scholarly journals Comparison of Supraclavicular Artery Flap and Skin Graft in Management of Neck Contractures

2021 ◽  
Vol 15 (9) ◽  
pp. 2242-2244
Author(s):  
Zahid Iqbal Bhatti ◽  
Muhammad Imran ◽  
Muhammad Nadeem ◽  
Sarfraz Ahmad ◽  
Tauqeer Nazim

Background: Burn cases are highly prevalent in developing countries like Pakistan. If not managed timely they can result in lifetime complications as well as morbidity. Aim: To compare the supraclavicular artery flap method with skin graft. Place and duration of study: Department of Plastic Surgery, Allama Iqbal Memorial Hospital, Sialkot from 1st September 2015 to 31st August 2019. Methodology: In this comparative study forty four patients were enrolled and half were operated by supraclavicular artery flap method and other half by skin graft procedure. The patients were followed for their skin contour, colour matching and neck extension improvement and recurrent neck contracture after a year. Results: Mean age of the patients was 29.5 years with 75% as females. Only one patient had recurrent neck contracture from supraclavicular artery flap group while 81.8% of skin graft showed recurrent neck contracture Conclusion: Supraclavicular artery flap is a better management approach in post neck contracture burn patients. Key words: Supravlaciular artery flap, Skin graft, Neck contractures

2014 ◽  
Vol 3 (2) ◽  
pp. 38-44
Author(s):  
Md Maruful Islam ◽  
Imran Choudhury ◽  
Md Nashir Uddin ◽  
Lutfar Kader Lenin ◽  
Rayhana Awwal ◽  
...  

A skin graft is the simplest way of reconstructing an area of skin loss. The graft must acquire blood supply from the wound bed and ‘taken’ by the recipient site. The aim of the present study was to compare the outcome of graft-take of full thickness skin graft by tie-over dressing versus multiple quilting and simple dressing in face and neck region. This prospective, interventional, comparative study was conducted in the Department of Plastic Surgery, Dhaka Medical College Hospital from January 2009 to December 2010 (2 years). A total number of 60 cases from 56 patients of any age of both sexes requiring full thickness skin graft and fulfilling the pre-set inclusion and exclusion criteria, were selected for the study. Of whom 30 cases were tagged as Group A (Quilting) while the rest 30 as Group B, which was managed with tie-over dressing. Variable outcomes like epidermal loss, partial dermal loss and full thickness loss were observed in both groups. In quilting group excellent result was achieved in 22(73.3%), good 2(6.7%), satisfactory 3(10%) and poor in 3(10%) patient. In tie-over group, it was 19(63.3%), 3(10%), 3(10%) and 5(16.7%) accordingly. So, the good take were 27(90%) in quilting group and 25(83.3%) in tie-over group. Haematoma recorded in 3 (10%) of quilted group and 5 (16.7%) of tie-over group. No infection occurred in any cases of any group. There were no other recorded complications or adverse outcomes directly related to the technique for securing the grafts in either group. The results demonstrate no significant difference in ‘graft-take’ comparing grafts secured with a tie-over dressing or by quilting. DOI: http://dx.doi.org/10.3329/bdjps.v3i2.18249 Bangladesh Journal of Plastic Surgery July 2012, 3(2): 38-44


Author(s):  
Domenico Pagliara ◽  
Maria Lucia Mangialardi ◽  
Stefano Vitagliano ◽  
Valentina Pino ◽  
Marzia Salgarello

Abstract Background After anterolateral thigh (ALT) flap harvesting, skin graft of the donor site is commonly performed. When the defect width exceeds 8 cm or 16% of thigh circumference, it can determine lower limb function impairment and poor aesthetic outcomes. In our comparative study, we assessed the functional and aesthetic outcomes related to ALT donor-site closure with split-thickness skin graft compared with thigh propeller flap. Methods We enrolled 60 patients with ALT flap donor sites. We considered two groups of ALT donor-site reconstructions: graft group (30 patients) with split-thickness skin graft and flap group (30 patients) with local perforator-based propeller flap. We assessed for each patient the range of motion (ROM) at the hip and knee, tension, numbness, paresthesia, tactile sensitivity, and gait. Regarding the impact on daily life activities, patients completed the lower extremity functional scale (LEFS) questionnaire. Patient satisfaction for aesthetic outcome was obtained with a 5-point Likert scale (from very poor to excellent). Results In the propeller flap group, the ROMs of hip and knee and the LEFS score were significantly higher. At 12-month follow-up, in the graft group, 23 patients reported tension, 19 numbness, 16 paresthesia, 22 reduction of tactile sensitivity, and 5 alteration of gait versus only 5 patients experienced paresthesia and 7 reduction of tactile sensitivity in the propeller flap group. The satisfaction for aesthetic outcome was significantly higher in the propeller flap group. Conclusion In high-tension ALT donor-site closure, the propeller perforator flap should always be considered to avoid split-thickness skin graft with related functional and aesthetic poor results.


Author(s):  
Баяманова М.С.

Summary: The article deals with the analysis of the interpretational field of the basic lexical units which represent the meaning of the concept “woman” in English and Kyrgyz languages and cultures. Comparative – contrastive analytical data of the most frequently used in both languages variants of the interpretation of the concept “woman” have been given. The semantic fields of nuclear and nearnuclear meanings of the lexical units, transforming the notion of “woman” in English and Kyrgyz languages and also the place and role of these notions in cultures and philosophy of the nations on the basis of mentality and traditional values have been studied and described. The situations of the use of this or that variant of the meaning of lexical unit. A comparative study of the definitions of the word “woman’ in English and Kyrgyz languages have been given. Key words: concept, woman, interpretational field, notion, definition, semantic field, culture, language, linguoculture, transformation Аннотация: В статье рассматриваются интерпретационные поля основных лексических единиц, репрезентирующих значение концепта «женщина» в английской и кыргызской лингвокультурах. Приводятся сравнительно-сопоставительные аналитические данные наиболее употребительных в речи обоих языков вариантов интерпретации концепта «женщина». Изучены и описаны семантические поля ядерных и околоядерных значений лексических единиц, трансформирующих понятие «женщина» в английском и кыргызском языке, а также роль и место этих понятий в культурах и философии народов на основе менталитета и традиционных ценностей. Приводятся ситуации использования того или ино- го варианта значения лексической единицы, проведено сравнительное изучение определений слова «женщина» в английском и кыргызском языках. Ключевые слова: концепт, женщина, интерпретационное поле, понятие, определение, семантическое поле, культура, язык, лингвокультура, трансформация Аннотация: Макалада англис жана кыргыз тилдеринде жана маданияттарында «аял» концептинин маанисин репрезентациалаган негизги лексикалык бирдиктер каралат. «Аял» концептин эки тилдеги кѳп колдонулуучу интерпретациялоо варианттарынын аналитикалык салыштырма маалыматтары изил- делип берилген. Англис жана кыргыз тилдеринде «аял» түшүнүгүн трансформациялаган лексикалык бирдиктердин түп нуска жана ага жакындашкан маанилери иликтелип каралган. Берилген түшүнүктѳрдүн элдик философиясында жана маданиятында, менталитеттин жана салттын негизинде эл арасына кеӊири тараган, элдик тилде жана маданиятта ойногон ролу менен орду чагылдырылган. Ар түрдү ситацияларда колдонулуучу тиги же бул лексикалык бирдиктердин маанисинин варианттары каралган, «аял» деген сѳздун англис жана кыргыз тилдериндеги түшүндүрмѳлѳрү салыштырылып изилделген. Түйүндүү сѳздѳр: концепт, аял, интерпретациялоо мейкиндиги, түшүнүк, түшүндүрмѳ, семантикалык чѳйрѳ, маданият, тил, лингвомаданият, трансформациялоо


Author(s):  
M. R. Maniar ◽  
K. S. Patel ◽  
I. U. Mistry

Mental retardation is still elusive to researchers due to multidimensionality of psychological, medical, educational and social aspects, which alters mental functions and capability. Mental sub capability divided in 4 categories, Mild, Moderate, Severe and Profound. Chief aim of management of mental retardation is to make child more capable of performing common activities of everyday life by positive improvement in mental sub-capability. Mental retardation required multidimensional management approach. Present study focused on medicinal intervention, particularly analysis of comparative effectiveness of selected drug formulations (Astamangalghrita and Jyotismatitaila) from classical text of Ayurveda. Study design with the aims to compare the effectiveness of Jyotismatitaila and Astamangal Ghrita Nasya on Mental retardation. Assessment were based on Mental Status Score and IQ score taken before starting of treatment and after completion of treatment in both group. Obtained data was analyzed statistically. In this study, from result we conclude that both drugs are effective to improve Mental Status parameter and in IQ, but higher percentage and significance wise Jyotismati Taila had better result than Astamangal Ghrita Nasya.


2021 ◽  
Vol 57 (2) ◽  
pp. 166
Author(s):  
Lynda Hariani ◽  
Agus Santoso Budi ◽  
Ephora Christina Wulandari

The rate of failed skin graft in Dr. Soetomo General Academic Hospital Surabaya was around 26% of the cases, and it became a concern because skin graft was the main procedure to close large burn wounds. Many problems might affect this event; one of them was electrolyte imbalance. Hypernatremia was found in major burn patients. This condition disrupted the wound healing process of skin graft. This cross-sectional study evaluated patients with burns admitted to the Burn Centre of Dr. Soetomo Hospital between January 2014 and December 2018. 143 subjects participated in this study. Hypernatremia was found in 16% of all subjects (23 subjects), 19% with hypernatremia (28 subjects), and the majority of it, 65% with normonatremia (92 subjects). This study found that the risk of failed skin graft was higher on hypernatremia than normonatremia subjects. This risk was higher if the skin graft procedure took more than 10%.


Burns ◽  
2007 ◽  
Vol 33 (6) ◽  
pp. 803 ◽  
Author(s):  
Neta Adler ◽  
Shira Nachumovsky ◽  
Sagit Meshulam-Derazon ◽  
Dean Ad-El

2021 ◽  
Vol 70 (09) ◽  
pp. 53-57
Author(s):  
Pərvanə İsmayıl qızı Paşayeva ◽  

The article raises the issue of comparative study on the basis of the epic rather than the different aspects of the epical texts belonging to different peoples and languages, and initially focuses on the issues of similarity and sameness.In epics, the probability of events, plots, characters, as well as similarities of stylistics to clarify the general linguocultural points is logically accepted.This aspect implies the study of the condition that creates the basis for the sameness and similarity in means of languages, textual units in epics.First of all, the nomination of mythological beings and expression ofsamenessfor their descriptions in linguistic means are studied. Key words: epic, myth, ban, similarity, heroism, character


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