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Article
Incidence of facial soft tissue injuries among patients attending surgical casualty reception in Rojh-halat emergency hospital
حدوث إصابات في الأنسجة الرخوة في الوجه بين المرضى الذين يراجعون استقبال الحالات الجراحية في مستشفى الطوارئ روزهلات

Authors: Omed I. Shihab --- jalal Hamasalih Fattah --- Rasool Hamed Awlla
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 1 Pages: 300-304
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Facial soft-tissue injuries are the most common injuries presenting to surgical causality reception. The present study aimed to provide a preliminary data base about the distribution, type, pattern and etiology of facial soft tissue injuries. Methods: In a prospective clinical study all patients with facial injury were enrolled in this study, over a ten months period (from 1st October 2010- 1st July 2011), who attended Surgical Casualty Reception in Rojh-halat Emergency Hospital. A questionnaire was used to collect patients’ database and relevant information. The wound configuration was divided as laceration, abrasion and contusion as well as the site of facial soft tissue injuries were recorded using the modified MCFONTZL system. Results: A total of 168 patients with facial soft tissue injuries were received and managed at Surgical Casualty Reception in Rojh-halat Emergency Hospital. The age of the patients were ranged from 1-80 years old. Most of the patients were within the age range of 1-10. Male patients constitute 62.5% of the cases. The most common etiology of facial soft tissue injury was falls. Regarding type of the injury, laceration was the most common type. The lips and chin region were mostly involved. Conclusion: Fall is the most common cause of facial injury. Lower third of the face is mostly involved. road traffic legislations have a role in decreasing road traffic accidents.

Keywords

face --- soft tissue --- injury


Article
Management of Retroperitoneal Soft Tissue Sarcomas

Authors: Safa M. AL-Obaidi --- Alaa A. AL-Wadees --- Mohammed Abd-Zaid Akool
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 2 Pages: 166-174
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: Hospital , Baghdad.*Department of surgery ,Kufa Teaching Hospital , Najaf. BACKGROUND:Most retroperitoneal tumors are malignant and about one third are soft tissue sarcomas. Sarcomasare uncommon malignant tumors arising from mesenchymaltissue . Retroperitoneal sarcomasaccount for approximately 10%-15% of soft tissue sarcomas and less than 1% of all malignantneoplasms. Surgery is the only curative treatment for retroperitoneal soft tissue sarcomas. OBJECTIVE:To define the best extent of surgery that would optimize the safe margins on retroperitoneal softtissue sarcomas , where the recurrence of tumor greatly depends on feasibility of completeresection and the grade of tumor.PATIENTS AND METHODS:Between June 2007 and December 2010,28 patients (female 16,male 12, mean age; 43.93 years,range18-69 years)were evaluated for survival and response to therapy by gender, age ,preoperativesymptoms ,symptoms duration , primary or recurrent tumors , the extended of surgical resection, orpalliative procedures .Complete resection was defined as removal of gross tumor withhistologically confirmed clean resection margins. RESULTS:Eighteen patients(64%) out of 28 patients under went simple surgical resection ,5patients(28%)underwent compartmental resection (systematic resection of noninvolved contiguousorgans),1 patient (3%) underwent enucleation of tumor ,while debulking done in 4 patients (15%).The surgical resection margin was involved only in one patient (due to tumor rupture duringresection) of those patients underwent compartmental resections, it’s was free in only (10/18,56%)patients underwent simple resection ,while it was involved in all tumors removed with enucleationor debulking (incomplete resection) .The recurrence of tumor greatly depends on state of surgical margin in resected sample (pvalue=0.001,significantlyassociated).Thehistopathological grade of tumor on the other hand also proved an important factor in therecurrence of tumor where it was higher with high grade tumor versus low grade tumor (Pvalue=0.001,significantlyassociated).CONCLUSION:Complete compartmental surgery without tumor rupture should be performed when possible toachieved clear margins. Wide resection lowers the local recurrence and improves survival rate.Both the state of surgical margin and grade of tumor are the most important prognostic factorswhich determine the survival rate and recurrence tumor.


Article
The early results of surgical treatment of congenital clubfoot by a modified soft tissue release
النتائج المبكرة للعلاج الجراحي للقدم المشقوقة بواسطة تحرير الأنسجة الرخوة

Authors: Mustafa Adnan Mustsfa --- Omar Ameen Saeed
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2013 Volume: 17 Issue: 3 Pages: 577-581
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Talipes Equinovarus (TEV) or Congenital Clubfoot is the most common congenital anomaly of the foot. The incidence of TEV is 1-2 per 1000 life births, about 30% of these cases is bilateral with a higher incidence in males than in females (2:1). Congenital Clubfoot is a complex deformity which has four components: Heel in equinus, hind foot in varus, mid foot in cavus, forefoot in adduction and supination. The presented study aimed to evaluate the surgical treatment outcome of congenital club foot by a modified soft tissue release (i.e. division of tendons of tibialis posterior and flexor hallucis longus).Methods: This is a prospective study done on the Result of treatment of congenital Clubfoot by soft tissue release. Numbers of patients are thirty three patients, forty eight feet, fifteen patients (45.46%) had bilateral, and eighteen patients (54.55%) had unilateral deformities. Twenty one patients (63.64) were male and twelve patients (36.37) were female, male to female ratio was 1.75:1, their ages range between 4-35 months (mean ages in months = 15.43 months). The patients whom included in this study had no previous treatment because of delay in presentation.Results: All patients were assessed clinically and radiologically. The result of our study was as follow: Excellent result for 28 feet (58.3%), Good result for 16 feet (33.3%), Poor result for 4 feet (8.3%). The over all result can be sub divided to two categories; a) satisfactory which involve both the excellent result and the good result (91.67%) and b) unsatisfactory result which involve only the poor result (8.33%).Conclusion: The study revealed that the use of this surgical method is of good result and lower rate of complication.


Article
THE OUTCOME OF 810 NM SURGICAL DIODE LASER IN THE MANAGEMENT OF ORAL SOFT TISSUE LESIONS

Author: Ammar S Al-Alawi عمار صالح رضا العلوي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 2 Pages: 109-112
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Surgical diode lasers have been used in oral surgical procedures with beneficial effects as compared to the conventional techniques.Objective:To evaluate the efficacy and safety of 810 nm surgical diode laser in the field of oral and maxillofacial surgery.Methods:Forty patients who had different oral lesions were attending consultation clinic of the Maxillofacial Surgery Department in the Al-Kadhimyia Teaching Hospital. The patients have been treated by 810 nm diode laser. The power of the diode laser was 2-5 Watts in continuous mode. Excisional biopsies were sent for histopathological examination. Intraoperative and postoperative clinical examinations were done.Results:The clinical observations revealed no bleeding intraoperatively and postoperatively, no infection and minimal swelling was seen postoperatively.Conclusion:The benefits of 810 nm diode laser application in oral and maxillofacial surgery have been justified based on its efficacy and safety. There is a good acceptance for this new modality of treatment by the patients.Keywords:Surgical diode laser, soft tissue lesion, oral surgery


Article
Photogrammetric analysis of facial soft tissue profile of Iraqi adults sample with Class I normal occlusion: (A cross sectional study)

Authors: Suhaib M. Al-Janabi صهيب الجنابي --- Fakhri A. Ali فخري عبد علي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2013 Volume: 25 Issue: 2 Pages: 164-172
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The purposes of this study were to determine the photogrammetric soft tissue facial profile measurementsfor Iraqi adults sample with class I normal occlusion using Standardized photographic techniques and to verify theexistence of possible gender differences.Materials and methods: Eighty Iraqi adult subjects (40 males and 40 females) with an age ranged between 18-25 yearshaving class I normal occlusion were chosen for this study. Each individual was subjected to clinical examination anddigital standardized right side photographic records were taken in the natural head position which is mirror positionwhich the patient looking straight into his eyes into the mirror mounted on the stand. The photographs were analyzedusing AutoCAD program 2011 to measure the distances and angles used in the Soft Tissue Photogrammetric Analysis.Descriptive statistics was obtained for the measured variables for both genders and independent- samples t-test wasperformed to evaluate the genders difference.Results and conclusions: The results indicated that: males had greater facial heights and lengths as well as greaterprominences. The mean values of all angular variables were higher in males than females except in the followingangular measurements: nasofrontal, mentolabial, angle of the middle facial third; and angle of the head position, withlarger male dimensions in all linear measurements of the facial, labial, nasal, and chin areas except Canut’s nasalprominence in nasal area. The nasofrontal, vertical nasal, nasal dorsum, cervicomental, middle facial third and facialconvexity angles showed statistically significant gender differences, in which the male dimensions were larger thanfemales while the nasolabial, the mentolabial, nasal, the inferior facial third, the head position and total facial convexityangles showed statistically non significant gender differences


Article
Soft tissue facial profile analysis of adult Iraqis with different classes of malocclusion

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Abstract

Background: Complete analysis of facial profile should also include an evaluation of soft tissue morphology.Materials and Method:The sample consisted of 90 Iraqi adults (45 males and 45 females) aged 18-25 years fromBaghdad city divided into 3 groups according to the ANB angle with 30 subjects in each group (15 males and 15females) for class I, II and III. Lateral cephalometric radiograph was taken for each subject and 8 angular and 5linear measurements were identified and determined, t-test, ANOVA and LSD test were used to compare betweenboth genders and between different classes.Results:Showed that females had greater angular measurements and smaller linear measurements with more lipprominence than males in all classes, there was more convex facial profile with more prominent forehead, moreprominent tip of the nose with increased facial heights and more prominent lips in class II subjects than in class I andIIIsubjects.Conclusion: There is wide variation in soft tissue facial profile among different classes of malocclusion and carefuldetermination of the components of soft tissue facial profile is very important in the diagnosis and treatmentplanning


Article
Reliability of Soft Tissue Analysis in Conventional and Digital Cephalographs

Author: Ruba J Mohammed
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2013 Volume: 13 Issue: 1 Pages: 108-115
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: This study compared the reliability of measurements of soft tissue cephalometric analysis be-tween the direct digital and conventional cephalometric images using computerized cephalometric pro-gram and hand tracing. Materials and Methods: The adult sample consisted of (30) Iraqi subjects (females and males) with age ranged 18 – 25 years old, the samples satisfied the criteria of this study. Nine soft tissue measurements were recorded from lateral cephalometric radiographs using either hand tracing or digitally directly on the monitor. The data were analyzed using descriptive statistic and stu-dent’s t–test. Results: No significant differences were found between the conventional or hand tracing and digital cephalometric analysis. Conclusions: The analysis of soft tissue profile using digital cepha-lometric analysis is reliable as using the conventional method. Yet, the digital method had more benefit than the conventional method, such as reduction of the radiation dose and the image enhancement.


Article
Comparison of Lip Analyses in Skeletal Class I Normal Occlusion and Class II Divi-sion 1 Malocclusion

Author: Niam R Al–Saleem
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2013 Volume: 13 Issue: 2 Pages: 192-201
Publisher: Mosul University جامعة الموصل

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Aims: To 1. Assess the horizontal lip position and lip thickness in both Class I and Class II Division 1 subjects; 2. To investigate the effect of gender on the horizontal lip position and lip thickness; 3. To identify the effect of skeletal differences on lip position and thickness. Materials and Methods: The sample consisted of 60 cephalometric radiographs of 30 dental and skeletal Class I subjects (15 males, 15 females) and 30 dental and skeletal Class II Division 1 subjects (15 males, 15 females). The hori-zontal lip position and thickness was analyzed using 11 linear and 4 angular measurements. Using SPSS software package (version 11.5), descriptive statistics and independent sample t–test were meas-ured to compare between the two Classes and two genders. The differences were considered significant at p < 0.05. Results: In Class I no significant differences were noticed in most of the variables except in upper lip (Ls) to Steiner line and lower lip (Li) to Holdaway line where females showed more retruded position and larger nasolabial angle (NLA) when compared to males. In Class II Division 1 subjects, the upper and lower lips were significantly protrusive in males when compared with females in relation to Sushner line (S2). Class II Division 1 males showed more protruded upper and lower lips in relation to S2 line, significantly smaller Z angle and higher H angle when compared with Class I males. Comparison between Class I and Class II Division 1 females showed a significantly higher val-ue of upper lip in relation to Steiner line (S1), and significantly smaller upper and lower lips in relation to E line, smaller Z angle and larger H angle. Conclusions: Some of the variables were not affected neither by gender nor by skeletal base while other showed statistically significant differences following gender or skeletal Class or both. However, the effect of skeletal base difference was more obvious as higher number of significant differences were seen between the two Classes


Article
Photogrammetric analysis of facial soft tissue profile of Iraqi adults sample with Class II div.1 and Class III malocclusion: (A comparative study)

Authors: Salam R. Abd-Alwhab --- Dhiaa J. Nasir
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2013 Volume: 25 Issue: 4 Pages: 134-144
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The purposes of this study were to determine the photogrammetric soft tissue facial profilemeasurements for Iraqi adults sample with class II div.1 and class III malocclusion using standardized photographictechniques and to verify the existence of possible gender differences.Materials & methods: Seventy five Iraqi adult subjects, 50 class II div.1 malocclusion (24 males and 26 females), 25class III malocclusion (14 males and 11 females), with an age range from 18-25 years.Each individual was subjected to clinical examination and digital standardized right side photographic records weretaken in the natural head position. The photographs were analyzed using AutoCAD program 2007 to measure thedistances and angles used in the Soft Tissue Photogrammetric Analysis. Descriptive statistics was obtained for (29)measured variables for both genders and independent- samples t-test was performed to evaluate the gendersdifference.Results &conclusions: The results indicated that: males had greater facial heights and lengths as well as greaterprominences of facial dimensions in class II div.1 and class III malocclusion. The mean values of all angular variableswere higher in females than males in the class II div.1 exceptin the following angular measurements: vertical nasalangle,angle of the nasal dorsum,cervicomental angle andangle of the lower facial third,with larger male dimensionsin all linear measurements of the nasal, lips, chin area and facial analysis except upper facial third.Independent ttestshowedstatistically significant gender differences in the vertical nasal angle, nasal angle, nasofrontal angle;angle of the nasal dorsum; nasolabial angle, cervicomental angle, lower facial third, facial depth subnasal depth,nasal prominence, length of upper lip, length of lower lip of pogonion and height of chin,while in the class IIImalocclusionThe mean values of all angular variables were higher in males than females except in the following:nasofrontal angle, nasal angle,nasolabial angle,mentolabial angleandangle of the middle facial third with largermale dimensions in all linear measurements of the facial, lips, chin area and nose analysisexcept the height of nasaltip, nasofrontal angle, nasal angle, nasolabial angle, angle of total convexity, lower facial third, upper lip, upper lip,prominence of lower lip, prominence of chin and height of chin. Independent t-test showed statistically significantgender differences

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