brahmanand clinic

pre op mouth opening mouth opening Temporal fascia raised Superficial temporal fascia interposed to prevent  re ankylosis mouth opening Superficial temporal fascia A 58 year old female who developed post traumatic TM joint ankylosis , was operated upon . Ankylosis was released and superficial temporal fascia interposition arthroplasty was done to prevent re ankylosis. Dr Adhishwar Sharma MB,BS, MS General Surgery PGIMER Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery 8860650846 brahmanandclinic.com brachialplexus7.blogspot,com one week after video of patient showing excellent mouth  opening ,no pain .

                                                                  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...

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 i...

5 year old girl had a glass cut injury on the medial aspect of arm ( inner side) . Due to resultant bleeding patient was rushed into emergency she was operated upon as soon as possible. Brachial artery was repaired with reversed saphenous vein graft . Median and ulnar nerve nerve repair was done end to end .Biceps and triceps muscle were also repaired. Theses are common emergency situations in which plastic surgeons are involved , soft tissue trauma in any part of body and facial fractures are commonly dealt  by plastic surgeons apart from burns, Dr Adhishwar Sharma MB,BS MS (gen Surgery)PGIMER Chd Mch Plastic Surgery Fellowship in microvascular and Hand surgery brahmanandclinic.com 8860650846 adhishwar7@gmail.com

                                                   post operative patient walking ulcer with VAC dressing Gracillis flap insetted flap from dorsal to hind foot skin graftted wound before skin graftted fully healed foot healed foot dorm healed healed foot lateral view six months old 41 year male diabetic with hind foot ulcer for six months . He under went debridement and VAC therapy which removed and underwent flap cover. Microvascular gracilis muscle flap was done , flap artery connected to ant tibial artery. Post op was uneventful , distal part of flap was lost . After ten day he under went skin grafting . Patient had total graft take , pressure garments and silicone gel sheet was advised. He went back to his work. Dr Adhishwar Sharma MB,BS , MS (Gen Surg)PGIMER Chd Mch Plastic and R...