Total quality management in plastic surgery.

Background: Quality management in plastic surgery has been limited to audit reports of individual clinical conditions, procedures and their outcomes, mortality rates, or other individual aspects of the field.

Methods: This work was done as a part of the mission assigned to us from the Military Medical Directorate to work on and develop the policies and standards of the practice of plastic surgery in the Saudi military hospitals. It is an overview of auditing in plastic surgery with a new expansion vision of the concept of total quality management in plastic surgery including the executable component (new data collection forms) that leads to the complete quality cycle.

Retrospective analysis of secondary alveolar cleft grafts using iliac of chin bone.

The osseous closure of alveolar clefts is an integral component of a comprehensive rehabilitation of patients with cleft lip and palate and has assumed an essential position in the reconstruction of cleft deformity. Our study consists of 35 patients aged between 7 and 11 years who received secondary bone grafting of their cleft alveolus over a 30 month period from July 1999 to December 2003. There were 22 (62.

Pediatric myoepithelioma of the palate.

Myoepithelioma is a rare benign tumor. There are controversial subtypes that lack myogenic differentiation. A 2003 literature search listed only 12 cases of myoepithelioma of the maxillofacial region.

Laparoscopic treatment of hepatic hydatid cysts with a liposuction device.

Objective: We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic treatment of hepatic hydatid cysts (HHC).

Methods: Ten patients with 12 hepatic hydatid cysts were treated with this technique. All patients received pre- and postoperative antiscolecidal medications.

Hand injuries in children at King Fahd Hospital of the University in Saudi Arabia (1989-1991).

We study the pattern of hand injuries in children presenting to a university hospital in the eastern province of Saudi Arabia. A retrospective study evaluating all pediatric patients 12 years old or less with hand injuries excluding burns that attended the plastic surgery clinic at King Fahd Hospital of the University between January 1989-December 1991. One hundred and one cases were identified.

Cutaneous malignant melanoma: Tabuk experience.

Cutaneous melanoma (CM) has a rising morbidity and mortality in the western world but is rare in certain geographical areas including the Middle East. The aim of this study is to define the pattern of CM in this environment over a period of about two decades. A review of associated histological reports, dermatology, plastic general surgical admissions and outpatient census statistic of the North West Military Hospital (N.

Laparoscopic orchidopexy: one-stage alternative for non-palpable testes.

Laparoscopy was utilised in the evaluation of 24 non-palpable undescended testes in 19 children. The procedure was accurate in all patients while ultrasound (US) and magnetic resonance imaging (MRI) failed to localise the testes in most cases. At the same time laparoscopic orchidopexy was performed on 15 testes (62.

[The first- and second-arch syndrome. A treatment analysis and plan].

There is a very great lesion staging in these syndromes, and a great number of procedures have been described, according to the age and severity of the lesions. The initial assessment is therefore important, since it allows classifying these malformations according to their severity in key sectors. Scheduling the treatment in time must take account of: growth, the necessity to perform successive operations in one region, since no operation must hinder a subsequent one.

[Osteosynthesis using a screwed plate in fractures of the mandibular condyle].

The surgical treatment of sub-condylar fractures allows rapid reestablishment of the bite, temporo-mandibular joint function and facial appearance. A pre-auricular approach is used involving dissection of the facial nerve and its upper branch. Surgical reduction is performed under direct vision.