Journal of Plastic Surgery and Transplantation

Goldenhar syndrome also known as Facioauriculovertebral sequence is a rare congenital condition presenting with the asymmetry of the face, underdeveloped ear, cleft lip/palate and abnormalities of the spine. In addition, Goldenhar can affect the heart, kidney, lungs and limb abnormalities. We would like to share one such case presented to us with a constellation of features of Goldenhar syndrome along with a contralateral radial club hand.

Non healing wound is a common problem encountered by plastic surgeon. There various causes due to which the wound becomes non healing and fails to heal. However there is no well-established method that can acceleratethe wound healing rate. Various modalities are used to accelerate the rate of healing, like platelet rich plasma, local infiltration of insulin, irritant substances, laset therapy et al. This article highlights the role of low level laser therapy in management of amputation stump.

Introduction: Tiger population has been dwindling over years and incidences of tiger attack scalp and calvarial injuries have been reported rarely. These injuries are life threatening and requires combined urgent neurosurgical and plastic surgery intervention. Methods: This study retrospectively assessed cases of tiger attacks admitted in neurosurgery department from January 2016 to September 2019. Clinical, radiological and operative notes of these cases were retrieved from records and analysed. Results: Five patients were treated during the study period. All of them were males. Three patients had Bilateral scalp injury wheres two had unilateral injuries. Three patients had undergone debridement craniectomy and repair of dura and scalp. One patient had to undergo occipital artery based tranpostion flap with split skin grafting. Another patient had to undergo local wound debridement and galeal underscoring for scalp suturing. All patients were doing well at the time of discharge. Conclusion: Scalp and calvarial injury from tiger paw injury are rare and may cause substantial scalp loss along with depressed skull fracture. This type of injury requires team effort with plastic surgery team for flap transposition or skin grafting.

One of the most important steps in minimizing the spread of COVID-19 infection is social distancing. Telemedicine can of great help in implementing social distancing in health care. The Telemedicine consultation can be done with the help of Telemedicine Kiosk. The commercially available Telemedicine Kiosk are costly. Here in this article we are sharing our experience of using a telemedicine kiosk made from the materials already available in our department and how it was used for Tele-ICU consultations during COVID-19 lockdown period.

The split thickness skin graft is a time-tested method for covering a raw area. The autologous platelet rich plasma, rich in growth factor was used to for the management of a skin grafted site and to prevent the graft site complications like graft contracture, hypertrophy and grafted site ulceration.