The aim of this study is to compare the outcomes of resurfacing of postburn neck contractures with two free flaps; Para-Scapular free flap and free Antero-lateral thigh flap considering functional, aesthetic outcome, technical difficulties and donor site morbidity. Free flaps have been found to be a good single stage option for reconstruction of post-burn contractures of the neck. This is a prospective randomized comparative study that has been conducted in the period from January 2017 to May 2018 for 20 patients with postburn neck contractures. The patients have been randomly classified into 2 groups; group (A) patients were resurfaced by free anterolateral Thigh flap group (B) patients were resurfaced by parascapular free flap. Results revealed improved functional and aesthetic outcome at recipient site. Moreover, Parascapular free flap has better aesthetic outcome regarding donor site scar and required secondary procedures for debulking less than free ALT flap.On the other hand, ALT flap favors two teams' approach and avoid changing position of the patient during surgery.
Recent advances in computer sciences have resulted in a significant improvement in reservoir modeling, which is an important stage in studying and comprehending reservoir geometry and properties. It enables the collection of various types of activities such as seismic, geological, and geophysical aspects in a single container to facilitate the characterization of reservoir continuity and homogeneity. The main goal of this work is to build a three-dimensional reservoir model of the Abu Roash G reservoir in the Hamra oil field with enough detail to represent both vertical and lateral reservoir heterogeneity at the well, multi-well, and field scales. The Late Cenomanian Abu Roash G Member is the main reservoir in the Hamra oil field. It is composed mainly of shale, carbonate and some streaks of sandstone, these streaks are shaly in some parts. Conducting the 3D geostatic model begins with the interpretation of seismic data to detect reflectors and horizons, as well as fault picking to explain the structural framework and frequently delineate the container style with proposed limitations to construct the structural model. The lithology and physical properties of Abu Roash G reservoir rock, including total and effective porosity and fluid saturation, were determined using well log data from four wells in the Hamra field. The constructed 3D geological model of the Abu Roash G has showed that the petrophysical parameters are controlled by the facies distribution and structure elements, whereas properties are the central part to the northern side of the deltaic environment than the other sides of the same environment. The model will be useful in displaying the reservoir community and indicating prospective zones for enhancing the dynamic model to improve the behavior of the flow unit productivity, as well as, section of the best sites for the future drilling.
Lower limb reconstruction remains a big concern. Great advancements have been made over the past century for reconstructing traumatic and non-traumatic defects in leg and foot. The reconstructive methods ranged from leaving the wound to heal by secondary intention up to free flap. Large defects are commonly reconstructed with free fasciocutaneous flaps or free muscle flaps with skin grafts. The result of a reconstructive operation is mainly due to the vascular component's stability, which is crucial in ensuring the flap survival and proper function. The lower extremity has also been recognized for slow wound healing and as an inadequate source of the flap for reconstruction. In this study, we will present our experience in sohag university hospital In free Antero Lateral Thigh flap used in leg and foot reconstruction as regarding flap outcome, complications.
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