Advanced medical journal最新文献_第5页

The Use of Acellular Dermal Matrix for the Closure of Skin Defects 脱细胞真皮基质在皮肤缺损修补中的应用

Advanced medical journal Pub Date : 2023-05-18 DOI: 10.56056/amj.2023.203

Areen Mahmood Salih, S. Mustafa

{"title":"The Use of Acellular Dermal Matrix for the Closure of Skin Defects","authors":"Areen Mahmood Salih, S. Mustafa","doi":"10.56056/amj.2023.203","DOIUrl":"https://doi.org/10.56056/amj.2023.203","url":null,"abstract":"Background & Objectives: Skin substitutes are a diverse set of biologics, synthetics, and biosynthetic materials that can replace open skin wounds temporarily or permanently. Skin substitutes are designed to mimic the qualities of natural skin. One must select an option that accomplishes an excellent wound healing and closure. This study aimed to assess the reliability and effectiveness of ?acellular dermal matrix for potentially more pliable coverage of the wound and for better ?functional and aesthetic appearance of the skin defects. Methods: A prospective cohort study performed on 20 patients with full-thickness skin defects who underwent surgery using acellular dermal substitute and skin grafting in Erbil Governorate from January 2017 to December 2019. Functional and aesthetic outcome has been evaluated in this study. Results: The study included 20 patients with mean age of 18.8 ± 6.2 years, female to male ratio was 1.5:1, and the majority of the cases presented with burn (90%). The Vancouver Scar Scale score was significantly reduced after 1 month of follow-up in which it reduced by 4.12 mm (57.6% reduce from baseline), Mean healing score was 93.5%, and Re-epithelialization after 1 month Was 95.55%, Overall the complication rate is low with 5% had hematoma, 5% had infection and 5% had loss of graft. Conclusion: The use of acellular dermal matrix in conjunction with split thickness skin graft result in substantial improvement in the quality of wound healing and tissue reconstruction.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121965867","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

Effect of progesterone on preventing preterm birth and adverse perinatal outcomes in women in the risk group: A prospective clinical trial 黄体酮对危险组妇女预防早产和不良围产期结局的作用:一项前瞻性临床试验

Advanced medical journal Pub Date : 2023-05-18 DOI: 10.56056/amj.2023.199

Pareshan Faris Asaad, A. Jawad

{"title":"Effect of progesterone on preventing preterm birth and adverse perinatal outcomes in women in the risk group: A prospective clinical trial","authors":"Pareshan Faris Asaad, A. Jawad","doi":"10.56056/amj.2023.199","DOIUrl":"https://doi.org/10.56056/amj.2023.199","url":null,"abstract":"Background and Objective: Preterm labor is a significant reason for perinatal mortality and morbidity. This study was conducted to determine the effect of two regimens of progesterone to avoid preterm labor and the adverse perinatal outcomes in the two groups. Methods: A prospective clinical trial was performed in Maternity Teaching Hospital and Hawler Private Hospital in Erbil city, Kurdistan region, Iraq over a one-year period from 1 May 2019 until 1 May 2020. The study sample was 200 pregnant women with a short cervix and a risk of preterm birth; the sample was divided into two groups. Group I of 100 pregnant women received 400 mg progesterone vaginally once daily, and group II of 100 pregnant women received it twice daily, started from 16 weeks of gestation up to the time of delivery in both groups. Results: The rate of term pregnancy (? 37 weeks) was 87% among women in group II and 55% in women in group I. Accordingly, the rate of neonatal intensive care admission was significantly higher in group I than in group II (30% and 11%, respectively). The rate of respiratory distress syndrome was also significantly higher in group I (31%) than in group II (7%). Conclusion: The administration of progesterone 400 mg vaginally twice a day appears to be more effective than progesterone 400 mg vaginally once a day in preventing preterm birth and reducing the risk of adverse neonatal complications.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133050395","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

Clinicopathological Comparison of Colorectal Cancer in Young and Old Patients 青年和老年结直肠癌患者的临床病理比较

Advanced medical journal Pub Date : 2023-05-18 DOI: 10.56056/amj.2023.202

Tara Alaadin Abdulrazzaq, Jangi Shawakat Salayi

{"title":"Clinicopathological Comparison of Colorectal Cancer in Young and Old Patients","authors":"Tara Alaadin Abdulrazzaq, Jangi Shawakat Salayi","doi":"10.56056/amj.2023.202","DOIUrl":"https://doi.org/10.56056/amj.2023.202","url":null,"abstract":"Background & Objectives: Colorectal cancer is the commonest malignancy in the gastrointestinal tract third and the second leading cause of cancer death worldwide. The advanced stages and poor tumor grade of colorectal cancer are likely to be found in younger patients than in older one. The aim of our study was to study the various demographic features that are known to influence developing colorectal cancer and to compare clinicopathological features of colorectal cancer between young and old patients. Methods: This is a retrospective study, conducted over the period from 2015- 2020, where we reviewed medical files, histopathological reports and radiological findings of 200 newly diagnosed colorectal cancer cases that were admitted to Rizgari Hospital/ Clinical Oncology Department, Erbil, Kurdistan of Iraq. The patients aged below 40 years were classified as the “young group”, and those aged 60 years and more were classified as the “old group”. The clinicopathological features in both groups had been compared. Results: The young group and old group consisted of (60) 30% and (140) 70% of patients, respectively. The young group showed a higher percentage of positive family history of cancer in comparison to the old one, and BMI also was statistically significant. Regarding the histopathological grading and pathological staging: grade -II was the most common, (82%) in both groups, and stage III &IV were significantly higher in the young group (83.3%) in comparison to the old group (74.3%).","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117305769","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 incidental finding of otitis media with effusion in children admitted for adenoidectomy or adenotonsillectomy 儿童中耳炎伴积液的偶然发现，接受腺样体切除术或腺扁桃体切除术

Advanced medical journal Pub Date : 2023-05-18 DOI: 10.56056/amj.2023.197

Luqman Aababaker Mustafa, S. Said, Dariya Yousif Azeez, Omar Suad Ali

{"title":"The incidental finding of otitis media with effusion in children admitted for adenoidectomy or adenotonsillectomy","authors":"Luqman Aababaker Mustafa, S. Said, Dariya Yousif Azeez, Omar Suad Ali","doi":"10.56056/amj.2023.197","DOIUrl":"https://doi.org/10.56056/amj.2023.197","url":null,"abstract":"Background and objectives: Otitis media with effusion is a common condition in the pediatric population, and is a leading cause of hearing loss in this age group. This condition is commonly missed by the parents due to lack of objective symptoms especially in young children, in turn leading to learning difficulties and communication problems. This study focused on the incidental finding of asymptomatic, undiagnosed otitis media with effusion in children with adenotonsillar diseases admitted for adenoidectomy or adenotonsillectomy (aged 2-12 years) Methods: A cross sectional study conducted from January 2020 to February 2021. We randomly selected 110 children (aged 2-12 years), admitted purely for adenoidectomy or adenotonsillectomy at Rizgari Teaching Hospital in Erbil / Iraq. Those with acute upper respiratory tract infection, other otological problems, or craniofacial abnormalities were excluded. Selected children were examined by otoscopy and sent for tympanometry preoperatively. Results: Of total 110 patients, 23 (20.9%) cases had hidden, undiagnosed otitis media with effusion, which was missed by parents (14.5% bilateral, 6.4% unilateral). The majority (n= 15; 65.2%) in (5-8) years age group (mean age of 5.1 years) (p=0.02), with gender distribution; males (n = 15; 65.2%), females (n= 8; 34.8%) (p=0.123). Conclusion: Adenotonsillar disease carries an extra risk for developing otitis media with effusion in children. Otoscopic examination and simple test such as tympanometry can diagnose this condition in order to take the necessary steps for management and prevent future complications.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130219514","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

Magnetic Resonance Imaging Patterns of Intracranial Meningiomas in Erbil City 埃尔比勒市颅内脑膜瘤的磁共振成像模式

Advanced medical journal Pub Date : 2023-05-18 DOI: 10.56056/amj.2023.195

Ivan Mawlwd Mustafa, Aska Faruq Jamal

{"title":"Magnetic Resonance Imaging Patterns of Intracranial Meningiomas in Erbil City","authors":"Ivan Mawlwd Mustafa, Aska Faruq Jamal","doi":"10.56056/amj.2023.195","DOIUrl":"https://doi.org/10.56056/amj.2023.195","url":null,"abstract":"Background and objectives: Meningiomas are the most common non-glial tumors of the central nervous system representing around one fifth of primary intracranial tumors with annual incidence of six per 100,000 populations. This study aimed to address the diagnostic precision of magnetic resonance imaging as a brain investigation tool to evaluate meningioma diagnosis and tumor staging before performing the operation. Methods: This study designed as a cross-sectional study and carried out between December 2019 and December 2020. A total number of 48 meningiomas resected and evaluated at three public hospitals in Erbil City. Pre-operative magnetic resonance imaging investigation and postoperative histopathological evaluation were done for all patients for their intracranial tumors and tissue sections. Results: Majority of patients showed isointense pattern on T1 (87.5%) and T2 (85.4%) signal intensity, homogenous in consistency (81.3%), the vast majority of the meningiomas were typical (93.8%) and of meningothelial type (81.3%). In most of the cases, there was no bone involvement (77.1%), no invasion of dural venous sinuses (83.3%), no calcifications (83.3%), no cystic changes (97.9%) but positive cerebral spinal fluid cleft (66.7%) and homogenous enhancement pattern (83.3%). Five out of eleven imaging patterns and configurations including T1 signal intensity, T2 signal intensity, consistency, calcification and vascularity of the meningioma were valid and reliable by calculating their sensitivity, specificity and running kappa test. Conclusions: Some magnetic resonance imaging patterns such as T1 signal intensity, T2 signal intensity, consistency, calcification, and vascularity of the meningioma are useful for predicting the stages of meningioma.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126013635","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

Pulmonary hypertension and right-sided heart failure in hemodialysis patients 血液透析患者肺动脉高压与右侧心力衰竭

Advanced medical journal Pub Date : 2023-05-18 DOI: 10.56056/amj.2023.201

Lana Adel Haji, K. Al-Taee, S. Almukhtar, Abdulazeez Mohsin Abdulazeez

{"title":"Pulmonary hypertension and right-sided heart failure in hemodialysis patients","authors":"Lana Adel Haji, K. Al-Taee, S. Almukhtar, Abdulazeez Mohsin Abdulazeez","doi":"10.56056/amj.2023.201","DOIUrl":"https://doi.org/10.56056/amj.2023.201","url":null,"abstract":"Background & Objectives: Cardiovascular complications are associated with poor outcomes in patients with End stage renal disease. This study is aimed to evaluate the prevalence of pulmonary hypertension and right side heart failure in hemodialysis patients, trying to decrease these complications by referring them to the cardiologist in order to manage them either by medical or interventional methods. Methods: A cross-sectional study for evaluation the prevalence of pulmonary hypertension and right sided heart failure in hemodialysis patients was carried out in Duhok kidney center in Kurdistan region-Iraq through a duration period of one year from first of February, 2020 to 31st of January, 2021 for 101 patients. Data were collected which included Age, gender, BMI, causes of renal failure and vascular access, and echocardiography was conducted by a cardiologist, he evaluated them by using tricuspid regurgitation jet peak gradient for pulmonary hypertension, and by using tricuspid annulus plane systolic excursion method for evaluation of right ventricular function. Results: In the current study 51 females with melasma. Their ages ranged between (19-46) years, with (59.9%) between (28-38) years. The duration of melasma was from 6 months to 9 years. Thirty-eight of them were married and had pregnancy. Thyroid stimulating hormone levels were high in 22 of them (43.1%), 20 out of 22 cases that was had high levels of thyroid stimulating hormone had dermal type of melasma by Wood’s lamp examination and their p-value was significant (0.001). Conclusion: The prevalence of pulmonary hypertension among patients on hemodialysis in Kurdistan region-Iraq is within the Iraqi and international range studies with low prevalence of right ventricular dysfunction.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122667544","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 Use of Keystone Flap for the Reconstruction of Skin Defects 楔石皮瓣在皮肤缺损重建中的应用

Advanced medical journal Pub Date : 2023-05-18 DOI: 10.56056/amj.2023.194

Mustafa Muhyadin, Sabir Othman Mustafa

{"title":"The Use of Keystone Flap for the Reconstruction of Skin Defects","authors":"Mustafa Muhyadin, Sabir Othman Mustafa","doi":"10.56056/amj.2023.194","DOIUrl":"https://doi.org/10.56056/amj.2023.194","url":null,"abstract":"Background and objectives: Skin graft and various flaps are used to cover defects; available options have different patterns of blood supply, aesthetic outcome, donor area morbidity, surrounding soft tissue availability, operative time duration, the need for microsurgical expertise and long term complications. The aim of this study is to assess reliability and versatility of keystone flap for the reconstruction of the skin defects. Methods: Reconstruction of skin defects by keystone flap were done in plastic surgery department between (January 2018- May 2020), records of patient’s age, and cause of the defect, size, flap outcome and complications are documented.to study the ability of the flap to cover the skin defect and its long term survival. Results: Nineteen patients underwent reconstruction, age was ranging from two days to seventy-five-year-old with mean age 37.5 years, twelve were males and seven were females. Size of the defect ranged from (0.5 cm x 1 cm) to (9 cm x 7 cm) with mean defect size 31.75 cm2. Seven flaps in head and neck, five in the trunk, five in lower limb and two flaps in upper limb. All flaps were successful in covering the defects, no partial or total necrosis with minor complication in two patients. Conclusions: Keystone flap is a reliable flap with excellent survival rate, versatile and can be used for skin defects in different regions of the body with low complication rate, easy technique for learning by surgeons and have short operative duration with good cosmetic outcome.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121435391","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

Quality of Life after Sleeve “Bariatric” Operations “减肥”手术后的生活质量

Advanced medical journal Pub Date : 2023-05-18 DOI: 10.56056/amj.2023.191

Kameran Othman Qader, S. Qader

{"title":"Quality of Life after Sleeve “Bariatric” Operations","authors":"Kameran Othman Qader, S. Qader","doi":"10.56056/amj.2023.191","DOIUrl":"https://doi.org/10.56056/amj.2023.191","url":null,"abstract":"Background and objectives: Laparoscopic sleeve gastrectomy consider as one of the most effective and common bariatric treatments to lose weight and improve quality of life. Our aim is to evaluate the quality of life after laparoscopic sleeve gastrectomy, in view of their health, social, and psychological well-being. Methods: This study is carried out at Paky Hospital between 01.09.2019 and 31.03.202. We recorded the body mass index, physical examination, and medical history of 50 patients before sleeve gastrectomy with assessing the quality of life after sleeve gastrectomy through a special questionnaire where it is included with core symptoms, physical, psychological, social, operation-specific items, and medical updates. Results: More than three-quarters of the patients (90%) became happier with the results after the surgery, (86%) of them became more able to do their daily activities and to cope with stress. 50% of the sample had poor sleep quality, this rate decreased to 26% after the surgery. Out of 50 Patients, 10 of them had cardiovascular disease and 9 of them had diabetes, while after the operation it decreased to 2 and 3 respectively. Conclusions: Sleeve gastrostomy is associated with significant weight reduction and improvement in the quality of life of obese patients.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121439150","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 Effect of Botulinum Toxin Injection in Cleft Lip Repair 肉毒毒素注射在唇裂修复中的作用

Advanced medical journal Pub Date : 2023-05-18 DOI: 10.56056/amj.2023.208

Evan Nuri Bapir, J. H. Fattah

{"title":"The Effect of Botulinum Toxin Injection in Cleft Lip Repair","authors":"Evan Nuri Bapir, J. H. Fattah","doi":"10.56056/amj.2023.208","DOIUrl":"https://doi.org/10.56056/amj.2023.208","url":null,"abstract":"Background & Objectives: Cleft lip and palate are common congenital anomalies that require precise management with main component of repairing lip is the aesthetic outcome. Using botulinum toxin is new method to optimize the resultant scar. The aim of this study is to evaluate the effect of botulinum toxin type A following cleft lip repair on resultant quality of scar. Methods: This is a comparative study conducted in Rizgary teaching hospital and private hospitals in Erbil – Kurdistan region/Iraq between July 2018 and April 2021. A total of 38 patients with cleft lip were included; bilateral and unilateral, complete and incomplete, isolated cleft lip and cleft lip and palate, 20 of them received botulinum toxin injection. Preoperative and postoperative photos were documented. Scars were analysed one year following repair. Results: Among 38 patients, in comparison of outcome of using botulinum toxin (31.6%) following cleft lip repair to patients did not receive the injection (68.4%), the scar quality was better; linear scar in botox group 100%, non-botox group 80.8%, complications were less; early complications in botox group 8.3%, non-botox group 11.5% and late complications in botox group 0% non-botox 7.7% and satisfaction was better; parents of botox group were 100% highly satisfied while for those of non-botox group 84.6% highly satisfied, 7.7% satisfied and 7.7% unsatisfied. There was significant difference between the two groups but statistically not significant. Conclusion: Botulinum toxin injections into the subjacent orbicularis oris muscle following cleft lip repair produced better appearing and narrower cheiloplasty scars.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123312502","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 Dorsal Reverse Adipofascial Flap for Fingertip Amputation Reconstruction 背侧脂肪筋膜瓣在断指重建中的应用价值

Advanced medical journal Pub Date : 2023-05-18 DOI: 10.56056/amj.2023.207

Israa Ismael Abdulhussein, J. H. Fattah

{"title":"Evaluation of Dorsal Reverse Adipofascial Flap for Fingertip Amputation Reconstruction","authors":"Israa Ismael Abdulhussein, J. H. Fattah","doi":"10.56056/amj.2023.207","DOIUrl":"https://doi.org/10.56056/amj.2023.207","url":null,"abstract":"Background & Objectives: Fingertip injuries are very frequent among hand injuries; these injuries need to be carefully addressed as it has an important role in fine motor activity and delicate sensation. The aim is to assess the outcome by using the dorsal reverse adipofascial flap in the reconstruction of fingertip amputations at the level of the nail fold. Methods: This prospective case series study was conducted in Rizgary Teaching and Rozhawa Emergency Hospital in Erbil city/Iraq from June 2018 to June 2020.Twenty patients sustained fingertip amputations at the level of the nail fold and underwent reconstruction of their fingertips using the dorsal reverse adipofascial flap. We evaluated the fingertip appearance, The function of the proximal interphalangeal joint and distal interphalangeal joint, donor site scar, and patient`s satisfaction. Results : The mean age ± SD of patients was 29.5 ± 8.5 years, the median was 28 years, and the age range was 18 -48 years. The most common injured finger was the ring (35%), Type of injury was mostly by a sharp object (40%). only one patient (5%) was not satisfied, (10) ten patients (50%) were satisfied, and 9 (45%) were highly satisfied. There was a statically significant association between patients’ satisfaction and the presence of complications. Conclusion: The dorsal reverse adipofascial flap is effective in the reconstruction of traumatic fingertip amputations at the level of the nail fold with consistent aesthetic and functional results.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117332340","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