Management options of basal cell carcinoma in surgery

To describe the prevalence, mode of presentation and various surgical options of reconstruction in the management of basal cell carcinoma. Descriptive Study. This study was conducted at Nishtar Hospital, Multan from 2006 to 2009. 60 patients were taken in this study. A separate file was maintained for each patient. A thorough history and full physical examination was conducted, relevant investigations were carried out. Out of sixty cases, 50 [83%] were male and 10 [17%] were female. Majority of the patients presented to us above the age of 45 years and the incidence of BCC increases with the age. The male to female ratio was 5:1. Out of 60 cases 26 [20 male, 6 female] 43.3% were farmer, 16 [all male] 26.6% wee construction workers, 10 [8 male, 2 female] 16.6% were unemployed and 8 [all female] 13.3% were household. No patient presented before 5 years after the development of the lesion. 34 [30 male, 4 female] 56.6% for the last 6-10 years, 20 [16 male, 4 female] 33.3% for the last 11-15 years, 2 [all male] 3.3% for 16-20 years and 4 [2 male, 2 female] 6.6% had lesions for > 20 years. Delay in presentation has an overall negative effect on the outcome

Distally based sural neurocutaneous flap for ankle and foot reconstruction

To evaluate role of sural neurocutaneous flap for reconstruction of ankle and foot in our set up. Department of Plastic Surgery, Pakistan Institute of Medical Sciences, Islamabad. From January 1997 to August 2004. We conducted a prospective study to evaluate the role of distally based sural neurocutaneous flap for soft tissue reconstruction of the ankle and foot. A total of 33 patients with soft tissue defects of the ankle and foot were managed by this flap. Mean age of the patients was 31.8 years with range 10-70 years, 30 males and 3 female were included in the study. Most common cause of the defect was trauma and heel was the most common location. Mean flap length was 18.4 cm and mean width 6.2 cm. Range of flap dimensions was 12 x 4 cm. to 28 x 8 cm. Minor complications occurred in three cases. These included partial flap necrosis, wound dehiscence and flap oedema. We conclude that distally based sural neurocutaneous flap is a very effective tool for reconstructing the soft tissue defects in the difficult ankle and foot region

Maxillofacial trauma: Current practice in management at Pakistan institute of medical sciences

This study was carried out to determine the aetiology, pattern and management of maxillofacial injuries at PIMS, Islamabad. This descriptive study was conducted at Plastic Surgery Department, PIMS Islamabad from 1st February 1998 to 30th April 2002. All the adult patients presenting with maxillofacial injures were included where as patients less than 12 years of age and only facial lacerations were excluded. Similarly isolated nasal bone fractures were also excluded because these patients were routinely managed by ENT department. Age, sex, presentation, aetiology, associated injuries and treatment modalities undertaken in these patients were recorded. In 164 patients 254 fractures were noted. Most were male [86%], ranging in age from 13'71 years with a male to female ratio of 6:1 respectively. The most frequent [48%] cause noticed was road traffic accidents followed by assault. Mandible was the commonest to be involved in such injuries followed by maxilla. Most of the patients [32%] had associated facial injuries. Various treatment modalities were practiced. Maxillofacial fractures should be managed by open reduction and internal fixation as early as possible