Rhytidectomy (Face Lift)
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Rhytidectomy, also known as a face lift, has evolved over time from early procedures that were viewed negatively to becoming more accepted. The classic facelift technique developed in the 1950s, while newer deep plane techniques emerged in the 1990s. A thorough preoperative evaluation assesses medical history, expectations, and identifies asymmetries to plan the optimal procedure. The surgery involves incisions and redistribution of the superficial musculoaponeurotic system to improve contours, while minimizing risks like hematoma and nerve injury.
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Local and regional flaps in head and neck reconstruction
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Laparoscopic surgery provides several advantages over traditional open surgery such as less pain, shorter hospital stays, faster recovery times, and smaller incisions resulting in less scarring. Key aspects of laparoscopic surgery include creating pneumoperitoneum using CO2 gas insufflation to provide working space, performing surgery using long instruments inserted through small incisions, and relying on camera systems to provide indirect visualization. Common basic laparoscopic procedures include cholecystectomy and appendicectomy, while more advanced procedures involve organs in the abdomen, pelvis, chest and for hernia repairs. Risks include potential complications from the pneumoperitoneum such as gas embolism, organ injury, bleeding, infection and hernia formation.
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A brief approach to patient with polytrauma, physiological response of body with trauma, the trimodal mortality, golden hour, lethal triad of trauma, two hit hypothesis, inflammatory mediators, prehospital care, primary survey, secondary survey, ABCDE approach, Adjucts are included. Besides thc concept of Damage control orthopedics, trend in fracture management , evolution , principle, indication , surgical stratergies, advantage, limitation, definitive fixation and EAC and ETC are included in breif.
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Flaps in surgery adesiyakan slideshare
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medicine
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PERIOPERATIVE NURSING
1. Perioperative nursing involves nursing care before, during, and after surgery. The goals are to assist clients through the surgical experience and help promote positive outcomes and optimal function.
2. The preoperative phase involves assessing the client's medical and health history, performing examinations of key body systems, obtaining informed consent, and providing teaching to prepare the client for surgery.
3. Teaching in the preoperative phase addresses what the client will experience in the operating room, helps address their psychosocial concerns, and explains what will happen throughout the perioperative period.
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- Rerunning the presentation by showing blank slides and asking questions before the content
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- Notes provide the bibliography
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RENAL PATIENTS FOR VASCULAR ACCESS : PERI-OPERATIVE MANAGEMENT
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More from Dr. Mohamed El-Rouby دكتور محمد الروبي
Otoplasty: New Modification of the Mustardé technique
Title: Otoplasty: New Modification of the Mustardé technique
Author: Mohamed A.S.M. El-Rouby, MD,
Assistant Professor of Plastic surgery, Ain Shams University, Cairo, Egypt.
Abstract
Background: one of the most established techniques for management of protruding ears is the Mustardé technique (1). Many modifications had been published for this technique; however, all these modifications started by retro-auricular incision. We modify the Mustardé technique using three retroauricular microincisions to correct several deformities of the auricular cartilage in protruding ears.
Patients and Methods: 46 patients (7unilateral, 39 bilateral) (85 ears) who were candidates for this technique, their age (25 ± 2.8 years), 38 males, 8 females. The operation time, steps, follow up sessions (2 weeks, 3, 6 and 18 months) data was recorded. Preoperative and postoperative (1,18 months) photos were compared and analyzed by custom made computer program the evaluated the results.
Results: 42 patients achieve a natural appearance. extrusion of threads occurred in 8 ears. Asymmetrical ears were noticed in 4 patients and recurrence in 11 patients. These patients were revised by Mustardé technique with retro-auricular incisions. None of the patients developed retro-auricular scars.
Conclusion: this versatile modification allows for better asthenic results of otoplasty and minimizes complications of skin incision unless cartilage and/or skin resection is needed.
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Necrotizing fasciitis
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Basic skills in medicine
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Gynecomastia
The document discusses copyright law and ownership. It notes that the content is copyrighted by Dr. M.A. El-Rouby from 1999 to 2009. The summary provides the key details that the content is copyrighted material and identifies the owner and timeframe of the copyright.
Gynecomastia with local anesthesia
Liposuction causes an increase in coagulative factors in the treated area, helping to stop bleeding and allowing for minimal bleeding in additional surgery. Liposuction also leaves connections between skin and fascia intact, which is why sensation in the region is much less affected than with surgical excision that severs those connections.
Chemical peel
Dr. Mohamed Ahmed El Rouby is a consultant of plastic and reconstruction surgery at Ain shams University in Cairo, Egypt. He can be contacted via his website www.elroubyegypt.com or by email at ELROUBYEGYPT@gmail.com. Potential patients can also reach Dr. El Rouby by phone at +20101556023 or +20126531265.
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Hemofilteration uses in burn
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Aging upper face
This document does not contain any text to summarize. It appears to be blank or contain only formatting characters. A 3 sentence summary cannot be generated without substantive content in the source document.
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Renal Failure in Burn
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Rhinoplasty - all You want to know about rhinoplasty or nose job
Rhinoplasty - all You want to know about rhinoplasty or nose jobDr. Mohamed El-Rouby دكتور محمد الروبي
Dr. Mohamed Ahmed Sayed Mostafa El-Rouby
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Nationality: Egyptian
Location: Cairo - EGYPT.
Address: Heliopolis, Cairo, Egypt.
Language: Arabic, mother language and English.
Telephone: +2-01001556023 or +2-01226531265
Fax: (+2)(02)(27716563)
Clinic Address: 107 El Hegaz Street, Heliopolis, Cairo, EGYPT
E-mail: DR.MOHAMED_ELROUBY@MED.ASU.EDU.EG ELROUBYEGYPT@ELROYBYEGYPT.COM
Website: www.elrouby-clinic.com
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Rhytidectomy (Face Lift)
- 2. History • Little known about earliest procedures -- “vanity surgery” • Held in low esteem by other physicians • Viewed as trivial, unnecessarily risky, and even contrary to the prevailing laws of nature
- 3. History • Developed in Europe, America at turn of century • Many plastic surgeons published only on reconstructive topics but paid the bills with cosmetic surgery – reputation – financially lucrative, may not want to share techniques
- 4. History • Initially elliptical excision of redundant skin • 1950’s “classic” facelift in use • 1974 Skoog develops subfascial approach • 1976 SMAS identified • 1990’s deeper planes being developed
- 5. Preoperative Evaluation • Explore patients’ desires and motivations • SAFE – Self-image – Anxiety – Fear – Expectation
- 6. Preoperative Evaluation • Relevant medical history • Avoid certain medicines – Aspirin/NSAIDs – Steroids – Vitamin E – Certain herbs
- 7. Preoperative Evaluation • Potential contraindications – Diabetes – Smoking – Collagen-vascular disease – Psychiatric history – Steroid use – Hypertension – Prior surgery
- 8. Preoperative Evaluation • Anatomical evaluation • Checklist may be helpful • Note asymmetries or weaknesses • Photographs
- 9. Preoperative Evaluation • Maneuver to estimate surgical results
- 10. Preoperative Evaluation • Ideal hyoid is high and posterior for optimal cervicomental angle
- 11. Dedo classification of cervical abnormalities
- 12. Preoperative Evaluation • Ideal Characteristics – little fat – good bone structure – not too much skin
- 13. Preoperative Evaluation • Develop operative plan, including neck • Plan any needed adjunctive procedures – Brow, eyelids, chemical peeling, nose • Intrinsic v. extrinsic properties of skin • Prescriptions (antibiotics, sedatives) • Instruction sheet for patient
- 14. SMAS • Superficial Musculo- Aponeurotic System • Described 1976, Mitz and Peyronie • Fascial layer connecting frontalis to platysma • Divides subcutaneous fat into two layers • Septated connections to dermis • Distributes and transmits forces of expression
- 15. Dermal Vascular Supply • Idea is to preserve septocutaneous vessels
- 16. Platysma
- 17. Technique • Draw incisions in holding with patient sitting • Tie hair so as to be out of way • Inject contralateral side before closing first side • SMAS -- imbrication vs. plication – Webster study: no difference
- 18. Technique • Head holder may be beneficial • Local versus General Anesthesia
- 19. Short versus Long Flap
- 21. Tragal incisions by Gender Female Male
- 23. Neck Liposuction
- 24. Platysmaplasty
- 25. Postop • +/- Drain • BP, pain control • Close follow-up • Instruction sheet for patients • Wound care
- 26. Complications • Hematoma -- most common • Nerve Injury – Most common: greater auricular – Most common motor: zygomaticotemporal division of facial nerve • Skin slough • Pixie Ear • Hairline changes
- 27. Hematoma
- 28. Pixie Ear Deformity • Defined as an elongated earlobe attached directly to the facial cheek skin