BSAPS Journal

One of the most popular techniques for the management of prominent ears is the Mustarde technique. Although many modifications had been published all these started with a retro-auricular incision. Correction of prominent ears by Polypropylene thread is now gaining popularity as it is less invasive with minimum complication rate and can also be done as day-case surgery. In this article, we have discussed a case of the prominent ear of a young adult which was done by using the threading technique to correct the deformity. The result was good as there is a minimum scar with an aesthetically pleasing outcome.

Introduction: Cutaneous melanocytic nevi cause cosmetic defects and represent a risk of malignant transformation. Facial Giant Congenital Melanocytic Nevus (GCMN) represents a major cosmetic deformity for the patient and is a challenge for plastic surgeons to achieve the best cosmetic results. Here in, a case of single-stage surgical reconstruction was presented using a partial thickness sheet skin graft for a facial GCMN.

Methods: A 14-year young girl presented with left-sided hemifacial GCMN with the nose, left ala, lower eyelid, and partial upper eyelid-eyebrow involvement. A single-stage complete excision of the nevus was performed. A thick split-thickness skin was then harvested from the medial site of the thigh for the reconstruction of the defect. Aesthetic subunit of the face and nose keeping in mind the graft applied in this manner. The graft was secured with a bolster tie over the dressing and for the eyelid, the applied quilting technique was additionally for the aim of the best outcome with no skin loss.

Results: Histopathology of the excised specimen confirmed the diagnosis of GCMN with no evidence of melanoma. The donor area healed with a favorable scar.  The postoperative result was satisfactory. In long-term follow-up, the patient was able to close her eyes smoothly, ala seems better. The patient and her parents are very satisfied with the cosmetic and functional results.

Conclusion: Thick split-thickness sheet skin grafts is an effective method of repairing the defects resulting from the removal of large and giant nevus of the face, where there is limited availability of normal adjacent skin for tissue expansion. 

Objective: Reconstruction of soft tissue defects in and around the elbow requires stable and durable coverage in order to initiate early mobilization along with less post- operative complications. This study aimed to evaluate the outcome of reconstruction of soft tissue defect in and around the elbow by Reverse Lateral Arm Flap.

Materials &method: This is a Prospective type of observational study done in the Department of Burn & Plastic Surgery, Dhaka Medical College and Hospital. In this study 15 cases of soft tissue defects around the elbow covered by Lateral arm Flap were reviewed from January 2017 to December 2019.

Results: In this study, majority of the respondents were in age group 44-66 years (40%), 9 were male, majority of wound was in cubital fossa (66.66%), most causes of defects for flap coverage were electric burn (5) & burn contracture (5). All the flaps survived well with the exception of 2 where distal 2 cm were lost.

Conclusion: Single stage Reverse Flow lateral Arm Flap is a useful and reliable armamentarium for the reconstructive Surgeon.

Female genital rejuvenation surgery is a rapidly growing sub-specialty in the world. There is also a steady rise in demand for these procedures in Bangladesh. In our series variety of procedures were performed on 34 patients from January 2017 to June 2021 labiaplasty was mostly performed cosmetic procedure and the indication of vaginoplasty was more to improve sexual function.  Most of the procedures were done as a day case surgery or with a minimal hospital stay. A combination of procedures to address individual components leads to a better cosmetic and functional outcome. 

Breast enlargement is the commonest aesthetic surgery procedure. The two commonest routes for breast augmentation are via the periareolar and inframammary incision. To avoid scars being evident, the periareolar incision is a good choice. If areolar diameter is small, the patient will not qualify for periareolar augmentation. Marking is done with the patient in an upright position. Incision is usually made in the inferior half of the areolar margin. The Sub pectoral pocket is developed deep to the fascia but superficial to the muscle fibres. The cavity is irrigated thoroughly and dissection on the opposite side is done. Gloves are changed and implants inserted. 3-0 Prolene was used to give a water tight closure in the deepest layer, avoiding any inadvertent bite into the implant. Superficial layers are closed by interrupted stitches of 3-0 Monocryl. Followed by a running subcuticular 3-0 Monocryl. 412 breast augmentation via a periareolar incision was done, from Jan 2012 till August 2022. Healing was satisfactory in most cases in unmarried girls. The periareolar incision, if given accurately, usually yields almost imperceptible scars. So this approach is a favourable choice for many, especially those who are unmarried.

Background: Vascular anomalies in the head and neck area is not rare. It is especially common for vascular anomalies to involve the lip. The lips are functionally and aesthetically very important component of the head and neck area. A retrospective analysis of data from our center was performed to understand the characteristics and treatment requirements of vascular anomalies of the lip and to establish the reconstructive approaches to make the involved lip aesthetically more acceptable.

Methods: A retrospective study was performed on patients diagnosed with vascular anomalies of the upper or lower lip from July 2015 to June 2021. Using clinical photographs, radiologic findings, and patient records, the diagnosis of each case and the location of the vascular anomaly were recorded along with information about treatment and follow up. Patients’ satisfaction level was observed.

Results: A total of 40 patients were diagnosed with vascular anomalies of lip over this time. Surgical treatment without embolization, sclerotherapy, medication only and observation were the treatment strategies adopted in these cases.

Conclusions: Vascular anomalies of the lip should be diagnosed accurately. Several techniques were used to treat vascular anomalies of the lip. When surgical excision is indicated for the correction of vascular anomalies of the lip, the aesthetic and functional characteristic of the lip should be considered.