Abstract:The

Soft tissue loss at the weight bearing part of heel is frequently caused by trauma, infection, tumor and burn. Reconstruction becomes a challenge due to limitation of available similar or near similar tissues. Sensation of weight bearing heel is an important consideration prior to reconstruction, also the intact Posterior Tibial arterial blood flow, which becomes the dominant artery for the sole of the foot. We have done heel reconstruction of 30 patients with the Medial Plantar Island flap and 50 patients with Superficial Sural Island flap. Results were very much encouraging in terms of flap survival, durability of coverage and functional outcome. Twenty nine cases of Medial Plantar Island flap survived with excellent weight-bearing function. Among the Medial Plantar Island flap group one flap was lost due to vascular insufficiency in a diabetic patient. All the 50 cases (100%) of Superficial Sural Island flap survived without any flap loss. These flaps need about two years time for adaptive changes to become a smooth weight bearing heel. During this period the reconstructed heel needs to be supported by heel pad or modified shoes. Our study has shown that Medial Plantar Island flap and Superficial Sural Island flap are the two armamentarium for reconstruction of the weight-bearing heel in about all cases of heel defects with excellent to better reconstructive and functional outcome.DOI: http://dx.doi.org/10.3329/bdjps.v1i1.6487Bangladesh Journal of Plastic Surgery (2010) Vol. 1 (1) pp.14-18

In this article we report one case of lipoma of the penis in a twenty three years old young male. This site of lipoma is rare. A case of a young male patient who consulted for removal of a penile lump is presented. The small, regular, wellcircumscribed pedunculated tumor localized on the ventral aspect of the penis was excised. The histopathological analysis showed a benign lipoma. A review of the literature showed lipoma of the penis to be very uncommon. For this reason, we were prompted to report this case.DOI: http://dx.doi.org/10.3329/bdjps.v3i1.15003 Bangladesh Journal of Plastic Surgery 2012, 3(1): 24-25

Normal hand function is a balance between the extrinsic-intrinsic and extensor-flexor group of musculature. Although individually the intrinsics are very small muscles, collectively they contribute about 50% of grip strength. Total 19 patents with claw deformity were corrected by 4 different techniques. 11 claws were due to high ulnar nerve palsy and 8 were due to low palsy. Result was excellent in 9 (47.36%), good in 7(36.84%), fair in 2(10.52%) and poor in 1(05.26%) patient. Zancolli’s Lasso was the most common procedure used for correction of claw deformity. 1(05.26%) patient developed swan neck deformity treated by FDS 4 tail procedure of low lesion group and final result was fair, another 1 (05.26%) patient developed contracture of the PIP joint. Though exact biomechanical correction of claw is complicated yet function of the hand can be improved with different techniques of tendon transfer.DOI: http://dx.doi.org/10.3329/bdjps.v3i1.15000 Bangladesh Journal of Plastic Surgery 2012, 3(1): 13-18

Hidradenitis suppurativa is a rare non-contagious, chronic, relapsing suppurativa cicatrizing skin disease that most commonly affects areas of the body bearing apocrine sweat glands or sebaceous glands, such as the underarms,  breasts, inner thighs, groin and buttocks, which manifests itself as a clusters of chronic abscesses, sinus, fistulas  or multilocalised infections. This physically, psychologically, and socially disabling disease is extremely painful  to touch and may persist for years with occasional to frequent periods of inflammation, culminating in drainage,  often leaving open wounds that will not heal. As it is considered as a rare disease the incidence rate is not well known, but estimated in a range between 1:24(4.1%) and 1:600(0.2%) in which the post-pubertal females are more affected than males. The exact cause of hidradenitis suppurativa remains unclear. What is understood is  that the condition is a disorder of follicular occlusion. With genetic predisposition, obesity, hormonal influences  etc contribute to the causation of the disease .There is no cure for hidradenitis suppurativa. But early treatment can help to manage the symptoms and to prevent new lesions from developing. Long term antibiotics are the treatment of choice in early stage, but relapsing and recurrent cases may need surgical interventions. Here we present an 18 year old girl suffering from this disabling disease in both axillas, sternal and submammary region for six years. She was treated inadequately with oral antibiotics and surgical intervention in the form of incision and drainage done previously. We treated her with wide excision of the diseased skin and defect reconstructed with  local advancement flap. Histopathological study of the excised skin revealed Hidradenitis suppurativa.   Key word : Epidermis/surgery; vitiligo/therapy; transplantation alutologous DOI: http://dx.doi.org/10.3329/bdjps.v1i2.8803 BDJPS 2010; 1(2): 30-37