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Background The use of amniotic membrane as a biological dressing for thermal injury is simple and cheap and has been found to be superior to allograft and xenograft. The membrane prevents heat and water loss from the wound surface and acts as a barrier against bacterial contamination, thus aiding the healing process and reducing morbidity. Another clinically significant and important property of the membrane is its ability to offer marked relief from pain. Objective The main aim of this study was to treat superficial burn by amniotic membrane and test the effectiveness of amniotic membrane as an enhancer of wound healing. Patients and Methods Between 1/6/2007 to 1/6/2009, (200) patients with partial thickness burn were treated by amniotic membrane at Sulaimani burn and reconstructive surgery hospital). The burn wound was covered with amniotic membranes procured from hepatitis, syphilis and HIV-seronegative mothers having undergone cesarean deliveries. The wounds were inspected for any signs of infection weekly for 4 weeks, then monthly for 2-3 months thereafter. Results The Amniotic membrane mostly applied in the same day of burn 129 (64.5 %), in 42 cases (21%) they were applied in the second day of burn. The rest of the patient had the amniotic membrane applied in the day three and more. When the outcome was compared by characteristics of the patient there was no significant difference by sex, cause of burn, site of burn, but there is a significant difference in outcome by age group. Conclusion Amniotic membrane dressing in superficial wound was effective, the application of this cheep dressing material warrants further study, as it can be useful in areas where dressing are expensive and specialized equipment is not available.

Background  The whistle deformity is one of the common sequelae of secondary cleft lip deformities. It is often accompanied by asymmetric upper lip thickness and insufficient vermilion tubercle. The bilobed mucosal flap was described by Song Tao. To correct these deformities in a single stage, we have used the same technique in our study and combined with other procedure to correct wider array of secondary cleft lip deformities. Objectives To evaluate the reliability and versatility of bilobed mucosal flap in reconstruction of whistle deformity, insufficient tubercle and lateral vermilion redundant. Methods Nine patients with whistling deformities were included in our study. Their ages ranged from 5-34 year. All cases were corrected by bilobed mucosal flap, which consist of two lobes The first lobe located at the oral mucosa of the lateral affected lip side, used to correct whistle deformity and augmenting the tubercle. The second lobe elevated from the lateral vermilion mucosa on the affected side and used to repair the oral mucosal defect, at the same time it decreases the excess on the lateral side. Results Minimum follows up was 6 month. All patients were satisfied with the aesthetic outcomes. In all of the patients, whistle deformity were corrected, tubercle augmented and more symmetric vermilion appearance were achieved. Major complications (necrosis of mucosal flap, infection and recurrence of whistling deformity) did not occur in any of the patient. Conclusion A bilobed mucosal flap is a safe and simple procedure, effectively performed to correct combined secondary deformities after primary cheleoplasty in unilateral cleft lip patient. It can be combined with other procedures to revise upper lip scar, repair muscular diastases, and correction of severe whistle deformity.