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Biomedical subjects

M A Al-Fallouji

Publications and source records attributed to M A Al-Fallouji.

10 recordsLinked to original sources

The assessment of cutaneous blood flow with transoxode probe.

An experimental study on 12 healthy individuals was conducted over a period of six months, using the transoxode probe to assess cutaneous blood flow via measurements of transcutaneous oxygen tension (TcpO2) and relative heat power input (R.H.P.). The possible clinical use of the probe in peripheral vascular ischaemia was re-evaluated. The results were controlled with those of venous occlusion plethysmography, being a reliable means of assessing peripheral blood flow. The study revealed that changes in TcpO2 did not correlate significantly with alterations in skin perfusion mainly due to the lack of probe sensitivity. The clinical implications of such methods are discussed.

Adult

Surgical relief of obstructive jaundice in a district general hospital.

Fifty consecutive patients with obstructive jaundice treated by operation in Canterbury & Thanet Health District hospitals under the care of one surgeon (RECC) over a 6-year period have been studied. The pathology was found to be common bile duct (CBD) stone in 22 patients (44%); pancreatic carcinoma in 15 (30%), 3 of whom also had CBD stones; chronic pancreatitis in 4 (8%); extrahepatic CBD carcinoma in 4 (8%); ampulla of Vater carcinoma in 3 (6%); primary duodenal carcinoma in 1 (2%); and portahepatis obstruction in 4 (8%). The 8 postoperative deaths (16%) were found to be associated with high preoperative levels of serum bilirubin, but all occurred in patients with malignant disease. Complications occurred in 20 patients (40%) and bile culture state was found to be intimately related to the morbidity rather than operative mortality. The study represents a careful audit of the pathology distribution and the surgical management of obstructive jaundice as seen in district hospitals.

Adult

Traumatic partial parotidectomy.

A 16-year-old boy was assaulted with a broken bottle, which inflicted a deep right-sided cervicofacial injury. Exploration, however, revealed a split parotid gland along its plane of cleavage preserving the facial nerve and major cervical blood vessels with a unique traumatic dissection simulating surgical suprafacial parotidectomy.

Adolescent

First branchial cleft anomaly.

A 15-year-old girl presented with a cystic swelling since birth behind the ramus of the right mandible and diagnosed clinically as a dermoid cyst. Surgical exploration, however, showed that it was closely related to the external auditory canal, with an extension running medially behind the parotid gland and ending in the bony middle ear. The facial nerve was closely related to the deep part of the cyst. Such an anatomical position indicates that this was a first branchial cleft anomaly. Surgical excision of the cyst was performed.

Adolescent