tag:blogger.com,1999:blog-91946307356353718672011-08-02T09:53:21.319-07:00ORL-HN surgeryThis page shows some of my the ORL&HN surgeryDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.comBlogger551100tag:blogger.com,1999:blog-9194630735635371867.post-45023325561561179262009-11-18T03:56:00.000-08:002010-01-27T02:56:16.440-08:00cleft lip and palatethe project with Smile Trainsee (ST-AH partenarship)Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-37355106960315059732009-09-11T15:38:00.000-07:002009-09-19T01:51:14.496-07:00Bilateral complete cleft lip and palatepreoperative intraoperative postaperative :bilateral cleft lip repairThe more recent technique aim to correct both the labial deformity and the nasal deformity in a single stage are gaining popularity by many surgeons. in this cases, surgical orthopedic treatment consists of molding the nasoalveolar process with progressivly modified splints, and achieving lengthening of the deficient and shortDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-7634170765744078472009-05-11T05:15:00.001-07:002009-09-19T01:54:53.379-07:00unilateral cleft lip repairpreoperative intraoperative postoperative Unilateral Cleft Lip RepairThe rotational advancement method can be used for the entire spectrum of unilateral cleft lips. The technique is described for a complete cleft lip. The following section summarizes the principal steps of the technique.The landmarks of the lip are marked with a vital dye as follows:Point 1: The base of the nasal ala on the Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-2847575500985735892009-05-11T05:10:00.000-07:002009-05-11T06:09:56.656-07:00funfal sinusitis (Aspergilloma)2preoperative CT operative finding:
postoperativepostoperative CT Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-68255464925789482382009-05-10T20:26:00.000-07:002009-05-11T06:11:10.065-07:00fungal sinusitis (Aspergilloma)1operative findiding preopertive CT postoperative finding postoperative CT postoperative video
Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-84819386352896617792009-01-20T11:15:00.000-08:002009-02-11T19:13:38.231-08:00Endoscopic repair of facture medial wall and floor of the orbite Step 1The uncinate is identified and resected. Approximately 3 to 4 mm of uncinate is left intact superiorly to prevent frontal recess stenosis. This exposed the natural ostium of the maxillary sinus and an antrostomy is performed in a posterior and inferior direction. with reduction of the floor by 455degree forceps
Step 2The ethmoidal bulla is then entered medially and resected to expose Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-56619904105674665772009-01-11T10:36:00.000-08:002009-11-09T02:16:13.815-08:00Dacryocystocele (endoscopic DCR)DCR Packs moistened with 0.05% oxymetazoline solution are placed intranasally for topical decongestion. An eye ointment is applied to the both eyes for protection.The assistant surgeon passes a 20-gauge fiberoptic light probe through a canaliculus into the lacrimal sac; the area of maximal brightness isn't the center of the sac, it corresponds with the posterior end of the lacrimal sac where the Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-17081723923290343582008-12-28T01:41:00.001-08:002009-01-09T14:18:25.416-08:00Fixation of fracture frontal bone with sinus obliterationpreoperative finding: intraoprative data:With displaced posterior table fractures, the risk of dural injury is unacceptably high.In this case of frantal fracture , exploration for dural and repair was done. To prevent late complications, these sinuse generally obliterated. The oblitrating material are muscle and fat from the thight.With severe comminution of the posterior table, cranializationDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-58121175338606505462008-12-27T11:43:00.000-08:002009-01-12T13:15:37.396-08:00Endoscopic management of subperiosteal orbital abscesspreoperative finding operative techinqueAfter the administration of general anesthesia and intubation, cotton pads saturated with 0.05% oxymetazoline were applied to the anterior area of the nose.Drainage of the SPOA was performed under endoscopic visualization using 2.7-mm and 4-mm 0 degrees and 30 degrees telescopes.The middle turbinate is gently retracted medially to provide exposure of the Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-53178819754631225942008-11-29T12:54:00.000-08:002009-01-09T13:54:19.095-08:00Reconstruction of nasal skin loss(Double lobe flap) Ø Bilobed flaps are used when the defect created by the primary flap (i.e., the banner flap) is too large to close primarily.Ø The flaps are designed on a 45- to 90-degree axis to the primary defect and the flaps are elevated in the subcutaneous plane.Ø Generally, the primary flap may be drawn somewhat smaller than the defect and is designed, as much as possible, to place the scars Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-17203140839593599602008-11-28T12:30:00.000-08:002009-01-09T14:39:53.087-08:00Rhinoplasty (augmentaion by Rib cartilage)Rhinoplasty, Augmentation: Intraoperative DetailsDecongestion of the nasal mucosa with oxymetazoline, phenylephrine, allows adequate endonasal visualization. Injection of the nasal soft tissues with lidocaine and epinephrine allows adequate vasoconstriction and decreases intraoperative bleeding.Augmentation performed via an open rhinoplasty approach. An open approach involves elevation of the Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-42145893632695240622008-11-27T11:13:00.000-08:002009-01-09T15:22:04.570-08:00Rhinoplasty( crocked nase)pre- and posoperative photography: Intraoperative Details:Correcting the deviated septumA crooked nose is almost always associated with a crooked septum.Deviating cartilage not included in the vital 1.5 cm dorsal caudal L strut can be resected without concern for loss of middle-vault support. Bony obstruction and deviations of the perpendicular plate of the ethmoid and vomer may be rongeured Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-39029134291879660062008-11-27T10:57:00.000-08:002008-11-27T11:07:40.513-08:00rhinoplasty (reduction)4Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-2442060910714745002008-11-27T10:54:00.000-08:002009-01-09T13:05:55.851-08:00Rhinoplasty (tip reposition)Rhinoplasty, Tip Surgery: Surgical maneuvers must be implemented based on thorough preoperative plans designed to treat specific nasal tip deformities.A t bulbous nose can be corrected into a more triangular nose by excising the cephalic lateral crura. However, leave at least a 6-mm strip of cartilage or otherwise risk alar collapse and a resulting pinched nose deformity.The broad tip nose Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-39876277532475355642008-11-21T12:28:00.000-08:002009-01-09T14:41:04.796-08:00Rhinoplasty (croked nose ) -2Pre- and pos-operative photography Operative techniqueØ The cartilaginous part of the hump is incised first, either under direct vision using an Aufricht retractor, or by palpation.Ø Using the widest osteotome that can be inserted (14 mm or 16 mm in most patients) reduces the risk of an uneven resection of the hump. Rounded ends of the cutting edge reduce the risk of skin perforations.Ø Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-2712797860082789202008-11-21T11:49:00.000-08:002009-01-09T13:09:17.277-08:00Rhinoplasty 1 ( alar reduction)Rhinoplasty, Alar Cartilage Resection Use the least amount of infiltrative anesthesia (0.5% Xylocaine with 1:200,000 epinephrine) to prevent distortion of the nasal anatomy.The tip cartilage can be approached by external approach - Bilateral marginal incisions connected by a transcolumellar incisionRemoval of cephalic margin of the lateral crura Suturing together of dome areasTrimming of the Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-20248691731988035902008-11-18T12:45:00.000-08:002009-01-09T14:43:55.470-08:00Endoscopic AdeniodectomyOperative techniqueThe Operative instruments include 70° and 30° rigid endoscope ,straight and up-biting angled forceps , adenoid curettage, angled suction diathermy, angled suction for maxillary sinus, Boyle–Davis mouth gag and plastic suction catheter . The patient is placed in a supine position with the neck fully extended. After intubating the patient with an oro-endotracheal tube, is appliedDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-57293005857242295252008-11-18T12:41:00.001-08:002008-11-18T12:43:51.879-08:00FB in the oesophegous (oesphegoscopy)1Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-52638320495324995262008-11-18T12:40:00.000-08:002008-11-21T13:22:07.807-08:00FB in the trachea (bronchoscopy)Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-45172894202087444122008-11-18T12:36:00.000-08:002008-11-18T12:40:00.734-08:00Nasolabial cyst excisionDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-24556985220197380992008-11-18T12:24:00.000-08:002009-10-02T02:21:54.269-07:00frantoethmoidal mucocelePreopretive CT Operative finding under endoscopic visualization using 2.7-mm 30 degrees telescopes. The middle turbinate is gently retracted medially to provide exposure of the bulla ethmoidalis alone.Partial uncinectomy was performed to provide exposure of the anterior and medial walls of the bulla ethmoidalis, but this is later discontinued as access to the medial wall of the bulla ethmoidalisDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-75393101876323340242008-11-18T12:16:00.000-08:002009-09-19T08:21:10.056-07:00FESS (chronic sinusitis)1FESS Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com2tag:blogger.com,1999:blog-9194630735635371867.post-65770011432068664462008-11-17T13:16:00.000-08:002008-11-18T12:16:14.678-08:00antrochoanal polyp ( from the middle meatus)iDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-20149098248618887082008-11-17T13:00:00.000-08:002008-11-18T12:35:43.142-08:00antrochoanal polyp ( from the superior meatus ) iDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-35775799178996238332008-11-17T12:50:00.000-08:002008-11-17T12:59:38.001-08:00Endoscoic sinus surgery ( ch. sinusitis of dental origen)1Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-88928538061258860702008-11-17T12:16:00.000-08:002008-11-17T12:28:09.459-08:00draiage of septal abscessDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-48097974248082623342008-11-15T13:22:00.000-08:002008-11-15T13:28:29.261-08:00FESS (mixed fungal +bacterial sinusitis)1Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-13663123959818959482008-11-15T12:58:00.000-08:002008-11-15T13:22:53.181-08:00endoscopic conchoplasyDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-66186645771189889352008-11-15T12:42:00.000-08:002008-12-31T15:10:39.885-08:00endoscopic dacrocystorhinostomy Step 1 : makeing a circular incision with the sickle knife through the lateral nasal wall mucosa down to bone 1 to 1.5 cm anterior to the base of the uncinate process. This mucosa is then elevated with the Freer elevator and removed. The underlying bone is carefully penetrated with a curette or drill.The identification of the lacrimal sac within the lateral nasal wall is facilitated by Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-1564578013760035852008-11-14T13:17:00.000-08:002008-12-31T15:22:55.053-08:00endoscopic unilateral (RT) choanal atresia The position of the instrument in the nasopharynx is confirmed:In unilateral cases, the position is confirmed using a 0° or 30° endoscope through the contralateral nasal passage.Step 1 :Hemitransfixation incision, Elevation of the mucoperichondium and mucoperiostiumStep 2 :Removal of the vomer and sphenoid rostum,A backbiting forceps removes further portions of the vomer and bony septum.Step 3 :Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-77207425198804184802008-11-14T13:07:00.001-08:002008-11-14T13:16:16.993-08:00miniseptoplastyDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-55686007183773608142008-11-14T12:42:00.000-08:002008-11-14T12:57:28.721-08:00fixation of mandibular facture by mimiplate and scrowsDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-12499089715869650042008-11-14T12:36:00.000-08:002008-11-14T12:41:55.752-08:00frontal sinus obliteration by fat and fascia Lata graftDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-10570286991016652992008-11-14T12:22:00.000-08:002008-11-14T12:58:13.531-08:00fixation of maxillary fracture by mimiplate and scrowsDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-88205360814828840542008-11-12T13:10:00.000-08:002008-11-14T12:18:53.862-08:00frantal and maxillary fracturesDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-2003469006807468622008-11-12T12:33:00.003-08:002008-11-14T12:20:03.324-08:00commnuted fracture of maxillaDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-55490344260942340972008-11-12T12:33:00.002-08:002009-09-18T03:56:29.773-07:00modifed radical mastoidectomy+ mastoid reconstructionDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-67131368371977916812008-11-12T12:28:00.000-08:002008-11-27T11:13:18.261-08:00infected preauricular sinusDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-20711021969988838962008-11-11T13:49:00.000-08:002008-11-11T14:04:42.878-08:00endoaural atticoantrotomyDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-7396096979454077882008-11-11T13:30:00.000-08:002008-11-25T13:46:17.038-08:00Mstoid & Bezold's abscess draingDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-28579685902757049912008-11-10T11:51:00.000-08:002008-11-11T13:23:45.926-08:00mastoid reconstructionDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-16700372058340687232008-11-10T11:39:00.000-08:002008-11-11T13:28:58.215-08:00microscopic premeatal tympanoplastyDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-12038641342569647242008-11-10T11:07:00.000-08:002008-11-11T13:22:03.887-08:00stapedectomyDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-56352097347990120262008-11-08T12:02:00.000-08:002008-11-21T13:22:48.529-08:00ossiculoplasty (incus transpoision)Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-19954469638956824682008-11-08T11:55:00.001-08:002008-11-08T12:01:20.026-08:00endoscopic temporalis fascia tympmanoplastyDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-54387353116769811242008-11-08T11:38:00.000-08:002008-11-08T11:54:52.352-08:00localized attic disease ( atticoantrotomy +ossiculoplasty)1Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-35542558971034829512008-11-08T11:29:00.000-08:002008-11-08T11:34:38.077-08:00temporalis fascia tympanoplastyDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-13579832038830654992008-11-08T11:23:00.000-08:002009-09-19T08:19:22.863-07:00endoaural cartilage tympanoplastyDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-78309587237052409332008-11-07T12:57:00.000-08:002008-11-15T12:56:38.283-08:00Total thyroidectomyDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-45981114483718264892008-11-07T12:39:00.000-08:002009-09-19T08:20:44.466-07:00laryngeal schwanomaDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-2109536283388413522008-11-07T12:32:00.000-08:002008-11-17T12:30:50.619-08:00cancer oesphogousDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-45740487745457465372008-11-06T13:29:00.000-08:002008-11-06T13:39:08.414-08:00laryngeal mass + tracheostomyDr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-58135555364231220512008-11-06T13:19:00.000-08:002009-01-12T14:12:17.668-08:00thyroglossal cyst exsionTHYROGLOSSAL DUCT CYSTProcedure • The incision is carried through the skin and subcutaneous tissue to anterior strap muscles, which are retracted laterally to expose the cystic lesion or inflammatory mass. • The cyst is carefully dissected free from the surrounding soft tissue and pedicled to the middle third of the hyoid bone.• Muscular attachments to the hyoid bone are divided with Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-90386402426140371682008-11-05T13:49:00.000-08:002009-01-12T13:55:52.927-08:00Submandibular gland dissectionSubmandibular Gland Excision Technique The neck is prepared and draped in a sterile fashion. The incision is made approximately two fingerbreadths below the inferior border of the mandible in a skin crease. The incision is carried through the platysma muscle, and subplatysmal flaps are elevated with care to avoid injury to the marginal mandibular nerve.The superficial layer of the deep cervical Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0tag:blogger.com,1999:blog-9194630735635371867.post-81418178756486397402008-10-21T14:30:00.000-07:002009-01-12T13:31:38.537-08:00Superficial Parotidectomy(4-11-2008)1Superficial ParotidectomySuperficial parotidectomy is performed under general anesthesia.. After the induction of general anesthesia, the endotracheal tube is positioned in the contralateral oral cavity and secured by tape on the contralateral face only. A modified Blair incision is planned in a preauricular crease coursing around the ear lobule and then into an upper neck crease.Methylene blue Dr./ Abdelrahman Ezzathttp://www.blogger.com/profile/13775478014091700439noreply@blogger.com0