3. Binder’s syndrome: Modified approach for correction of Nasomaxillary hypoplasia.

Introduction: Binder syndrome is a relatively uncommon syndrome characterized by nasomaxillary hypoplasia. Different approaches for correction of hypoplastic nasomaxillary complex has been developed and studied over years. Our study shows our experience with extra oral only technique of onlay costal cartilage graft for nasal dorsal augmentation, premaxilla augmentation and columella lengthening in three patients. Materials and Method: We report here three patients with nasomaxillary dysplasia whose noses were corrected with onlay costal cartilage grafts using external rhinoplasty approach for nasal dorsal augmentation, columellar lengthening, and premaxillary augmentation. L struts made for nasal augmentation, columellar lengthening, and premaxillary augmentation were fixed to one another by putting it in dissected pockets. Results: All the patients were operated single time. Patients were followed up with sequential photography over 6 months to 2 years. Costal cartilage maintained their volume in post operative period. Conclusion: Binder's Syndrome: Augmentation of the premaxilla is necessary along with nasal augmentation and columellar lengthening with autogenous costal cartilage grafts for effective treatment. Augmentation with costal cartilage is enough to give an aesthetically pleasing facial profile in mild to moderate cases

5. The role of microvascular free tissue transfer for foot and ankle defects: Results and outcome.

Introduction: The foot and ankle defects include large primary defect following trauma, infection with osteomyelitis and oncologic resection with soft tissue loss. The primary goal of lower limb reconstruction is to prevent amputation and give a durable coverage of defects. Therefore, microvascular free tissue transfer is a useful and an effective method for foot and ankle reconstruction. Materials and method: In the current study, we performed a prospective analysis of patients who underwent lower limb reconstruction at our medical institution during the period of January 2018 to October 2018. In our study we reconstructed defects of dorsum of feet and ankle using radial forearm free flap, latissimus dorsi free flap, anterolateral thigh free flap. These were performed patients age ranging between 20 to 55yrs. All the patients were followed for 6 months. Results: there were 15 patients, 13 males and 2 females, with age ranging between 20 to 55years; we reconstructed defects of dorsum of foot and ankle defects with free flap. Overall survival of flap rate was 93.3% (14/15) Conclusion: Free flap is an ideal option for foot and ankle defects especially in patient with large defects to salvage the limb. It is a better option in case of sole and dorsum of foot defects

06 Use of locoregional Perforator Flaps for reconstruction of lower limb defects: Our experience

<p>23A | 36 | JAN 2021 | IJABMS</p><p>Medical Journal Research Article</p><p>06 Use of locoregional Perforator Flaps for reconstruction of lower limb defects: Our experience</p&gt