Articles
  • Review

    Surgical treatment of synovial-collagen disorders of the hand

    H Kirk Watson , Purnell Traverso , Lois Carlson , Daniel Mastella , Ronit Wollstein
    Critical relationships between collagen and synovium exist and affect the function of the hand. Understanding these relationships enhances the ability to perform surgery including procedures addressing soft tissue and joint pathology. We present a series of surgical procedures based on this principle.
    Published on: 13 Mar 2015
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  • Original Article

    A survey of analgesic and anti-inflammatory drug prescription for oral implant surgery

    Rahul Datta , Yasmin Grewal , Jaspreet Singh Batth , Amandeep Singh
    Aim: This study was conducted to determine the preferred analgesic and anti-inflammatory drugs prescribed by oral implantologists in India. Methods: A structured questionnaire was distributed to 332 dentists to gather information regarding their prescription habits for analgesics and anti-inflammatory drugs. Frequency distributions were computed by type of drug being prescribed and the protocol followed. Results: Analysis of data showed that majority of dentists (85.8%, n = 285) prescribed conventional non-steroidal anti-inflammatory drugs (NSAIDs) for implant surgery. The most common...
    Published on: 13 Mar 2015
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  • Original Article

    Heel pad avulsion injury: an approach with hyperbaric oxygen therapy

    Pradeoth Korambayil Mukundan , Prashanth Varkey Ambookan
    Aim: Crush injuries of the foot are often associated with partial or complete degloving of the heel pad. The purpose of this study is to present an algorithm for the management of various types of heel pad avulsion injuries, including hyperbaric oxygen (HBO) therapy in the treatment regimen. Methods: We present a prospective study of 27 patients with various types of heel pad avulsion managed in our institution from December 2012 to June 2013. Heel pad avulsion injuries were classified according to the angiosomal pattern. Partial or complete avulsions were classified and treated...
    Published on: 13 Mar 2015
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  • Original Article

    Simultaneous expander and deep inferior epigastric perforator reconstruction: indications and alloderm sling technique for protecting the anastomosis

    Elizabeth Stirling Craig , Ajul Shah , Sarah Persing , Jeffrey Salomon , Stefano Fusi
    Aim: Autologous tissue is considered the "gold standard" for breast reconstruction today. However, little is known about deep inferior epigastric perforator (DIEP) flap reconstruction in combination with tissue expander (TE)/implant. The authors describe a series of combined DIEP flap/TE reconstruction, including its indications and technique to ensure protection of the pedicle during the expansion process. Methods: Between January 2009 and December 2012, patients undergoing immediate DIEP with TE reconstruction were retrospectively reviewed. Oncologic, comorbid conditions, intraoperative,...
    Published on: 13 Mar 2015
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  • Original Article

    Soft tissue defects of eyelid and malar region: an experience with the McGregor flap

    Pradeoth Korambayil Mukundan , Prashanth Varkey Ambookan , Vinoth Kumar Dilliraj
    Aim: Reconstruction of defects of the eyelids and malar region following trauma may result in considerable distortion of the adjacent tissue. A clinical study was undertaken to demonstrate the ability to utilize a modified McGregor flap for reliable soft tissue coverage. Methods: Nine patients with eyelids and malar soft tissue defects were treated over a period of 12 months from July 2013 to June 2014. In this prospective study, a McGregor flap was used for the closure of defects in 9 patients (7 men and 2 women), aged 20-36 years (mean age: 27 years). Three sessions of hyperbaric oxygen...
    Published on: 13 Mar 2015
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  • Case Report

    Aneurysmal bone cyst of the maxilla rare presentation with radiological and pathological correlation

    Bharat Bhushan Sharma , Priya Ramchandran , Sandeep Sharma , Shweta Sharma
    The incidence of aneurysmal bone cyst in the maxillofacial region is rare and may remain undiagnosed for a long period prior to becoming symptomatic. This may cause associated issues secondary to compression by extending to the surrounding vital anatomical areas. An aggressive course can lead to bony destruction with intracranial extension. We present a case of a 23-year-old man who presented with bilateral exorbitism with nasal obstruction.
    Published on: 13 Mar 2015
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  • Case Report

    A novel approach to achieve breast symmetry in a single-stage procedure

    Benedetto Longo , Rosaria Laporta , Marco Pagnoni , Fabio Santanelli di Pompeo
    Preservation of the skin envelope and the inframammary fold is the main factor in achieving breast symmetry in unilateral reconstruction. Skin sparing mastectomy (SSM) type-IV followed by immediate autologous reconstruction and contralateral symmetrization permits realizing this goal in large, ptotic breasted patients, and tumor superficially located in the inferior quadrants. If the tumor is superficially located in the superior or inferior quadrants with a previous lumpectomy or quadrantectomy scar in the superior quadrants, modified radical mastectomy and a staged procedure are...
    Published on: 13 Mar 2015
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  • Case Report

    A rare case of bilateral absence of distal ulnar artery

    Jung Ho Lee , Rock Kuen Ju , Young Joon Jun , Young Jin Kim
    It is fairly common to find anatomic variations and anomalies in the arterial pattern of the upper extremities. However, a complete absence of the distal ulnar artery bilaterally is extremely rare. During preoperative assessment for a radial forearm free flap, we accidentally discovered bilateral distal ulnar artery agenesis. In this article, the clinical implications of this variation are discussed, along with a review of the literature.
    Published on: 13 Mar 2015
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  • Case Report

    Inferior dermoglandular flap for autologous breast remodeling following explantation of breast implants in ptotic breasts: a case report and literature search

    Umar Daraz Khan
    Explantation following aesthetic mammoplasty without implant replacement is quite uncommon and often leaves the patient worse off than prior to mammoplasty. A case is presented here in which patient's own tissue was used as an inferior dermoglandular flap for autologous breast remodeling. Inferior dermal flap has been described for breast reconstruction and simultaneous augmentation mammoplasty with mastopexy for prosthesis cover in the lower pole of the breast, but its use following explantation without implant replacement has not been described for breast remodeling and volume conservation.
    Published on: 13 Mar 2015
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  • Case Report

    Isolated tibial nerve injury: a rare presentation

    Rahul Krishnarao Patil , Prashant Verkey , Harshal Patil , Deepesh Manoharan
    Tibial nerve injury is rare and is always associated with other injuries due to its close association with the other structures. We present a rare case of isolated injury to the tibial nerve where the nerve was avulsed from the middle third of the leg, but all other structures were intact. The nerve was reconstructed with sural nerve grafts. The patient recovered sensation of the sole 12 months following the reconstruction and was able to maintain a normal gait and is living normal life. The results of nerve repairs in lower limbs in general have been poor. The treatment options for such an...
    Published on: 13 Mar 2015
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  • Case Report

    Pseudoangiomatous squamous cell carcinoma: a challenge for pathologists and plastic surgeons

    Dimitrios Kanakopoulos , Evgenios Evgeniou , Panayiotis A Dimitriadis , Mahendra Kulkarni
    Pseudo-angiosarcomatous or pseudovascular squamous cell carcinoma (SCC) of the skin is an unusual variant form of acantholytic SCC that mimics the histopathological appearance of angiosarcoma. We describe a case of pseudovascular SCC in a 77-year-old lady to highlight the frequent recurrence and aggressiveness, as well as the clinicopathological features of this rare form of cutaneous SCC, and demonstrate the difficulties in establishing the correct diagnosis. Plastic surgeons involved in the care of patients with cutaneous malignancies should be aware of this variant of SCC and its...
    Published on: 13 Mar 2015
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  • Case Report

    Reconstruction of palate with buccal fat pad secondary to resection of desmoplastic ameloblastoma

    Bhimappa Mallappa Rudagi , Manjunatha Reddy Bandral , Reshma Hammannawar , Pritish Harish Padgavankar
    Desmoplastic ameloblastoma (DA) is an unusual variant of ameloblastoma exhibiting important differences in the anatomical distribution, radiographic features and histologic appearance compared with the classic type of ameloblastoma. The purpose of this paper is to report a case of DA in the anterior left maxilla and to describe a simple method of reconstruction with the use of buccal fat pad (BFP). BFP is an excellent choice for reconstruction of small to medium sized defects. It should be manipulated gently and hemostasis should be achieved meticulously during this surgery. It should not...
    Published on: 13 Mar 2015
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  • Case Report

    Straight line closure for correction of congenital isolated bilateral macrostomia

    Narendra S Mashalkar , Naren Shetty
    Congenital bilateral macrostomia is a very rare deformity of the mouth, and it is still rarer to see cases of isolated bilateral macrostomia. Although the creation of a symmetric neocommissure is imperative, this presents a technical challenge. A review of the literature for surgical solutions revealed various techniques, but no cases in which a bilateral straight line repair was described and adopted. This report presents the case of a 3-month-old boy with isolated bilateral macrostomia for whom straight line closure was performed on both sides. At 1 year follow-up, the oral commissures...
    Published on: 13 Mar 2015
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