فهرست مطالب mohammadreza tarahomi

Congenital cleft lip and palate represent the prevailing craniofacial birth anomalies on a global scale. Notably, a substantial proportion of patients within remote regions of Iran defer corrective surgery until later stages of life, often in childhood or adulthood, primarily due to intricate financial and cultural constraints. In response to this pressing healthcare challenge, a dedicated collective of volunteer plastic surgeons was established in 2009 with the explicit aim of providing medical care to these underserved patients. Over the subsequent years, this compassionate team embarked on 31 meticulously planned missions to underprivileged areas scattered across the country. Through these organized endeavors, a remarkable total of 20,579 medical visits were conducted, coupled with the performance of 2,303 essential surgeries, thus offering a lifeline of healthcare to these disadvantaged individuals.

Peutz - jegher’s syndrome (PJS) is a rare autosomal dominant disorder with gastro intestinal and mucosal pigmentations. We present a 2 y/o boy with a lesion prolapsing from his rectum that could not be reducted. We found him to have PJS and a familial history of PJS in his parents.

undiagnosed metopic synostosis (Trigonocephaly) have many complications for infant such as Brian damage and cognitive & behavioral disorders also aesthetic malformations.There are a lot of surgical techniques for it that have their advantages and disadvantages but with this new method we can solve some of these problems and minimize damages.
In this study, 45 infants with Metopicsynostosis underwent surgery in Tehran Mofid Hospital. The Minimum of age were 4 months and Maximum 9 months with average of 6.72 months .Our cases in this study are infants with trigonicephaly that their diagnosis is confirmed with clinical symptoms & signs also with CTScan and paraclinical findings. The most common classification of surgical revision of Craniosynostosis named Whitaker, has been c as follows.
After analysis in this study we find significant differences in anthropometric indeces before & after surgery such as lowering of biparietal width after surgery and elevating of frontoparital index after surgery. As in this procedure, we don’t separate the frontal bone segments and it keeps its frame , so less plaques and screws are needed which will decrease the costs of the surgery and the surgical time is much more fewer than the other techniques.And last but not the least, the satisfactions of parents were high and there was no need for secondary surgery.
Based on all the perfect results we got , it is safe to say that,Staggered osteotomy as a surgical method for correction of trigonocephaly is useful method and we can use it as a new method in correction of metopic synostosis.

Background and Oral lichen planus is a chronic inflammatory disease of the oral mucosa. The exact cause is not yet well understood. Possible associations have been suggested between blood groups and susceptibility to various diseases. This study investigated the distribution of ABO blood groups and Rh system in patients with oral lichen planus in Iran.
In a cross-sectional study, 100 patients with oral lichen planus attending Oral Medicine Department in Shahid Beheshti dental school, Tehran, were examined. ABO blood groups and Rh type were recorded. Data was analyzed in SPSS V.18 applying Chi-square test.
Among 100 patients, 38 (38%) had blood group O and others had blood group A (28%), B (18%), and AB (16%), respectively. Also, 96 patients were Rh-positive while four were Rh-negative.
Patients with oral lichen planus in this study had higher distribution of O blood group than other blood groups. Also, most of them were Rh-positive.

Although the assignment and suturing of the spreader graft to the septum is a routine part of rhinoplasty, it is a time wasting procedure and some problems may occur. Rather, autospreader flap is a new method that the dorsal part of the upper lateral cartilage is used as its own graft. In the present study, we intended to compare the functional and aesthetic outcomes of these two techniques of rhinoplasty.
In a clinical trial, patients who referred to 15 Khordad Hospital for elective rhinoplasty during 2013-2014 were enrolled. The functional and aesthetic outcomes were compared between the two techniques of spreader and autospreader graft using rhinomanometry and satisfaction questionnaire in two stages before and one months after the surgery.
Total nasal airway resistance increased significantly by both spreader and autospreader, but the difference between the two methods was not statistically significant. The total nasal flow before and after the surgery significantly decreased using both techniques, but this reduction was not significant between the two methods of surgery. When questioned about the satisfaction with the surgery outcomes, 18 subjects (36%) had complete aesthetic satisfaction, 25 (50%) were partial satisfied and 7 subjects (14%) were unsatisfied from aesthetic results. The rate of patient’s satisfaction in both groups was higher for functional outcome. Overall, 32 (64%) subjects were completely satisfied, 13 (26%) were partially satisfied and 5 (10%) subjects did not report satisfaction. Loss of respiratory function in both groups was inevitable due to short time post-operative period.
Both spreader graft and autospreader graft techniques can be used in the preservation and restoration of the normal internal nasal valve angle, as well as restoration of dorsal aesthetic lines of the nasal dorsum.