The use of 1 percent Soframycin skin cream (framycetin) in the management of burn wounds was found to be superior to nitrofurazone ointment in a trial conducted on fortyfive cases of burns. It was found helpful in reducing burn wound sepsis, invasive sepsis and ensured early healing. It also helped in reducing morbidity of the patients.

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Two cases of Dupuytrens contracture of the hand treated by open palm technique have been reported for their clinical intrest.

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Forty-five patients having large palatal fistulae (1.5-2 cm) which could not be closed with local tissues were selected for this study. Forty-two patients out of this group were treated by anteriorly based tongue flap alone in three patients a supplementary Burian flap was used. Complete closure of the fistula could be achieved in forty-three cases.

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A rare case of non-ossifying fibroma of the maxilla is being reported alongwith the review of literature.

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A modified technique of penile reconstruction by unilateral gracilis myocutaneous flap in three cases of amputation of penis with emphasis on improving the cosmesis of penis is being described.

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The severe burn injury patients (more than 40 percent ) were studied in two randomized groups. Both groups were treated similarly except that one group received heparin both topically and systemically. Significant relief of pain, early healing in cases of superficial and deep dermal burns without hypertrophic scarring and contracture formation, early separation of eschar, excellent graft take in full thickness burns were few of the important advantages observed in heparin group patients. Significant decrease in the incidence of respiratory complications, septic shock and decreased mortality were also noticed in patients receiving heparin. The only disadvantage being that the doses required are quite heavy. No complications in the form of bleeding disorder, despite heavy dosages have been observed.

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A total of 458 burn admitted in the Plastic surgery department of the Postgraduate Institute of Medical Education and Research, Chandigarh during 1982-1985 have been analysed. The situations have been identified where the use of parenteral antibiotics is indicated. Emphasis is laid upon the judicious and rational use of systemic antibiotics during the course of extensive burns especially in cases of established invasive sepsis.

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Oculo-auriculo-vertebral syndrome (Goldenhar's syndrome) was found in two cases, who had epibulbar dermoids, pre-auricular skin tags and hypomandibulosis. One case also had left sided complete congenital inguinal hernia.

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A rare case of congenital bilateral undifferentiated elbow with radiohumeral synostosis, with bilateral absence of ulnar ray components in the forearm and hand, with deformities of hands i.e. syndactyly in left hand fingers and hypoplasia of thumb with webbing of first space in the right hand, in a 3 years old female child, is being reported in this communication.

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A case of bilateral lower lip sinuses associated with bilateral cleft of the lip is being presented.

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Experiences with LYOFOAM (Polyurethane Foam Sheets) as a dressing for split skin graft donor sites have been described. Complete absence of pain and discomfort post-operatively with LYOFOAM gives it a distinct edge over the conventional dressings.

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The use of a midline forehead flap foe reconstructing the columella, nostril floor and the upper lip in a case of basal cell carcinoma is being presented.

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A technique to correct the functional and cosmetic deformity in temporomandibular joint ankylosis using costochondral grafts is described. Two cases,one each of a bilateral and unilateral ankylosis is presented to illustrate the results obtained.

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Liposuction performed by trained personnel and under sterile conditions is an effective and safe method of body countouring. a review of our current knowledge of its morbidity and mortality is being presented.

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The radial forearm osteocutaneous flap is a recently described single stage method for reconstruction of the thumb. The long term results of the two cases treated by us are being presented. The value of the procedure under Indian conditions has been discussed.

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A total of 165 cases of burns were evaluated by surface swab culture and quantitative biopsy cultures. Staphylococci was the most frequent single organism isolated,although Gram-negatives exceeded the Gram-positives ones. Surface swab culture was found to be a generally reliable indication in 70 of the cases. Framycetin was found to be superior to Povidone iodine and Silver sulphadiazine as far as topical antimicrobial agents are concerned.

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Fifteen albino rats each weighing 300 to 400 gms were selected for micro angiographic studies. Microsurgical end-to-end femoral vein anastomosis was carried out and cream-o-bar 50 percent suspension was injected with the help of a D.K. Injector. A patency rate of 73 percent was achieved in the six week follow up study. Results of angiographic changes observed in the vascular humen following anastomosis have been analysed and are being presented.

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Eleven cases of double upper lip were seen by us during the last 10 years , of which 9 were males and 2 were females. The embryology, clinical appearance, histopathology and surgical correction of the deformity has been discussed with a review of the literature. A new technique, to enhance aesthetics of the lip, is being described.

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Two cases of electrical burn at an unusual site i.e. the root of the nose are being reported along with their management.

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The use of anterior tibial flap as a distally based island flap for the management of trophic ulcers of heel is being presented. The advantages and vascular have been discussed.

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A case of the Tessier number 30 cleft is being presented because of its rarity alongwith the review of literature.

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Our experience in the management of eleven cases of massive ameloblastomas of the jaws seen during the last fourteen years in the department of Surgery at the King George's Medical College, Lucknow is being presented. Immediate reconstruction of the jaw was attemped with either a bone graft or a stainless steel plate or K-wires as was feasible. Of the three modalities used for reconstructing the defect, bone grafts gave the best acceptable results.

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The present study is a retrospective analysis of 576 cases of facial fractures involving the Mandible, Middle third and the Zygomatic complex. The high incidence of Road Traffic Accidents has been the commonest cause of facial fractures in the present series.

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In this experimental study better patency rates (80 percent) were achieved when 8 to 9 sutures were used for anastomosis. Accurate edge to edge approximation and minimal medial damage were found to be prime factors in the success of venous anastomosis. Use of less number of sutures (4-6) resulted in significant leakage and early occlusion of the veins.

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A new technique of safely transferring tissues has been tried in three cases. This technique combines the principle of local transposition and rotation flaps in the transfer of fasciocutaneous and myocutaneous flaps, in such a way that the advantages of both the principles are complimented and disadvantages eliminated. The results in the cases treated are being presented.

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A case complete congenital absence of the nose is being reported for its rarity along with the review of literature.

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Two rare cases of congenital midline fissures of the neck, have been reported. Both have been treated by excision and Z-plasty. Embryology, clinical appearance and treatment has been discussed along with review of the available literature.

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A case is reported in which ulnar fasciocutaneous flap was used to cover the volar wrist defect after the excision of an osteoclastoma of the lower end of radius.

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A case of carcinoma of the upper lip in a child is reported. Reconstruction of the upper lip in such situations is also discussed briefly.

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A simple jaw-exerciser which has been fabricated in our hospital workshop in May, 1984 is being described. It can be safely and effectively used in children post-operatively, and has been found to be quite acceptable to them.

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A rare case of trifurcation of anterior urethra, in a twenty five year old patient, who presented with dribbling of urine from the accessory opening is being documented. The embryologic basis, clinical presentation and treatment has also been discussed.

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A successful transfer of a venous island flap from the dorsum of the proximal phalanx of the index finger to the defect on the proximal phalanx of the thump is reported.

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Thirty five patients of surface hemangioma within the age group one month to sixty-five years were studied for the presence of mast cells in them by using special stains. It was found that lesions with an increase in the number of mast cells showed a tendency for spontaneous involution.

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