{"title":"Orbital and Premaxillary Emphysema as a Result of Nose-Blowing Following Blepharoplasty.","authors":"Bilge Tarım, Meltem Kılıç","doi":"10.1055/s-0044-1795150","DOIUrl":"10.1055/s-0044-1795150","url":null,"abstract":"<p><p>A 41-year-old man presented with sudden-onset swelling, redness, and pain in the right eye, 4 days after bilateral upper and lower eyelid blepharoplasty. The symptoms were preceded by a forceful nose-blowing episode. Upon examination, periorbital edema and subcutaneous crepitus were observed, along with limitations in upward gaze. Computed tomography revealed bilateral premaxillary and extraconal air accumulation. Since there was no optic nerve ischemia or orbital compartment syndrome, the patient was closely monitored. Spontaneous regression of the emphysema was observed during follow-ups. Orbital emphysema, although commonly associated with trauma, can also arise from compelling movements such as severe nose-blowing, as demonstrated in this unique case postblepharoplasty. The structural changes during surgery may contribute to weakened support, predisposing patients to emphysema following sudden pressure changes. Clinicians should be vigilant for periorbital edema and subcutaneous crepitus after facial surgeries, emphasizing the importance of timely imaging for diagnosis. Awareness campaigns advising against forceful actions like sneezing, coughing, and nose-blowing during the initial postoperative period are crucial to prevent potential complications.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 2","pages":"136-138"},"PeriodicalIF":0.7,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Subconjunctival Orbital Fat Prolapse: A Case Report.","authors":"Rajesh S Powar, Soujanya M","doi":"10.1055/s-0044-1793946","DOIUrl":"10.1055/s-0044-1793946","url":null,"abstract":"<p><p>Subconjunctival orbital fat prolapse is a benign condition where the orbital fat, which normally cushions the eye within its socket, protrudes or herniates through the conjunctiva, the clear membrane covering the sclera. It is a rare condition that occurs due to disruption of the orbital septum due to various causes. In this case study, we report the clinical findings, treatment, and insights gained from the diagnosis and management of a 59-year-old male patient with subconjunctival orbital fat prolapse.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 2","pages":"132-135"},"PeriodicalIF":0.7,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Students Have Changed; Medical Teachers Should Change Too.","authors":"Surajit Bhattacharya, Kaushik Bhattacharya, Neeta Bhattacharya","doi":"10.1055/s-0044-1793818","DOIUrl":"10.1055/s-0044-1793818","url":null,"abstract":"","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 Suppl 1","pages":"S5-S8"},"PeriodicalIF":0.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lipofibromatous Hamartoma of the Superficial Peroneal Nerve with Significant Macrodactyly and Macrodystrophia Lipomatosa.","authors":"Rohini Prasad, Arun Kumar Rajeswaran, Karishmah Senthil Kumar, Purvashree Prasad","doi":"10.1055/s-0044-1793819","DOIUrl":"10.1055/s-0044-1793819","url":null,"abstract":"<p><p>We report a rare presentation of lipofibromatous hamartoma involving the superficial peroneal nerve with significant macrodactyly in a woman in her late 40s, with a follow-up period of 3 years. We discuss the clinical presentation, distinguishing features, and the surgical technique chosen for maximum functional outcome, along with a review of the literature. This case report attempts to understand the spectrum of disease represented by lipofibromatous hamartoma, its nomenclature, diagnosis, and management depending on the extent of tissue involvement. In this case, as there was macrodystrophia with osseous overgrowth and extensive lipomatosis, the challenges involved in planning surgery for a desirable aesthetic and mechanical outcome have been discussed.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 2","pages":"123-127"},"PeriodicalIF":0.7,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vascularized Palmaris Longus Tendon Graft in Delayed Tendon Injuries of Hand.","authors":"Yog Raj Handoo","doi":"10.1055/s-0044-1792128","DOIUrl":"10.1055/s-0044-1792128","url":null,"abstract":"<p><p>Delayed tendon injuries of the hand often require auto tendon grafts, the success depending largely on tendon type, its own synovial cover or provided by tendon bed, and tendon bed vascularity. Tendon graft healing has been extensively studied, where tendon does increase its vascular response to trauma, attrition, or degeneration. Initially surviving through synovial fluid imbibition, followed by vascular invasion from surrounding tissues. Tendon grafts without synovial covering or in hypovascular/scarred beds have increased vascular response in the form of flimsy tissue which vascularises tendon grafts but later, they become adhesions, restricting tendon movement and final functional finger results. To overcome this hypovascular state, tendon grafts are substituted with vascularized tendon grafts. We present two cases of vascularized palmaris tendon graft in delayed tendon injuries of hand having hypovascular tendon beds, along with operative technique and results along discussion and conclusion.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 3","pages":"206-210"},"PeriodicalIF":0.7,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Indian Plastic Surgery Teams Lead with the World's Highest Number of Hand Transplants.","authors":"Dinesh Kadam","doi":"10.1055/s-0044-1792155","DOIUrl":"10.1055/s-0044-1792155","url":null,"abstract":"","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 5","pages":"329-333"},"PeriodicalIF":0.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raja Tiwari, Renu Dhingra, Sanjeev Lalwani, Maneesh Singhal
{"title":"Vascular Labeling of Extracranial Head and Neck Vessels Using Silicone Dye Injection: An Effective Method for Cadaver-Based Facial Surgery Training.","authors":"Raja Tiwari, Renu Dhingra, Sanjeev Lalwani, Maneesh Singhal","doi":"10.1055/s-0044-1792154","DOIUrl":"10.1055/s-0044-1792154","url":null,"abstract":"<p><p><b>Background</b> Silicone dye injection is a well-described technique for studying vascular anatomy. Plastic surgeons routinely participate in cadaveric workshops and are involved in the preparation of vascular-labeled cadavers. However, sparse literature is available on dye studies of extracranial head and neck vessels, even with anatomists, and the preparation of these cadavers is a daunting task. <b>Materials and Methods</b> In this study, we describe a straightforward technique of silicone dye injection for extracranial head and neck vasculature and its application for filler injection training and other plastic surgical procedure demonstrations on cadavers. We used six soft-embalmed cadavers. The common carotid arteries and internal jugular veins were cannulated with infant feeding tubes. The vessels that could lead to dye extravasation into intracranial vessels and upper limbs were ligated. The vasculature was irrigated with water and then injected with color-coded silicone dyes (red: arterial; blue: venous). The solvent-to-catalyst ratios were varied to identify the ideal combination. Injected specimens were dissected 24 hours later to identify the staining quality. <b>Results</b> A clear demarcation of the extracranial head and neck vasculature in all cadavers was seen. The best solvent-to-catalyst ratio was identified in cadavers with the best staining of both large and small-sized blood vessels (<1 mm) with no dye spillage from arteries to the veins. <b>Conclusion</b> Silicone dye injection with the described technique can give excellent and predictable results. The technique also uses less quantity of dye, and the intracranial structures are spared, which can be used for other studies; hence, there is more economical utilization of cadavers.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 2","pages":"90-96"},"PeriodicalIF":0.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case Report on Ellis-van Creveld Syndrome: Clinical, Embryological, Anesthetic, and Surgical Implications.","authors":"Monusha Mohan, S Raja Sabapathy","doi":"10.1055/s-0044-1793845","DOIUrl":"10.1055/s-0044-1793845","url":null,"abstract":"<p><p>Postaxial polydactyly (PAP) in the form of rudimentary soft tissue masses is quite common. Management involves ligation or surgical excision. Rarely do literature discussions cover complex variants in which the extra finger is fully developed. Ellis-van Creveld syndrome (EVC) or chondroectodermal dysplasia is a rare disorder characterized by PAP. When chondral dysplasia encompasses PAP, dwarfism, and genu valgum, ectodermal dysplasia involves nails and teeth. We describe two EVC cases. When one had cardiac malformations, the other had dental anomalies. One of them underwent genu valgum correction and removal of the additional finger. The hand surgery proved complex due to fusion of its metacarpal with the fifth metacarpal. Pediatric Outcomes Data Collection Instrument (PODCI) scores at 1.5 and 2.5 years after hand and knee surgeries were excellent. A multidisciplinary approach is essential to achieve comprehensive care. Additional embryological research is necessary to elucidate the clinical manifestations described in this report.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 Suppl 1","pages":"S106-S110"},"PeriodicalIF":0.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María San Basilio, Concepción Lorca-García, Manuel de la Torre, Rocío Terrados, Beatriz Berenguer
{"title":"Correction of Severe Pterygium Colli with a Staged, Double, Posterior and Lateral Approach: A Case Report.","authors":"María San Basilio, Concepción Lorca-García, Manuel de la Torre, Rocío Terrados, Beatriz Berenguer","doi":"10.1055/s-0044-1791744","DOIUrl":"10.1055/s-0044-1791744","url":null,"abstract":"<p><p>Pterygium colli is a rare congenital disorder characterized by excessive skin in the lateral and posterior neck, often associated with genetic syndromes such as Turner's syndrome or Klippel-Feil syndrome. Severe presentations present special challenges for surgeons since its diagnosis is not always evident and its treatment often results in important scaring. Surgical correction of the typical cases mostly involves a lateral approach, but in this \"special\" case, we used a double, posterior and lateral approach. A 15-month-old girl with prenatal diagnosis of a cystic lesion in the posterior neck presented with massive neck webbing at birth. Genetic studies ruled out chromosomal disorders and <i>RASA 1</i> mutations. Surgical correction involved a modified posterior approach combined with a lateral approach 1 year later. The cervical tissue redundancy was successfully reduced achieving a good aesthetic outcome with very acceptable scars. At 1 year of follow-up, the patient continues with good neck appearance and mobility. The goal of surgical treatment of pterygium colli is achieving a harmonious neck contour with good function and minimal scarring while minimizing complications and sequelae. No consensus exists on the optimal approach for its correction, emphasizing the need for individualized treatment considering patient-specific characteristics, particularly in the severe cases.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 2","pages":"110-114"},"PeriodicalIF":0.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hand Rejuvenation by Autologous Fat Grafting in Post-Hansen's Hand Atrophy: Aesthetic and Psychological Implications.","authors":"Venkata Ramana Yamani, Swamy Vivek Gurindagunta, Rama Linga Raju, Shree Kumar, Mukesh Krishna Valluri, Mrigya Sharma","doi":"10.1055/s-0044-1791943","DOIUrl":"10.1055/s-0044-1791943","url":null,"abstract":"<p><p><b>Introduction</b> Contemporary medical science has been using fat grafting in aesthetic and reconstructive procedures, consistently achieving successful outcomes. Hansen's disease, caused by <i>Mycobacterium leprae</i> , leads to hand deformities due to peripheral neuropathy, resulting in soft-tissue atrophy, volume loss, and compromised hand function. Tendon transfer surgery is a common remedy for functionality, but it often does not address aesthetic concerns and the patient's psychological impact of living with an atrophic hand. Autologous fat grafting can effectively address these concerns. <b>Materials and Methods</b> This prospective study evaluates the efficacy of fat grafting for hand rejuvenation in patients with Hansen's disease posttendon transfer surgery, focusing on aesthetic and psychological outcomes. We recorded data from 12 patients who underwent the procedure between 2015 and 2024. Using the Coleman technique, fat was harvested from the paraumbilical region of the abdomen and injected into various hand regions. <b>Results</b> Autologous fat grafting showed high patient satisfaction with significant improvements in hand contour, skin texture, and psychological health. The benefits of the procedure included improved self-esteem, enhanced quality of life, reduced social stigma, and psychological well-being. <b>Conclusion</b> Autologous fat grafting is a safe and effective technique for hand rejuvenation in patients with Hansen's disease, after functional treatment addressing both physical deformities and their psychological impacts. It could be considered one of the components in the comprehensive management of Hansen's disease-related hand deformities, significantly enhancing patients' overall quality of life.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 6","pages":"461-468"},"PeriodicalIF":0.7,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11679190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}