Indian Journal of Plastic Surgery
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Smile Train: The ascendancy of cleft care in India
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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 Pr...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Singh Subodh Kumar Source Type: journals
A community-based survey of visible congenital anomalies in rural Tamil Nadu
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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 rati...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Sridhar K Source Type: journals
Formatting the surgical management of Tessier cleft types 3 and 4
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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 forma...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Mishra R K, Purwar Reetesh Source Type: journals
External frame distraction osteogenesis of the midface in the cleft patient
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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)
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Hussain Syed Altaf Source Type: journals
Skeletal facial balance and harmony in the cleft patient: Principles and techniques in orthognathic surgery
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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 correct...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Salyer Kenneth E, Xu Haisong, Portnof Jason E, Yamada Akira, Chong David K, Genecov Edward R Source Type: journals
Problems of middle ear and hearing in cleft children
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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 r...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Sharma Ramesh Kumar, Nanda Vipul Source Type: journals
Communication disorders in individuals with cleft lip and palate: An overview
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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 a...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Nagarajan Roopa, Savitha V H, Subramaniyan B Source Type: journals
Velo-pharyngeal dysfunction: Evaluation and management
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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. ...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Marsh Jeffrey L Source Type: journals
Oronasal fistula in cleft palate surgery
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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 fl...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Sadhu Partha Source Type: journals
Management of cleft lip and palate in adults
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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 vari...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Murthy Jyotsna Source Type: journals
Alveolar bone grafting
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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...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Lilja Jan Source Type: journals
Cleft palate repair and variations
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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 t...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Agrawal Karoon Source Type: journals
Functional and aesthetic correction of secondary unilateral cleft lip nasal deformities
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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 te...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Cohen Mimis, Morris David E, White Aisha D, Patel Pravin Source Type: journals
Repair of bilateral cleft lip and its variants
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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 compl...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Mulliken John B Source Type: journals
Composite correction of a unilateral cleft lip nose deformity and alveolar bone grafting
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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)
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Mokal Nitin J, Prabhash, Kale Chintamani Source Type: journals
Primary unilateral cleft lip repair
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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...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Adenwalla H S, Narayanan P V Source Type: journals
Presurgical nasoalveolar moulding treatment in cleft lip and palate patients
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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 surge...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Grayson Barry H, Shetye Pradip R Source Type: journals
Syndromes and anomalies associated with cleft
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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)
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Venkatesh R Source Type: journals
Cleft lip and palate genetics and application in early embryological development
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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 ext...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Yu Wenli, Serrano Maria, Miguel Symone San, Ruest L Bruno, Svoboda Kathy K.H Source Type: journals
Neuroembryology and functional anatomy of craniofacial clefts
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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 f...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Ewings Ember L, Carstens Michael H Source Type: journals
Icon of the last issue - Prof. C. Balakrishnan
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Saleem LakshmiIndian Journal of Plastic Surgery 2009 42(3):18-18 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Saleem Lakshmi Source Type: journals
Addressing the challenges of cleft lip and palate research in India
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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 ...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Mossey Peter, Little Julian Source Type: journals
Icon of this issue - Dr. Charles Pinto
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Adenwalla H SIndian Journal of Plastic Surgery 2009 42(3):8-8 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Adenwalla H S Source Type: journals
Cleft lip: The historical perspective
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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 publicatio...
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Bhattacharya S, Khanna V, Kohli R Source Type: journals
Foreword
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Greenwood DeLoisIndian Journal of Plastic Surgery 2009 42(3):3-3 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Greenwood DeLois Source Type: journals
Preface
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Murthy JyotsnaIndian Journal of Plastic Surgery 2009 42(3):2-2 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Murthy Jyotsna Source Type: journals
Winds of change: Hope for cleft lip and palate patients
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Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(3):1-1 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - October 24, 2009 Category: Cosmetic Surgery Authors: Bhattacharya Surajit Source Type: journals
Prof. Sudhir Kumar Bhatnagar
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Surajit BhattacharyaIndian Journal of Plastic Surgery 2009 42(1):136-137 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Surajit Bhattacharya Source Type: journals
Fibrous flexor sheath ganglion and trigger thumb in a 14-year-old female
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SS Suresh, V RaniIndian Journal of Plastic Surgery 2009 42(1):134-135 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: SS Suresh, V Rani Source Type: journals
Skin grafting: A simple solution to practice the technique and improve skills in young trainees
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GI Nambi, Jeeth Jacob, Ashish Kumar GuptaIndian Journal of Plastic Surgery 2009 42(1):133-134 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: GI Nambi, Jeeth Jacob, Ashish Kumar Gupta Source Type: journals
A simple method for K-wire capping using nelaton rubber catheter
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Jung-Woo Hu, Sung-No JungIndian Journal of Plastic Surgery 2009 42(1):132-133 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Jung-Woo Hu, Sung-No Jung Source Type: journals
Dand
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Suhas V Abhyankar, Ananta Kulkarni, Naveen K AgarwalIndian Journal of Plastic Surgery 2009 42(1):131-132 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Suhas V Abhyankar, Ananta Kulkarni, Naveen K Agarwal Source Type: journals
A plastic surgeon's lament
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Jimmy MathewIndian Journal of Plastic Surgery 2009 42(1):130-130 (Source: Indian Journal of Plastic Surgery)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Jimmy Mathew Source Type: journals
Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover
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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 mus...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Sandeep Mehrotra Source Type: journals
Lipofibromatous hamartoma of the median nerve: A case report and review of the literature
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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 th...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: VS Patil, Sunila Nagle Source Type: journals
Angiosarcoma of the scalp
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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 o...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Manjiri Das Gupta, Nilay Chakrabarti, Pravin Agrawal, Swati Narurkar Source Type: journals
Free tissue transfer for trophic ulcer complicating leprosy
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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)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Yogesh C Bhatt, Nikhil S Panse, Kinnari A Vyas, Gunjan A Patel Source Type: journals
Co-existence of superficial brachio-ulno-radial arterial pattern and persistent median artery
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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 sign...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Lakshmi Ramanathan, Soubhagya R Nayak, KV Vinay, Ashwin Krishnamurthy, Latha V Prabhu Source Type: journals
Advanced Marjolin's ulcer of the scalp in a 13-year-old boy treated by excision and free tissue transfer: Case report and review of literature
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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)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: M Daya, T Balakrishan Source Type: journals
Delayed buccal fat pad herniation: An unusual complication of buccal flap in cleft surgery
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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)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Puneet Tuli, Atul Parashar, Vipul Nanda, Ramesh K Sharma Source Type: journals
Free radial forearm adiposo-fascial flap for inferior maxillectomy defect reconstruction
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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)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Krishnakumar Thankappan, Nirav P Trivedi, Mohit Sharma, Moni A Kuriakose, Subramania Iyer Source Type: journals
The versatility of a glycerol-preserved skin allograft as an adjunctive treatment to free flap reconstruction
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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 all...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: AZ Mat Saad, TL Khoo, AA Dorai, AS Halim Source Type: journals
Application of the rapid prototyping technique to design a customized temporomandibular joint used to treat temporomandibular ankylosis
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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 &quot;one-size-fits-all&quot; 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...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Suresh M Chaware, Vaibhav Bagaria, Abhay Kuthe Source Type: journals
A mathematical model to predict the change in direction of the common limb in Z plasty
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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)
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Sunderraj Ellur, Norman L Guido Source Type: journals
Current concepts in genetics of nonsyndromic clefts
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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 r...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Jyotsna Murthy, LVKS Bhaskar Source Type: journals
Surgical treatment of secondary cicatricial alopecia of scalp and eyebrow
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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 tr...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Ahmed Sabry Hassan Source Type: journals
Approach to eyebrow ptosis through the modified technique of Castanares
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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 (&quot;butterfly wing&quot; incision) alone or in combination with rhytidectomy and/or blepharoplasty. The majority of the patie...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Pires Viana Giovanni, Pires Viana Giovanni Andre Source Type: journals
Clinical study of dorsal ulnar artery flap in hand reconstruction
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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 u...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Manal M Khan, Mohd Yaseen, LM Bariar, Sheeraz M Khan Source Type: journals
Medial circumflex femoral artery flap for ischial pressure sore
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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 d...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: S Palanivelu Source Type: journals
A scoring system as a method to evaluate pilonidal sinus disease to make an easy decision for its management
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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> Accord...
Source: Indian Journal of Plastic Surgery - July 30, 2009 Category: Cosmetic Surgery Authors: Mohamed MS Awad, Amr Abd Elbaset, Samir Ebraheem, Esmael Tantawy, M Abd Elhafez, Atia M Elsayed Source Type: journals
