Sokol Isaraj

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Ege University

University of East Anglia

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Reconstruction of Nasal Defects with a Two-stage Nasolabial Flap

Open Access Macedonian Journal of Medical Sciences

Background Reconstruction of nasal defects represents a significant challenge in reconstructive s... more Background Reconstruction of nasal defects represents a significant challenge in reconstructive surgery, due to nose’s delicate anatomy, combined with its functional and aesthetic relevance. Radical tumor excision, function preservation and a pleasing aesthetic outcome are the primary targets. The reconstructive approach will depend on the aesthetic subunit involved, size and depth of the defect. We describe our experience in the reconstruction of nasal skin defects of the tip, columella, alae, with a 2-stage nasolabial flap. Patients and Methods After institutional review board approval, a retrospective study was performed including consecutive patients (n=489) who underwent surgery for skin cancer of the nose, from 2016 to 2020 at the Service of Burns and Plastic Surgery, “Mother Theresa” University Hospital Center, of Tirana. Results The procedures were well tolerated and achieved good cosmetic results without complications. Conclusions The nasolabial 2-stage based flap is a well...

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ACTES 2018 - Abstracts Book

Albanian Journal of Trauma and Emergency Surgery, 2018

Introduction: although the term “polytrauma” has been in use for decades, no generally accepted d... more Introduction: although the term “polytrauma” has been in use for decades, no generally accepted definition exists. Our definition has been until 2010: a combination of injuries where one, or the combination where one, or the combination of injuries himself is directly life threatening, in detail is meant: injury to two body cavities, or injury to one cavity committed by two long bone fractures, where spine and unstable pelvis has counted similarly as an injury to a cavity organ. Since 2013 a new definition has been established, the so-called Berlin definition. "A polytrauma means significant injuries of three or more points (AIS) in two or more different anatomic AIS regions in conjunction with one or more additional variables from 5 physiologic parameters: Hypotension (SBP - Systolic Blood Pressure <= 90 mm Hg); Level of consciousness (GCS - Glasgow Coma Scale) ≤ 8; Acidosis (BE - Base Excess ≤ - 5.0); Coagulopathy (INR - International Normalized Ratio ≥ 1.4; PTT - Partial ...

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Reconstruction of Defects of the Lower Third of the Leg and Foot With a Reverse Sural Island Flap

Journal of Surgery and Research, 2020

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Choosing the Appropriate Reconstructive Technique for Eyelid Defects after Tumor Excision

Journal of Surgery: Current Trends and Innovations

Due to the anatomic location reconstruction of the eyelids after tumor removal remains one of the... more Due to the anatomic location reconstruction of the eyelids after tumor removal remains one of the most challenging tasks in reconstructive surgery. Our strategy favors a progression from direct closure, when possible, to use of local flaps in combination with chondro-mucosal grafts for bi-lamellar reconstruction.

Electrical Burns and Their Treatment in a Tertiary Hospital in Albania

Open Access Macedonian Journal of Medical Sciences

INTRODUCTION: The electrical current burns represent a very aggressive pathology that leaves many... more INTRODUCTION: The electrical current burns represent a very aggressive pathology that leaves many functional and aesthetic consequences.AIM: To evaluate the epidemiology of electrical burn injury and its associated complications and treatment.MATERIAL AND METHODS: Demographic data, aetiology, burn percentage and other measures related to electrical burn injury of 33 electrical burn patients in a tertiary hospital during the years 2015-2017.RESULTS: The mean age of patients is 31 (± 8.3) years old with a predominance of males (94%). The vast majority of injuries occurred at work (p < 0.01), superior extremities were more affected with hand (21.2%) and fingers (18.2%) being the main point of contact (p < 0.01). Muscular fasciotomy was performed in all patients who were treated surgically (n = 27), amputation was performed in 11 (40.7%) of cases, but amputated sites were more than the number of patients affected. Myoglobinuria (39.4%), cardio-respiratory distress (12.1%) contusio...

Pedicled and Perforator Flaps in Reconstrucion of Post Trauma Defects in Upper Limbs

Albanian Journal of Trauma and Emergency Surgery

Background: Upper extremity soft tissue reconstruction is an extensive topic as a multitude of op... more Background: Upper extremity soft tissue reconstruction is an extensive topic as a multitude of options exist for diverse soft tissue defects involving shoulder, arm, elbow, forearm, wrist, and hand. Many of the times flap cover is necessary for resurfacing exposed critical structures like tendons, neurovascular structures, bone and to provide supple tissue over joints. Pedicled and perforator flaps are seen in last years as a good choice to restore length, sensitivity and function of the injured upper limb. The aim of this paper is to give an overview of the definitions of as well as to present our experience regarding pedicled and perforator flaps. Materials and methods: A retrospective analysis of 15 trauma patients who underwent pedicled and perforator flaps during the 2012-2016 timeframe period was made. The patients were divided according to their type of injury, as well as the types of flasp that were used. Results: We have performed in total: 7 Foucher’s flaps, 4 Posterior In...

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Use of Dorsal Metacarpal Artery Flaps in Post Burn Reconstruction-Two Cases Report

Macedonian Journal of Medical Sciences, 2011

... DMAs. In a study by Marcelo Rosa de Rezende and associates [8]7 twenty-six dissections were p... more

Use of Dorsal Metacarpal Artery Flaps in Post Burn Reconstruction - Two Cases Report

Macedonian Journal of Medical Sciences, 2011

... DMAs. In a study by Marcelo Rosa de Rezende and associates [8]7 twenty-six dissections were p... more

Reconstruction of Defects of the Lower Third of the Leg and Foot With a Reverse Sural Island Flap

by Fortune Journals and Sokol Isaraj

Background: Closure of lower limb defects asks for thorough knowledge of all the reconstructive o... more Background: Closure of lower limb defects asks for thorough knowledge of all the reconstructive options, starting with the use of local tissues. The scarce availability of such, makes this task difficult and demanding. Unique nature of blood supply to the leg, complicates this issue even more. Reverse sural island flap is what we found handy in solving the problem for defects of small to moderate size, on the lower leg and foot. Objectives: The aim of this study is to report our experience with the use of the reverse sural island flap in the reconstruction of complex soft tissue defects of the lower leg and the foot. Materials and methods: Following institutional review board approval, a database search was completed to identify all patients who underwent reconstruction of distal lower extremity and foot defects with a reverse sural island flap between 2011-2019. Data were collected from the medical records of patients, as regards: demographics, history of trauma or nature of the wound, personal medical history (accompanying diseases, smoking status), location of the defect, dimensions of the flap after being elevated, pedicle length etc. Results: 15 cases received a reverse sural island flap, all the cases except one, being acute trauma. The remaining one was a chronic wound after a previous burn. In one of the cases the flap was delayed. In three of them flap it was used to cover defects of the dorsum of the foot. Flap dimension varied from 7 × 4 cm to 15 × 12 cm, length of the pedicle from 6 to 16 cm, two of the flaps J Surg Res 2020; 3 (1): 031-042 Journal of Surgery and Research 32 were very close to the distal popliteal crease. In all of the cases, except one, donor area of the flap needed be skin grafted. Only two of the flaps were complicated: one by a partial necrosis, the other by a venous stasis, which in the end were both treated successfully. In none of the patients a detailed examination of vascular supply of the area was needed, all of them being nondiabetic and nonischemic legs. Conclusions: Reverse sural island flap is a very useful tool for the reconstruction of small to moderate defects of the lower leg and foot, relatively easy to be raised, with no special needs for complicated vascular preoperative workup, and with a low rate of failure and complications in carefully selected patients.

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Reconstruction of Nasal Defects with a Two-stage Nasolabial Flap

Open Access Macedonian Journal of Medical Sciences

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ACTES 2018 - Abstracts Book

Albanian Journal of Trauma and Emergency Surgery, 2018

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Reconstruction of Defects of the Lower Third of the Leg and Foot With a Reverse Sural Island Flap

Journal of Surgery and Research, 2020

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Choosing the Appropriate Reconstructive Technique for Eyelid Defects after Tumor Excision

Journal of Surgery: Current Trends and Innovations

Electrical Burns and Their Treatment in a Tertiary Hospital in Albania

Open Access Macedonian Journal of Medical Sciences

Pedicled and Perforator Flaps in Reconstrucion of Post Trauma Defects in Upper Limbs

Albanian Journal of Trauma and Emergency Surgery

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Use of Dorsal Metacarpal Artery Flaps in Post Burn Reconstruction-Two Cases Report

Macedonian Journal of Medical Sciences, 2011

... DMAs. In a study by Marcelo Rosa de Rezende and associates [8]7 twenty-six dissections were p... more

Use of Dorsal Metacarpal Artery Flaps in Post Burn Reconstruction - Two Cases Report

Macedonian Journal of Medical Sciences, 2011

... DMAs. In a study by Marcelo Rosa de Rezende and associates [8]7 twenty-six dissections were p... more

Reconstruction of Defects of the Lower Third of the Leg and Foot With a Reverse Sural Island Flap

by Fortune Journals and Sokol Isaraj

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