Journal of ENT and Allied Sciences

All deeper burns i.e. second degree deep dermal and full thickness heals by scarring that
causes restrictions in the movements and aesthetics issues for patients. Burn reconstructive
surgery requires that the defects after release should be replaced with donor tissues which have
matching texture and colour like autologous skin grafting or flap surgeries. Here we are using
this method to look for role in take of FTSG post burn contracture. Full-thickness skin grafts
include full thickness of the epidermis and dermis whereas split-thickness skin grafts (STSG)
include the entire epidermis and only partial dermis. The main complication of this procedure
is risk of graft failure. Keratinocyte cells suspension is claimed to hasten the wound healing.
In this article, we share our experience of using non-cultured keratinocyte grafting (NCKG) in
improving the take of full thickness skin graft (FTSG).
 

Introduction: Tympanosclerosis is a disorder associated with calcareous deposits in various parts of the middle ear. It is an irreversible end result of any unresolved specific or nonspecific inflammatory disease of the middle ear characterized by anatomical distortion resulting in conductive type of hearing loss.1 Objective: This study was conducted in a tertiary care teaching hospital to know the incidence, to study clinical features, histopathology and the quantum of hearing loss secondary to tympanosclerosis (TS) in cases with chronic otitis media (COM) undergoing surgical treatment. Methodology: All patients with chronic otitis media (COM), either mucosal or squamosal type undergoing surgery were included in the study. Results: Out of 160 cases operated for COM, 52 cases (32.5 percent) had tympanosclerotic plaques. In 52 cases with TS plaques, 5 cases (all are males) were squamosal type with histopathological evidence of cholesteatoma and rest 47 cases were of mucosal type (24 males & 23 females). On histopathological evaluation of the TS plaques, only 7 cases showed extensive hyalinization and the reminder showed fibrotic changes, granulation tissue, dense collagen, scattered fibroblasts and inflammatory cells. Conclusion: TS is a common association, clinically and pathologically with COM more with mucosal type. TS causes significant hearing loss compared to similar cases without TS. TS patches over critical areas like stapes foot plate, facial nerve canal and semicircular canals may be difficult to manage because of their strategic location.

The scar is a sequela of trauma, burns or surgery. The abnormal scar can influence an individual’s well beingness, so the prevention as well as treatment of scar is important. The concern for scar makes a good percentage of consultations in any Plastic Surgery out-patient department. There are many methods to manage a scar, laser Therapy using Er YAG laser is one method of management of scars that is widely used in western countries. In India, Er YAG laser therapy is relatively a recent addition, hence the data available on scar management using the same is few. This study was conducted in a Tertiary care Institute in South India under the Department of plastic surgery, aim of which was to find out if there is any relation of etiopathogenesis of scars with their outcome following Er YAG Laser Therapy or in other words to find out how different types of scars responds to the Er YAG Laser therapy. There are studies which evaluated the response of laser therapy based on the time of starting the therapy and location of the scar but the data based on the etiology is few. A Total of 73 scars were included in the study with a follow up period of 6 months