MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Indian Journal of Plastic Surgery' source. Thu, 18 Mar 2010 13:59:32 +0100 http://www.medworm.com/index.php?rid=3343792&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D219%3Bepage%3D223%3Baulast%3DPuthumana Puthumana Philip PhilipIndian Journal of Plastic Surgery 2009 42(2):219-223Sushrutha had been viewed in textbooks of plastic surgery as belonging to the caste of potters who performed surgery in India. We have examined the available source documents and other references to the technology of the period to examine this assertion and are convinced that there is no evidence to support this. The period, technology and geographic references in Sushrutha Samhitha are correlated with settled positions on these to arrive at an understanding of the time and knowledge which is described. Source of erroneous interpretation of Sushrutha as a potter is also examined and clarified. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3343792 Tue, 09 Mar 2010 14:02:25 +0100 3343792 http://www.medworm.com/index.php?rid=3218030&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D275%3Bepage%3D276%3Baulast%3DBhattacharya Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(2):275-276 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218030 Fri, 29 Jan 2010 13:56:47 +0100 3218030 http://www.medworm.com/index.php?rid=3218029&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D273%3Bepage%3D274%3Baulast%3DPaolo Paolo Biondi, Giuseppe Colella, Giulio Gherardini, Gianpaolo Tartaro, Raffaele RausoIndian Journal of Plastic Surgery 2009 42(2):273-274 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218029 Fri, 29 Jan 2010 13:56:47 +0100 3218029 http://www.medworm.com/index.php?rid=3218028&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D272%3Bepage%3D273%3Baulast%3DYadav Yadav Prabha S, Ahmad Quazi G, Shankhdhar Vinay K, Nambi G IIndian Journal of Plastic Surgery 2009 42(2):272-273 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218028 Fri, 29 Jan 2010 13:56:47 +0100 3218028 http://www.medworm.com/index.php?rid=3218027&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D271%3Bepage%3D272%3Baulast%3DBhaskara Bhaskara K G, Kale Subhash MIndian Journal of Plastic Surgery 2009 42(2):271-272 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218027 Fri, 29 Jan 2010 13:56:47 +0100 3218027 http://www.medworm.com/index.php?rid=3218026&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D270%3Bepage%3D271%3Baulast%3DKamath Kamath B JagannathIndian Journal of Plastic Surgery 2009 42(2):270-271 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218026 Fri, 29 Jan 2010 13:56:47 +0100 3218026 http://www.medworm.com/index.php?rid=3218025&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D269%3Bepage%3D269%3Baulast%3DKulkarni Kulkarni Ananta A, Abhyankar Suhas V, Singh Rohit R, Chaudhari Ganesh SIndian Journal of Plastic Surgery 2009 42(2):269-269 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218025 Fri, 29 Jan 2010 13:56:47 +0100 3218025 http://www.medworm.com/index.php?rid=3218024&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D265%3Bepage%3D268%3Baulast%3DAgarwal Agarwal PawanIndian Journal of Plastic Surgery 2009 42(2):265-268Two unusual cases of congenital bilateral ear deformity have been presented. The deformity is characterized by upper auricular detachment on the right side with anotia on the left side in the first case and upper auricular detachment on the left side with normal ear on the right side in the second case. An attempt has been made to correlate the presented deformity with the embryological - foetal development of the auricle. Satisfactory correction can be obtained by repositioning the auricle back in to its normal position. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218024 Fri, 29 Jan 2010 13:56:47 +0100 3218024 http://www.medworm.com/index.php?rid=3218023&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D261%3Bepage%3D264%3Baulast%3DAbulezz In this report, two cases of non-scalp ACC occurring in the lower limbs are presented and a brief review of the literature is conducted. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218023 Fri, 29 Jan 2010 13:56:47 +0100 3218023 http://www.medworm.com/index.php?rid=3218022&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D258%3Bepage%3D260%3Baulast%3DSelvan We report a case of a 27-year-old newly married thin-built patient with avulsion and traumatic degloving of the penile and scrotal skin, with exposure of the corpora cavernosa and copus spongiosum of penis and testes as his loose clothes got entangled in a paddy harvesting machine accidently. Reconstruction was performed using a hypogastric flap and split skin graft, achieving a satisfactory aesthetic result and sexual functions. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218022 Fri, 29 Jan 2010 13:56:47 +0100 3218022 http://www.medworm.com/index.php?rid=3218021&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D255%3Bepage%3D257%3Baulast%3DYadav We present a case of an anomalous musculocutaneous perforator, which originated from the proximal part of the posterior tibial artery, passed through the soleus muscle and supplied the skin paddle. The flap was elevated as a single composite unit and was managed by two separate vascular anastomosis at the recipient site, one for the peroneal vessels and the other for the anomalous perforator. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218021 Fri, 29 Jan 2010 13:56:47 +0100 3218021 http://www.medworm.com/index.php?rid=3218020&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D252%3Bepage%3D254%3Baulast%3DThankappan We report a case of vascularised fibula osteocutaneous flap used for composite cervical spinal and posterior pharyngeal wall reconstruction, in a patient with recurrent skull base chordoma, resected by an anterior approach via median labio-mandibular glossotomy approach. Bone stability and pharyngeal wall integrity were simultaneously restored (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218020 Fri, 29 Jan 2010 13:56:47 +0100 3218020 http://www.medworm.com/index.php?rid=3218019&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D250%3Bepage%3D251%3Baulast%3DGogia Gogia S BIndian Journal of Plastic Surgery 2009 42(2):250-251 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218019 Fri, 29 Jan 2010 13:56:47 +0100 3218019 http://www.medworm.com/index.php?rid=3218018&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D248%3Bepage%3D250%3Baulast%3DBhattacharya Bhattacharya Visweswar, Mishra Biswajit, Barooah Partha Sarathi, Chaudhuri Gaurab Ranjan, Bhattacharya SiddharthaIndian Journal of Plastic Surgery 2009 42(2):248-250Lymphangiectasis usually occurs in the viscera. Involvement of the lower limb is very rare. It is difficult to establish the diagnosis without detailed investigations. Clinical features are peculiar and may mimic lymphoedema of different origins which needs to be ruled out. Contrary to the expectation, the post-operative result is excellent in the long-term follow-up. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218018 Fri, 29 Jan 2010 13:56:47 +0100 3218018 http://www.medworm.com/index.php?rid=3218017&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D245%3Bepage%3D247%3Baulast%3DSharma We present a simple method of splintage following microvascular reconstruction of penis. The splint is made by removing the bases of two thermocol glasses and joining them with paper adhesive tapes to form a hollow cylinder to protect and support the penis and keep it vertical. The splint is slid over the catheter and the reconstructed penis and fixed to the lower abdominal wall and the thighs with paper tapes for stability. A window at the base of the splint is made for the purpose of observation, while the tip is monitored from the open end at the top. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218017 Fri, 29 Jan 2010 13:56:47 +0100 3218017 http://www.medworm.com/index.php?rid=3218016&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D242%3Bepage%3D244%3Baulast%3DSaleh Saleh Kamal HIndian Journal of Plastic Surgery 2009 42(2):242-244The clinical study included 30 patients with complicated cutaneous haemangioma (ulceration, bleeding, obstruction of anatomical orifices, and interference with function or movement). The patients were studied regarding the age group, sex, site of lesion, size of lesion, and the percentage of regression after treatment with steroid. The age ranged from three months to six years, there were 20 female patients and 10 male patients. We used local injection of diluted triamcinolone 4 mg with 5 ml. 0.9% NACI (normal saline), injected through 23-guage syringe under local or general anaesthesia every two weeks for six to eight sessions depending on the severity of the case, followed by a local pressure dressing. We measured ... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218016 Fri, 29 Jan 2010 13:56:47 +0100 3218016 http://www.medworm.com/index.php?rid=3218015&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D235%3Bepage%3D241%3Baulast%3DSingh This article reviews the currently popular methods for correction of nasal deformity associated with bilateral cleft lip, it's management both at the time of cleft lip repair and also secondarily, at a later date. It also discusses the practices followed at our centre. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218015 Fri, 29 Jan 2010 13:56:47 +0100 3218015 http://www.medworm.com/index.php?rid=3218014&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D233%3Bepage%3D234%3Baulast%3DGupta Gupta Devendra KIndian Journal of Plastic Surgery 2009 42(2):233-234 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218014 Fri, 29 Jan 2010 13:56:47 +0100 3218014 http://www.medworm.com/index.php?rid=3218013&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D226%3Bepage%3D233%3Baulast%3DGupta Gupta Richie, Murarka AnilIndian Journal of Plastic Surgery 2009 42(2):226-233Authors in their clinical practice came across transsexual patients, who were determined to get their gender affirmed by undergoing a change of sex. This motivated the authors to review the literature extensively regarding transsexualism and report their experience. Opinions were taken from legal luminaries practicing in related fields. They also took inputs from several patients who were at various stages of psychiatric analysis and hormone therapy and also those, who had completed their treatment procedures. A paucity of the Indian inputs in medical literature concerning transsexualism was noted by the authors They also found deficiencies in the Indian Law, as applied to the individuals undergoing gender affirm... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218013 Fri, 29 Jan 2010 13:56:47 +0100 3218013 http://www.medworm.com/index.php?rid=3218012&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D223%3Bepage%3D225%3Baulast%3DBhattacharya Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(2):223-225 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218012 Fri, 29 Jan 2010 13:56:47 +0100 3218012 http://www.medworm.com/index.php?rid=3218011&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D219%3Bepage%3D223%3Baulast%3DPuthumana Puthumana Philip PhilipIndian Journal of Plastic Surgery 2009 42(2):219-223<i>Sushrutha</i> had been viewed in textbooks of plastic surgery as belonging to the caste of potters who performed surgery in India. We have examined the available source documents and other references to the technology of the period to examine this assertion and are convinced that there is no evidence to support this. The period, technology and geographic references in <i>Sushrutha Samhitha</i> are correlated with settled positions on these to arrive at an understanding of the time and knowledge which is described. Source of erroneous interpretation of <i>Sushrutha</i> as a potter is also examine... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218011 Fri, 29 Jan 2010 13:56:47 +0100 3218011 http://www.medworm.com/index.php?rid=3218010&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D213%3Bepage%3D218%3Baulast%3DSrinivasan Conclusion:</b> Every treatment facility has microorganisms unique to it and these change with time. It is therefore of paramount importance to have an in-depth knowledge of the resident organisms and their antibiotic sensitivity pattern so that infection-related morbidity and mortality are improved. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218010 Fri, 29 Jan 2010 13:56:47 +0100 3218010 http://www.medworm.com/index.php?rid=3218009&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D204%3Bepage%3D212%3Baulast%3DNagy Conclusions:</b> Although complications occurred, the beneficial effects of lip adhesion in combination with a guidance plate outweighed the risks for anatomical reconstruction of a platform for definitive lip and nose repair. Modifications are suggested to reduce these complications. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218009 Fri, 29 Jan 2010 13:56:47 +0100 3218009 http://www.medworm.com/index.php?rid=3218008&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D199%3Bepage%3D203%3Baulast%3DAdemuyiwa Conclusion:</b> This study has shown that the cosmetic outcome of wound closure using the tissue glue technique and subcuticular suturing technique are similar. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218008 Fri, 29 Jan 2010 13:56:47 +0100 3218008 http://www.medworm.com/index.php?rid=3218007&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D195%3Bepage%3D198%3Baulast%3DAgarwal Conclusion:</b> It is not mandatory to keep haemoglobin level at or >10 g/dL or PCV value at or >30% for skin graft take, as mild to moderate anaemia per se does not cause any deleterious effect on wound healing; provided perfusion is maintained by adequate circulatory volume. Prophylactic transfusion to increase the oxygen carrying capacity of the blood for the purpose of wound healing is not indicated in asymptomatic normovolemic anaemic patients (with haemoglobin levels greater than 6g/dL) without significant cardiovascular or pulmonary disease. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218007 Fri, 29 Jan 2010 13:56:47 +0100 3218007 http://www.medworm.com/index.php?rid=3218006&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D193%3Bepage%3D194%3Baulast%3DBhattacharya Bhattacharya SameekIndian Journal of Plastic Surgery 2009 42(2):193-194 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218006 Fri, 29 Jan 2010 13:56:47 +0100 3218006 http://www.medworm.com/index.php?rid=3218005&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D189%3Bepage%3D193%3Baulast%3DOludiran Oludiran O O, Umebese PFAIndian Journal of Plastic Surgery 2009 42(2):189-193Children are a vulnerable to burns, an injury, which is often preventable. A study of the profile of cases of children admitted for burns will provide background information to suggest locally doable preventive strategies as well as supply basic information for future reference. We studied the records of 62 children aged 0-16 years, admitted for burns, at the University of Benin Teaching Hospital, Benin City, between January 2002 and December 2006. There were 34 male and 28 female children. Children under three years constituted 56.5%. Whereas the leading cause of burns in all the children was flame burns from kerosene explosions (52%), scalds were responsible for 68.6% of cases in those under... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218005 Fri, 29 Jan 2010 13:56:47 +0100 3218005 http://www.medworm.com/index.php?rid=3218004&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D187%3Bepage%3D188%3Baulast%3DJagannathan Jagannathan MukundIndian Journal of Plastic Surgery 2009 42(2):187-188 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218004 Fri, 29 Jan 2010 13:56:47 +0100 3218004 http://www.medworm.com/index.php?rid=3218003&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D182%3Bepage%3D187%3Baulast%3DTripathy Tripathy Satyaswarup, Yaseen Mohd, Singh Nitya N, Bariar L MIndian Journal of Plastic Surgery 2009 42(2):182-187Temporomandibular joint ankylosis which is most frequently caused by trauma, presents with restriction in mouth opening in early stages and if children are the victim and not treated early, it presents with growth retardation of the involved mandibular side. Various methods are available for surgical correction. We have reviewed our experience with the efficacy of different interpositional materials in post-traumatic cases in our set up with special reference to temporal fascia over last three years. Twenty seven patients with history of trauma, mostly fall from height, have been studied. They were evaluated clinically and by computed tomography (CT) scan, orthopantogram and x- r... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218003 Fri, 29 Jan 2010 13:56:47 +0100 3218003 http://www.medworm.com/index.php?rid=3218002&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D176%3Bepage%3D181%3Baulast%3DBaghel Baghel P S, Shukla S, Mathur R K, Randa RIndian Journal of Plastic Surgery 2009 42(2):176-181To compare the effect of honey dressing and silver-sulfadiazene (SSD) dressing on wound healing in burn patients. Patients (n=78) of both sexes, with age group between 10 and 50 years and with first and second degree of burn of less than 50% of TBSA (Total body surface area) were included in the study, over a period of 2 years (2006-08). After stabilization, patients were randomly attributed into two groups: 'honey group' and 'SSD group'. Time elapsed since burn was recorded. After washing with normal saline, undiluted pure honey was applied over the wounds of patients in the honey group (n=37) and SSD cream over the wounds of patients in SSD group (n=41), everyda... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3218002 Fri, 29 Jan 2010 13:56:47 +0100 3218002 http://www.medworm.com/index.php?rid=3190730&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D282%3Bepage%3D283%3Baulast%3DBhattacharya Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(2):282-283 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190730 Thu, 21 Jan 2010 13:58:58 +0100 3190730 http://www.medworm.com/index.php?rid=3190729&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D280%3Bepage%3D281%3Baulast%3DPaolo Paolo Biondi, Giuseppe Colella, Giulio Gherardini, Gianpaolo Tartaro, Raffaele RausoIndian Journal of Plastic Surgery 2009 42(2):280-281 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190729 Thu, 21 Jan 2010 13:58:58 +0100 3190729 http://www.medworm.com/index.php?rid=3190728&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D279%3Bepage%3D280%3Baulast%3DYadav Yadav Prabha S, Ahmad Quazi G, Shankhdhar Vinay K, Nambi G IIndian Journal of Plastic Surgery 2009 42(2):279-280 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190728 Thu, 21 Jan 2010 13:58:58 +0100 3190728 http://www.medworm.com/index.php?rid=3190727&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D278%3Bepage%3D279%3Baulast%3DBhaskara Bhaskara K G, Kale Subhash MIndian Journal of Plastic Surgery 2009 42(2):278-279 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190727 Thu, 21 Jan 2010 13:58:58 +0100 3190727 http://www.medworm.com/index.php?rid=3190726&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D277%3Bepage%3D278%3Baulast%3DKamath Kamath B JagannathIndian Journal of Plastic Surgery 2009 42(2):277-278 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190726 Thu, 21 Jan 2010 13:58:58 +0100 3190726 http://www.medworm.com/index.php?rid=3190725&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D276%3Bepage%3D276%3Baulast%3DKulkarni Kulkarni Ananta A, Abhyankar Suhas V, Singh Rohit R, Chaudhari Ganesh SIndian Journal of Plastic Surgery 2009 42(2):276-276 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190725 Thu, 21 Jan 2010 13:58:58 +0100 3190725 http://www.medworm.com/index.php?rid=3190724&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D272%3Bepage%3D275%3Baulast%3DAgarwal Agarwal PawanIndian Journal of Plastic Surgery 2009 42(2):272-275Two unusual cases of congenital bilateral ear deformity have been presented. The deformity is characterized by upper auricular detachment on the right side with anotia on the left side in the first case and upper auricular detachment on the left side with normal ear on the right side in the second case. An attempt has been made to correlate the presented deformity with the embryological - foetal development of the auricle. Satisfactory correction can be obtained by repositioning the auricle back in to its normal position. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190724 Thu, 21 Jan 2010 13:58:58 +0100 3190724 http://www.medworm.com/index.php?rid=3190723&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D268%3Bepage%3D271%3Baulast%3DAbulezz In this report, two cases of non-scalp ACC occurring in the lower limbs are presented and a brief review of the literature is conducted. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190723 Thu, 21 Jan 2010 13:58:58 +0100 3190723 http://www.medworm.com/index.php?rid=3190722&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D265%3Bepage%3D267%3Baulast%3DSelvan We report a case of a 27-year-old newly married thin-built patient with avulsion and traumatic degloving of the penile and scrotal skin, with exposure of the corpora cavernosa and copus spongiosum of penis and testes as his loose clothes got entangled in a paddy harvesting machine accidently. Reconstruction was performed using a hypogastric flap and split skin graft, achieving a satisfactory aesthetic result and sexual functions. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190722 Thu, 21 Jan 2010 13:58:58 +0100 3190722 http://www.medworm.com/index.php?rid=3190721&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D262%3Bepage%3D264%3Baulast%3DYadav We present a case of an anomalous musculocutaneous perforator, which originated from the proximal part of the posterior tibial artery, passed through the soleus muscle and supplied the skin paddle. The flap was elevated as a single composite unit and was managed by two separate vascular anastomosis at the recipient site, one for the peroneal vessels and the other for the anomalous perforator. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190721 Thu, 21 Jan 2010 13:58:58 +0100 3190721 http://www.medworm.com/index.php?rid=3190720&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D259%3Bepage%3D261%3Baulast%3DThankappan We report a case of vascularised fibula osteocutaneous flap used for composite cervical spinal and posterior pharyngeal wall reconstruction, in a patient with recurrent skull base chordoma, resected by an anterior approach via median labio-mandibular glossotomy approach. Bone stability and pharyngeal wall integrity were simultaneously restored (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190720 Thu, 21 Jan 2010 13:58:58 +0100 3190720 http://www.medworm.com/index.php?rid=3190719&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D257%3Bepage%3D258%3Baulast%3DGogia Gogia S BIndian Journal of Plastic Surgery 2009 42(2):257-258 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190719 Thu, 21 Jan 2010 13:58:58 +0100 3190719 http://www.medworm.com/index.php?rid=3190718&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D255%3Bepage%3D257%3Baulast%3DBhattacharya Bhattacharya Visweswar, Mishra Biswajit, Barooah Partha Sarathi, Chaudhuri Gaurab Ranjan, Bhattacharya SiddharthaIndian Journal of Plastic Surgery 2009 42(2):255-257Lymphangiectasis usually occurs in the viscera. Involvement of the lower limb is very rare. It is difficult to establish the diagnosis without detailed investigations. Clinical features are peculiar and may mimic lymphoedema of different origins which needs to be ruled out. Contrary to the expectation, the post-operative result is excellent in the long-term follow-up. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190718 Thu, 21 Jan 2010 13:58:58 +0100 3190718 http://www.medworm.com/index.php?rid=3190717&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D252%3Bepage%3D254%3Baulast%3DSharma We present a simple method of splintage following microvascular reconstruction of penis. The splint is made by removing the bases of two thermocol glasses and joining them with paper adhesive tapes to form a hollow cylinder to protect and support the penis and keep it vertical. The splint is slid over the catheter and the reconstructed penis and fixed to the lower abdominal wall and the thighs with paper tapes for stability. A window at the base of the splint is made for the purpose of observation, while the tip is monitored from the open end at the top. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190717 Thu, 21 Jan 2010 13:58:58 +0100 3190717 http://www.medworm.com/index.php?rid=3190716&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D249%3Bepage%3D251%3Baulast%3DSaleh Saleh Kamal HIndian Journal of Plastic Surgery 2009 42(2):249-251The clinical study included 30 patients with complicated cutaneous haemangioma (ulceration, bleeding, obstruction of anatomical orifices, and interference with function or movement). The patients were studied regarding the age group, sex, site of lesion, size of lesion, and the percentage of regression after treatment with steroid. The age ranged from three months to six years, there were 20 female patients and 10 male patients. We used local injection of diluted triamcinolone 4 mg with 5 ml. 0.9% NACI (normal saline), injected through 23-guage syringe under local or general anaesthesia every two weeks for six to eight sessions depending on the severity of the case, followed by a local pressure dressing. We measured ... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190716 Thu, 21 Jan 2010 13:58:58 +0100 3190716 http://www.medworm.com/index.php?rid=3190715&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D242%3Bepage%3D248%3Baulast%3DSingh This article reviews the currently popular methods for correction of nasal deformity associated with bilateral cleft lip, it's management both at the time of cleft lip repair and also secondarily, at a later date. It also discusses the practices followed at our centre. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190715 Thu, 21 Jan 2010 13:58:58 +0100 3190715 http://www.medworm.com/index.php?rid=3190714&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D240%3Bepage%3D241%3Baulast%3DGupta Gupta Devendra KIndian Journal of Plastic Surgery 2009 42(2):240-241 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190714 Thu, 21 Jan 2010 13:58:58 +0100 3190714 http://www.medworm.com/index.php?rid=3190713&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D233%3Bepage%3D240%3Baulast%3DGupta Gupta Richie, Murarka AnilIndian Journal of Plastic Surgery 2009 42(2):233-240Authors in their clinical practice came across transsexual patients, who were determined to get their gender affirmed by undergoing a change of sex. This motivated the authors to review the literature extensively regarding transsexualism and report their experience. Opinions were taken from legal luminaries practicing in related fields. They also took inputs from several patients who were at various stages of psychiatric analysis and hormone therapy and also those, who had completed their treatment procedures. A paucity of the Indian inputs in medical literature concerning transsexualism was noted by the authors They also found deficiencies in the Indian Law, as applied to the individuals undergoing gender affirm... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190713 Thu, 21 Jan 2010 13:58:58 +0100 3190713 http://www.medworm.com/index.php?rid=3190712&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D230%3Bepage%3D232%3Baulast%3DBhattacharya Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(2):230-232 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190712 Thu, 21 Jan 2010 13:58:58 +0100 3190712 http://www.medworm.com/index.php?rid=3190711&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D226%3Bepage%3D230%3Baulast%3DPuthumana Puthumana Philip PhilipIndian Journal of Plastic Surgery 2009 42(2):226-230<i>Sushrutha</i> had been viewed in textbooks of plastic surgery as belonging to the caste of potters who performed surgery in India. We have examined the available source documents and other references to the technology of the period to examine this assertion and are convinced that there is no evidence to support this. The period, technology and geographic references in <i>Sushrutha Samhitha</i> are correlated with settled positions on these to arrive at an understanding of the time and knowledge which is described. Source of erroneous interpretation of <i>Sushrutha</i> as a potter is also examine... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190711 Thu, 21 Jan 2010 13:58:58 +0100 3190711 http://www.medworm.com/index.php?rid=3190710&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D220%3Bepage%3D225%3Baulast%3DSrinivasan Conclusion:</b> Every treatment facility has microorganisms unique to it and these change with time. It is therefore of paramount importance to have an in-depth knowledge of the resident organisms and their antibiotic sensitivity pattern so that infection-related morbidity and mortality are improved. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190710 Thu, 21 Jan 2010 13:58:58 +0100 3190710 http://www.medworm.com/index.php?rid=3190709&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D211%3Bepage%3D219%3Baulast%3DNagy Conclusions:</b> Although complications occurred, the beneficial effects of lip adhesion in combination with a guidance plate outweighed the risks for anatomical reconstruction of a platform for definitive lip and nose repair. Modifications are suggested to reduce these complications. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190709 Thu, 21 Jan 2010 13:58:58 +0100 3190709 http://www.medworm.com/index.php?rid=3190708&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D206%3Bepage%3D210%3Baulast%3DAdemuyiwa Conclusion:</b> This study has shown that the cosmetic outcome of wound closure using the tissue glue technique and subcuticular suturing technique are similar. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190708 Thu, 21 Jan 2010 13:58:58 +0100 3190708 http://www.medworm.com/index.php?rid=3190707&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D202%3Bepage%3D205%3Baulast%3DAgarwal Conclusion:</b> It is not mandatory to keep haemoglobin level at or >10 g/dL or PCV value at or >30% for skin graft take, as mild to moderate anaemia per se does not cause any deleterious effect on wound healing; provided perfusion is maintained by adequate circulatory volume. Prophylactic transfusion to increase the oxygen carrying capacity of the blood for the purpose of wound healing is not indicated in asymptomatic normovolemic anaemic patients (with haemoglobin levels greater than 6g/dL) without significant cardiovascular or pulmonary disease. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190707 Thu, 21 Jan 2010 13:58:58 +0100 3190707 http://www.medworm.com/index.php?rid=3190706&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D200%3Bepage%3D201%3Baulast%3DBhattacharya Bhattacharya SameekIndian Journal of Plastic Surgery 2009 42(2):200-201 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190706 Thu, 21 Jan 2010 13:58:58 +0100 3190706 http://www.medworm.com/index.php?rid=3190705&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D196%3Bepage%3D200%3Baulast%3DOludiran Oludiran O O, Umebese PFAIndian Journal of Plastic Surgery 2009 42(2):196-200Children are a vulnerable to burns, an injury, which is often preventable. A study of the profile of cases of children admitted for burns will provide background information to suggest locally doable preventive strategies as well as supply basic information for future reference. We studied the records of 62 children aged 0-16 years, admitted for burns, at the University of Benin Teaching Hospital, Benin City, between January 2002 and December 2006. There were 34 male and 28 female children. Children under three years constituted 56.5%. Whereas the leading cause of burns in all the children was flame burns from kerosene explosions (52%), scalds were responsible for 68.6% of cases in those under... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190705 Thu, 21 Jan 2010 13:58:58 +0100 3190705 http://www.medworm.com/index.php?rid=3190704&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D194%3Bepage%3D195%3Baulast%3DJagannathan Jagannathan MukundIndian Journal of Plastic Surgery 2009 42(2):194-195 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190704 Thu, 21 Jan 2010 13:58:58 +0100 3190704 http://www.medworm.com/index.php?rid=3190703&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D189%3Bepage%3D194%3Baulast%3DTripathy Tripathy Satyaswarup, Yaseen Mohd, Singh Nitya N, Bariar L MIndian Journal of Plastic Surgery 2009 42(2):189-194Temporomandibular joint ankylosis which is most frequently caused by trauma, presents with restriction in mouth opening in early stages and if children are the victim and not treated early, it presents with growth retardation of the involved mandibular side. Various methods are available for surgical correction. We have reviewed our experience with the efficacy of different interpositional materials in post-traumatic cases in our set up with special reference to temporal fascia over last three years. Twenty seven patients with history of trauma, mostly fall from height, have been studied. They were evaluated clinically and by computed tomography (CT) scan, orthopantogram and x- r... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190703 Thu, 21 Jan 2010 13:58:58 +0100 3190703 http://www.medworm.com/index.php?rid=3190702&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D183%3Bepage%3D188%3Baulast%3DBaghel Baghel P S, Shukla S, Mathur R K, Randa RIndian Journal of Plastic Surgery 2009 42(2):183-188To compare the effect of honey dressing and silver-sulfadiazene (SSD) dressing on wound healing in burn patients. Patients (n=78) of both sexes, with age group between 10 and 50 years and with first and second degree of burn of less than 50% of TBSA (Total body surface area) were included in the study, over a period of 2 years (2006-08). After stabilization, patients were randomly attributed into two groups: 'honey group' and 'SSD group'. Time elapsed since burn was recorded. After washing with normal saline, undiluted pure honey was applied over the wounds of patients in the honey group (n=37) and SSD cream over the wounds of patients in SSD group (n=41), everyda... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190702 Thu, 21 Jan 2010 13:58:58 +0100 3190702 http://www.medworm.com/index.php?rid=3190701&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D176%3Bepage%3D182%3Baulast%3DChaware Chaware SureshIndian Journal of Plastic Surgery 2009 42(2):176-182<b>Background:</b> Daniel categorized lower jaw defects in 1988. In this description, en bloc defects were defined as extensive composite defects consisting of defects of bone, oral lining, skin, and soft tissue. These defects are usually created in the surgical treatment of extensive T3 and T4 cancers and require complex procedures for reconstruction. <b> Materials and Methods:</b> From March 2005 to March 2006, 90 extensive composite mandibular defects were reconstructed using single free osteoseptomyocutaneous fibular flap. There were 66 males and 24 females. The age of the patients ranged from 26 to 66 years. In all cases the tumor type was s... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190701 Thu, 21 Jan 2010 13:58:58 +0100 3190701 http://www.medworm.com/index.php?rid=3190700&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D169%3Bepage%3D175%3Baulast%3DMishra Mishra Sharad, Sharma Ramesh KumarIndian Journal of Plastic Surgery 2009 42(2):169-175Injuries to upper limb has been on the increase and is invariably associated with significant soft tissue loss requiring a flap cover. Local tissue may not be available for cover in a majority of situations, necessitating import of tissue from a distant source. We have utilized the thoraco-umbilical flap taken from the trunk for this purpose. This flap is based on the perforators of the deep inferior epigastric artery that are maximally centred on the periumbilical region.This flap was used in 83 patients. The patients were observed for at least 3 weeks and any flap or donor site complications were recorded. The patients were again followed up at 3 months interval and the donor site scar was assessed. The... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190700 Thu, 21 Jan 2010 13:58:58 +0100 3190700 http://www.medworm.com/index.php?rid=3190699&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D161%3Bepage%3D168%3Baulast%3DAl Conclusions:</b> The application of subatmospheric pressure or negative pressure promotes healing in a wide range of clinical settings and is an advanced wound healing therapy that can optimize patient care, promote rapid wound healing and help manage costs. It may be used in most instances in both hospital and community settings. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190699 Thu, 21 Jan 2010 13:58:58 +0100 3190699 http://www.medworm.com/index.php?rid=3190698&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D150%3Bepage%3D160%3Baulast%3DBhandari Bhandari P S, Sadhotra L P, Bhargava P, Bath A S, Mukherjee M K, Bhatti Tejinder, Maurya SanjayIndian Journal of Plastic Surgery 2009 42(2):150-160<b>Background:</b> Brachial plexus injuries represent devastating injuries with a poor prognosis. Neurolysis, nerve repair, nerve grafts, nerve transfer, functioning free-muscle transfer and pedicle muscle transfer are the main surgical procedures for treating these injuries. Among these, nerve transfer or neurotization is mainly indicated in root avulsion injury. <b> Materials and Methods:</b> We analysed the results of various neurotization techniques in 20 patients (age group 20-41 years, mean 25.7 years) in terms of denervation time, recovery time and functional ... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190698 Thu, 21 Jan 2010 13:58:58 +0100 3190698 http://www.medworm.com/index.php?rid=3190697&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D146%3Bepage%3D149%3Baulast%3DBhattacharya Conclusion: </b> This study showed live demonstration of the effect of surgical traumas on microcirculation. It should guide the surgeons to select the use of appropriate instruments which will cause minimal damage to vascularity and thereby lead to a better surgical outcome. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190697 Thu, 21 Jan 2010 13:58:58 +0100 3190697 http://www.medworm.com/index.php?rid=3190696&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D145%3Bepage%3D145%3Baulast%3DSingh Singh Arun KumarIndian Journal of Plastic Surgery 2009 42(2):145-145 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190696 Thu, 21 Jan 2010 13:58:58 +0100 3190696 http://www.medworm.com/index.php?rid=3190695&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D2%3Bspage%3D143%3Bepage%3D144%3Baulast%3DBhattacharya Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(2):143-144 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=3190695 Thu, 21 Jan 2010 13:58:58 +0100 3190695 http://www.medworm.com/index.php?rid=2921600&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D192%3Bepage%3D198%3Baulast%3DSingh Singh Subodh KumarIndian Journal of Plastic Surgery 2009 42(3):192-198Though India has an estimated population of one million untreated cleft patients, facilities for its treatment have been limited and are not evenly distributed across the country. Furthermore, a paucity of committed cleft surgeons in fewer hospitals to provide quality surgical treatment to these patients, poverty, illiteracy, superstitions and poor connectivity in some remote regions severely limit the chances of an average cleft lip patient born in India from receiving rational and effective comprehensive treatment for his/her malady. The Smile Train Project with its singular focus on cleft patients started its philanthropic activities in India in the year 2000. It made hospitals and included clefts surgeon equal partne... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921600 Sat, 24 Oct 2009 12:53:41 +0100 2921600 http://www.medworm.com/index.php?rid=2921599&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D184%3Bepage%3D191%3Baulast%3DSridhar Sridhar KIndian Journal of Plastic Surgery 2009 42(3):184-191An extensive community-based survey of visible congenital defects covering 12.8 million children in rural Tamil Nadu state was conducted during the years 2004-05. A door-to-door survey was done utilizing the existing health care delivery system. More than 10,000 village health nurses were involved to collect the data. All children between the ages of 0 and 15 years were seen. The children with defects were seen by a medical officer and diagnosis was made as per chart. A total of 1.30% of children were born with some visible anomalies. The male:female ratio was 1.3:1. There was a family history in 9% and consanguinity in 32%. More than 5% mothers had taken some medication in the first trimester of pre... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921599 Sat, 24 Oct 2009 12:53:41 +0100 2921599 http://www.medworm.com/index.php?rid=2921598&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D174%3Bepage%3D183%3Baulast%3DMishra Mishra R K, Purwar ReeteshIndian Journal of Plastic Surgery 2009 42(3):174-183Tessier cleft types 3 and 4 are rare entities even among what are considered other rare craniofacial clefts. Very few cases have been reported worldwide, especially in the bilateral form. In the absence of any well-laid guidelines for management of such rare cases, plastic surgeons operate on such cases due to the inherent complexities in technique. To overcome this problem and provide a ground rule for surgical management of such cases, we propose an easier format with a 'split approach' of the affected areas. In our proposed formatting, we have divided the affected areas of the cleft into three components: 1. Lid component; 2. Lip component; and 3. Nasomalar component. Any person skilled in the pl... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921598 Sat, 24 Oct 2009 12:53:41 +0100 2921598 http://www.medworm.com/index.php?rid=2921597&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D168%3Bepage%3D173%3Baulast%3DHussain This article reviews treatment planning, pre- and postoperative orthodontic management, operative technique, and mechanics of distraction. It also discusses long-term changes following distraction and protocols to optimize the results and minimize complications. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921597 Sat, 24 Oct 2009 12:53:41 +0100 2921597 http://www.medworm.com/index.php?rid=2921596&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D149%3Bepage%3D167%3Baulast%3DSalyer Salyer Kenneth E, Xu Haisong, Portnof Jason E, Yamada Akira, Chong David K, Genecov Edward RIndian Journal of Plastic Surgery 2009 42(3):149-167The management of the palatal cleft, dental arch, and subsequent maxillary form is a challenge for the craniomaxillofacial surgeon. The purpose of this paper is to present the experience of a senior surgeon (KES) who has treated over 2000 patients with cleft lip and palate. This paper focuses on the experience of a recent series of 103 consecutive orthognathic cases treated by one surgeon with a surgical-orthodontic, speech-oriented approach. It will concentrate on not only correcting the occlusion, as others have described, but also on how a surgeon who was trying to achieve optimal aesthetic balance, harmony, and beauty, approached this problem. ... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921596 Sat, 24 Oct 2009 12:53:41 +0100 2921596 http://www.medworm.com/index.php?rid=2921595&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D144%3Bepage%3D148%3Baulast%3DSharma Sharma Ramesh Kumar, Nanda VipulIndian Journal of Plastic Surgery 2009 42(3):144-148The hearing loss in a cleft patient is a well known complication, but generally gets ignored. These children continue to have recurrent otitis media with effusion that affects the hearing abilities. Unfortunatley the middle ear function may not improve with palatoplasty.Cleft palate teams need to follow up all such children beginning at birth and going into adulthood, decades after a 'successful' palate repair. These patients should have careful otological and audiological surveillance with appropriate interventions whenever required. The review article discusses the current status of hearing management in patients with cleft palate. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921595 Sat, 24 Oct 2009 12:53:41 +0100 2921595 http://www.medworm.com/index.php?rid=2921594&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D137%3Bepage%3D143%3Baulast%3DNagarajan This article provides an introduction to communication disorders in individuals with cleft lip and palate for members of cleft care teams. The speech pathologist is involved in identifying those infants who are at risk for communication disorders and also for initiating early intervention to prevent or mitigate communication disorders caused by the cleft. Even with early cleft repair, some children exhibit 'cleft palate speech' characterized by atypical consonant productions, abnormal nasal resonance, abnormal nasal airflow, altered laryngeal voice quality, and nasal or facial grimaces. These manifestations are evaluated to identify those that (a) are developmental, (b) can be corrected through speech therapy alone, and, (c) those that may require both surgery and speech ther... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921594 Sat, 24 Oct 2009 12:53:41 +0100 2921594 http://www.medworm.com/index.php?rid=2921593&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D129%3Bepage%3D136%3Baulast%3DMarsh Marsh Jeffrey LIndian Journal of Plastic Surgery 2009 42(3):129-136Separation of the nasal and oral cavities by dynamic closure of the velo-pharyngeal port is necessary for normal speech and swallowing. Velo-pharyngeal dysfunction (VPD) may either follow repair of a cleft palate or be independent of clefting. While the diagnosis of VPD is made by audiologic perceptual evaluation of speech, identification of the mechanism of the dysfunction requires instrumental visualization of the velo-pharyngeal port during specific speech tasks. Matching the specific intervention for management of VPD with the type of dysfunction, i.e. differential management for differential diagnosis, maximizes the result while minimizing the morbidity of the intervention. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921593 Sat, 24 Oct 2009 12:53:41 +0100 2921593 http://www.medworm.com/index.php?rid=2921592&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D123%3Bepage%3D128%3Baulast%3DSadhu Sadhu ParthaIndian Journal of Plastic Surgery 2009 42(3):123-128Oronasal fistula (ONF) is the commonest complication associated with cleft palate surgery. The main symptoms associated with ONF are nasal regurgitation of food matter and hypernasality of voice. Repair of cleft palate under tension is considered to be the main reason of ONF though vascular accidents and infection can also be the cause. Most of the ONFs are situated in the hard palate or at the junction of hard and soft palate. Repair of ONF depends on its site, size and mode of presentation. A whole spectrum of surgical procedures starting from small local flaps to microvascular tissue transfers have been employed for closure of ONF. Recurrence rate of ONF is 25% on an average after the first attempt of repair. (Source... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921592 Sat, 24 Oct 2009 12:53:41 +0100 2921592 http://www.medworm.com/index.php?rid=2921591&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D116%3Bepage%3D122%3Baulast%3DMurthy Murthy JyotsnaIndian Journal of Plastic Surgery 2009 42(3):116-122<b>Introduction:</b> With advancement of medical services in developed countries and awareness among the patients, it is rare to find an adult with an unoperated cleft lip and palate. However, the scenario is totally different in developing countries. Working as a part of a team in developing country, where co-coordinated team work is primitive, resources to provide treatment are very thin, public awareness of availability of treatment for this anomaly is minimal, the age of patients reaching for primary treatment varies from few days to late forties. Though the aim and aspiration is to provide holistic multidisciplinary care, the priority is getting treatment for all cleft patients. I... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921591 Sat, 24 Oct 2009 12:53:41 +0100 2921591 http://www.medworm.com/index.php?rid=2921590&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D110%3Bepage%3D115%3Baulast%3DLilja Lilja JanIndian Journal of Plastic Surgery 2009 42(3):110-115In patients with cleft lip and palate, bone grafting in the mixed dentition in the residual alveolar cleft has become a well-established procedure. The main advantages can be summarised as follows: stabilisation of the maxillary arch; facilitation of eruption of the canine and sometimes facilitation of the lateral incisor eruption; providing bony support to the teeth adjacent to the cleft; raising the alar base of the nose; facilitation of closure of an oro-nasal fistula; making it possible to insert a titanium fixture in the grafted site and to obtain favourable periodontal conditions of the teeth within and adjacent to the cleft. The timing of the ABG surgery take into consideration not only eruption of the canine but also that... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921590 Sat, 24 Oct 2009 12:53:41 +0100 2921590 http://www.medworm.com/index.php?rid=2921589&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D102%3Bepage%3D109%3Baulast%3DAgrawal Agrawal KaroonIndian Journal of Plastic Surgery 2009 42(3):102-109Cleft palate affects almost every function of the face except vision. Today a child born with cleft palate with or without cleft lip should not be considered as unfortunate, because surgical repair of cleft palate has reached a highly satisfactory level. However for an average cleft surgeon palatoplasty remains an enigma. The surgery differs from centre to centre and surgeon to surgeon. However there is general agreement that palatoplasty (soft palate at least) should be performed between 6-12 months of age. Basically there are three groups of palatoplasty techniques. One is for hard palate repair, second for soft palate repair and the third based on the surgical schedule. Hard palate repair techniques are Veau-Wardill-Kilne... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921589 Sat, 24 Oct 2009 12:53:41 +0100 2921589 http://www.medworm.com/index.php?rid=2921588&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D91%3Bepage%3D101%3Baulast%3DCohen Cohen Mimis, Morris David E, White Aisha D, Patel PravinIndian Journal of Plastic Surgery 2009 42(3):91-101The treatment of patients with unilateral cleft lip has undergone significant development during the last decades. With better understanding of the anatomy of the unilateral cleft lip and nasal deformities, primary correction of the nasal deformity at the time of lip repair, critical evaluation of short and long-term results following various treatment protocols, and constant striving for perfection in both aesthetics and function, we have been able to design improved treatment strategies and more accurate surgical techniques so as to achieve overall superior and long-lasting results. In this review article, we present our protocols and experience for functional and aesthetic correcti... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921588 Sat, 24 Oct 2009 12:53:41 +0100 2921588 http://www.medworm.com/index.php?rid=2921587&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D79%3Bepage%3D90%3Baulast%3DMulliken Mulliken John BIndian Journal of Plastic Surgery 2009 42(3):79-90The surgeon who lifts a scalpel to repair a bilateral cleft lip and nasal deformity is accountable for: 1) precise craftsmanship based on three-dimensional features and four-dimensional changes; 2) periodic assessment throughout the child's growth; and 3) technical modifications during primary closure based on knowledge gained from long-term follow-up evaluation. These children should not have to endure the stares prompted by nasolabial stigmata that result from outdated concepts and technical misadventures. The principles for repair of bilateral complete cleft lip have evolved to such a level that the child's appearance should be equivalent to, or surpass, that of a unilateral complete cleft lip. These same pri... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921587 Sat, 24 Oct 2009 12:53:41 +0100 2921587 http://www.medworm.com/index.php?rid=2921586&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D71%3Bepage%3D78%3Baulast%3DMokal Conclusion:</b> This concept of simultaneous approach when appropriate for nasal correction at the time of alveolar bone grafting showed an encouraging aesthetic and functional outcome. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921586 Sat, 24 Oct 2009 12:53:41 +0100 2921586 http://www.medworm.com/index.php?rid=2921585&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D62%3Bepage%3D70%3Baulast%3DAdenwalla Adenwalla H S, Narayanan P VIndian Journal of Plastic Surgery 2009 42(3):62-70The unilateral cleft lip is a complex deformity. Surgical correction has evolved from a straight repair through triangular and quadrilateral repairs to the Rotation Advancement Technique of Millard. The latter is the technique followed at our centre for all unilateral cleft lip patients. We operate on these at five to six months of age, do not use pre-surgical orthodontics, and follow a protocol to produce a notch-free vermillion. This is easy to follow even for trainees. We also perform closed alar dissection and extensive primary septoplasty in all these patients. This has improved the overall result and has no long-term deleterious effect on the growth of the nose or of the maxilla. Other refinements have been... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921585 Sat, 24 Oct 2009 12:53:41 +0100 2921585 http://www.medworm.com/index.php?rid=2921584&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D56%3Bepage%3D61%3Baulast%3DGrayson Grayson Barry H, Shetye Pradip RIndian Journal of Plastic Surgery 2009 42(3):56-61Presurgical infant orthopedics has been employed since 1950 as an adjunctive neonatal therapy for the correction of cleft lip and palate. Most of these therapies did not address deformity of the nasal cartilage in unilateral and bilateral cleft lip and palate as well as the deficiency of the columella tissue in infants with bilateral cleft. The nasolaveolar molding (NAM) technique a new approach to presurgical infant orthopedics developed by Grayson reduces the severity of the initial cleft alveolar and nasal deformity. This enables the surgeon and the patient to enjoy the benefits associated with repair of a cleft deformity that is minimal in severity. This paper will discuss the appliance design, clinical m... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921584 Sat, 24 Oct 2009 12:53:41 +0100 2921584 http://www.medworm.com/index.php?rid=2921583&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D51%3Bepage%3D55%3Baulast%3DVenkatesh Venkatesh RIndian Journal of Plastic Surgery 2009 42(3):51-55Orofacial clefts are one of the commonest birth defects, and may be associated with other congenital anomalies. The majority of these orofacial clefts are nonsyndromic . A significant percentage of these clefts both syndromic and non-syndromic may have associated anomalies. Apart from reviewing other studies, this article also analyses a study of associated anomalies from a tertiary cleft centre in India. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921583 Sat, 24 Oct 2009 12:53:41 +0100 2921583 http://www.medworm.com/index.php?rid=2921582&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D35%3Bepage%3D50%3Baulast%3DYu Yu Wenli, Serrano Maria, Miguel Symone San, Ruest L Bruno, Svoboda Kathy K.HIndian Journal of Plastic Surgery 2009 42(3):35-50The development of the head involves the interaction of several cell populations and coordination of cell signalling pathways, which when disrupted can cause defects such as facial clefts. This review concentrates on genetic contributions to facial clefts with and without cleft palate (CP). An overview of early palatal development with emphasis on muscle and bone development is blended with the effects of environmental insults and known genetic mutations that impact human palatal development. An extensive table of known genes in syndromic and non-syndromic CP, with or without cleft lip (CL), is provided. We have also included some genes that have been identified in ... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921582 Sat, 24 Oct 2009 12:53:41 +0100 2921582 http://www.medworm.com/index.php?rid=2921581&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D19%3Bepage%3D34%3Baulast%3DEwings Ewings Ember L, Carstens Michael HIndian Journal of Plastic Surgery 2009 42(3):19-34The master plan of all vertebrate embryos is based on neuroanatomy. The embryo can be anatomically divided into discrete units called neuromeres so that each carries unique genetic traits. Embryonic neural crest cells arising from each neuromere induce development of nerves and concomitant arteries and support the development of specific craniofacial tissues or developmental fields. Fields are assembled upon each other in a programmed spatiotemporal order. Abnormalities in one field can affect the shape and position of developing adjacent fields. Craniofacial clefts represent states of excess or deficiency within and between specific developmental fields. The neuromeric organization of the embryo is the com... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921581 Sat, 24 Oct 2009 12:53:41 +0100 2921581 http://www.medworm.com/index.php?rid=2921580&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D18%3Bepage%3D18%3Baulast%3DSaleem Saleem LakshmiIndian Journal of Plastic Surgery 2009 42(3):18-18 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921580 Sat, 24 Oct 2009 12:53:41 +0100 2921580 http://www.medworm.com/index.php?rid=2921579&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D9%3Bepage%3D18%3Baulast%3DMossey Mossey Peter, Little JulianIndian Journal of Plastic Surgery 2009 42(3):9-18The Indian sub-continent remains one of the most populous areas of the world with an estimated population of 1.1 billion in India alone. This yields an estimated 24.5 million births per year and the birth prevalence of clefts is somewhere between 27,000 and 33,000 clefts per year. Inequalities exist, both in access to and quality of cleft care with distinct differences in urban versus rural access and over the years the accumulation of unrepaired clefts of the lip and palate make this a significant health care problem in India. In recent years the situation has been significantly improved through the intervention of Non Governmental Organisations such as SmileTrain and Transforming Faces Worldwide participating in ... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921579 Sat, 24 Oct 2009 12:53:41 +0100 2921579 http://www.medworm.com/index.php?rid=2921578&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D8%3Bepage%3D8%3Baulast%3DAdenwalla Adenwalla H SIndian Journal of Plastic Surgery 2009 42(3):8-8 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921578 Sat, 24 Oct 2009 12:53:41 +0100 2921578 http://www.medworm.com/index.php?rid=2921577&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D4%3Bepage%3D8%3Baulast%3DBhattacharya Bhattacharya S, Khanna V, Kohli RIndian Journal of Plastic Surgery 2009 42(3):4-8The earliest documented history of cleft lip is based on a combination of religion, superstition, invention and charlatanism. While Greeks ignored their existence, Spartans and Romans would kill these children as they were considered to harbour evil spirits. When saner senses prevailed Fabricius ab Aquapendente (1537-1619) was the first to suggest the embryological basis of these clefts. The knowledge of cleft lip and the surgical correction received a big boost during the period between the Renaissance and the 19th century with the publication of Pierre Franco's Petit Traite and Traite des Hernies in which he described the condition as "lievre fendu de nativite" (cleft l... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921577 Sat, 24 Oct 2009 12:53:41 +0100 2921577 http://www.medworm.com/index.php?rid=2921576&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D3%3Bepage%3D3%3Baulast%3DGreenwood Greenwood DeLoisIndian Journal of Plastic Surgery 2009 42(3):3-3 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921576 Sat, 24 Oct 2009 12:53:41 +0100 2921576 http://www.medworm.com/index.php?rid=2921575&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D2%3Bepage%3D2%3Baulast%3DMurthy Murthy JyotsnaIndian Journal of Plastic Surgery 2009 42(3):2-2 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921575 Sat, 24 Oct 2009 12:53:41 +0100 2921575 http://www.medworm.com/index.php?rid=2921574&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D3%3Bspage%3D1%3Bepage%3D1%3Baulast%3DBhattacharya Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(3):1-1 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2921574 Sat, 24 Oct 2009 12:53:41 +0100 2921574 http://www.medworm.com/index.php?rid=2651314&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D136%3Bepage%3D137%3Baulast%3DSurajit Surajit BhattacharyaIndian Journal of Plastic Surgery 2009 42(1):136-137 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651314 Thu, 30 Jul 2009 10:50:14 +0100 2651314 http://www.medworm.com/index.php?rid=2651313&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D134%3Bepage%3D135%3Baulast%3DSS SS Suresh, V RaniIndian Journal of Plastic Surgery 2009 42(1):134-135 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651313 Thu, 30 Jul 2009 10:50:14 +0100 2651313 http://www.medworm.com/index.php?rid=2651312&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D133%3Bepage%3D134%3Baulast%3DGI GI Nambi, Jeeth Jacob, Ashish Kumar GuptaIndian Journal of Plastic Surgery 2009 42(1):133-134 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651312 Thu, 30 Jul 2009 10:50:14 +0100 2651312 http://www.medworm.com/index.php?rid=2651311&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D132%3Bepage%3D133%3Baulast%3DJung-Woo Jung-Woo Hu, Sung-No JungIndian Journal of Plastic Surgery 2009 42(1):132-133 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651311 Thu, 30 Jul 2009 10:50:14 +0100 2651311 http://www.medworm.com/index.php?rid=2651310&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D131%3Bepage%3D132%3Baulast%3DSuhas Suhas V Abhyankar, Ananta Kulkarni, Naveen K AgarwalIndian Journal of Plastic Surgery 2009 42(1):131-132 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651310 Thu, 30 Jul 2009 10:50:14 +0100 2651310 http://www.medworm.com/index.php?rid=2651309&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D130%3Bepage%3D130%3Baulast%3DJimmy Jimmy MathewIndian Journal of Plastic Surgery 2009 42(1):130-130 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651309 Thu, 30 Jul 2009 10:50:14 +0100 2651309 http://www.medworm.com/index.php?rid=2651308&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D126%3Bepage%3D129%3Baulast%3DSandeep Sandeep MehrotraIndian Journal of Plastic Surgery 2009 42(1):126-129Pressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-based flaps in bedsore surgery. A giant neglected trochanteric pressure sore in a paraplegic is presented. Since conventional options of reconstruction appeared remote, the massive ulcer was successfully managed by a chimeric perforator-based flap. The combined muscle and fasciocutaneous flaps were raised as separate paddles based on the anterolateral thigh perforator branches and provided stable cover without complications. Perfor... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651308 Thu, 30 Jul 2009 10:50:14 +0100 2651308 http://www.medworm.com/index.php?rid=2651307&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D122%3Bepage%3D125%3Baulast%3DVS VS Patil, Sunila NagleIndian Journal of Plastic Surgery 2009 42(1):122-125A case of lipofibromatous hamartoma of the median nerve in an adult is described in this article. A 33-year-old male presented with tingling, numbness and swelling in the palm of the left non dominant hand that had been present for a few months. Examination revealed that there was fullness in the volar aspect of the wrist and in the inter-thenar area. Another mass was present at the base of the index finger, which appeared to be involving subcutaneous tissues. The clinical diagnosis was carpal tunnel syndrome due to a space occupying tumor mass in the carpal tunnel. On exploration of the carpal tunnel, a large median nerve was seen 4 cm proximal to the wrist crease line and extending distally until it divided into it... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651307 Thu, 30 Jul 2009 10:50:14 +0100 2651307 http://www.medworm.com/index.php?rid=2651306&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D118%3Bepage%3D121%3Baulast%3DManjiri Manjiri Das Gupta, Nilay Chakrabarti, Pravin Agrawal, Swati NarurkarIndian Journal of Plastic Surgery 2009 42(1):118-121Angiosarcoma is a relatively rare soft tissue tumour. It usually occurs in the head and neck, and especially in the scalp, in elderly people. Its presentation varies from a small plaque to multifocal nodules. The treatment depends on the extent of the disease. Most cases are treated with wide excision with reconstruction. Radiotherapy and chemotherapy are advocated in the recurrent or extensive lesions with regional or distant metastasis. Other modalities such as immunomodulation have been tried. A case of a 55-year-old female patient with a bleeding scalp lesion is presented. Initially thought to be a pyogenic granuloma, on excisional biopsy it was diagnosed as angiosarc... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651306 Thu, 30 Jul 2009 10:50:14 +0100 2651306 http://www.medworm.com/index.php?rid=2651305&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D115%3Bepage%3D117%3Baulast%3DYogesh We present a case of a post Hansen's trophic ulcer over the forefoot managed using a radial artery forearm free flap. Debridement of the osteomyelitic bone, removal of the bony prominences, coverage by a well-vascularised tissue, end-to-side arterial anastomosis, use of anterior tibial as the recipient vessel and good postoperative compliance in foot care on the part of the patient gave us good results. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651305 Thu, 30 Jul 2009 10:50:14 +0100 2651305 http://www.medworm.com/index.php?rid=2651304&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D112%3Bepage%3D114%3Baulast%3DLakshmi Lakshmi Ramanathan, Soubhagya R Nayak, KV Vinay, Ashwin Krishnamurthy, Latha V PrabhuIndian Journal of Plastic Surgery 2009 42(1):112-114The arteries of the upper limbs are situated in a deep plane and are the favourable sites for intra-arterial cannulation. During routine dissection of the left upper limb of a 52-year-old female cadaver, we observed a superficial arterial pattern which was of superficial brachio-ulno-radial type. The right upper limb of the same individual did not show any abnormal arterial pattern. This superficial arterial system was also associated with a palmar type of median artery. The clinical significance of the anomalous arterial system of the upper limb is discussed. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651304 Thu, 30 Jul 2009 10:50:14 +0100 2651304 http://www.medworm.com/index.php?rid=2651303&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D106%3Bepage%3D111%3Baulast%3DM This report reiterates the importance of early diagnosis. Free tissue transfer further enhances our ability to cover complex defects associated with excision of advanced lesions. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651303 Thu, 30 Jul 2009 10:50:14 +0100 2651303 http://www.medworm.com/index.php?rid=2651302&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D104%3Bepage%3D105%3Baulast%3DPuneet We report an unusual complication of progressively increasing fat herniation from the sutured donor site which started appearing on the third postoperative day. This necessitated excision of the protruding fat pad on the seventh postoperative day. The possible mechanism and precautions for prevention of this complication are discussed. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651302 Thu, 30 Jul 2009 10:50:14 +0100 2651302 http://www.medworm.com/index.php?rid=2651301&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D100%3Bepage%3D103%3Baulast%3DKrishnakumar We report a case of inferior maxillectomy defect reconstruction in a 42-year-old male with a free radial forearm adiposo-fascial flap with good aesthetic and functional outcome with minimal primary and donor site morbidity. The technique of raising the flap and closing the donor site needs to be meticulous in order to achieve good cosmetic and functional outcome. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651301 Thu, 30 Jul 2009 10:50:14 +0100 2651301 http://www.medworm.com/index.php?rid=2651300&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D94%3Bepage%3D99%3Baulast%3DAZ AZ Mat Saad, TL Khoo, AA Dorai, AS HalimIndian Journal of Plastic Surgery 2009 42(1):94-99Skin allografts have been used in medical practice for over a century owing to their unique composition as a biological dressing. Skin allografts can be obtained in several preparations such as cryopreserved, glycerol-preserved, and fresh allograft. A glycerol-preserved allograft (GPA) was introduced in the early 1980s. It has several advantages compared with other dressings such as ease of processing, storage and transport, lower cost, less antigenicity, antimicrobial properties, and neo-vascularisation promoting properties. Skin allografts are mainly used in the management of severe burn injuries, chronic ulcers, and complex, traumatic wounds. Published reports of the use of skin allografts in assoc... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651300 Thu, 30 Jul 2009 10:50:14 +0100 2651300 http://www.medworm.com/index.php?rid=2651299&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D85%3Bepage%3D93%3Baulast%3DSuresh Suresh M Chaware, Vaibhav Bagaria, Abhay KutheIndian Journal of Plastic Surgery 2009 42(1):85-93Anthropometric variations in humans make it difficult to replace a temporomandibular joint (TMJ), successfully using a standard "one-size-fits-all" prosthesis. The case report presents a unique concept of total TMJ replacement with customized and modified TMJ prosthesis, which is cost-effective and provides the best fit for the patient. The process involved in designing and modifications over the existing prosthesis are also described.<b> </b> A 12-year- old female who presented for treatment of left unilateral TMJ ankylosis underwent the surgery for total TMJ replacement. A three-dimensional computed tomography (CT) scan su... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651299 Thu, 30 Jul 2009 10:50:14 +0100 2651299 http://www.medworm.com/index.php?rid=2651298&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D82%3Bepage%3D84%3Baulast%3DSunderraj This article presents a mathematical model to help select an appropriate angled Z to enable the planned change in the direction of the final scar. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651298 Thu, 30 Jul 2009 10:50:14 +0100 2651298 http://www.medworm.com/index.php?rid=2651297&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D68%3Bepage%3D81%3Baulast%3DJyotsna Jyotsna Murthy, LVKS BhaskarIndian Journal of Plastic Surgery 2009 42(1):68-81Nonsyndromic cleft lip and palate is a complex genetic disorder with variable phenotype, largely attributed to the interactions of the environment and multiple genes, each potentially having certain effects. Numerous genes have been reported in studies demonstrating associations and/or linkage of the cleft lip and palate phenotypes to alleles of microsatellite markers and single nucleotide polymorphisms within specific genes that regulate transcription factors, growth factors, cell signalling and detoxification metabolisms. Although the studies reporting these observations are compelling, most of them lack statistical power. This review compiles the evidence that supports linkage and associations to the various g... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651297 Thu, 30 Jul 2009 10:50:14 +0100 2651297 http://www.medworm.com/index.php?rid=2651296&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D63%3Bepage%3D67%3Baulast%3DAhmed Ahmed Sabry HassanIndian Journal of Plastic Surgery 2009 42(1):63-67Secondary cicatricial alopecia occurs as a result of destruction of hair follicles by scar tissue formed in the scalp and eyebrows. It is a permanent condition and regrowth of hairs in the area is not expected. The purpose of the study was to select the appropriate method for treating cicatricial alopecia. 24 patients were admitted to our hospital during the period from June 2006 to July 2007. They were suffering from acquired cicatricial alopecia affecting the scalp and the eyebrow. Their ages ranged from 6-48 years with mean age 26-25 years. They were treated surgically by total excision of the lesions with direct closure of the defect in ten cases, excision of alopecia with advancement flaps with the aid of scalp expand... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651296 Thu, 30 Jul 2009 10:50:14 +0100 2651296 http://www.medworm.com/index.php?rid=2651295&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D58%3Bepage%3D62%3Baulast%3DPires Pires Viana Giovanni, Pires Viana Giovanni AndreIndian Journal of Plastic Surgery 2009 42(1):58-62One of the first signs of facial ageing appears in the forehead, with the descent of the lateral part of the brow. This is a troubling condition for all patients and elevation of the lateral part of the brow becomes a more and more frequent demand.<b> </b> The authors present their experience in 350 consecutive cases of direct eyebrow lift ("butterfly wing" incision) alone or in combination with rhytidectomy and/or blepharoplasty. The majority of the patients were female (90%). The age ranged from 43 to 85 years. Eighty per cent of the cases were performed simultaneously with rhytidectomy and blepharoplasty, 16&#x00... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651295 Thu, 30 Jul 2009 10:50:14 +0100 2651295 http://www.medworm.com/index.php?rid=2651294&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D52%3Bepage%3D57%3Baulast%3DManal Manal M Khan, Mohd Yaseen, LM Bariar, Sheeraz M KhanIndian Journal of Plastic Surgery 2009 42(1):52-57Soft tissue defects of hand with exposed tendons, joints, nerves and bone represent a challenge to plastic surgeons. Such defects necessitate early flap coverage to protect underlying vital structures, preserve hand functions and to allow for early rehabilitation. Becker and Gilbert described flap based on the dorsal branch of the ulnar artery for defects around the wrist. We evaluated the use of a dorsal ulnar artery island flap in patients with soft tissue defects of hand. Twelve patients of soft tissue defects of hand underwent dorsal ulnar artery island flap between August 2006 and May 2008. In 10 male and 2 female patients this flap was used to reconstruct defects of the palm, dorsum ... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651294 Thu, 30 Jul 2009 10:50:14 +0100 2651294 http://www.medworm.com/index.php?rid=2651293&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D49%3Bepage%3D51%3Baulast%3DS S PalaniveluIndian Journal of Plastic Surgery 2009 42(1):49-51A new axial pattern flap based on the terminal branches of the medial circumflex femoral artery is described for coverage of ischial pressure sore. Based on the terminal branches of the transverse branch of medial circumflex femoral artery, which exit through the gap between the quadratus femoris muscle above and the upper border of adductor magnus muscle below, this fascio cutaneous flap is much smaller than the posterior thigh flap but extremely useful to cover ischeal pressure sores. The skin redundancy below the gluteal fold allows a primary closure of the donor defect. It can also be used in combination with biceps femoris muscle flap. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651293 Thu, 30 Jul 2009 10:50:14 +0100 2651293 http://www.medworm.com/index.php?rid=2651292&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D43%3Bepage%3D48%3Baulast%3DMohamed This study was planned to evaluate prospectively the results of 150 patients with pilonidal sinus treated surgically after planning a score system. The aim was to choose the proper technique for the proper pilonidal sinus disease.<b> </b> From November 2002 to December 2006, 150 patients [130 male, 20 female; average age = 22.65 ± 4.2 (range, 15-46) years] with primary or recurrent pilonidal sinus diseases, operated under spinal anaesthesia or general anaesthesia. All patients were classified into three groups A, B and C.<b> </b> According to the clinical presentations we had three groups of patients: Group A with a score number n = 8 to 10, Group B with a score number n = 11 to 13, and Group C had the ... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651292 Thu, 30 Jul 2009 10:50:14 +0100 2651292 http://www.medworm.com/index.php?rid=2651291&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D36%3Bepage%3D42%3Baulast%3DJayanta We describe the indications, advantages, and complications of the BFP flap and report our clinical experience with the flap for intraoral reconstruction after tumor removal. From 2005 to 2008, we analyzed 29 patients in the age range of 32 to 82 years old who underwent a pedicled BFP flap reconstruction for oral defects after intraoral tumor removal. Postoperative wound healing and complications including any recurrence was followed-up prospectively.<b> </b> Most of the patients had an uneventful immediate postoperative period with signs of buccal fat pad epithelialization by the end of the first week and complete epithelialization at the end of the first month. On continued follow-up, a linear band of fibrous tissue under the epithelialized mucosa r... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651291 Thu, 30 Jul 2009 10:50:14 +0100 2651291 http://www.medworm.com/index.php?rid=2651290&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D32%3Bepage%3D35%3Baulast%3DChetan Chetan Satish, Sunit NemaIndian Journal of Plastic Surgery 2009 42(1):32-35Thumb pulp defects are commonly due to avulsion injuries. It is very important to reconstruct these defects using sensate flaps as the thumb pulp needs to be sensate for implementing the various functions of the thumb. A very good option for coverage of these defects is the islanded first dorsal metacarpal artery flap. Our study was done over a period of 2 years and involved 9 consecutive cases of thumb pulp defects treated at our institution. The patients included 8 males and 1 female, ranging in age from 16 to 51 years old. The flap size ranged from 2 x 1.5 cm to 5 x 3 cm. We had only one complication in the form of partial flap necrosis, which fortunately healed following debridement without the need for a second... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651290 Thu, 30 Jul 2009 10:50:14 +0100 2651290 http://www.medworm.com/index.php?rid=2651289&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D30%3Bepage%3D31%3Baulast%3DSS SS ChatterjeeIndian Journal of Plastic Surgery 2009 42(1):30-31 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651289 Thu, 30 Jul 2009 10:50:14 +0100 2651289 http://www.medworm.com/index.php?rid=2651288&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D22%3Bepage%3D30%3Baulast%3DSB SB Gogia, NC Appavoo, A Mohan, M Burney KumarIndian Journal of Plastic Surgery 2009 42(1):22-30A comparative analysis of different conservative modes of therapy for lymphoedema, largely of Filarial origin, was conducted in a trial therapy unit in Chengalpattu, a Filarial endemic district in Tamil Nadu. Results were compared using a single chambered intermittent pneumatic compression pump, heat therapy, and interferential therapy machines. The results showed improvement of limb size between 20% and 60% of possible reduction (where 100% would mean return of limb circumference to the same as that of the normal side). Pneumatic compression therapy, when used alone, showed the best results, which were significantly better than all others whether alone or in combination. (So... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651288 Thu, 30 Jul 2009 10:50:14 +0100 2651288 http://www.medworm.com/index.php?rid=2651287&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D18%3Bepage%3D21%3Baulast%3DR R ChitraIndian Journal of Plastic Surgery 2009 42(1):18-21The aim of this study was to demonstrate the relationship between the deep fibular nerve and the dorsalis pedis artery to provide useful anatomical knowledge for safe surgical approaches in plastic surgery. The dissection of 30 cadaver lower limbs was undertaken to describe the relationship of the deep fibular nerve to the dorsalis pedis artery in the anterior tarsal tunnel and on the dorsum of the foot. The anterior tarsal tunnel is a flattened space between the inferior extensor retinaculum and the fascia overlying the talus and navicular. The deep fibular nerve and its branches pass longitudinally through this fibro-osseous tunnel, deep to the tendons of the extensor hallucis longus and extensor digitorum longus. Four distinct re... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651287 Thu, 30 Jul 2009 10:50:14 +0100 2651287 http://www.medworm.com/index.php?rid=2651286&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D13%3Bepage%3D17%3Baulast%3DShahriar Shahriar Loghmani, Amir Momeni, Mohammad EidyIndian Journal of Plastic Surgery 2009 42(1):13-17Congenital vascular anomalies most notably hemangiomas involving the lips, especially those which fail to regress, pose a difficult problem both for the surgeon and the patient. These lesions not only discolour the skin but may also distort the shape of the lip. When nonsurgical modalities fail to treat these lesions, surgery is chosen as the next viable step. In this article, we propose a well planned sequential surgical procedure for unilateral lesions. This approach in comparison with previously used procedures produces noticeably better results and fewer complications. During a period of 4 years, we treated 21 patients with vascular anomalies using the unilateral upper lip lift procedure to c... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651286 Thu, 30 Jul 2009 10:50:14 +0100 2651286 http://www.medworm.com/index.php?rid=2651285&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D4%3Bepage%3D12%3Baulast%3DParag Parag Telang, Mukund Jagannathan, Maksud DevaleIndian Journal of Plastic Surgery 2009 42(1):4-12The head and neck region is an aesthetically demanding area to resurface because of its high visibility. Tissue defects in this area often require distant flaps or free flaps to achieve an aesthetically acceptable result. The use of the Supraclavicular artery flap represents an extremely versatile and useful option for the resurfacing of head, neck and upper torso defects. Furthermore, islanding the flap gives it a wide arc of rotation and the color and texture match is superior to that of free flaps harvested from distant sites. In our study, we used the flap (both unexpanded and expanded) predominantly for resurfacing neck defects resulting from the release of post-burn contractures. However, ... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651285 Thu, 30 Jul 2009 10:50:14 +0100 2651285 http://www.medworm.com/index.php?rid=2651284&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D3%3Bepage%3D3%3Baulast%3DDK DK GuptaIndian Journal of Plastic Surgery 2009 42(1):3-3 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651284 Thu, 30 Jul 2009 10:50:14 +0100 2651284 http://www.medworm.com/index.php?rid=2651283&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D1%3Bepage%3D2%3Baulast%3DSurajit Surajit BhattacharyaIndian Journal of Plastic Surgery 2009 42(1):1-2 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2651283 Thu, 30 Jul 2009 10:50:14 +0100 2651283 http://www.medworm.com/index.php?rid=2550916&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D136%3Bepage%3D137%3Baulast%3DBhattacharya Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(1):136-137 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550916 Mon, 29 Jun 2009 15:07:33 +0100 2550916 http://www.medworm.com/index.php?rid=2550915&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D134%3Bepage%3D135%3Baulast%3DSuresh Suresh S S, Rani VIndian Journal of Plastic Surgery 2009 42(1):134-135 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550915 Mon, 29 Jun 2009 15:07:33 +0100 2550915 http://www.medworm.com/index.php?rid=2550914&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D133%3Bepage%3D134%3Baulast%3DNambi Nambi G I, Jacob Jeeth, Gupta Ashish KumarIndian Journal of Plastic Surgery 2009 42(1):133-134 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550914 Mon, 29 Jun 2009 15:07:33 +0100 2550914 http://www.medworm.com/index.php?rid=2550913&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D132%3Bepage%3D133%3Baulast%3DHu Hu Jung-Woo, Jung Sung-NoIndian Journal of Plastic Surgery 2009 42(1):132-133 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550913 Mon, 29 Jun 2009 15:07:33 +0100 2550913 http://www.medworm.com/index.php?rid=2550912&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D131%3Bepage%3D132%3Baulast%3DAbhyankar Abhyankar Suhas V, Kulkarni Ananta, Agarwal Naveen KIndian Journal of Plastic Surgery 2009 42(1):131-132 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550912 Mon, 29 Jun 2009 15:07:33 +0100 2550912 http://www.medworm.com/index.php?rid=2550911&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D130%3Bepage%3D130%3Baulast%3DMathew Mathew JimmyIndian Journal of Plastic Surgery 2009 42(1):130-130 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550911 Mon, 29 Jun 2009 15:07:33 +0100 2550911 http://www.medworm.com/index.php?rid=2550910&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D126%3Bepage%3D129%3Baulast%3DMehrotra Mehrotra SandeepIndian Journal of Plastic Surgery 2009 42(1):126-129Pressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-based flaps in bedsore surgery. A giant neglected trochanteric pressure sore in a paraplegic is presented. Since conventional options of reconstruction appeared remote, the massive ulcer was successfully managed by a chimeric perforator-based flap. The combined muscle and fasciocutaneous flaps were raised as separate paddles based on the anterolateral thigh perforator branches and provided stable cover without complications. Perfor... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550910 Mon, 29 Jun 2009 15:07:33 +0100 2550910 http://www.medworm.com/index.php?rid=2550909&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D122%3Bepage%3D125%3Baulast%3DPatil Patil V S, Nagle SunilaIndian Journal of Plastic Surgery 2009 42(1):122-125A case of lipofibromatous hamartoma of the median nerve in an adult is described in this article. A 33-year-old male presented with tingling, numbness and swelling in the palm of the left non dominant hand that had been present for a few months. Examination revealed that there was fullness in the volar aspect of the wrist and in the inter-thenar area. Another mass was present at the base of the index finger, which appeared to be involving subcutaneous tissues. The clinical diagnosis was carpal tunnel syndrome due to a space occupying tumor mass in the carpal tunnel. On exploration of the carpal tunnel, a large median nerve was seen 4 cm proximal to the wrist crease line and extending distally until it divided into i... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550909 Mon, 29 Jun 2009 15:07:33 +0100 2550909 http://www.medworm.com/index.php?rid=2550908&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D118%3Bepage%3D121%3Baulast%3DGupta Gupta Manjiri Das, Chakrabarti Nilay, Agrawal Pravin, Narurkar SwatiIndian Journal of Plastic Surgery 2009 42(1):118-121Angiosarcoma is a relatively rare soft tissue tumour. It usually occurs in the head and neck, and especially in the scalp, in elderly people. Its presentation varies from a small plaque to multifocal nodules. The treatment depends on the extent of the disease. Most cases are treated with wide excision with reconstruction. Radiotherapy and chemotherapy are advocated in the recurrent or extensive lesions with regional or distant metastasis. Other modalities such as immunomodulation have been tried. A case of a 55-year-old female patient with a bleeding scalp lesion is presented. Initially thought to be a pyogenic granuloma, on excisional biopsy it was diagnosed as angiosarc... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550908 Mon, 29 Jun 2009 15:07:33 +0100 2550908 http://www.medworm.com/index.php?rid=2550907&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D115%3Bepage%3D117%3Baulast%3DBhatt We present a case of a post Hansen's trophic ulcer over the forefoot managed using a radial artery forearm free flap. Debridement of the osteomyelitic bone, removal of the bony prominences, coverage by a well-vascularised tissue, end-to-side arterial anastomosis, use of anterior tibial as the recipient vessel and good postoperative compliance in foot care on the part of the patient gave us good results. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550907 Mon, 29 Jun 2009 15:07:33 +0100 2550907 http://www.medworm.com/index.php?rid=2550906&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D112%3Bepage%3D114%3Baulast%3DRamanathan Ramanathan Lakshmi, Nayak Soubhagya R, Vinay K V, Krishnamurthy Ashwin, Prabhu Latha VIndian Journal of Plastic Surgery 2009 42(1):112-114The arteries of the upper limbs are situated in a deep plane and are the favourable sites for intra-arterial cannulation. During routine dissection of the left upper limb of a 52-year-old female cadaver, we observed a superficial arterial pattern which was of superficial brachio-ulno-radial type. The right upper limb of the same individual did not show any abnormal arterial pattern. This superficial arterial system was also associated with a palmar type of median artery. The clinical significance of the anomalous arterial system of the upper limb is discussed. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550906 Mon, 29 Jun 2009 15:07:33 +0100 2550906 http://www.medworm.com/index.php?rid=2550905&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D106%3Bepage%3D111%3Baulast%3DDaya This report reiterates the importance of early diagnosis. Free tissue transfer further enhances our ability to cover complex defects associated with excision of advanced lesions. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550905 Mon, 29 Jun 2009 15:07:33 +0100 2550905 http://www.medworm.com/index.php?rid=2550904&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D104%3Bepage%3D105%3Baulast%3DTuli We report an unusual complication of progressively increasing fat herniation from the sutured donor site which started appearing on the third postoperative day. This necessitated excision of the protruding fat pad on the seventh postoperative day. The possible mechanism and precautions for prevention of this complication are discussed. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550904 Mon, 29 Jun 2009 15:07:33 +0100 2550904 http://www.medworm.com/index.php?rid=2550903&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D100%3Bepage%3D103%3Baulast%3DThankappan We report a case of inferior maxillectomy defect reconstruction in a 42-year-old male with a free radial forearm adiposo-fascial flap with good aesthetic and functional outcome with minimal primary and donor site morbidity. The technique of raising the flap and closing the donor site needs to be meticulous in order to achieve good cosmetic and functional outcome. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550903 Mon, 29 Jun 2009 15:07:33 +0100 2550903 http://www.medworm.com/index.php?rid=2550902&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D94%3Bepage%3D99%3Baulast%3DMat Mat Saad A Z, Khoo T L, Dorai A A, Halim A SIndian Journal of Plastic Surgery 2009 42(1):94-99Skin allografts have been used in medical practice for over a century owing to their unique composition as a biological dressing. Skin allografts can be obtained in several preparations such as cryopreserved, glycerol-preserved, and fresh allograft. A glycerol-preserved allograft (GPA) was introduced in the early 1980s. It has several advantages compared with other dressings such as ease of processing, storage and transport, lower cost, less antigenicity, antimicrobial properties, and neo-vascularisation promoting properties. Skin allografts are mainly used in the management of severe burn injuries, chronic ulcers, and complex, traumatic wounds. Published reports of the use of skin allografts in a... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550902 Mon, 29 Jun 2009 15:07:33 +0100 2550902 http://www.medworm.com/index.php?rid=2550901&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D93%3Bepage%3D93%3Baulast%3D Indian Journal of Plastic Surgery 2009 42(1):93-93 (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550901 Mon, 29 Jun 2009 15:07:33 +0100 2550901 http://www.medworm.com/index.php?rid=2550900&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D85%3Bepage%3D93%3Baulast%3DChaware Chaware Suresh M, Bagaria Vaibhav, Kuthe AbhayIndian Journal of Plastic Surgery 2009 42(1):85-93Anthropometric variations in humans make it difficult to replace a temporomandibular joint (TMJ), successfully using a standard "one-size-fits-all" prosthesis. The case report presents a unique concept of total TMJ replacement with customized and modified TMJ prosthesis, which is cost-effective and provides the best fit for the patient. The process involved in designing and modifications over the existing prosthesis are also described.<b> </b> A 12-year- old female who presented for treatment of left unilateral TMJ ankylosis underwent the surgery for total TMJ replacement. A three-dimensional computed tomography (CT) scan su... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550900 Mon, 29 Jun 2009 15:07:33 +0100 2550900 http://www.medworm.com/index.php?rid=2550899&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D82%3Bepage%3D84%3Baulast%3DEllur This article presents a mathematical model to help select an appropriate angled Z to enable the planned change in the direction of the final scar. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550899 Mon, 29 Jun 2009 15:07:33 +0100 2550899 http://www.medworm.com/index.php?rid=2550898&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D68%3Bepage%3D81%3Baulast%3DMurthy Murthy Jyotsna, Bhaskar LVKSIndian Journal of Plastic Surgery 2009 42(1):68-81Nonsyndromic cleft lip and palate is a complex genetic disorder with variable phenotype, largely attributed to the interactions of the environment and multiple genes, each potentially having certain effects. Numerous genes have been reported in studies demonstrating associations and/or linkage of the cleft lip and palate phenotypes to alleles of microsatellite markers and single nucleotide polymorphisms within specific genes that regulate transcription factors, growth factors, cell signalling and detoxification metabolisms. Although the studies reporting these observations are compelling, most of them lack statistical power. This review compiles the evidence that supports linkage and associations to the various g... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550898 Mon, 29 Jun 2009 15:07:33 +0100 2550898 http://www.medworm.com/index.php?rid=2550897&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D63%3Bepage%3D67%3Baulast%3DHassan Hassan Ahmed SabryIndian Journal of Plastic Surgery 2009 42(1):63-67Secondary cicatricial alopecia occurs as a result of destruction of hair follicles by scar tissue formed in the scalp and eyebrows. It is a permanent condition and regrowth of hairs in the area is not expected. The purpose of the study was to select the appropriate method for treating cicatricial alopecia. 24 patients were admitted to our hospital during the period from June 2006 to July 2007. They were suffering from acquired cicatricial alopecia affecting the scalp and the eyebrow. Their ages ranged from 6-48 years with mean age 26-25 years. They were treated surgically by total excision of the lesions with direct closure of the defect in ten cases, excision of alopecia with advancement flaps with the aid of scalp expand... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550897 Mon, 29 Jun 2009 15:07:33 +0100 2550897 http://www.medworm.com/index.php?rid=2550896&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D58%3Bepage%3D62%3Baulast%3DGiovanni Giovanni Pires Viana, Giovanni Andre Pires VianaIndian Journal of Plastic Surgery 2009 42(1):58-62One of the first signs of facial ageing appears in the forehead, with the descent of the lateral part of the brow. This is a troubling condition for all patients and elevation of the lateral part of the brow becomes a more and more frequent demand.<b> </b> The authors present their experience in 350 consecutive cases of direct eyebrow lift ("butterfly wing" incision) alone or in combination with rhytidectomy and/or blepharoplasty. The majority of the patients were female (90%). The age ranged from 43 to 85 years. Eighty per cent of the cases were performed simultaneously with rhytidectomy and blepharoplasty, 16&#x00... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550896 Mon, 29 Jun 2009 15:07:33 +0100 2550896 http://www.medworm.com/index.php?rid=2550895&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D52%3Bepage%3D57%3Baulast%3DKhan Khan Manal M, Yaseen Mohd, Bariar L M, Khan Sheeraz MIndian Journal of Plastic Surgery 2009 42(1):52-57Soft tissue defects of hand with exposed tendons, joints, nerves and bone represent a challenge to plastic surgeons. Such defects necessitate early flap coverage to protect underlying vital structures, preserve hand functions and to allow for early rehabilitation. Becker and Gilbert described flap based on the dorsal branch of the ulnar artery for defects around the wrist. We evaluated the use of a dorsal ulnar artery island flap in patients with soft tissue defects of hand. Twelve patients of soft tissue defects of hand underwent dorsal ulnar artery island flap between August 2006 and May 2008. In 10 male and 2 female patients this flap was used to reconstruct defects of the palm, dorsum... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550895 Mon, 29 Jun 2009 15:07:33 +0100 2550895 http://www.medworm.com/index.php?rid=2550894&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D49%3Bepage%3D51%3Baulast%3DPalanivelu Palanivelu SIndian Journal of Plastic Surgery 2009 42(1):49-51A new axial pattern flap based on the terminal branches of the medial circumflex femoral artery is described for coverage of ischial pressure sore. Based on the terminal branches of the transverse branch of medial circumflex femoral artery, which exit through the gap between the quadratus femoris muscle above and the upper border of adductor magnus muscle below, this fascio cutaneous flap is much smaller than the posterior thigh flap but extremely useful to cover ischeal pressure sores. The skin redundancy below the gluteal fold allows a primary closure of the donor defect. It can also be used in combination with biceps femoris muscle flap. (Source: Indian Journal of Plastic Surgery) Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550894 Mon, 29 Jun 2009 15:07:33 +0100 2550894 http://www.medworm.com/index.php?rid=2550893&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D43%3Bepage%3D48%3Baulast%3DAwad This study was planned to evaluate prospectively the results of 150 patients with pilonidal sinus treated surgically after planning a score system. The aim was to choose the proper technique for the proper pilonidal sinus disease.<b> </b> From November 2002 to December 2006, 150 patients [130 male, 20 female; average age = 22.65 ± 4.2 (range, 15-46) years] with primary or recurrent pilonidal sinus diseases, operated under spinal anaesthesia or general anaesthesia. All patients were classified into three groups A, B and C.<b> </b> According to the clinical presentations we had three groups of patients: Group A with a score number n = 8 to 10, Group B with a score number n = 11 to 13, and Group C had the ... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550893 Mon, 29 Jun 2009 15:07:33 +0100 2550893 http://www.medworm.com/index.php?rid=2550892&cid=s_33828_9_f&fid=33828&url=http%3A%2F%2Fwww.ijps.org%2Farticle.asp%3Fissn%3D0970-0358%3Byear%3D2009%3Bvolume%3D42%3Bissue%3D1%3Bspage%3D36%3Bepage%3D42%3Baulast%3DChakrabarti We describe the indications, advantages, and complications of the BFP flap and report our clinical experience with the flap for intraoral reconstruction after tumor removal. From 2005 to 2008, we analyzed 29 patients in the age range of 32 to 82 years old who underwent a pedicled BFP flap reconstruction for oral defects after intraoral tumor removal. Postoperative wound healing and complications including any recurrence was followed-up prospectively.<b> </b> Most of the patients had an uneventful immediate postoperative period with signs of buccal fat pad epithelialization by the end of the first week and complete epithelialization at the end of the first month. On continued follow-up, a linear band of fibrous tissue under the epithelialized mucosa r... Indian Journal of Plastic Surgery journals http://www.medworm.com/rss/comments.php?id=2550892 Mon, 29 Jun 2009 15:07:33 +0100 2550892