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Perth, Australia

Zaman S.R.,Plastic
BMJ Case Reports | Year: 2012

A case of a young man who developed heterotopic ossification (HO) in his elbows following an accident where he sustained petrol burns to over 60% of his body. His injuries necessitated intubation, escharotomies and a protracted intensive care unit stay that was complicated by septicaemia. Several weeks after the injury, he was diagnosed with HO in his right elbow, followed by the left elbow a week later. He was commenced on an non-steroidal anti-inflammatory drug, a long-term course of a bisphosphonate and regular physiotherapy. He is now waiting for the HO bone to mature before having definitive excision of his lesions in 12-18 months time. Copyright 2012 BMJ Publishing Group. All rights reserved. Source


Zaman S.R.,Plastic
BMJ case reports | Year: 2012

A case of a young man who developed heterotopic ossification (HO) in his elbows following an accident where he sustained petrol burns to over 60% of his body. His injuries necessitated intubation, escharotomies and a protracted intensive care unit stay that was complicated by septicaemia. Several weeks after the injury, he was diagnosed with HO in his right elbow, followed by the left elbow a week later. He was commenced on an non-steroidal anti-inflammatory drug, a long-term course of a bisphosphonate and regular physiotherapy. He is now waiting for the HO bone to mature before having definitive excision of his lesions in 12-18 months time. Source


Cakir B.,Private Practice | Dogan T.,Private Practice | Oreroglu A.R.,Plastic | Daniel R.K.,University of California at Irvine
Aesthetic Surgery Journal | Year: 2013

Surface aesthetics of the attractive nose are created by certain lines, shadows, and highlights, with specific proportions and breakpoints. Our evaluation of the nasal surface aesthetics is achieved using the concept of geometric polygons as aesthetic subunits, both to define the existing deformity and the aesthetic goals. Surgical techniques have been developed and modified to achieve the desired surface appearance, and those are detailed in this article. The principles of geometric polygons allow the surgeon to analyze the deformities of the nose, to define an operative plan to achieve specific goals, and to select the appropriate operative technique. These aesthetic concepts and surgical techniques were used in 257 consecutive rhinoplasties performed in the past 3 years by the principal author (B.Ç.). © 2013 The American Society for Aesthetic Plastic Surgery, Inc. Source


Ahmad M.,Plastic
Journal of Pakistan Association of Dermatologists | Year: 2012

Objectives: To know the frequency of cutaneous malignancies presenting in a private setup. Patients and methods: The study was conducted in a private plastic surgery setup from 2006 to 2010 including all the patients presenting in the clinic with cutaneous malignancies. The history included the age, onset, duration and evolution of the lesion. The history of sunlight exposure and occupation was also noted. The diagnosis was confirmed by excision/wedge biopsies in all the cases. All the patients were managed according to the standard oncological principles. Results: A total of 122 patients were included in the study. Majority of the patients were males (64.8%) with male to female ratio of 1.8:1. The mean age in male patients was 61.6 years as compared to 41.8 years in female patients. Majority of the male patients were farmers (48.1%). Only 6.3% of the males were office workers. Face (66.4%) was the most commonly affected area followed by leg. BCC was the commonest malignancy disclosed followed by SCC. The lesion underwent surgical procedures after excision including skin grafting, vacuum-assisted closure therapy and skin grafting, local and distant flap coverage depending on the situation. Conclusion: The prime aim remains the early detection and diagnosis and prompt treatment to lessen the morbidity and mortality associated with these malignancies. Source


Oreroglu A.R.,Plastic | Daniel R.K.,University of California at Irvine
Aesthetic Surgery Journal | Year: 2014

Tip rhinoplasty is a key component of aesthetic rhinoplasty. An understanding of the correlation between tip surface aesthetics and the underlying anatomic structures enables proper identification and correction of tip abnormalities. Surface aesthetics of the attractive nose are created by certain lines, shadows, and highlights with specific proportions and breakpoints. In this Featured Operative Technique, the authors describe a stepwise process for tip rhinoplasty that conceptualizes aesthetic subunits as geometric polygons to define the existing deformity, the operative plan, and the aesthetic goals. Tip rhinoplasty is described in detail, from initial markings through incisions and dissection. The autorim graft concept is explained, and lateral crural steal and footplate setback techniques are described for the attainment of symmetric domes with correct lateral crural resting angles. Methods in columellar reconstruction are described, including creating the columella (C′) breakpoint and the infralobular caudal contour graft. The principal author (B.Ç.) has applied these techniques to 257 consecutive "polygon rhinoplasties" over the past 3 years. © 2014 The American Society for Aesthetic Plastic Surgery, Inc. Source

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