7 research outputs found
History- The history of the plastic surgery department, K.E.M. Hospital, Mumbai, India
The history of the Department of Plastic Surgery, K.E.M. hospital,
Mumbai, is presented from its inception in 1961, to date. The initial
struggle, hard work and complete dedication have been mentioned. Fond,
cherished memories of personalities, faculty and students along with
their contributions are revived
Preparation of Plaster Moulage (Cast) in Plastic Surgery patients
The purpose of this paper is to describe the technique of making casts
using alginate compound for negative and dental stone plaster for
positive impressions. With certain modifications a cast could be made
of any part of the body and one can make a museum of interesting cases.
Casts serve as useful teaching material especially in cleft lip and
palate patients to study the effect of surgery on growth and
development of the cleft lip-palate-nose complex in relation to the
remaining face. It also helps in planning reconstruction in cases of
facial defects, recording serial changes in multistage surgery,
pre-operative and post-operative comparison as in rhinoplasty, ear
reconstruction, hand etc; for comparing results before and after
treatment in keloid and hypertrophic scars, fabrication of implants and
preparation of prosthesis. In spite of newer modalities like 3-D
imaging and stereolithography, the usefulness of this old technique in
certain interesting cases can not be denied
Median cleft of mandible and lower lip with ankyloglossia and ectopic minor salivary gland on tongue
Median cleft of lower lip and mandible is a rare anomaly. This Cleft has also been described as Cleft No. 30 of Tessier's classification. In minor forms only lower lip is cleft. Frequently, the cleft extends into the mandibular symphysis and the tongue is attached to the cleft alveolar margin. At times the tongue may be bifid or absent, hyoid absent, thyroid cartilage underdeveloped, strap muscles atrophic, manubrium sterni absent, clavicles widely spaced etc. The earliest report of this anomaly was by Couronne' in 1819. Since then very few cases have been reported in literature with variations. We describe a male child who presented at the age of 6 months with an ectopic salivary gland on the dorsum of the tongue in addition to median cleft of lower lip, ankyloglossia and notching of the mandible. Excision of mass on dorsum of tongue, release of ankyloglossia and lip from the alveolus followed by repair was done. No bony work was done since the mandible was only notched. On post-operative follow-up at 18 months, dentition was delayed in both maxillary as well as mandibular teeth and there was a gap between the lower central incisors. At the age of 2 years 4 months, the dentition is still not complete and the gap between the lower central incisors is very apparent. There is a supernumerary upper central incisor on right side. There is no mobility between the two segments of mandible. Speech is normal. A regular follow-up will be done to study the eruption of permanent central incisors at the age of 7 years and till eruption of all permanent teeth to assess the occlusion and to decide whether any bony work is needed or not
Median cleft of mandible and lower lip with ankyloglossia and ectopic minor salivary gland on tongue
Median cleft of lower lip and mandible is a rare anomaly. This Cleft has also been described as Cleft No. 30 of Tessier's classification. In minor forms only lower lip is cleft. Frequently, the cleft extends into the mandibular symphysis and the tongue is attached to the cleft alveolar margin. At times the tongue may be bifid or absent, hyoid absent, thyroid cartilage underdeveloped, strap muscles atrophic, manubrium sterni absent, clavicles widely spaced etc. The earliest report of this anomaly was by Couronne' in 1819. Since then very few cases have been reported in literature with variations. We describe a male child who presented at the age of 6 months with an ectopic salivary gland on the dorsum of the tongue in addition to median cleft of lower lip, ankyloglossia and notching of the mandible. Excision of mass on dorsum of tongue, release of ankyloglossia and lip from the alveolus followed by repair was done. No bony work was done since the mandible was only notched. On post-operative follow-up at 18 months, dentition was delayed in both maxillary as well as mandibular teeth and there was a gap between the lower central incisors. At the age of 2 years 4 months, the dentition is still not complete and the gap between the lower central incisors is very apparent. There is a supernumerary upper central incisor on right side. There is no mobility between the two segments of mandible. Speech is normal. A regular follow-up will be done to study the eruption of permanent central incisors at the age of 7 years and till eruption of all permanent teeth to assess the occlusion and to decide whether any bony work is needed or not
Case Report- Sweat gland tumor (Eccrine Porocarcinoma) of scalp: A rare tumor
Eccrine Porocarcinoma is a rare neoplasm arising from sweat glands. It
was first described by Pinkus and Mehregan as ′Epidermotropic
eccrine carcinoma′. It may occur de novo or as a malignant
transformation of an eccrine poroma. It is commonly found in older age
group and in the lower extremities. Clinically, it may present as a
verrucous plaque, polypoid growth or an ulcerative lesion of long
duration. Local recurrence and metastasis to skin, lymphnodes, viscera,
and bone may occur. Treatment is wide local excision. Metastatic
lesions can be treated with chemotherapy. We report a case of eccrine
porocarcinoma of the scalp in a 50 years old female who presented to us
with a bosselated, firm, painless, non-tender, freely mobile swelling
over left fronto-parietal region of 12 years duration. It was excised
and histopathological diagnosis was Eccrine Porocarcinoma. In
literature, scalp porocarcinoma is a very rare tumor