Teaching

10. Course overview:

The course of plastic and reconstructive surgery is dedicated to deal with undergraduate level to know the importance of plastic and reconstructive surgery in the daily activities of the junior doctors and the sessions and the lectures are overall based on simple principles and standards for the juniors in plastic and reconstructive surgery to understand the physiology and pathology and management of these problems in simple and qualified methods in 6 lectures.

The subjects should enable the students to understand the procedures of intervention in plastic and reconstructive surgery and the justification of such intervention and when to decide to treat conservatively and when to interfere with the disease process with a wide base of knowledge that will help the students to widen their experiences through journals and textbooks after understanding the basics of plastic and reconstructive surgery.

11. Course objective:

At the end of the course of plastic and reconstructive surgery, the students should be able to master and perform the basic skills that are considered fundamentals in of plastic and reconstructive surgery and to have basic of plastic and reconstructive surgery experience needed for doctors in of plastic and reconstructive surgery department or in case of plastic and reconstructive surgery emergency,

12. Student's obligation

Students are responsible for satisfying the entire range of academic objectives as they are defined by the instructor in any course. Failure to satisfy any of the course objectives may have an adverse effect on the grade earned in the course . Attendance requirements are included in the academic objectives of each course ..

13. Forms of teaching

Power point presentation

14. Assessment scheme

- Mid year Exam

-Final Exam

15. Student learning outcome:

some of these objectives include:

1-Management of skin wounds.

2-Definition of skin graft and flap

3-Indication of skin graft and flap

4-Differentiated between vascular anomalies and haemangioma.

5-Classification of cleft lip and palate.

6-Uses of tissue expander

16. Course Reading List and References:

1-Baily and Love, short practice of surgery

2-Plastic Surgery(Grab’s and Smith)

3-Journal of Plastic and reconstructive surgery. American Plastic surgery Association .

19. Examinations:

Sample question:

Q/Discuss the cutaneous haemangioma.

Answer

There are two main categories:

- Haemangioma

- Vascular malformations

Haemangioma:

Antenatal or postnatal endothelial proliferation, Grow rapidly during infancy, regress slowly during childhood, and never appear in adulthood.

Typically appear in the neonatal period.

- Approximately 80% was a single tumor.

- More common in female 3-5:1.

- Incidence in white infant is 10%-20%.

- Involution is complete in 50% of children by age 5 years.

- Normal skin is restored in about 50%.

It has two phases: Proliferative phase and Involution phase.

Proliferative phase:

- Haemangioma grow rapidly during 6-8 months reach the maximum size by the end of the first year.

- Skin becomes elevated and red color.

Involution phase:

Color begins to pale and tumor fells less tense.

Clinical types of haemangioma:

New Terminology Old Terminology

- Superficial - Capillary

- deep -Strawberry

Q2/ Answer the following:

1-Reconstructive plastic surgery is --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

2-Types of skin graft depend of the donor:

a-

b-

c-

d-

3-Contraindication of using skin graft:

a-

b-

4-Graft bed factors influencing take of the graft:

a-

b-

c-

d-

5- Definition of flap:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

6-Indication of using flap:

a-

b-

c-

d-

e-

f-

g-

7-Classification of skin flap depend on blood supply:

a-

b-

8-Reconstruction ladder include:

a-

b-

c-

d-

e-

f-

9- Classified the flap depends on the location of the donor sit:

a-

b-

Answer

1-Reconstructive plastic surgery is:

Surgery designed to restore the normal appearance and functioning of disfigured or impaired areas of the human body.

2-Types of skin graft depend of the donor:

v Auto graft

v Homograft

v Xenograft

v isograft

3-Contraindication of using skin graft:

v A vscular recipient areas

v Infection:

4-Graft bed factorsinfluencing take of the graft:

v Graft factors

v Graft bed factors

v Environmental factors

v Immunogenetic factors

5- Definition of flap:

Transfer of the tissue from one area of body to another with own blood supply

6-Indication of using flap:

1. To cover poor vascular bed
2. Exposed joints and prostheses
3. Reconstruct full thickness defects
4. To provide durable cover over prominence and pressure point
5. When necessary to operate on underlying structures
6. To provide sensation
7. For cosmetic reasons

7-Classification of skin flap depend on blood supply:

-random

-axial

8-Reconstruction ladder include:

Secondary Intention

Primary Suturing

Delay Primary Suturing

Secondary Suturing

Skin Graft

Flap

9- Classified the flap depends on the location of the donor sit:

-Local

-distant