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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator
08-OCTOBER-1995 MUSTAFA HASAN FARES AL-RAKH 17 YEARS
FIBROUS DYSPLASIA OF THE LEFT PARASELLAR AND MAXILLARY REGION.
Fibrous dysplasia is an abnormal bone growth
where normal bone is replaced with fibrous bone
tissue. Fibrous dysplasia causes abnormal growth
or swelling of bone. Fibrous dysplasia can occur
in any part of the skeleton but the bones of the
skull, thigh, shin, ribs, upper arm and pelvis
are most commonly affected. Fibrous dysplasia is
very rare, and there is no known cure. Fibrous
dysplasia is not a form of cancer.
Most lesions are monostotic, asymptomatic and
identified incidentally and can be treated with
clinical observation and patient education.
This disorder is usually diagnosed in childhood
or early adulthood and can affect one or several
bones. Males and females of any race are equally
The cause of surgery is to decompress the neural
structures involved and for cosmetic reasons.
The patient came to the clinic 01-July-1995
complaining of slowly growing bony mass in the
left side of the face with pain in the left
upper jaw for 4 years with progressive course.
The patient was admitted 07-October-1995.
On examination; the patient is alert and has
disfigurement of the face due to a mass in the
left maxillary area. with hypalgesia of the left
side of the face and numbness of the left V2
division. CT-scan of the brain done recently
showing wide involvement of the left parasellar
region reaching the left maxilla, compressing
the left optic nerve and obstructing the left
side of the nasal cavity.
The face and moth cavity were prepared and
through 2 separate incisions on in the upper
gingiva and one along the inferior edge of the
left orbit were created. Using high speed drill,
a big rounded mass was removed from the anterior
wall of the left maxilla and and the anterior
wall of the maxilla was opened and through that
defect, further drilling and dissection was done
to maximally remove the fibrous bone. The
maxillary nerve and accompanying artery was
preserved. The affected parts of the ethmoid
sinuses and the sphenoid sinus were included in
the drilling. The other left parasellar parts
were not accessible from this approach and it
was decided to perform the unreachable parts to
another surgery with the use of another
pterional approach. The bone defect in the
anterior wall of the maxilla was closed with
artificial bone. Routine closure of the wounds.
The operation took 8 hours period.
recovery. The patient discharged
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
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 .