Indian Journal of Plastic Surgery
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   1990| July-December  | Volume 23 | Issue 2  
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Island nasolabial flap.
S Bhattacharya, MSD Jaiswal, NC Misra
July-December 1990, 23(2):83-87
The island nasolabial flap was used for the reconstruction of buccal and alar defects in 10 patients. Alar defects produced after ablating small basal cell carcinomas were covered by superiorly based island nasolabial flap and buccal defects caused by incising oral submucous fibrosis and defects following excision of verrucous carcinoma were reconstructed by inferiorly based island nasolabial flap. The incorporation of the underlying vessel in the flap and selective defattening of the flap and it's pedicle by microdissection greatly aids in increasing it's arc of rotation and improving it's maneuverability.
[ABSTRACT]   Full text not available   
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Trapezius myocutaneous flap for scalp defect.
SP Sen, S Ghosh, M Nandi, B Nandi
July-December 1990, 23(2):38-40
A large recurrent scalp tumour was excised. The exposed skull bones on the left side were covered successfully by using a large trapezius myocutaneous flap with a good result.
[ABSTRACT]   Full text not available   
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Macrodactyly : report of six cases with review of literature.
A Dasgupta, AC Ganguli
July-December 1990, 23(2):56-60
Six cases of Macrodactyly between the age group of 4 and 14 years were investigated and managed surgically whereby excision of the excess tissue had been done. The affected children were having higher systolic blood pressure and invariably had excess of all the tissues,constituting the digit. The affected skin showed poor healing in 30 percent cases.
[ABSTRACT]   Full text not available   
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Tongue flap for closure of anterior palate fistula.
VK Puri, VP Gupta
July-December 1990, 23(2):33-37
12 cases of anterior palate fistula larger than 5 mm in diameter were treated anteriorly based dorsal, midline mucomuscular tongue flap without any fixation of tongue or jaw. The results obtained during the course of study support the method for the closure of large anterior palate fistula following cleft palate surgery.
[ABSTRACT]   Full text not available   
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Conservative treatment for a mallet finger deformity.
S Mulay, N Pandya, AS Khullodkar
July-December 1990, 23(2):76-79
50 cases of Mallet finger deformity were treated with a small splint restricting the D.I.P. joint. We found the method simple, giving satisfactory results.
[ABSTRACT]   Full text not available   
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Management of chronic plantar ulcers in leprosy by flap surgery.
BK Rath, BK Das, JM Das, PP Kumar
July-December 1990, 23(2):61-66
Thirty three cases of chronic plantar ulcers due to leprosy were treated by flap surgery and the result analysed. It was observrd that local skin flap were suitable for small defects especially in the forefoot. Muscle flaps were most suitable for ulcers of heel. The best procedure currently available to reconstruct ulcers in the weight bearing areas was provided by myocutaneous flaps. Fascio-cutaneous flaps were found useful for covering large defects. Cross-leg and Cross-foot flaps were not suitable for weight-bearing areas and were associated with prolonged immobilisation.
[ABSTRACT]   Full text not available   
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Direct sagittal computed tomography of temporomandibular joint.
MC Pant, R Chandra, GN Agarwal, R Pradhan, M Choudhry, PK Srivastava
July-December 1990, 23(2):67-70
Direct sagittal scanning of TMJ with the help of computed tomography gives better information about the osseous alteration of mandibular condyle and temporal bone, joint space narrowing, meniscal configuration and range of movements. The use of 25 cm thick foam between the head rest and the patient's head was found to be simple, inexpensive and helpful in evaluating the various disorders of the temporo-mandibular joint.
[ABSTRACT]   Full text not available   
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Management of cavernous haemangiomas.

July-December 1990, 23(2):105-111
The management of cavernous haemangiomas in 100 cases has been discussed with the main emphasis on indications and results of surgery. Other modalities like injection of boiling water, oral steroids and comperession therapy are discussed. By and large surgical treatment gave most satisfactory results in the selected cases.
[ABSTRACT]   Full text not available   
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Three lower lip sinuses with congenital bands holding upper and lower jaw together in a case of bilateral cleft lip and palate.
BK Majumdar, C Roy, Chowdhury S Roy
July-December 1990, 23(2):49-50
A case of congenital fibrous band holding upper and lower jaw together along with lower lop sinuses in a case of bilateral cleft lip and palate is presented.
[ABSTRACT]   Full text not available   
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The maxillary orthopaedic combination appliance for new born cleft lip and palate babies.
KI Pradhan, R Chandra, SD Pandey, SK Bhatnagar, AK Singh
July-December 1990, 23(2):51-55
At most centres in the west a cleft lip and palate baby is given a maxillary orthopaedic combination appliance soon after birth. A similar appliance is now being by us. This appliance is being presently given only as an obturator.It is intended to study its efficacy in conjuction with early lip repair and primary bone grafting in the near future.
[ABSTRACT]   Full text not available   
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5 years experience of 102 palatoplasties with speech assessment.
MA Dar, MA Darzi, NA Chowdri
July-December 1990, 23(2):41-45
In a study carried over a five year period, 102 patients of cleft palate were studied for assessment of surgical results including speech development. 48 patients had group II (post alveolar) clefts and 54 patients belonged to group III (alveolar) clefts. Middle ear problems were seen in 11.65 percent of patients. In group II patients cleft was repaired by V-Y push-back palatoplasty and in group III patients with four flap technique. There was no operative mortality. Post operative complications occurred in 6.86 percent of patients. 81 patients could be evaluated for surgical results out of which 60 patients above the age of four years were assessed for speech development. 70 percent of patients had adequate length and mobility and 10 percent had short immobile palates. 60 percent of patients achieved acceptable and 40 percent unacceptable speech. Speech results were better in group II clefts than in group III clefts.
[ABSTRACT]   Full text not available   
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Fasciocutaneous flap : a versatile technique to resurface leg and foot.
C Roy, B Majumdar, Chowdhury S Roy
July-December 1990, 23(2):88-93
A total of fourteen cases of full thickness defects of leg and foot have been resurfaced with fasiocutaneous flaps either as a local rotation-transposition or island flap in a single-staged procedure. All the flaps were proximally based and were found to be vascular and reliable. The results were satisfactory functionally and cosmetically with acceptable donor site morbidity.
[ABSTRACT]   Full text not available   
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Our experience with median forehead rhinoplasty.
A Dhir, K Singh, G Singh
July-December 1990, 23(2):98-101
Our experience in the management of eight cases of defects of the nose treated by median fore head flap based on a supra trochlear vessel is being documented.
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Median cleft of upper lip :a report of two cases.
SP Sen, M Nandi, S Ghosh
July-December 1990, 23(2):102-104
Two cases of median cleft of upper lip are being documented. Out of these one of them had a big meningocele in the palatal defect, which is a very very rare abnormality.
[ABSTRACT]   Full text not available   
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Dorsolateral flap for volar contractures.

July-December 1990, 23(2):71-75
The dorsolateral flap from the same finger was used in 30 cases for resurfacing of the volar surface after release of contracture. It was observed that it is a versatile local flap for resurfacing of finger defects.
[ABSTRACT]   Full text not available   
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The sanctity of putting packs after palate retropositioning.
RB Ahuja, RK Sandhir
July-December 1990, 23(2):46-48
The validity of the concept of packing lateral raw areas following retropositioning surgery, for cleft palate, is questioned. Authors believe that it is serious misconception to presume that packing can help in haemostasis, easing suture line tension and that it prevents food particles from going under the mucoperiosteal flaps. A case has been made for leaving these raw areas open as it leads to rapid epithelialisation, shorter hospitalisation and it eliminates foul mouth odour post-operatively . Our experience on 42 consequetive patients makes us condemn this concept.
[ABSTRACT]   Full text not available   
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Evaluation of various reconstructive procedures for hypospadias.
RN Sharma, S Srivastava
July-December 1990, 23(2):94-97
30 patients of hypospadias repaired by Denis Browne, Thompson's, Mustrade's, Asopa & II Urethroplasty have been studied. It was observed that most of the midpenile and distal penile hypospadias can be successfully repaired by single stage procedures while proximal varieties require diuble stage Denis Browne Urethroplasty.
[ABSTRACT]   Full text not available   
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Custom-built silicone phalangeal implant.
HM Bhathena, NM Kavarana
July-December 1990, 23(2):80-82
Full text not available   
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