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Article
Excision of Soft Tissue Oral Lesions by 810 nm Diode Laser
قطع جروح النسيج الناعم باستخدام ليزرالدايود 810 نانومتر

Authors: Balsam S. Abdulhamed --- Bassem T. Merry
Journal: Iraqi Journal of Laser المجلة العراقية لليزر ISSN: 18121195 Year: 2012 Volume: 11 Issue: B Pages: 21-27
Publisher: Baghdad University جامعة بغداد

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Abstract

Abstract:The present study was conducted on 20 patients suffering from different types of lesion like pyogenic granuloma, peripheral giant cell granuloma, mucoceles, pregnancy tumour, Fordyce's granules and irritating fibroma.The cases were selected from outpatient clinic of the Al Kydhemya Teaching Hospital. Patients were treated by diode laser (810±20 nm) at the affected areas of the oral cavity with continuous contact focused mode until excision of the lesion with coagulation of the oozing area after excision. Patients were followed up after 2 days, 7 days and 2 weeks to assess healing process and any post operative complication. Some of undiagnosed lesion sent for histopathological examination. No serious complications were recorded; one suffered from slight oedema and one case with simple bleeding. After 2 months follow up, recurrence occurred in one case. Diode laser provides a marked clinical improvement without the need for surgical intervention.

أجريت هذه الدراسة على عشرين مريضا" حيث كانوا يعانون من اورام حميدة مختلفة في الفم و اللسان مثل الاورام الحبيبية القيحية, الخلية العملاقة الحبيبية الطرفية, اكياس الغدة اللعابية الصغيرة, الأورام الحبيبية الهرمونية المصاحبة للحمل و الاورام المتليفة.تم اختيار هذه الحالات في العيادة الاستشارية لجراحة الوجه و الفكين في مستشفى الكاظمية التعليمي, و تم علاج الحالات بواسطة ليزر الدايوود الطبي بطول موجي (810± 20) نانومتر ذو حزمة مستمرة موضوعة بصورة مباشرة فوق الورم لرفعه و تنظيف المنطقة بشكل جيد. بعدها يتم متابعة المرض بعد يومين من اجراء العلاج, اسبوع و اسبوعين لحين اكتساب الشفاء التام.تم ارسال الاورام المرفوعة الغير مشخصة نسيجيا الى التشريح المرضي. لم تحدث مضاعفات خطيرة بعد العلاج عدا حالة نزف بسيطة تم علاجها موضعيا و كذلك حالة واحدة لالتهاب الجرح بسبب عدم اتباع المريض التعليمات المعطاة له, مع حالة لرجوع المرض بعد شهرين من العلاج و كان الورم الحبيبي المصاحب للمرأة الحامل. اثبتت الدراسة كفاءة العلاج بالليزر و عدم احتياج التداخل الجراحي لرفع الاورام الحميدة من الفم.

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Article
Use of cervicopectoral flap as an access for radical neck dissection and reconstruction of facial defects

Authors: Balsam S. abdulhamed بلسم عبد الحميد --- Bassem T. Merry
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: 4 Pages: 71-76
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The problem of reconstruction after surgical extirpation of head and neck cancer remain a cornerstone that produce unique challenges to surgeon; surface defects are often contiguous with oral cavity requiringboth lining and covering.Patients and methods: This study was conducted on 20 patients (13♂:7♀), age rang (28-80years), whom suffered frommalignant tumors in different sits in oro-facial region and salivary gland, to evaluate the C.P.F. as an access forcervical lymphadenectomy during treatment of head/neck malignant tumor and its use as immediatereconstruction for closing the defect resulted from tumor resection at the same procedure.Results and Conclusions: The C.P.F. was successfully covered the moderate and large size defect resulted from tumorablation in the neck region with successful esthetic and function results


Article
Bone graft from iliac bone for maxillofacial reconstruction: An operative approach with decrease morbidity

Authors: Bassem T. Merry بسيم ميري --- Balsam S. Abdulhamed بلسم عبد الحميد
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: 4 Pages: 77-82
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: In Maxillofacial surgeries, iliac bone graft has traditionally been harvested to provide osteoconductive,osteoinductive and osteogenic components to initiate bony formation. There are multiple types of procedures forharvesting iliac bone graft, either by surgical exposure procedure for procurement bone graft bicortical, unicortical,tricortical or by using Fritsch bone harvesting (trephine) system or by Spine-Tech grinding harvester technique. Thisstudy compares procedures for harvesting iliac bone graft by using sub-crestal window technique procedure andtrap-door iliac crest bone graft procedure for different purposes like alveolar cleft, bone resection due to tumor,reconstruction of avulsed facial bone due to trauma by bullet injury or RTA, confirming that donor site morbidity ofthe sub-crestal window technique is more significant than trap-door technique.Patients and methods: In this study (40 patients / 22♂:18♀) underwent harvesting of iliac bone graft with age range(3.5-65 years) in Al-Kadhmyea Teaching Hospital (2009-2012) for different purposes like alveolar cleft, reconstructionof mandible after tumor resection and reconstruction of maxillofacial defects due to massive blast or bullet injury.Results and Conclusions: The results indicate that major complications from ICBG harvest are uncommon, but minorcomplications are common. The findings suggest that donor site morbidity of the sub-crestal window technique issignificantly less than trapdoor technique. Making the sub-crestal window technique is the method of choice forharvesting large amounts of bone graft

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