Many techniques have been described for the surgical correction of protruding ears. A novel modification of a cartilage-sparing otoplastic technique is provided herein. In this modification, a diamond-coated file is used to abrade the anterior surface of the antihelical cartilage to create biomechanical remodeling with resultant formation of a new antihelix. A case series of 302 ears, operated ...

OBJECTIVE To establish that the bilobed flap as soft tissue release component for the radial club hand is superior to the z-plasty technique in type III and IV radial club hands. METHODS This study was conducted at the Shifa International Hospital, Islamabad, Pakistan, from 2009 to 2015, and comprised patients with radial club hands operated by a single consultant plastic surgeon. Soft tissue...

Injuries to the flexor tendons are frequent. Even when correctly treated, they can cause a loss of mobility of the digits secondary to postoperative adhesions. Further, conflicts between the tendon suture and the pulleys can limit the range of motion of the tendon and the flexion of the fingers. We propose a new pulley plasty that permits immediate retraining and avoids conflict with the tendon...

Incisional hernia repairisone of themostfrequentsurgicalprocedures in General Surgerydue to thehighprevalence thispathology Thesurgicaltechniqueinvolvesthe use ornot prostheticmesh, depending onthesurgeon, however, anothercommonproblemistherecurrence the after a plasty, due multiplefactorsthatwerestudied thisresearch, beingnecessary haveknownthefollow-up thesepatients theirpostoperativeperiod a...

Urethrocutaneous fistula (UCF) is a common complication of hypospadias surgery for severe hypospadias. We report our experience in the management of UCF following hypospadias surgery with a prepuce-degloving method (PDM). Our study included 87 patients who developed UCF after hypospadias repair from May 2001 to December 2011. Either simple closure or PDM was performed to repair the fistula. In ...

We describe a case with left atrial volume reduction of a giant left atrium, treated successfully by partial cardiac autotransplantation, concomitant mitral and aortic valve replacement, and tricuspid valve plasty. We obtained good results at the 1-year follow-up.

We report two cases of cleidocranial dysplasia, which was managed without significant craniofacial osteotomy. A mother and daughter, both of normal intelligence, presented with central forehead depression, mid-face hypoplasia, and blepharoptosis. The fact that they have an identically deformed face implied a genetic basis. In both patients, radiologic evaluation revealed the underdeveloped maxi...

Case Self-penile amputation, especially at the glans, has rarely been reported. Most reported cases of self-amputation were performed at the proximal or peripubic area, and there only one case of self-amputation at the glans has been reported in Japan. We report two cases of self-penile amputation at the glans. Case 1: A 31-year-old man with no psychiatric disease completely amputated his penis...

Dear Sir, Cheek rotation flaps1-3 are used to reconstruct lower eyelids. After rotating the flap, the suture line on the cheek is not aligned with a relaxed skin tension line, and postoperative scars that intersect the margin of the lower eyelid at angles close to 90 ̊ may cause downward contractures of the lower eyelid. We describe herein 2 cases in which we avoided this problem by using w-plas...