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Related Experiment Video

Updated: Jun 24, 2025

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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Reconstructive surgery for mycetoma: Preliminary algorithm and a systematic review.

Mohamed D A Gismalla1,2, Mohammed Y Bakhiet3,2, Alshareef M Alshareef4,2

  • 1Department of Surgery, Faculty of Medicine, University of Gezira, Medani, Sudan.

JPRAS Open
|June 10, 2024
PubMed
Summary

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This summary is machine-generated.

Surgical excision of mycetoma often requires reconstruction of the resulting skin defect. This review explores various mycetoma reconstruction techniques, including skin grafts and flaps, to manage defects after surgery.

Area of Science:

  • Medical Mycology
  • Plastic Surgery
  • Dermatology

Background:

  • Surgical excision is a primary treatment for mycetoma.
  • Closing skin defects after mycetoma surgery presents a challenge.
  • Reconstruction options include primary closure, secondary intention, skin grafts, and local flaps.

Purpose of the Study:

  • To systematically review literature on mycetoma reconstruction options.
  • To analyze the evolution and application of reconstruction techniques for mycetoma defects.

Main Methods:

  • Systematic literature search and review.
  • Inclusion of 9 articles (8 case reports, 1 case series).
  • Analysis of publication dates, study types, and patient demographics.
Keywords:
EumycetomaMycetomaReconstructionSurgeryWide surgical excision

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Main Results:

  • The earliest mycetoma reconstruction case reported was in 1959.
  • A total of 34 patients were included, predominantly male.
  • Common reconstruction methods were skin grafts and local/regional flaps; free flap use was rare.

Conclusions:

  • Mycetoma reconstruction is crucial for defects where primary closure is not feasible.
  • Consider reconstruction for both small and large defects to avoid amputation.
  • Skin grafts and flaps are the mainstays of mycetoma defect reconstruction.