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The use of skin flaps in the post-auricular region and the mastoid region associated with or without cartilage framework yields good cosmetic and functional result. The various techniques used for ear reconstruction yielded 100% satisfactory results in terms of functional outcome as well as boosting the confidence of patients.

Burns can be devastating and result in unwanted consequences with prolonged length of hospital stay. The mortality rate increases as the total body surface area increases, so proper management of patients with extensive degrees of burns is crucial for their survival. We present the hospital course, management, and survival of a patient after he sustained a 95% total body surface area, second-degree burn from a gas flame. Furthermore, we present from the literature different cases of patients with large total body surface area burns and survived after being managed in burns specialty centers. Although large total body surface area burns can result in significant morbidity and mortality, early management and intervention by an expert surgical team can result in positive outcomes.

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Background: Variceal hemorrhage is perhaps the most devastating portal hypertension-related complication in patients with cirrhosis, occurring in up to 30% of such individuals during the course of their Variceal hemorrhages occur only when there is a clinically significant portal hypertension, defined as HVPG > 12 mmHg. The 1-year rate of a first bleeding episode is 5-15% as many as 70% of the survivors have recurrent bleeding within 1 year after the index hemorrhage. Patients surviving in the first episode of variceal haemorrhages are at high-risk of recurrent bleeding, with a mortality of 33%, and thus should have secondary therapy to prevent further variceal bleeding. Methods: 80 haemodynamically stable patients with esophageal varices (post first bleed) were included in the study. The male : female ratio was age range was between 22-63 years and the mean age was 49.32 years. Results: Re-bleeding rate of EVL (Group A) was 37% rebleeding rate of EVL+Propanol (Group B) was 18%. The difference was not statistically significant. The appearance of new varices initial eradication was less in group B, this was statistically significant (P value < 0.008). Mortality in group A was 9%, while it was 43% in group B, however the results were statistically not significant. Conclusion: Combination therapy using β-blockers with EVL (Group B) has statistically significant benefit (P < 0.001) over endoscopic variceal ligation alone (EVL) Group A, in the secondary prophylaxis of bleeding oesophageal varices.