The Scientific Journal of Al-Azhar Medical Faculty, Girls最新文献

Clinical applications of brain diffusion-tensor imaging and fiber tractography 脑弥散张量成像与纤维束造影的临床应用

The Scientific Journal of Al-Azhar Medical Faculty, Girls Pub Date : 2022-01-01 DOI: 10.4103/sjamf.sjamf_232_21

M. Elsheikh, Eman Al Saadawy, M. Reda, M. Khaled

{"title":"Clinical applications of brain diffusion-tensor imaging and fiber tractography","authors":"M. Elsheikh, Eman Al Saadawy, M. Reda, M. Khaled","doi":"10.4103/sjamf.sjamf_232_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_232_21","url":null,"abstract":"Background Diffusion-tensor imaging (DTI) and fiber tractography are relatively recent MRI techniques that have opened an entirely new noninvasive window on the white matter (WM) connectivity of the human brain. Since their introduction, they have rapidly evolved and found application in essentially every disorder involving the WM. Aim The aim of this work was to study the clinical applications of DTI and fiber tractography in various neoplastic and nonneoplastic brain lesions, as well as to demonstrate their role in preoperative mapping of WM tracts in relation to brain lesions. Patients and methods A prospective study was conducted for 2 years on 40 patients presenting to Alexandria University with variable intracranial lesions related to WM tracts who underwent DTI and fiber tractography. The study included 25 males and 15 females. The age of the patients ranged from 6 to 76 years (mean age, 40.7 years). Qualitative analysis of DTI data was performed using directionally encoded color maps and three-dimensional tractography reconstruction. Results According to visual analysis multiple projection, association and/or commissural WM fiber tracts were involved; the most common was the corticospinal tract in 25 (62.5%) cases. WM tract involvement patterns were deviated/splayed tracts in 31 (64.6%) cases, infiltrated in nine (18.8%) cases, edematous in five (10.4%) cases, and interrupted in three (6.3%) cases. Conclusion DTI and fiber tractography are valuable noninvasive techniques providing qualitative information aiding in lesion characterization, determining WM integrity, and essential in the surgical planning for patients with intrinsic brain lesions.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78187933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Galectin-3 as a prognostic biomarker for diabetic nephropathy 半乳糖凝集素-3作为糖尿病肾病的预后生物标志物

The Scientific Journal of Al-Azhar Medical Faculty, Girls Pub Date : 2022-01-01 DOI: 10.4103/sjamf.sjamf_244_21

N. Mohamed, N. Marie, Wagida Abouraya, Salwa El Shennawy, S. Mahmoud

{"title":"Galectin-3 as a prognostic biomarker for diabetic nephropathy","authors":"N. Mohamed, N. Marie, Wagida Abouraya, Salwa El Shennawy, S. Mahmoud","doi":"10.4103/sjamf.sjamf_244_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_244_21","url":null,"abstract":"Background Diabetes mellitus (DM) type 2 is a major health condition that has shown an increased incidence globally. The most common complication in type 2 DM is diabetic nephropathy (DN). Aim To determine serum galectin-3 as a prognostic biomarker in type 2 DN. Patients and methods A case–control prospective study was done in the Internal Medicine Department of AL-Zahraa University Hospital, Cairo, Egypt. The study was conducted on 90 patients, including 60 patients with type 2 DM and 30 age-matched and sex-matched healthy volunteers as a control group. The 90 patients were classified into four groups: group I included 20 diabetic patients (type 2) with an albumin/creatinine ratio (ACR) of less than 30 mg/g (normoalbuminuria), group II included 20 DM (type 2) with an ACR of 30–300 mg/g (microalbuminuria), group III included 20 DM (type 2) with an ACR of more than 300 mg/g (macroalbuminuria), and control group included 30 age-matched and sex-matched healthy individuals. History, examination, fasting blood sugar, glycated hemoglobin, urea, creatinine, estimated glomerular filtration rate, ACR, lipid profile, and serum galectin-3 were done for all participants. The study was approved by the Al Azhar University Ethics Board. Results Galectin-3 was significantly higher in patients with macroalbuminuria than in those with microalbuminuria and normoalbuminuria. Galectin-3 level has a significant positive correlation with parameters of DN progression (age, DM duration, fasting blood sugar, glycated hemoglobin, cholesterol, low-density lipoprotein, triglyceride, urea, creatinine, and ACR) and a significant negative correlation with estimated glomerular filtration rate and high-density lipoprotein levels. Conclusion Galectin-3 was significantly higher in type 2 diabetic patients with macroalbuminuria than in those with microalbuminuria and normoalbuminuria.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85048473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Positron Emission Tomography/ Computed Tomography (PET/CT) in Staging of Lung Cancer 正电子发射断层扫描/计算机断层扫描(PET/CT)在肺癌分期中的作用

The Scientific Journal of Al-Azhar Medical Faculty, Girls Pub Date : 2022-01-01 DOI: 10.4103/sjamf.sjamf_218_21

M. Darwish, Emam Abo Seif, M. Khaled

{"title":"The Role of Positron Emission Tomography/ Computed Tomography (PET/CT) in Staging of Lung Cancer","authors":"M. Darwish, Emam Abo Seif, M. Khaled","doi":"10.4103/sjamf.sjamf_218_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_218_21","url":null,"abstract":"Background Lung cancer is the leading cause of cancer-related death. The accurate staging of lung cancer is important in determining the optimal treatment strategy and predicting the prognosis. Positron emission tomography (PET)/computed tomography (CT), which has the advantages of PET and CT and minimizes their limitations, is a potential tool for the staging of lung cancer. Objective This study aimed to evaluate the role of PET/CT in the staging of lung cancer. Patients and methods This study was carried out on 40 patients with pathologically confirmed lung cancer referred to the Nuclear Medicine Unit affiliated to the Department of Radiodiagnosis at Sharq El Madina Hospital, Ministry of Health, Alexandria, between November 2017 and December 2019 for initial staging of lung cancer with PET/CT or restaging after therapy. Combined PET/CT imaging was performed using the Siemens biograph 64 PET/CT scanner. Results (a) Initial staging: PET/CT was able to assess the stage of ten patients (25%), whose stage could not be assessed by CECT. Both PET/CT and CECT disagreed in the staging of six patients. PET/CT staged 10 (25%) patients that could not be assessed by contrast enhanced computed tomography (CECT) and they disagreed in staging of six patients (15%). T staging was predicted by PET/CT in the 40 patients (100%) and by CECT in 30 patients (75%), with disagreement in two patients (5%). PET/CT disagreed with CECT in N staging of 10 patients (25%). PET/CT detected distant metastasis (M) in 18 patients (45%), while CECT detected it in 14 patients (35%). (b) Restaging after neoadjuvant therapy: staging was concordant in six out of eight patients (75%) and dissimilar in two patients (25%). Conclusion PET/CT is an essential component in the initial staging of lung cancer for its better locoregional and distant staging abilities. It is also more reliable in restaging after neoadjuvant therapy, being more related to the functional activity of the residual tumor rather than its size.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88797817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence of deep venous thrombosis in patients with severe acute respiratory syndrome coronavirus disease 2019 and elevated plasma levels of the D-dimer 2019年严重急性呼吸综合征冠状病毒病患者深静脉血栓发生率与血浆d -二聚体水平升高

The Scientific Journal of Al-Azhar Medical Faculty, Girls Pub Date : 2022-01-01 DOI: 10.4103/sjamf.sjamf_225_21

Khaled Attia, M. Ibrahim, A. Abonar

{"title":"Incidence of deep venous thrombosis in patients with severe acute respiratory syndrome coronavirus disease 2019 and elevated plasma levels of the D-dimer","authors":"Khaled Attia, M. Ibrahim, A. Abonar","doi":"10.4103/sjamf.sjamf_225_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_225_21","url":null,"abstract":"Background There is an increased risk of developing venous thromboembolism in patients with severe acute respiratory syndrome coronavirus disease (SARS COVID-19). As the D-dimer could be elevated in deep venous thrombosis (DVT), we aimed to investigate the incidence of DVT in patients with SARS COVID-19 and elevated plasma levels of the D-dimer. Patients and methods A prospective observational study was carried out to screen all patients with a confirmed diagnosis of SARS COVID-19 with plasma D-dimer levels above 1000 ng/ml for the presence of DVT without related symptoms using complete compression Doppler ultrasound. Results A total of 52 patients were included in the study. Among them, 34 (67.3%) were males. All patients received standardized thromboprophylaxis treatment. The screening results of complete compression Doppler ultrasound revealed DVT in eight (15.4%) patients. Among these patients, the DVT was proximal in one (1.9%) patient and bilateral distal in two (3.8%) patients. The D-dimer level was significantly higher in patients with DVT than in patients without DVT (4531 vs. 2048 ng/ml, odds ratio 9.4, 95% confidence interval 1.2–70.3). The diagnostic ability of the D-dimer was satisfactory, with an receiver operating characteristic curve of 0.71 (95% confidence interval 0.62–0.83). Conclusion The incidence of DVT without symptoms in patients with SARS COVID-19 and elevated plasma level of D-dimer was 15.4%, with a significant difference between patients with and without DVT in terms of the D-dimer. Therefore, the D-dimer is important for the diagnosis of DVT in patients with SARS COVID-19.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87407015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative study between the efficacy of botulinum toxin type A versus carboxytherapy in the treatment of postacne scars A型肉毒杆菌毒素与羧酸疗法治疗痤疮后疤痕疗效的比较研究

The Scientific Journal of Al-Azhar Medical Faculty, Girls Pub Date : 2022-01-01 DOI: 10.4103/sjamf.sjamf_121_21

S. Fikry, Wafaa Mahmoud, Hoda Elsebaey

{"title":"Comparative study between the efficacy of botulinum toxin type A versus carboxytherapy in the treatment of postacne scars","authors":"S. Fikry, Wafaa Mahmoud, Hoda Elsebaey","doi":"10.4103/sjamf.sjamf_121_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_121_21","url":null,"abstract":"Background Acne scarring remains a challenge to treat. Both botulinum toxin type A (BTX-A) and carboxytherapy (CXT) are considered novel treatment modalities for acne scars. Aim This study aimed to compare the efficacy and safety of BTX-A versus CXT in the treatment of postacne scars. Patients and methods Forty patients aged 18–50 years, with mild to severe postacne scars, were enrolled in this study and were divided randomly and equally into two groups: group A included 20 patients who underwent three sessions of an intralesional injection into postacne scars by BTX-A at a 3-week interval and group B included 20 patients who underwent three sessions of CXT on postacne scars at a 3-week interval. Evaluation of the clinical response to treatment was performed every 3 weeks and 1 month after the last session by photos and the global scarring grading system and patient satisfaction was assessed. Results There was a significant improvement in the degree of scar severity before and after treatment in both groups. There was no significant difference between improvements in both groups, indicating that both modalities of treatment yielded similar net results. Conclusion Both BTX-A and CXT can be effective and safe therapeutic options for the treatment of postacne scars with no significant side effects.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89892154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of diffusion-weighted MRI in characterization of intracranial cystic lesions 磁共振弥散加权成像在颅内囊性病变诊断中的作用

The Scientific Journal of Al-Azhar Medical Faculty, Girls Pub Date : 2022-01-01 DOI: 10.4103/sjamf.sjamf_246_21

Ghada Kohla, Emam AbdelAziz, H. Abd-Elwahab

{"title":"The role of diffusion-weighted MRI in characterization of intracranial cystic lesions","authors":"Ghada Kohla, Emam AbdelAziz, H. Abd-Elwahab","doi":"10.4103/sjamf.sjamf_246_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_246_21","url":null,"abstract":"Background Diffusion-weighted imaging (DWI) is reliable in diagnosing intracranial cysts. However, sometimes, it could not give satisfactory diagnostic confidence. Objective To study the role of DWI in differentiation between intracranial cysts and the usefulness of apparent diffusion coefficient. Patients and methods This study included 40 patients of different age groups with intracranial cysts. All patients included were subjected to full history taking, clinical examination, laboratory investigations, routine MRI examination, DWI, and apparent diffusion coefficient map. Results Receiver operating characteristic curve was generated to identify inflammatory intra-axial lesions and to obtain the best sensitivity (80%), specificity (83.3%), positive predictive value (80%), and negative predictive value (83.3%). The relationship was significant (P<0.028). Receiver operating characteristic curve to identify epidermoid and arachnoid cysts and to obtain the best sensitivity (100%), specificity (100%), positive predictive value (100%), and negative predictive value (100%). The relationship was significant (P=0.013). Conclusion DWI is perfect in differentiating between necrotic tumors and abscesses, benign and malignant intracranial cysts, and between arachnoid and epidermoid cysts. But it failed in differentiating between lower-grade and high-grade glioma.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90327130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serum omentin-1 levels in type II diabetes and its relationship with obesity 2型糖尿病患者血清网膜蛋白-1水平及其与肥胖的关系

The Scientific Journal of Al-Azhar Medical Faculty, Girls Pub Date : 2022-01-01 DOI: 10.4103/sjamf.sjamf_227_21

Y. Abdullatif, Karima Y. Ahmed, Fatma M. El-Senosy, Rasha Mohammed Abd El-Aziz

{"title":"Serum omentin-1 levels in type II diabetes and its relationship with obesity","authors":"Y. Abdullatif, Karima Y. Ahmed, Fatma M. El-Senosy, Rasha Mohammed Abd El-Aziz","doi":"10.4103/sjamf.sjamf_227_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_227_21","url":null,"abstract":"Background Diabetes mellitus (DM) is a complex metabolic disorder, and its rapid emergence worldwide has led to its classification as an epidemic. Aim To increase our knowledge about omentin-1 and its relation with type 2 DM, insulin resistance, and obesity. Patients and methods This study included 50 patients with type 2 DM, with an age range from 40 to 70 years, who were divided into two groups (25 obese and 25 nonobese), as well as 40 age group (20 obese and 20 nonobese)-matched patients, who formed the control group. Each group was subjected to full history taking and clinical examination (fasting blood glucose, total cholesterol, triglycerides, low-density lipoprotein-cholesterol, glycosylated hemoglobin, fasting insulin, and serum omentin-1 levels). Weight and height were measured. Homeostasis model assessment insulin resistance and BMI were calculated. Results The study showed a significant decrease in serum omentin-1 levels in type 2 diabetic patients in comparison with the control group. Serum omentin-1 levels inversely correlated with obesity, insulin resistance, and systolic blood pressure. Negative associations were found between serum omentin-1 level and fasting glucose, glycosylated hemoglobin, and fasting lipid levels. Conclusion Omentin-1 may be used as a biomarker for obesity and associated metabolic and vascular disorders.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91247575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corneal densitometry before and after corneal collagen cross-linking in patients with keratoconus 圆锥角膜患者角膜胶原交联前后角膜密度测定

The Scientific Journal of Al-Azhar Medical Faculty, Girls Pub Date : 2022-01-01 DOI: 10.4103/sjamf.sjamf_258_21

Alaraby Abd Elghany Nassar, Mohamed AlTaher Wahab, M. Abou Ahmed

{"title":"Corneal densitometry before and after corneal collagen cross-linking in patients with keratoconus","authors":"Alaraby Abd Elghany Nassar, Mohamed AlTaher Wahab, M. Abou Ahmed","doi":"10.4103/sjamf.sjamf_258_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_258_21","url":null,"abstract":"Background Keratoconus is an ectatic corneal disorder characterized by progressive corneal thinning that results in corneal protrusion, irregular astigmatism, and decreased vision. Objective To evaluate changes in corneal density following corneal cross-linking (CXL) in keratoconic patients. Patients and methods This was a prospective case series study including all patients with keratoconus (50 eyes) undergoing CXL. The number of male patients in the study was 13 (26 eyes) cases, while female patients represented 12 (24 eyes) cases; the study was conducted at the outpatient clinic of the Ophthalmology Department at Al Azhar University Hospital. Results There was no statistically significant correlation between corneal densitometry and K1, K2, K-max, or thinnest corneal thickness preoperatively. There was no statistically significant correlation between corneal densitometry and K1, K2, K-max or thinnest corneal thickness at 1 month postoperatively. There was no statistically significant correlation between corneal densitometry and K1, K-max, or thinnest corneal thickness at 3 months postoperatively. Also, the table shows that there was statistically significant positive correlation between corneal densitometry and K2 with P value of 0.037 and r=0.296. There was no statistically significant correlation between corneal densitometry and K1, K2, K-max, or thinnest corneal thickness at 6 months postoperatively. Conclusion After CXL, the Scheimpflug corneal densitometry and clinical corneal haze peaked at 1 month followed by a gradual decline reaching baseline by 6 months after operation. Corneal thinning was correlated inversely with the corneal haze at 1 month postoperatively. Lens densitometry was not affected by CXL.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91215175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of nanofat injection in postburn and post-traumatic facial scars 纳米脂肪注射治疗烧伤后和创伤后面部疤痕的疗效评价

The Scientific Journal of Al-Azhar Medical Faculty, Girls Pub Date : 2022-01-01 DOI: 10.4103/sjamf.sjamf_120_21

Mona Abd Elfatah, A. Hafez, Asmaa A. Dahy

{"title":"Evaluation of nanofat injection in postburn and post-traumatic facial scars","authors":"Mona Abd Elfatah, A. Hafez, Asmaa A. Dahy","doi":"10.4103/sjamf.sjamf_120_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_120_21","url":null,"abstract":"Background In addition to the physical deformity, there is often great psychological trauma due to facial scars among patients. Fat grafting in its various forms could be considered as a hallmark in scar rejuvenation therapy in the twenty-first century. This is due to the viable adipose-derived stem cells present in the nanofat. Objective The aim of this study was to evaluate the effect of nanofat grafting on postburn and post-traumatic facial scars using a standardized and validated scale [patient observer scar assessment scale (POSAS)] and photographs. Materials and methods A total of 20 patients with facial scars (10 patients post-traumatic and 10 patients postburn) were studied. Preoperative scoring of the scars was performed with the POSAS, and photographs were taken. Fat aspiration was performed from the lower abdomen and thighs using syringe liposuction under tumescent anesthesia. The lipoaspirate was mechanically emulsified, filtered, and injected intralesionally into the scar using a 27 G needle. Postoperative scar reassessment was performed at 3 months using the POSAS scale and photographs. The improvements in scar characteristics and symptoms were tested statistically. Results On statistical analysis, there was a statistically significant improvement in symptoms such as pain, itching, stiffness, thickness and irregularity and scar characteristics such as vascularity, relief, pliability, thickness, and pigmentation 3 months after injection. The photographic comparison also showed good anesthetic outcome. Conclusion Autologous emulsified nanofat injection is effective in improving the scar characteristics as well as symptoms and aiding in scar rejuvenation.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73807978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minimally invasive strabismus surgery versus paralimbal approach for horizontal strabismus surgery 微创斜视手术与斜旁入路在水平斜视手术中的比较

The Scientific Journal of Al-Azhar Medical Faculty, Girls Pub Date : 2022-01-01 DOI: 10.4103/sjamf.sjamf_236_21

Ola Mahmoud, Mohamed Alkasaby, S. Mohamed

{"title":"Minimally invasive strabismus surgery versus paralimbal approach for horizontal strabismus surgery","authors":"Ola Mahmoud, Mohamed Alkasaby, S. Mohamed","doi":"10.4103/sjamf.sjamf_236_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_236_21","url":null,"abstract":"Background Minimal invasion surgeries have gained popularity in many fields of ophthalmology. In strabismus surgery, a similar approach is done to gain access to muscles, which is performed through keyhole openings. Objective To compare between minimal invasive strabismus surgery (MISS) technique and limbal approach for horizontal rectus muscle regarding postoperative muscular alignment and postoperative complications. Patients and methods This study included 60 eyes (36 patients of different age and sex) presenting with horizontal strabismus. The first group included 30 eyes that were managed by MISS (patient group), and the second group included 30 eyes that were managed by the limbal approach (control group). Results No significant difference was found regarding postoperative pain, conjunctival redness, and ocular alignment. There was no significant increase in complications between the two groups. Operative time was longer in the MISS technique, with highly significant difference between the two groups. Conclusion MISS technique is an alternative technique to limbal incision that can be used on horizontal muscles. It has the same effect as the limbal approach with the same success rate. It has the advantages of sparing perilimbal episcleral vessels, which make some surgeon prefer it if there is fear of anterior segment ischemia.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74417218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0