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Biomedical subjects

M M Anous

Publications and source records attributed to M M Anous.

6 recordsLinked to original sources

Cortical blindness after a failed free tissue transfer: a case report and review of the literature.

Cortical blindness is an uncommon but well-documented entity that results from occipital ischemia or insult. We present a case of blindness following a failed free tissue transfer and review the pertinent literature. Careful history and physical examination can usually distinguish cortical blindness from other organic or psychogenic causes. The workup centers on the exclusion of treatable concurrent pathology. Despite the dramatic presentation of cortical blindness, its treatment is generally supportive and the prognosis for full recovery is excellent.

Blindness

[Assembly of free osseous fragments in the treatment of injuries of the external orbital area].

The good long term results obtained following the remodeling of the frontal bandeau in craniosynostosis have demonstrated the viability of large bony segments following total periosteal stripping. In this present study, this concept has been applied in the management of acute midfacial fractures and their sequelae. To try to answer the fundamental questions of how wide of an exposure is needed for the treatment of these fractures, how denuded can bone segments be and expect to survive, and above all, how frequently is primary bone grafting needed, the author resorts to the complete detachment and removal of the fractured segments and their reassembly on a side table. This, theoretically, accomplishes the following: the best exposure of fragments, the best anatomical reduction, an accurate assessment of segmental loss and the need for immediate bone grafting, a normal topographical reconstruction. Bone scans have indicated long term perfusion in every case in which they were obtained. Except in cases of post traumatic deformity correction, bone grafts were not needed. The free segment reassembly fractured facial bones is but one additional technique gained from craniofacial surgery. Much, however, remains to be learned about large free segment revascularization and healing.

Adult

Immediate reconstruction of the auricle using the amputated cartilage and the temporoparietal fascia.

Successful restoration of the auricle following amputation using microsurgical techniques for reimplantation remains the best reconstructive alternative. In many cases of partial amputation, however, this option may not be technically feasible. Deepithelialization of the amputated part followed by coverage of the ear cartilage using an ipsilateral temporoparietal fascia turn-down flap may allow a single-stage salvage procedure that provides an acceptable final result.

Adolescent