Description and successful management of a patient with Tessier no. 0 and 3 facial cleft is being presented. Appropriate evaluation was done to rule out the presence of median cleft face syndrome. Lip cleft was repaired by straight line technique with staggering at the vermilion border. Nasal cleft was reconstructed by a transposition flap and the flap taken from the upper lip after correction of the midline cleft. Satisfactory outcome was achieved for this singular deformity by conforming to the basic tenets of plastic surgery.

introduction: Replantation should be the prime indications for treatment of amputated fingers, due to functional and aesthetic advantages. Study aimed to evaluate not study the functional outcome of digital replantation over a period of 5 years. Material and methods: Seventy four digital replantations were carried out since June 2013 till May 2018. Mechanism of injury was sharp in 36 digits, crush in 18 digits, avulsion in 14 digits and blast injury accounted for 6 digits. The distribution of replanted digits was 38 thumbs, 22 index fingers, 9 middle fingers and 5 ring fingers. In 18 patients multiple digits were replanted. Eleven digits required reexploration and two digits were reexplored thrice. Results: We had 62 successful replantations with 12 failures. 18 digits had good functional recovery, 30 satisfactory recovery and 14 poor function. The subjective satisfaction score was calculated by the DASH score. conclusion: Replantation surgery have become the method of choice in treating the digit amputations with the development of microscope. The viability of the replanted part is guaranteed by a successful vessel anastomosis, while the quality of the bone, tendon, nerve, and skin repair will determine the overall functional success of the replanted parts. Repair of all structures at the time of the primary procedure should be attempted, as secondary surgery is technically difficult.