scholarly journals Dental impression compound as an effective splint for maintenance of ear elevation in microtia reconstruction

2013 ◽  
Vol 46 (03) ◽  
pp. 518-520 ◽  
Author(s):  
Padam Singh Bhandari ◽  
Sukhbir Singh
Keyword(s):  
Retrospective Study ◽  
Skin Grafting ◽  
Important Goal ◽  
Post Surgery ◽  
Post Procedure ◽  
Split Skin Grafting ◽  
Dental Impression ◽  
Split Skin ◽  
Staged Reconstruction

ABSTRACTEar projection is an important goal to be achieved after stage two (ear elevation) in cases of microtia. This is a retrospective study conducted on patients with microtia who underwent staged reconstruction for the same. This study has been carried out over a period of 10 years with 211 patients. Dental impression compound was used as a splint after ear elevation and split skin grafting to maintain the projection of the ear. Projection of the ear was measured both pre- and post-procedure and at every follow-up using goniometer and photographic documentation was simultaneously done. Statistical analysis was performed using t-test. Patients were reviewed every month and splint was continued until 6 months post-surgery. The splint was very effective in maintaining the ear projection of more than 20° even after prolonged follow-up of upto 2 years. There were no complications associated with the splint application or prolonged use.

scholarly journals Recurrent dermatofibrosarcoma protuberans: A Case report and literature review

2020 ◽  
Vol 23 (2) ◽  
pp. 67-69
Author(s):  
Hari Bahadur K C ◽  
Jayan Man Shrestha ◽  
Ishwar Lohani
Keyword(s):  
Case Report ◽  
Skin Grafting ◽  
Dermatofibrosarcoma Protuberans ◽  
Anterior Chest Wall ◽  
Current Treatment ◽  
High Recurrence Rate ◽  
Split Skin Grafting ◽  
Infiltrative Growth Pattern ◽  
Split Skin

Introduction: Dermatofibrosarcoma protuberans is a rare soft tissue tumor which is known for its high recurrence behavior. Adequate excision and regular follow up is the current treatment modality. Case report: 42 years male developed multiple nodular lesions on anterior chest wall for which he underwent surgical therapy for five times, but tumor recurred on every occasion. Wide local excision and split skin grafting was performed with negative margin on histopathology. Conclusion: Dermatofibrosarcoma protuberans has high recurrence rate due to its infiltrative growth pattern. Regular follow up is required after surgery during early post-operative period to detect any recurrences.

scholarly journals Pattern and management of bear maul injuries in tertiary hospital in Kashmir

2019 ◽  
Vol 6 (5) ◽  
pp. 1729
Author(s):  
Tariq Ahmed Mala ◽  
Syeed Rayees Ahmad ◽  
Shahid Amin Malla
Keyword(s):  
Skin Grafting ◽  
Soft Tissue Injuries ◽  
Tertiary Hospital ◽  
Black Bears ◽  
Medical College ◽  
Number Of Patients ◽  
Split Skin Grafting ◽  
Split Skin ◽  
Serious Injuries

Background: Bears are very powerful and strong animals that defend themselves and their young ones if they feel insecure once disturbed by humans. Encroachment of forest land and haphazard construction has led to increase in the conflicts between humans and animals. Our valley is surrounded by forests all around and lush green forest area is habitant of black bears (Ursus thiabetanus). The aim of this study was to report and manage these complicated injuries.Methods: This study was conducted for a period of two years and all the patients were received in the surgical casuality in Government Medical College Srinagar. A total of 32 patients were registered in the two years period.Results: A total of 32 patients were studied, majority of patients were males. Maximum number of patients was in the age group of 31 to 40 years. All patients had soft tissue injuries; bone involvement was seen in 13 patients. Deep lacerations were seen in 22 (68.75%). Primary suturing was done in 12 (37.5%) of patients, split skin grafting in 7 (21.87%). All 32 patients had ugly scar in follow up with loss of vision in one eye in 3 (9.37%) patients. Four patients were advised psychiatric consultation and further treatment.Conclusions: Conflicts between humans and bears are common in bear-prevalent areas of the world. Bear maul injuries should be evaluated in detail as some patients may have serious injuries which need multispecialty treatment to maintain cosmetic and identity of a person.

scholarly journals Rescue of diabetic foot from amputation – a case report

2019 ◽  
Vol 65 (3) ◽  
Author(s):  
Andrzej Żyluk ◽  
Wojciech Jagielski
Keyword(s):  
Skin Grafting ◽  
Lateral Ankle ◽  
Incision And Drainage ◽  
Metatarsal Bones ◽  
Split Skin Grafting ◽  
History Of ◽  
Insulin Dependent ◽  
Split Skin ◽  
Tissue Defects

This study presents the case of a 52-year-old man with a 15-year history of insulin-dependent diabetes, who developed phlegmon of his right foot following an attempt to remove a corn. On admission, the patient presented symptoms of incipient sepsis. The treatment – wide incisions on the foot, evacuation of collected pus and necrotic debris, as well as antibiotic therapy – allowed for stabilization of the patient’s general condition. However, the local infection of the foot did not withdraw and the patient required repeated surgeries, including amputation of the toes and metatarsal bones. The infection progressed, spreading to the lateral ankle and the distal part of the calf. During the next operation, following incision and drainage of pus, the substance Stimulan, which aids in the liberation of antibiotics, was introduced to the wounds; this appeared to be effective and resulted in control of the infection. Soft tissue defects were repaired by local flapplasty and split skin grafting. At the follow-up examination 6 months later, the patient displayed completely healed wounds, wore normal shoe on the affected foot, and walked without any support.

MANAGEMENT OF POST BURN CONTRACTURE OF NECK IN A TERTIARY BURN CARE CENTRE

2021 ◽  
pp. 33-35
Author(s):  
Nangineedi Nagaprasad ◽  
Karthik G B
Keyword(s):  
Surgical Planning ◽  
Skin Grafting ◽  
Burn Care ◽  
Split Skin Grafting ◽  
Contracture Release ◽  
Common Problems ◽  
A Prospective Study ◽  
Split Skin ◽  
Burn Contractures

Background: Post burn contracture is one of the most common problems in our country and usually seen in lower socio-economic people. Burn contractures of the neck can produce a signicant impact on quality of life by reducing a patient's ability to perform activities of daily living Methods: A prospective study was conducted with a sample size of 30 patients with post burn neck contracture conducted for a duration of 24 months. After meticulous surgical planning, patients underwent contracture release and split skin grafting/z-plasty followed by rigorous splintage and physiotherapy. Majority of the patients were in the age group of 11-30 years (63%).70% of the Results: patients sustained burns in the range of 21-40% and 80% were due to ame burns.46.66% (14) of patients had severe contracture while 13.33% (4) had extensive mento-sternal adhesions. 90% of the patients underwent release + SSG while 10% underwent z-plasty. Postoperatively cervico-mental angle of 100-120 degrees was achieved Skin grafting is a simple, reliable and safe operation however postoperative splinting is n Conclusion: ecessary. The use of skin grafts continues to deliver excellent results with adequate restoration of cervico-mental angle.

Split Skin Grafting

2016 ◽  
pp. 107-128
Author(s):  
Aziz Nather ◽  
Ting Fang Tan
Keyword(s):  
Skin Grafting ◽  
Split Skin Grafting ◽  
Split Skin

scholarly journals Patient-reported scar quality of donor-sites following split-skin grafting in burn patients: Long-term results of a prospective cohort study

Burns ◽  
2020 ◽  
Author(s):  
Catherine M. Legemate ◽  
Pauline J. Ooms ◽  
Nicole Trommel ◽  
Esther Middelkoop ◽  
Margriet E. van Baar ◽  
...  
Keyword(s):  
Cohort Study ◽  
Skin Grafting ◽  
Long Term Results ◽  
Burn Patients ◽  
Split Skin Grafting ◽  
Patient Reported ◽  
Scar Quality ◽  
Split Skin

Split Skin Grafting on Severely Damaged Skin

1994 ◽  
Vol 20 (12) ◽  
pp. 827-829 ◽  
Author(s):  
IRSHAD ZAKI ◽  
LAWRENCE SCERRI ◽  
LESLIE MILLARD
Keyword(s):  
Skin Grafting ◽  
Split Skin Grafting ◽  
Split Skin

Calcific Myonecrosis of the Leg Treated by Debridement and Limited Access Dressing

2013 ◽  
Vol 12 (1) ◽  
pp. 44-49 ◽  
Author(s):  
T. Sreenivas ◽  
K. C. Nandish Kumar ◽  
Jagdish Menon ◽  
A. R. Nataraj
Keyword(s):  
Late Complication ◽  
Skin Grafting ◽  
Dystrophic Calcification ◽  
Anterior Compartment ◽  
Limited Access ◽  
Calcific Myonecrosis ◽  
Split Skin Grafting ◽  
Healing Wound ◽  
Thorough Debridement

Calcific myonecrosis is a rare late complication of limb trauma characterized by liquefaction and dystrophic calcification of muscles in the single compartment, usually in the leg. This occurs many years after the trauma and is probably due to chronic compartment syndrome. We report 2 cases of calcific myonecrosis involving the anterior compartment of the leg that presented to us in an advanced stage of multiple sinuses discharging calcific material. Incision and drainage had been attempted at a local hospital prior to presentation at our hospital resulting in a non healing wound. Both patients had a history of antecedent trauma to the leg a few years ago. Patients were treated by thorough debridement of the involved muscles in the anterior compartment. Limited access dressing (LAD) was used to manage the dead space left after debridement. After application of the LAD, the wound was covered with split skin grafting. In both patients, healing of the cavity following debridement was facilitated by application of limited access dressing. While the wound completely healed, the disability due to extensive debridement of anterior compartment of the leg persisted. At the latest follow-up, the patients were asymptomatic without any recurrence. Thorough debridement of the compartment involved and application of LAD may be another option of treating calcific myonecrosis of the leg, which was initially considered a “do not touch” lesion. Morbidity due to surgery and need of repeated surgeries for recurrences should be kept in mind and regular follow-up should be considered.

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