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Two Crossed Dermal Flaps for Prevention of Bottoming out after Breast Reduction

Modern Plastic Surgery 2021年第4期11卷 71-78页

作者： Sinan Al Boudi anwar alhassanieh Plastic Surgery Division of Surgical Department Almowassat University Hospital Damascus Syria

Introduction: Breast reduction is one of the most prevalent plastic surgery procedures in Syria and the world, bottoming out on the other hand is one of the most happened disadvantages after breast reduction with inferior pedicle technique. Different techniques were used to prevent this deformity after inferior pedicle. In this study we tried to prevent bottoming out by using two crossed dermal flaps suspending the inferior pedicle to the periosteum of the 2nd rib. Methods and materials: 32 patients had breast reduction surgery using inferior pedicle technique at Almowassat University Hospital in Damascus. We divide them into 2 groups, 16 patients each. First group we used crossed dermal flaps with the inferior pedicle and the second group was without these flaps, the dermal flaps had a base on the side of the inferior pedicle base, crossed anterior to it in the middle point between the lower edge of the areola and the IMF and then sutured to the periosteum of the 2nd rib on each side. Results: Preoperatively, the average distance between the inframammary fold and areola was 14.5 cm (range, 11 - 18 cm) in the first group without dermal flaps and 14 cm in the second group with dermal flaps. The average amount of breast parenchymal resection was 790 g (range, 140 - 1600 g). The average distance between the inframammary fold and the lower border of the areola was 8.5 cm (range, 7.5 - 9 cm) on the postoperative first-year measurements in the group with flaps and 10.2 cm (8.6 - 11.4 cm) in the other group. Conclusion: Inferior pedicle suspension using crossed dermal flaps has a real role in preventing bottoming out, without using any allogenic or alloplastic materials, making it one of the considered ways in preventing bottoming after breast reduction.

关键词： Breast Reduction Bottoming out Crossed Dermal Flaps

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Recurrence of Lower Eyelid Fat Pads (Herniated Fat) after Blepharoplasty: An Analysis of Different Operative Techniques

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Modern Plastic Surgery 2021年第3期11卷 63-69页

作者： Riham Al Ashkar Sinan Alboudi anwar alhassanieh Department of Plastic Surgery Faculty of Medicine Damascus University Damascus Syrian Arab Republic

Background: Aging changes to the lower eyelids and midface include all but not only these changes: pseudoherniated orbital fat, tear trough deformity, lid laxity, and dermatochalasis. Surgical repair often aims at treating redundant skin or orbital fat malposition with a lower eyelid blepharoplasty. In manipulating the inferior orbital fat pads, a surgeon has many options including excision, repositioning, or augmentation with synthetic dermal filler, autologous fat grafts, or acellular dermal allografts [1]. The aim of this study is to find the best approach in preventing fat herniation reccurnce in lower lid blepharoplasty. Methods: The patients in study were classified into three groups depending on the used surgical technique, to test the most effective technique associated with minimal rate of lower fat pad recurrence after surgery. Two of these techniques include a muscular flap suspension from the orbicularis oculae muscle. Results: The two surgical techniques that include orbicularis oculi muscle suspension are associated with no recurrence of lower herniated fat pads after blepharoplasty. Conclusions: The suspension of orbicularis oculi muscle has an important role in enhancing the lower orbital septum and prevents the recurrence of the lower herniated fat pads.

关键词： Infraorbital Fat Lower Lid Blepharoplasty Lower Fat Pads Orbicularis Oculi Muscle Suspension

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Acute Burns in Pregnancy

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Open Journal of Obstetrics and Gynecology 2020年第12期10卷 1702-1707页

作者： Ali Alrida Rahal Sinan Alboudi Israa Ali Haidar anwar alhassanieh Department of Plastic Surgery Faculty of Medicine Damascus University Damascus Syrian Arab Republic Obstetrics and Gynecology Department Faculty of Medicine Damascus University Damascus Syrian Arab Republic

Background: Acute burns injury in pregnant women is relatively rare especially in developed countries. There is a paucity of published data on the specific problems of burns in pregnancy, despite the high mortality for both the mother and the fetus. Aim: In this paper we will discuss all cases of acute burns in pregnant women admitted to the Burns Department in Al-Mouassat University Hospital in Damascus during the period between October 2017 and October 2019. Materials and Methods: A retrospective study of records over 2 years was conducted. The study included all pregnant burn injury women who were managed and followed up at the Burns Department in Al-Mouassat University Hospital. Patients were classified according to gestational age, burn characteristics, and maternal and fetal outcome. Results: Eleven patients were included, with mean age of 22.5 years (range 16 - 37 years). Of the 11 pregnant patients, 4 (36%) were in the first trimester, 3 in the second trimester (27%), and 4 in the third trimester (36%). The mean percentage of total body surface area (TBSA) burned was 40.9% (range: 17% - 76%). Maternal death occurred in 2 of the cases (18%) and fetal death in 7 (63.6%).

关键词： Acute Burns Pregnancy Mortality

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Breast Reduction Complications

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Modern Plastic Surgery 2021年第1期11卷 1-5页

作者： Sinan Alboudi Ali Alrida Rahal Israa Ali Haidar anwar alhassanieh Department of Plastic Surgery Faculty of Medicine Damascus University Damascus Syrian Arab Republic Obstetrics and Gynecology Department Faculty of Medicine Damascus University Damascus Syrian Arab Republic

Background: Breast reduction surgery is increasing in popularity, with so many techniques all around the world, and the community’s knowledge of the details of this procedure increases thanks to the Internet and easy access to information, which increases breast reduction reviews for plastic surgery clinics. Reduction mammaplasty is an established and effective technique to treat symptomatic macromastia. Variable rates of complications have been reported, and there is a continued need for better outcome assessment studies. Aim: The purpose of this study was to identify the complications occurred during the first year of breast reduction surgery. Materials and Methods: A prospective study over a 1-year period from October 2018 to October 2019, that included 32 patients who underwent breast reduction surgery using the same technique (inferior pedicle and inverted T scar) in the Department of Plastic Surgery at Al-Mouassat University Hospital, Damascus, Syria. Patients were followed through a whole year after surgery and complications that occurred were recorded. Results: Complications that occurred in 14 patients (43%), and, and were more common in patients with larger breasts and worse symptoms before surgery. The most common complication was delayed wound healing, and it was associated with breast volume before surgery and with smoking. In general, the most relevant factor influencing the incidence of complications was the weight of the resected breast tissue, which is mainly related to the size of the breast before surgery. Conclusion: The weight of the resected breast tissue was the most important factor influencing the occurrence of complications after breast reduction surgery. The most prevalent complication was delayed wound healing and it was associated with the weight of the removed tissue.

关键词： Breast Reduction Complications Delayed Wound Healing

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A Comparison between Supra-Scarpa’s Fascia Abdominoplasty and Traditional Abdominoplasty: Effect of Caesarian Section

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Modern Plastic Surgery 2021年第2期11卷 37-48页

作者： Ali Alrida Rahal Sinan Alboudi Mhd Husam Alhilbawi Mohamad Raghid Hasan anwar alhassanieh Division of Plastic and Reconstructive Surgery Department of Surgery Faculty of Medicine Damascus University Damascus Syria

Background: Abdominoplasty is still among the most popular surgeries in the world of cosmetic surgery, as many modifications have been implemented on this surgery to improve aesthetics and reduce the ratio of complication, especially seroma. Also, the duration to drain removal increases the risk of infection, and this can be avoided by preserving the Scarpa’s fascia. Methods: The study was performed from January 2018 to December 2020. The patients were divided into two groups: group A with patients who were performed in Supra-Scarpa’s fascia abdominoplasty, and group B who were performed in traditional abdominoplasty;then group A was divided into two subgroups (A1 with caesarean history and A2 with no caesarean history) that differ in caesarean history or not, while a comparison was done between the groups regarding early outcomes. Results: A total of 40 full abdominoplasties were preformed (group A, 19 patients;group B, 21 patients);then group A was divided into two subgroups (group A1, 13 patients;A2, 6 patients);we found that the time until drain removal and its drain output in group A is less with a statistical significance, and the seroma was less to happen in group A with no statistical significance. However, the operative time in group A is higher with statistical significance. In the subgroups A1 and A2, there was no statistically significant difference in the results. Conclusion: Preservation of the Scarpa’s fascia reduces the time until drain removal, total drain output and the occurrence of seroma and the caesarean scar doesn’t affect the efficacy of preserving the Scarpa’s fascia.

关键词： Abdominoplasty Scarpa’s Fascia Caesarian Section

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Recurrence of Lower Eyelid Fat Pads (Herniated Fat) after Blepharoplasty: An Analysis of Different Operative Techniques

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Modern Plastic Surgery（现代整形外科） 2021年第3期

作者： Riham Al Ashkar Sinan Alboudi anwar alhassanieh

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Acute Burns in Pregnancy

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Open Journal of Obstetrics and Gynecology（妇产科期刊） 2020年第12期

作者： Ali Alrida Rahal Sinan Alboudi Israa Ali Haidar anwar alhassanieh

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A Comparison between Supra-Scarpa’s Fascia Abdominoplasty and Traditional Abdominoplasty: Effect of Caesarian Section

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Modern Plastic Surgery（现代整形外科） 2021年第2期

作者： Ali Alrida Rahal Sinan Alboudi Mhd Husam Alhilbawi Mohamad Raghid Hasan anwar alhassanieh

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