria. The results of this technique of
reconstruction are excellent. Medial hemisoleus flap is a valuable option for soft tissue
coverage of middle third of lower leg. It does not sacrifice the whole function of the Soleus
muscle. Due to its longer arc of rotation, this flap can cover the defects of different size
and shape in middle third of leg. The operation is relatively easy. The muscle can fill the
narrow cavity and repair the soft tissue defect simultaneously. The donor-site injury is
minor.
the leg ulcer is the common disease, it distributes widely in the world. it affect both genders, and any age. it strongly related to the vascular diseases, its most complications are infection and contact dermatitis. the management of the ulcer is de
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chin at each type of rotation patterns of the lower jaw (Anterior - normal - Posterior)
The sample consisted of 100 X-ray Lateral cephalometric radiographs of (69
female _ 31
male) adults, has been selected according to the following conditions: Age between 18-26
years old, , exclusion of all cases of Intenseocclusal abnormalities ,
Permanentocclusionand there is noformaldentalabnormalitieswithout takinginto accountthe
thirdmolars, The absence ofa previousorthodontic treatment, the patient free fromsystemic
diseasesorcongenital malformationsanddevelopmentaldisordersandsyndromesand there is
no story of a previous surgery in the head and neck area
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andanother ones representativethemeasurementsof the chinsoft tissue.
The results showed a difference theaveragesof the soft tissue thickness and the
indicators of mandible rotation between the sexes In favor of males, And theaveragesof
thevariables showed Correlationbetween chinsofttissuethicknessin femaleswiththree
typesoflower jawrotation Compared with males.
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