No abstract

No abstract

Background:In the open rhinoplasty technique, the soft tissue and ligaments are vulnerable to injury. Reconstruction of the ligaments is not performed routinely. The authors aimed to assess the effect of preservation of the nasal ligaments (ie, scroll, septocolumellar, and Pitanguy ligaments) in open-approach rhinoplasty. Methods: In this prospective cohort study, 32 patients underwent open rhinoplasty with ligament preservation after receiving precise training on five cadavers. Results: All patients had improved aesthetic and functional outcome in the early postoperative period with long-lasting preservation of tip projection and results. No patient needed secondary revision surgery for tip dropping or malrotation. The objective findings and subjective assessments were satisfying for the patients and surgeons. Conclusions: Refinements of nasal surgery have no limits. This study suggests that nasal ligament reconstruction, including of the scroll, septocolumellar, and Pitanguy ligaments, could maintain nasal tip projection and rotation for a long time.

Background: Adhesion is one of the most complications of tendon repairs.Aim of the study: to evaluate the safety and effectiveness of using silicon sheet wrapping the tendon after primary repair to prevent adhesion. Patients and Methods: This was a prospective case series study that included 20 patients with primary and delayed primary tendon repair. Repaired flexor or extensor tendon was wrapped in a silicon sheet. The study was conducted at Al-Azhar University Hospitals (Al-Hussien and Sayed Galal). Results: Postoperative assessment and follow-up were done on the studied patients. Our results showed that one patient (5%) had mild soft tissue changes surrounding the tendon. None of the patients were complicated with adhesions. Mild to moderate edema surrounding the tendon compared with contralateral healthy one was found in 17 patients (85%). Dynamic imaging of the tendon movement (passive) to assess the suture site showed vascularization in all patients (100%). Also, the echogenicity of stumps was normal in all studied patients (100%). Conclusion:The tendon repair site healed quickly and qualitatively well in the current study with silicon wrapping. The functionally improved range of motion obtained suggests that peritendinous fibrosis has been reduced. During the follow-up, the patient underwent an ultrasound examination. In silicon wrap cases, ultrasound confirmed objectively better tendon healing quality, less edema, and the absence of other complications.

No abstract