Prof. Sudhir Kumar Bhatnagar
Bhattacharya SurajitIndian Journal of Plastic Surgery 2009 42(1):136-137 (Source: Indian Journal of Plastic Surgery)...
POSTED 06/29/2009 at 10:07 AM --
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Fibrous flexor sheath ganglion and trigger thumb in a 14-year-old female
Suresh S S, Rani VIndian Journal of Plastic Surgery 2009 42(1):134-135 (Source: Indian Journal of Plastic Surgery)...
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Skin grafting: A simple solution to practice the technique and improve skills in young trainees
Nambi G I, Jacob Jeeth, Gupta Ashish KumarIndian Journal of Plastic Surgery 2009 42(1):133-134 (Source: Indian Journal of Plastic Surgery)...
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A simple method for K-wire capping using nelaton rubber catheter
Hu Jung-Woo, Jung Sung-NoIndian Journal of Plastic Surgery 2009 42(1):132-133 (Source: Indian Journal of Plastic Surgery)...
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A plastic surgeon's lament
Mathew JimmyIndian Journal of Plastic Surgery 2009 42(1):130-130 (Source: Indian Journal of Plastic Surgery)...
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Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover
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......
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Lipofibromatous hamartoma of the median nerve: A case report and review of the literature
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......
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Angiosarcoma of the scalp
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......
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Co-existence of superficial brachio-ulno-radial arterial pattern and persistent median artery
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)...
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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
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)...
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Delayed buccal fat pad herniation: An unusual complication of buccal flap in cleft surgery
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)...
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Free radial forearm adiposo-fascial flap for inferior maxillectomy defect reconstruction
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)...
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Editor's Comments
Indian Journal of Plastic Surgery 2009 42(1):93-93 (Source: Indian Journal of Plastic Surgery)...
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Application of the rapid prototyping technique to design a customized temporomandibular joint used to treat temporomandibular ankylosis
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 &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 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......
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A mathematical model to predict the change in direction of the common limb in Z plasty
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)...
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Current concepts in genetics of nonsyndromic clefts
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......
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Approach to eyebrow ptosis through the modified technique of Castanares
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 (&quot;butterfly wing&quot; 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�......
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Clinical study of dorsal ulnar artery flap in hand reconstruction
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......
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Medial circumflex femoral artery flap for ischial pressure sore
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)...
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A scoring system as a method to evaluate pilonidal sinus disease to make an easy decision for its management
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 ......
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