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Nasal reproduction is a difficult plastic medical procedure, it is the most unmistakable and stylish component of the face. Point of work is assessment, result and complexity of the nasolabial folds in nose recreation. Strategies: This examination was done in Benha University Hospital and Benha Health Insurance Hospital on thirty patients with various nasal imperfections. Subsequent to assessing the site, size, and profundity of the imperfections, recreation was finished by nasolabial folds. The folds were planned by the deliberate nasal deformities. Results and end: The mean age of the examination members was 57 years, with a standard deviation of 10 years. As to, 76.7% were guys, while 23.3% were females. The nasolabial fold is a simple, snappy and successful methodology for treatment of more modest and average estimated imperfections of the midfacial region. This method permits collecting a wide and rich vascularized fold along the entire length of the nasolabial overlap. In blend with the wide circular segment of pivot, the fold could arrive at practically any site of centrofacial territory. The closeness to the beneficiary deformities, the best shading match and the acceptable form made from the generally bare territories used from the nasolabial overlap are the other significant benefits of the method.

For centuries silver was presented to the population as an active ingredient for sanitation and food protection against bacteria but in these recent years it has been introduced for wound care management as antibacterial agent. Vacuum dressing is a new technique of dressing Also called Negative-pressure wound therapy [NPWT] using a device to make continuous suction over an open wound decreasing edema and secretions, promotes healing and granulation tissue fast growing. We aimed to compare between silver based dressing and vacuum dressing in management of diabetic foot infection 50 Patients ages from 50-65 years old having diabetic foot Infection, on insulin injections and undergoing treatment. All patients had prober surgical debridement and wound irrigation using normal saline 0.9% and povidone iodine, then they will be subdivided into 2 groups those in the first group will have silver containing ointment afterward. The second group will have silver based dressing using vacuum dressing. There were no difference between the two groups in healing percentage [84%] in the two groups and number of patients needed higher amputation were equal in both groups 3 cases in each group [16%], although there was significance difference in wound size at the end of the study between silver group and vacuum group and rate of healing which was more rapid in the vacuum group. we conclude that vacuum dressing has good healing power and more effective than silver dressing in management of diabetic foot infection. It decreases time needed for wound healing and hospital stay better than silver dressing.

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