plastic-aesthetic-surgery-2017-posters-abstracts

13 / 16

Page 65
conferenceseries.com
July 27-28, 2017 Vancouver, Canada
Plastic & Aesthetic Surgery
2nd International Conference on
Volume 3, Issue 2 (Suppl) J Aesthet Reconstr Surg, an open access journal
ISSN:2472-1905 Plastic Aesthetic Surgery 2017
July 27-28, 2017
J Aesthet Reconstr Surg. 2017, 3:2
DOI: 10.4172/2472-1905-C1-003
Craniopagus parasiticus: Parasitic head protuberant from temporal area of cranium- Acase report
Getachew Desta, Wassihun Nega, Meku Damtie, Yonas Girma and Mengistu Hailemariam
Bahir Dar University, Ethiopia
Background: Craniopagus parasiticus is a rare medical case and the case here is a unique one unlike other cases reported
from different literature. The head of parasitic twins is protruding from the temporal area of cranium. Parasitic head had two
deformed lower limbs; one is too rudimentary attached to the mass; long bones of bilateral lower limbs and some pelvic bones.
After dissection of the mass, the intestine was seen but no chest organs and other abdominal organs: There is also rudimentary
labium but no vaginal opening.
Case Presentation:A 38-years-old multigravida (Gravida V para IV) women fromAmhara ethnicity referred from rural health
center to Referral Hospital due to prolonged second state of labor at 42+1 weeks. Upon arrival she had contraction, term sized
gravid uterus, and fetal heart beat was 112. On digital pelvic examination the cervix was fully diluted, station of the head was
high and the pulsating umbilical cord coming in front of the presenting part with ruptured membrane but in the vaginal canal.
The team decided to perform emergency cesarean section and then a live female infant weighing 4200 g was delivered. The
placenta was single and normal. The APGAR scores were 7 and 9 at 1 and 5 min, respectively. The infant appeared to be grossly
normal except the parasitic co-twin attached at the cranium. The neonate was investigated with the available investigations
(CBC, X-Ray, Doppler Ultrasound) and Pediatric side consultation was made. After a week of counselling and investigations,
successful separation operation was done. During post-operative time the neonate comfortably suckling on breasts and no
neurological deficit. The details of the Surgery, Post-operative condition and subsequent follow up will be discussed during the
conference.
Conclusion: The possible etiologies of craniopagus parasiticus were still unknown due to a rarity of cases. Doctors, Genetic-
Scientists, Epidemiologists and Researchers continue to investigate this case as the reasons that could give clue to birth defect
and to provide answer for better prognosis of cases and improved the life chances of the twins. This case will have some input
in the effort to know the etiology and pathogenesis of this new born.
Optimizing the results in breast augmentation
Mohamed Albadawy
Suez Canal University, Egypt
The mammary gland forms one of the most attractive areas of the female anatomy. Proper positioning of the nipple areola
complex (NAC) during breast augmentation is very important particularly if mammary atrophy is associated with ptosis. For
patients with grade (3) and most of the patients with grade (2) breast ptosis, Masteopexy is required in addition to augmentation.
Patients with mammary atrophy alone or with grade (1) and grade (2) (NAC within 3 cm from infra mammary fold) ptosis
can be managed with breast augmentation and five patients were managed by breast augmentation Masteopexy alone. Twenty
patients were managed with breast augmentation alone. The results were good with only 2 cases with hematomas and one case
with bad scaring. The overall patient satisfaction rate was 95%.