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Biomedical subjects

N I Elsahy

Publications and source records attributed to N I Elsahy.

At least 19 recordsLinked to original sources

Use of the splenius capitis muscle flap for reconstruction of the posterior neck and skull in complicated Arnold-Chiari malformation.

A previously unreported muscle flap using the splenius capitis muscle is described. The flap proved to be of value in management of a difficult case of recurrent CSF leak complicating suboccipital craniectomy for the treatment of Arnold-Chiari malformation. The dura was repaired with a fasciae latae graft, and splenius capitis muscle flaps were used to obliterate the dead space and to complete the operative correction. This reversed a life-threatening situation while preserving the muscles' function and yielding a good cosmetic result. Flap anatomy and design are described for the success of this reconstruction.

Arnold-Chiari Malformation↗

Correction of abnormally high nipples after reduction mammaplasty.

One of the most common complications after reduction mammaplasty is the abnormally high location of the nipple. The deformity may appear immediately after surgery if there was faulty planning before or during surgery. Or it may appear a few months after surgery due to migration of the breast tissue downward as a result of gravity, leaving the relatively fixed nipples at a higher location. This is more pronounced in cases of gigantic breasts and in virginal hypertrophy of the breast. The purpose of this article is to describe an alternative technique for correction of the highly located nipple.

Adolescent↗

Technique for correction of lop ear.

Various techniques of correction of lop ear have been described. Minor lop ear deformity can easily be corrected with simple excision of the overhanging auricular cartilage. Moderate and severe lop ear deformities, on the other hand, are more difficult to correct because there is actual reduction in size of the upper third of the ear in addition to the overhanging auricular cartilage. The purpose of this paper was to present a new technique used to correct the moderate lop ear deformity. In addition to excising the overhanging cartilage, I rotate a cartilage flap from the anthelix upward where the missing superior crus was supposed to be. This flap increases the vertical height of the ear and creates a new superior crus. I applied this technique on three cases of moderate lop ear deformities with good results.

Ear, External↗

An alternative technique for correction of cryptotia.

Cryptotia is rare in the western world, and consequently any one surgeon's experience with its correction is limited. A procedure for the correction of cryptotia is described, which takes into account the details of the deformity. It adds skin flap from the preauricular tissue to cover the reconstructed cartilage of the anterior and superior helix. Two patients with cryptotia were treated with this technique, and good postoperative results were achieved.

Ear, External↗

The modified hexagonal technique for reduction mammoplasty and mastopexy.

In 1982, we described the hexagonal technique for correction of breast ptosis or moderate degree of breast hypertrophy. Since then we have modified the technique mainly to be able to correct the severe as well as the moderate degree of breast hypertrophy. This technique has provided the versatility in achieving good results in various degrees of reduction mammoplasty and mastopexy.

Adult↗

Ear replantation combined with local flaps.

Various techniques of reattachment of the amputated ear have been described. Some of these reattachments may be successful, and some may survive but without good aesthetic results owing to changes in the cartilaginous framework or its skin cover, while many others may result in complete failure. To improve the blood supply to the reattached ear, especially the venous return, local flaps have been devised to cover part of the ear. Eight patients with partial or complete amputation of their ears have been treated with this technique. They have had good postoperative results and at least 6 months of follow-up.

Adult↗

Ear reconstruction with a flap from the medial surface of the auricle.

Correction of defects of the external ear following trauma or partial amputation for cancerous lesions is difficult. A flap from the medial surface of the auricle has been devised to correct the deformity. The flap is either introduced through the cartilaginous framework or passed around the edge of the helical cartilage for reconstruction of the lateral surface of the ear. The small part of the flap that passed underneath the auricular skin or through the auricular cartilage is deepithelialized. Six patients have been treated with this technique; they have had at least one year of follow-up and good postoperative results.

Adult↗

Ear reconstruction with rotation-advancement composite flap.

The rotation-advancement of a composite auricular flap for reconstruction of a large defect involving the triangular fossa as well as most of the crura of the anthelix is presented as an alternative method for reconstruction. The technique is simple, safe, and a one-stage operation.

Aged↗

Recurrent Mondor's disease after augmentation mammoplasty.

Mondor's disease is an uncommon disorder that occurs mostly with no specific etiology. In selected cases, it may accompany other conditions such as augmentation mammoplasty. Recurrence of the disease has been very rare. The purpose of this paper is to present a case of recurrence of the disease in two different superficial veins of the anterior chest wall. No similar case has been reported before.

Adult↗