Search PubMed⌕ Search

Biomedical subjects

P S Bhandari

Publications and source records attributed to P S Bhandari.

6 recordsLinked to original sources
PubMed2004

Simultaneous and symmetrical reconstruction of heminose and restoration of nasal airway in congenital absence of heminose.

Congenital absence of heminose is an extremely rare anomaly. Reconstruction of full thickness defects of the nose requires lining, support and cover. Reconstruction of congenital absence of heminose has an additional requirement of reconstruction of the nasal airway. Simultaneous reconstruction of the heminose and internal nasal passage has not been reported earlier. In a case of congenital absence of heminose, reconstruction of the heminose and internal nasal passage was done simultaneously by using expanded forehead tissue and a nasolabial flap. The nasolabial flap is robust and supports the alar margin without any need of cartilage support. The bulk of subcutaneous tissue it carries lies on the outerside of nostril and, therefore, it does not obstruct the nasal opening. This was covered by expanded forehead tissue, which got thinned out due to tissue expansion, thus achieving symmetry with other half of nose. Skin of the nasolabial flap lines nasal passage thereby avoiding the need of splintage of nasal airway which is required if nostril is lined by split skin graft.

Adolescent↗
PubMed2002

Total ear reconstruction in postburn deformity.

The external ear enjoys a special place in society all over the world. It is meant to be flaunted and adorned. Ear piercing is routine, with a range of jewelry pieces concentrating in enhancing its natural beauty. Persons with deformed ears have to limit their range of hair styles. There is a definite need to reconstruct the deformed ear of both sexes. To achieve desirable results in ear reconstruction is a difficult task. Although cartilage fabrication is an important step in ear reconstruction in postburn deformity of the ear, the final outcome is mainly decided by the quality and quantity of skin available in the auricular region for draping of framework.

Burns↗
PubMed2000

Use of triamcinolone acetonide injection in ear reconstruction.

Reconstruction of the complicated contours of the ear is a difficult task. To maintain and recreate the reconstructed contours of ears masked by the following various reasons is even more difficult. During the first stage of cartilage transplantation, the ear contours are quite often masked as a result of prolonged edema; thick, draping skin; organized hematoma; or inflammatory exudates. Dressings and splints have been reported as management methods of the ear postoperatively after the first stage of cartilage transplantation, but it is difficult to use these for a period of 6 months, the time when edema subsides. The author used triamcinolone acetonide injection locally in the area of the scapha and triangular fossa of the reconstructed ear to recreate the contours that were masked. This is a simple and effective method for achieving the desirable contours.

Ear, External↗
PubMed1999

Reverse flow instep island flap.

The retrogradely perfused medial plantar artery flap was used in a leprosy patient with a plantar ulcer over the heads of the second and third metatarsals. The flap is based on the anastomosis of the medial plantar artery with the branch of the first plantar metatarsal artery, which supplies the medial side of the great toe. This design provides reconstruction with like local tissues while not distorting the weight-bearing pattern of the foot.

Foot↗
PubMed1998

Total ear reconstruction in post burn deformity.

Severe thermal injuries to the external ear, in most cases, lead to a total destruction of the pinna. Total ear reconstruction in such cases of burns is one of the most difficult problems faced by a plastic surgeon. This is because of the paucity and poor quality of the skin available in the auricular region. Depending upon the quality and quantity of skin available in the auricular region, patients with total loss of ear following burns were divided into five groups. The surgical procedure for ear reconstruction differed in each group due to differences in skin available for coverage of the cartilage framework. Different covering methods which were used for the draping of the cartilage framework were, normal post auricular skin, local grafted or scarred but soft and supple skin, post auricular fascia, temporoparietal fascia (pedicled or free) and free radial forearm fascial flap. A temporoparietal fascial flap was the cover of choice if local skin was not healthy. During the past eight years, seventy six cases of total ear reconstruction were done for post burn ear deformities. The technique and results are presented here.

Burns↗