Background: Nasal tip surgery is one of the most challenging procedures due to its several anatomic and pathogenic variations. Droopy nasal tip is a common nasal deformity in which the nasal tip is caudally rotated. The anatomical and pathological basis of droopy nasal tip can be divided into two main categories, extrinsic and intrinsic factors. The aim of our study is to discuss and analyze the different causes of droopy nasal tip and to put the appropriate plan to correct such deformity.Patients and Methods: During the study period, 50 patients of droopy nasal tip were managed. Meticulous pre and intraoperative assessment of the anatomical and pathological causes of nasal tip drooping was done and according to these causes we decided the proper technique for correction of such deformity.Results: Postoperative assessment depended on evaluation of the changes in nasal tip rotation and projection which was done by measurement and comparison of the nasolabial angle and Goode ratio (pre-operative and 1 year post-operative). We found significant postoperative improvement of tip rotation and projection coming to an agreement with the patient satisfaction about the final esthetic outcomes. Conclusion:There is no single technique or procedure through which we can modify or improve nasal tip rotation and projection. So for proper management of this deformity the surgeon must understand the nasal tip support mechanisms with adequate analysis of the underlying causes of such deformity.

Background: Loss of skin integrity is one of the most common problems in Plastic surgery. Split thickness skin graft is the gold standard in coverage of raw areas but it carries multiple complications like donor site morbidity. The dermal graft may add another autologous option for wound coverage with a concealed donor site scar. Aim:The aim of our study is to assess the safety, limitations, and complications of split thickness dermal graft in coverage of raw areas and to compare it to the standard Split thickness skin graft. Patients and Methods:The study was conducted on 38 patients with raw areas, who attended the outpatient clinics and

Background: Flap is tissue(s) with its own vascular supply, allowing transfer from one site to another. Flaps come in various forms. The purpose of classification is to understand the anatomy and the features that each flap provides; it also allows communication not only with peers but with the patients as well to achieve the common goal of reconstruction. Objective: The aim of this study was to compare the outcome of perforator flaps whether being early in timing in the first 48 hours of trauma or later than 48 hours. Methods: This study was conducted in the period between March 2019 to March 2021 on 40 patients with soft tissue defects in distal third tibia from the outpatient clinic, Emergency department of Plastic Surgery faculty of medicine, Beni-suef University also Surgical and Emergency departments, Agouza Police Authority hospital, Algizah, Egypt. Results: Dehiscence was more frequent in delayed as compared with early group (2 vs. 1 case in both groups respectively); but with no statistically significant difference. Healing complications were more frequent among early vs. delayed group; however, this difference had none statistically significant value.

Background: As a plastic surgeons one of the most common problems we manage in the emergency department are facial soft tissue injuries due to dog bites. Infection represents one of the main complications of such type of trauma. The aim of our study was to establish recommendations for early treatment of such injuries based on analysis of our own cases with stressing on the importance of early management within the first 24 hours.Patients and Methods: 49 cases of facial soft tissue injuries due to dog bites were managed within the first 24 hours through proper surgical debridement, immediate primary closure with administration of the proper vaccines and proper antibiotic coverage.Results: Early management of facial soft tissue injuries due to dog bites markedly improved the rate of wound healingwithout increasing the risk of wound infection. Also operating fresh tissues before tissue inflammation or retraction allowed easier reconstruction and so better cosmetic results. Conclusion:Early proper wound cleaning, surgical debridement, immediate primary closure and the 3 A (Antirabies vaccine, Antitetanus vaccine, antibiotics) ensure satisfactory results in management of facial soft tissue injuries due to dog bites.

No abstract