Van der Woude syndrome is a rare autosomal dominant disorder characterised by lower lip pits and cleft lip with or without cleft palate. Clinical presentation is variable because of the autosomal dominant inheritance with incomplete penetrance. Management is a multidisciplinary approach.
Surgical techqniues for Otoplasty are well-described. They are best understood by classifying them into manouvres aimed at correcting prominent ears.
Transversus Abdominis Plane (TAP) block uses the space between internal oblique & transversus abdominis muscle. Technique can be direct or ultrasound-guided.
Abnormal scars can be defined as Hypertrophic or Keloid. They do not follow normal scar evolution and difference from clinical, morphological and treatment perspective.
Soft Tissue Reconstruction in lower limb trauma is a complex area to understand theoretical principles and practical nuances. This article provides a decision algorithm as a guide.
Hartrampf's Zones of Perfusion refers to the subdivision of the lower abdominal flap into 4 equal zones based on their level of perfusion and viability. This article examines the history, clinical significant and current concepts.
Squamous Cell Carcinoma has 3 main staging systems: AJCC, BWH and NCNN. There is no universally accepted method.
The rhomboid flap is a type of transposition local flap commonly. This article on rhomboid flaps explains the classification, design repair and modifications with location-based examples and pictures.
Gustilo-Anderson is the most common grading system for open/compound fractures. It risk stratifies the patient and guides management.
A Bennett Fracture is an oblique, intra-articular fracture at the volar-ulnar base of the thumb metacarpal. This article details the anatomy, diagnosis and treatment of Bennett's Fracture.
The total body surface area (TBSA) of a burn can be calculated with a Lund and Browder Chart, Wallace Rule-of-Nines or the palmar method. An accurate estimation of a burn guides acute management, fluid resuscitation, nutrition supplementation and prognosis.
There are different techniques described for volar hand surgery. This article describes, illustrates, and compares Bruner, Mild-lateral, and other incisions.
Compartment syndrome of the hand is an uncommon but acute surgical issue. With reference to 41 peer-reviewed publications, this article discusses the definition, pathophysiology, diagnosis and treatment of compartment syndrome.
Upper eyelid ptosis is the abnormal drooping of the upper lid due to dysfunction of the levator or Müller’s muscle. It can be congenital or acquired. Diagnosis requires eyelid measurements and levator assessment. Surgery is tailored to function and severity.
Radial Tunnel Syndrome is a common entrapment neuropathy of the posterior interosseous nerve. This reviews anatomy, diagnosis and treatment.
The pre-operative Rhinoplasty examination can often be challenging. The "RHINO" structure, which was created by P'Fella, can act as a template and guide for the patient consultation.
