brahmanand clinic

                                                                  case 1 inferiorly based ear avulsion  after wash and repair two weeks after from behind case 2 superiorly based ear laceration immediately following repair  after one week Ear avulsion is a common injury following motorcycle accident . Ear has robust blood supply and if handled properly it survive easily.   Both superior based or inferior based flap survive as illustrated by these two index cases. Through wash with saline , betadine and hydrogen peroxide is mandated. Removal of all foreign particle , debris and non vitalised tissue is also necessary.Care repair with correct approximation of anatomical structure is mandated to get good results. Dr Adhishwar Sharma MBBS,MS Gen Surgery PGIMER Mch Plastic Surgery Fellowship in Hand surgery and Microvascular Surgery brahmanandclinic.com, adhishwar7@gmail.com 8860650846

pre op wound digital artery flap raised flap insetted checking bleeding before closure viable flap after two days after two days                                        suture removed after two weeks                                         Finger tip amputation are common emergency faced by plastic surgeons. Replantation is ideal but often not feasible. Cross finger flap and Thenar flap is usually  done to cover the stump.But these procedure are two stage with considerable morbidity. Digital artery perforator flap are single stage procedure with little or no morbidity. It is fast easy and has excellent results. Dr Adhishwar Sharma MBBS, MS General surgery PGIMER Chandigarh Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery brahmanandclinic.com 8860650846, adhishwar7@gmail.com