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Purpose: to evaluate the effect of simultaneous vomerine flap and lip repair on the palatal dimensions in unilateral complete cleft lip and palate patients. Patients and Method: this study included 12 patients complaining of primary unilateral complete cleft lip and palate. They were classified randomly into two groups: Group I: included 6 cases, in which simultaneous cleft lip and hard palate repair was done using single layer vomerine flap. Group II: included 6 cases, in which separate repair of cleft lip and hard palate was done. Syndromic patients and patients with previous trial of repair were excluded. Results: showed reduction in A-A` alveolar cleft width and C-C` anterior palatal width occurred in both groups, while E-E` posterior palatal width increased in group 1 and decreased in group2 and the reverse occurred in BZ antro-posterior palatal width. Conclusion: Vomer flap is an easy, safe technique, with less time consuming and provides complete healing with less fistula formation.

Background and Aim: Value of colostomy in management of Fournier gangrene (FG) is a debatable issue. Almost all relevant studies are retrospective and included heterogeneous patients’ groups. The present prospective study aimed to evaluate the role of colostomy in management of FG affecting the perianal region in 2 well-matched FG groups. Patients and Methods: The present prospective comparative study included 30 patients with FG associated with extensive involvement of the perianal region. They comprised 15 patients subjected to colostomy and other 15 patients who refused to perform the procedure. Colostomy was performed after the first debridement. Outcome parameters in the present study included time to wound healing, length of hospital stay, and inhospital mortality. Results: Comparison between the studied groups regarding the preoperative characteristics revealed no statistically significant differences. Postoperatively, patients in the colostomy group had significantly fewer number of debridements (1.3 ± 0.5 vs 2.7 ± 1.2, P < .001), shorter hospital stay (9.5 ± 3.3 vs 29.9 ± 6.2 days, P < .001), and significantly shorter time to wound healing (16.5 ± 3.9 vs 42.9 ± 6.9 days, P < .001). Also, patients in the colostomy group had significantly lower rate of wound dehiscence, wound infection, and flap ischemia. However, the difference wasn’t statistically significant. Conclusions: Aggressive treatment of FG aided by colostomy after first debridement would result in better clinical outcome.

BACKGROUNDA new powder dressing (TPD) is a methacrylate-based powder formulation that transforms in situ into a shape-retentive matrix upon hydration to create optimum moist wound healing conditions. The following randomized, controlled, clinical study aimed to evaluate the role of TPD in the management of chronic venous ulcers (CVU).METHODSThe randomized controlled prospective study enrolled 60 CVU patients. After randomization, patients in the treatment group (n = 30) were treated with TPD, whereas those in the control group (n = 30) received conventional compression dressing therapy.RESULTSAfter treatment, patients in the TPD group had significantly higher rates of complete ulcer healing at 12 weeks (43.3% vs 10.0%, p = .004) and 24 weeks (86.7% vs 40.0%, p = .001) when compared with conventional dressing group. Moreover, patients in the TP dressing group had significantly shorter time to complete ulcer healing [mean (95% CI): 16.7 (14.1–19.3) versus 37.0 (30.8–43.2) weeks, p = .001]. In addition, patients in the TPD group had significantly fewer number of dressings, less severe pain after dressing, and lower need for systemic analgesics.CONCLUSIONUse of TPD in management of CVUs was associated with significantly higher healing rates, shorter duration to healing, and lower pain.