Ankylosing spondylitis
An autoimmune chronic inflammatory disorder characterized by inflammation in the vertebral joints of the spine and sacroiliac joints. It predominantly affects young males. Patients present with stiffness and pain in the spine.
Recent Cases of Ankylosing spondylitis
Browse recently discussed Ankylosing spondylitis cases by specialists151 Views
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Yes ossified anterior ligamentum flavum Decreased articular spaces Subchondral sclerotic changes in end plates All leads to decreased flexibility and mobility of spines which are looking as bamboo Yes it is Ankylosing spondylitis Autoimmune...
Top Cases of Ankylosing spondylitis
Selected by editors, top cases are known for unique problem or best solution136 Views
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Top Ankylosing spondylitis Doctors on Curofy
Top doctors who continously share their opinions on Ankylosing spondylitisCo-op Hospital
Ex-Orthopaedician
Government Arts And Science College Kozhikode Meenchanda
Pre Degree

VSS.MEDICAL COLLEGE & HOSPITALS.
Professor Radiology. 1984 To 1993 Superintendent & Principal. 93 To 96 Director Medical Education.96 To 98.
Patna Medical College.
MD

PHC Bichpuri and ESI Dispensary Chippitola Agra & SN Medical College Agra & Fatehgarh
Medical Officer Incharge
SN Medical College, Agra
DA

Siddhivinayak Clinic
Lceh Gp

Modern X-Ray & Pathology Centre
Radiologist
King George's Medical University
MBBS,DMRE .

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In your opinion, where is the need for psychologists and psychiatrists most critical?
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Last week was back-to-back five bilobed bipaddled PMMC flaps for full-thickness buccal mucosa defects. It made me reflect— In India, where many patients present late with advanced head and neck cancers, and where microvascular expertise or resources may be limited, this flap becomes more than a salvage,It becomes a purposeful craft, especially when where risk, and resources are in short supply. Success in reconstruction lies less in patient factors, and more in the surgeon’s design and execution. Every wound dehiscence, infection, or flap failure often reflects a planning flaw rather than patient factors. The Bilobed PMMC Flap Is More Than a Procedure.It’s a mastery of balance between form and function & between art and science As surgical oncologists, we must reconstruct with the same precision we resect. Both are part of the same journey,and in that journey, mindful reconstruction is where true surgical wisdom lies. Here are my 2 cents for how to plan for Bilobed PMMC Flap ✅ Flap Design • Center on the Nipple-Areola Complex (NAC) • Inner paddle → inferolateral, for mucosal lining • Outer paddle → medial, for skin cover • Lateral “C” design allows a large harvest with primary closure ✅ Paddle Orientation • Taper both ends to prevent dog-ears • Leave 1 cm between paddles for de-epithelialization & tension-free folding ✅ Safe Flap Limits • Do not extend >2 cm beyond the pectoralis major borders to preserve viability ✅ Pedicle Handling • Avoid spiraling of the pedicle • If NAC is included, anticipate nipple positioning in inner paddle or mark inner paddle ✅ Commissure Reconstruction • Prioritize primary closure • Use flap bulk to maintain commissure symmetry and prevent deviation ✅ Nerve Division • Always divide the lateral pectoral nerve to prevent post-op compression Suggestions are welcome for insightful discussion regarding same .
Dr. Bhavin Vadodariya0 Like0 Answer
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