Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit
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17-MAY-2010 MUHAMED SULAYMAN AL-ZUUBY 18 YEARS
COMPOUND DEPRESSED FRACTURE OF THE EXTERNAL SHELL OF THE FRONTAL SINUS.
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to the emergency of Shmaisani hospital at the
morning of 17-May-2010 after getting direct
trauma by a sharp stone to the forehead without
loss of consciousness three hours ago.
CT-scan performed elsewhere showing depressed
fracture of the external shell of the frontal
On examination the
patient is alert without neurological deficit
and preserved olfaction both sides. There is a
cut wound double Y shaped at the site of
The wound was
cleaned meticulously and the depressed fragments
were elevated and removed and their edges were
studied, so as to bring them back with good
alignment. The lamina interna was intact and the
damaged mucosa was dissected and coagulated to
prevent future formation of mucocele. Using
drill to put sutures was used, but their
necessity was abandoned because the construct
was stable. The crushed edges of the wound were
refreshed and plastic closure of the skin was
done using Nylon 6 zero.
Smooth postoperative recovery.
The patient has wound
over the depressed fracture site. This area of
the forehead is very important cosmetically and
widening of the wound is forbidden.
In case that the wound was
not sufficient to perform all the task,
bifrontal skin flap is the preferable next
option, which in this case was not necessary.
Notice: Not all operative activities
can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also
escaped from the plan .