• Editorial

    Hemifacial microsomia: management of the vertical ramus compartment

    Maurice Yves Mommaerts
    Hemifacial microsomia and Goldenhar syndrome pose unique challenges to the craniofacial surgeon. The O.M.E.N.S. classification provides a description of the craniofacial features. For the “M” of O.M.E.N.S. (the mandible), the Pruzansky-Kaban classification provides therapeutic guidelines for joint and face reconstruction. A sequence of standard procedures, including temporomandibular joint reconstruction, facial rotation surgery, gluteal fat grafting, and patient-specific titanium implantation, each have their intricacies. The author provides his expert opinion, acquired over thirty years...
    Published on: 15 May 2015
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  • Review

    Neurovascular plexus theory for “escape pain phenomenon” in lower third molar surgery

    Gururaj Arakeri , Mandeep Gill Sagoo , Peter A. Brennan
    Pain during extraction of impacted mandibular third molars which can occur despite adequate local anesthesia is termed as “escape pain phenomenon”. Recently, it was described during elevation of a mesioangular impacted mandibular third molar and also while curetting an extracted third molar socket. This phenomenon has been overlooked, as it was previously considered secondary to pressure effect on the inferior alveolar neurovascular bundle (IANB). However, it is unlikely that the pain impulses originate from direct pressure on the IANB, as the nerve is blocked more proximally at its entry...
    Published on: 15 May 2015
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  • Original Article

    Role of topical heparin in the management of burns: experience in a district government hospital of Karnataka in South India

    Ashish Gupta , Thangam J. Verghese , Priyanka Gupta , Ashok K. Gupta
    Aim: Heparin is a multifaceted compound with uses not only as an anticoagulant, but also as an anti-inflammatory, anti-allergenic, anti-histaminic, anti-serotonin, anti-proteolytic and neoangiogenic agent. The aim of the study was to study the effect of topical heparin in the management of second-degree burns. Methods: Between December 2005 and January 2007, 60 consecutive patients, aged 10-60 years, with first‑and second‑degree thermal injuries ranging from 10% to 60%, were randomly enrolled in the study divided into a control group (C) and a heparin group (H) of 30 patients each. Results:...
    Published on: 15 May 2015
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  • Original Article

    Fat injection to correct contour deformities of the reconstructed breast: a single surgeon experience

    Youssef Tahiri , Jonathan Kanevsky , Joshua Vorstenbosch , James Lee , Karl Schwarz
    Aim: Autologous fat grafting has gained acceptance as a technique to improve aesthetic outcomes in breast reconstruction. The purpose of this study was to share our clinical experience using autologous fat injection to correct contour deformities during breast reconstruction. Methods: A single surgeon, prospectively maintained database of patients who underwent autologous fat injection during breast reconstruction from January 2008 to November 2013 at McGill University Health Center was reviewed. Patient characteristics, breast history, type of breast reconstruction, volume of fat injected,...
    Published on: 15 May 2015
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  • Original Article

    Use of the multiplane internal mastopexy for ptosis correction revision-augmentation mammoplasty

    Umar Daraz Khan , Muhammad Riaz
    Aim: Augmentation mammoplasty is a commonly performed procedure with a high satisfaction rate. Multiplane pocket was described for simultaneous internal mastopexy and augmentation using inframammary crease incision for selected primary and secondary mammoplasties. The use of the technique is presented with a larger experience for correction of ptosis in a patient presenting for revision surgery following subglandular augmentation mammoplasty. Methods: A retrospectively collected data were analyzed using the Excel Spread Sheet. A total of 25 patients had multiplane augmentation with the...
    Published on: 15 May 2015
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  • Original Article

    A guiding oblique osteotomy cut to prevent bad split in sagittal split ramus osteotomy: a technical note

    Gururaj Arakeri , Peter A. Brennan
    Aim: To present a simple technical modification of a medial osteotomy cut which prevents its misdirection and overcomes various anatomical variations as well as technical problems. Methods: The medial osteotomy cut is modified in the posterior half at an angle of 15°‑20° following novel landmarks. Results: The proposed cut exclusively directs the splitting forces downwards to create a favorable lingual fracture, preventing the possibility of an upwards split which would cause a coronoid or condylar fracture. Conclusion: This modification has proven to be successful to date without...
    Published on: 15 May 2015
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  • Original Article

    Hyperbaric oxygen therapy and surgical delay improve flap survival of reverse pedicle flaps for lower third leg and foot reconstruction

    Pradeoth Mukundan Korambayil , Prashanth Varkey Ambookan
    Aim: The purpose of the study is to present a management protocol for various types of soft tissue defects of the distal third region of leg and foot treated with pedicle flaps, by including hyperbaricoxygen (HBO) therapy in the treatment regimen with flap delay. Methods: We present a prospective study of 23 patients with various types of soft tissue defects of the foot, and lower third of leg managed in our institution from December 2012 to December 2013. All soft tissue defects were treated by a reverse pedicle flap. Twelve patients were managed with flap delay with HBO therapy and 11...
    Published on: 15 May 2015
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  • Case Report

    Rupture of the flexor carpi radialis tendon secondary to trauma: case report and literature review

    Jonathan Kanevsky , Dino Zammit , Jean-Paul Brutus
    The flexor carpi radialis (FCR) is one of the long flexors, which is important in flexing and abducting the hand at the wrist. It originates at the medial epicondyle of the humerus and attaches at the base of the second metacarpal. Closed rupture of the long flexors of the finger is well-described, especially in association with rheumatoid hands. However, rupture of the FCR is rare; only 11 cases reported in the literature, most of them associated with scaphotrapezial‑trapezoidal osteoarthritis. We describe 1 case of complete FCR rupture secondary to trauma, showing that long‑term...
    Published on: 15 May 2015
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  • Case Report

    Aesthetic rehabilitation of a patient with an anterior maxillectomy defect, using an innovative single-step, single unit, plastic-based hollow obturator

    Vishwas Bhatia , Garima Bhatia
    What could be better than improving the comfort and quality of life of a patient with a life-threatening disease? Maxillectomy, the partial or total removal of the maxilla in patients suffering from benign or malignant neoplasms, creates a challenging defect for the maxillofacial prosthodontist when attempting to provide an effective obturator. Although previous methods have been described for rehabilitation of such patients, our goal should be to devise one stage techniques that will allow the patient an improved quality of life as soon as possible. The present report describes the...
    Published on: 15 May 2015
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  • Case Report

    Use of tensor fascia lata flap for reconstruction of the defect created following inguinal block dissection in a case of carcinoma penis: a case report and brief review of literature

    Amitabh Jena , Banoth Manilal , Sriharsha Haranadh , Rashmi Patnayak
    Tensor fascia lata (TFL) flap is a versatile myofasciocutaneous flap. It has varied usages as both free and pedicled flap. As a pedicled flap, it is a good option for reconstructing soft tissue defects after tumor ablation. The TFL perforator flap is a good alternative for anterolateral thigh (ALT) flap. The advantages of TFL flap are that dissection can be made through the same incision, without impairment of other donor sites. The reconstructive plan remains same as that of ALT flap. TFL flap offers a good volume of skin and can be made thin removing variable portions of muscle. The...
    Published on: 15 May 2015
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