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172 results on '"Wan Sulaiman, Wan Azman"'

6. Successful ankle replantation in two cases with different presentations

Author

Adzim Poh Yuen Wen, Mohd Hanifah Jusoh, Arman Zaharil Mat Saad, Ahmad Sukari Halim, Nu'man Wan Ismail Wan Faisham, and Wan Sulaiman Wan Azman

Subjects
amputation, traumatic, replantation, lower extremity, Surgery, RD1-811
Abstract

We report our experience of treating two patients with ankle amputation with different presentations. The first case was a clean-cut sharp amputation. The second case was an avulsion injury following a motor vehicle accident in a patient who arrived 8 hours after the injury. Replantation was successful in both cases. In avulsion injuries, a secondary operation for wound coverage is required at a later stage. With good strategy and a support team, encouraging limb survival outcomes are possible post-replantation.

Published
2020
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17. Closure of large lumbosacral defect using a combined method of bilateral bipedicle flap with lateral releasing incision and Integra® dermal regeneration template

Author

Mat Johar Siti Fatimah Noor, Arman Zaharil Mat Saad, Mat Saad Arman Zaharil, Wan Sulaiman Wan Azman, Nurul Syazana Mohamad Shah, Siti Fatimah Noor Mat Johar, Pauline Yap, Wan Azman Wan Sulaiman, Mohamad Shah Nurul Syazana, and Yap Pauline

Subjects
medicine.medical_specialty, integumentary system, Spina bifida, business.industry, Regeneration (biology), medicine.medical_treatment, Combined use, medicine.disease, Surgery, Lumbar, Negative-pressure wound therapy, Pediatrics, Perinatology and Child Health, medicine, Skin grafting, Orthopedics and Sports Medicine, business, Combined method, Lumbosacral joint
Abstract

BACKGROUND: Myelomeningocele is one of the most complex congenital malformations of the central nervous system. It is one of the most common types of spina bifida which involves a failure of neural tube closure. Reconstruction surgery for myelomeningocele had always been challenging for plastic and neurosurgeons. CLINICAL CASE: We report a case of a new-born with lumbosacral myelomeningocele who received treatment in the Hospital Universiti Sains Malaysia. The myelomeningocele was repaired by the neurosurgery team and subsequently, the child was left with huge lumbosacral skin defect. The large defect was successfully covered by using a combined method of bilateral bipedicle flap with lateral releasing incision and remaining lumbosacral and secondary defect resurfaced using Integra dermal regeneration template (DRT). We used ACTICOAT interfaced negative pressure wound therapy (NPWT) as our main dressing in preparing the wound bed for autologous epidermal graft. The result of our closure technique provides tension free closure. DISCUSSION: We incorporated bilateral bipedicle fasciocutaneous flap technique together with DRT for closure of the lumbosacral defect. The bilateral bipedicle flap with lateral releasing incision served to reduce tension on the skin at bilateral lumbar region. The DRT downsized the lumbosacral defect and NPWT dressing provided an optimal sterile environment in giving time for neodermis generation. The remaining secondary defect were also resurfaced utilizing DRT and autologous skin grafting. CONCLUSIONS: The outcome of surgery demonstrated that the combined use of bilateral bipedicle fasciocutaneous flap with lateral releasing incision and DRT with delayed skin grafting is safe, effective and provide long term stable and supple scar for large, exposed dura defect.

Published
2021
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20. A complex scalp resurfacing utilizing Integra® as temporary dressing in aplasia cutis congenita

Author

Pauline Yap, Mat Johar Siti Fatimah Noor, Wan Azman Wan Sulaiman, Yap Pauline, Mohamad Shah Nurul Syazana, Wan Sulaiman Wan Azman, Arman Zaharil Mat Saad, Nurul Syazana Mohamad Shah, Siti Fatimah Noor Mat Johar, and Mat Saad Arman Zaharil

Subjects
musculoskeletal diseases, Reconstructive surgery, medicine.medical_specialty, medicine.medical_treatment, Aplasia cutis congenita, Encephalocele, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Fascia lata, Negative-pressure wound therapy, medicine, Orthopedics and Sports Medicine, 030216 legal & forensic medicine, integumentary system, Cerebral Spinal Fluid, business.industry, medicine.disease, Vertex (anatomy), Surgery, body regions, medicine.anatomical_structure, Scalp, Pediatrics, Perinatology and Child Health, medicine.symptom, business
Abstract

BACKGROUND: Aplasia cutis congenita is a rare newborn malformation characterized by focal absence of skin. It possesses difficulty in reconstruction surgery for neurosurgeons and plastic surgeons. We report a challenging case of aplasia cutis congenita who received treatment in our center. CLINICAL CASE: A 2-year-old boy, presented to Plastic and Reconstructive Surgery, Hospital USM, with bilateral vertex defect with encephalocele who received a series of surgical interventions since 1 month old. Unfortunately, he returned after 2 years with a chronic nonhealing scalp wound associated with dura defect and cerebral spinal fluid leakage. The wound was debrided and the swab culture result showed no organism growth. Part of the wound bed with dura defect was repaired using a small piece of transplanted fascia lata and Integra was applied. DISCUSSION: There is scarcity in the medical literature on the reconstructive technique of aplasia cutis congenita. In the case we described here, we successfully managed the wound with multiple application of dermal substitute (Integra) dressing with negative pressure wound therapy and split-thickness skin graft. CONCLUSIONS: Management of aplasia cutis congenita with skull defect remains a controversy. Its management varies depends on its pattern and underlying condition. We successfully develop a new simple method in treating scalp accutilizing Integra.

Published
2021
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49. Perception of the most perfect female breast shape among Malays, Chinese, and Indians community.

Author

Hamzan, Muhammad Izzuddin, Wan Sulaiman, Wan Azman, and Ismail, Nur Nadia

Subjects
*MALAYS (Asian people), *PLASTIC surgeons, *BREAST surgery, *TREATMENT effectiveness, *MAMMAPLASTY, *FEMALES
Abstract

Researchers have long tried to search for the 'perfect' aesthetic outcome of breast surgery. Although lots of anthropometric studies have been done, there is no consensus when dealing with harmony, abstract, and proportion that make up for its ideal shape. This study was convened via a survey to find the most perfect breast shape by assessing the upper pole contour and upper pole to lower pole ratio (UP:LP) preference among the Malays, Chinese, and Indians races. Hundred thirty-five individuals partook in this survey. Most of the participants generally preferred a more convex shape of upper pole contour with the Malay (50%) and Indian (35.7%) favored a more convex shape while the Chinese preferred it to be just slightly convex (42.8%). Single unmarried individuals (64.7%) significantly preferred a more convex upper pole contour (p = 0.018). The UP:LP ratio of 45:55 (p = 0.002) was the most significantly preferred proportion (37.8%) which largely comprised of the Chinese (51%), followed by Indian (21.6%) and Malay (19.6%). With these findings, using a controlled perception-preference method is a more preferred choice when describing an ideal breast shape as compare to an anthropometric measurement that might be less accurate. Therefore, breast and plastic surgeons alike need to look beyond the anthropometric numbers and should consider the other 'abstract' aesthetic shape which difficult to measure including the upper pole breast that has more convexity and the UP:LP ratio of 45:55 which showed to be the most aesthetically perfect form as agreed in the current works of literature. [ABSTRACT FROM AUTHOR]

Published
2022
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50. Rare Old Distal Carpal Row Dislocation: Wait, do not Reduce, or Operate.

Author

Mahmod Al-Chalabi, Muath Mamdouh, Sadagatullah, Abdul Nawfar, and Wan Sulaiman, Wan Azman

Subjects
AXIAL loads, CARPAL bones, WRIST, FOREARM
Abstract

Copyright of Gazi Medical Journal is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024
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