Venous ulcer is an extremely common aetiology of lower extremity ulceration, which affects approximately 1% population in most of the countries, and the incidence rate increases with age and female gender. Proper assessment and diagnosis of both the patient and ulcer are inevitable in order to differentiate venous ulcers from other lower extremity ulceration and to frame an adequate and individualised management plan. Venous ulcers generally persist for weeks to many years and are typically recurrent in nature. This consensus aims to present an evidence-based management approach for the patients with venous ulcers. Various management options for venous ulcers include compression therapy, minimally invasive procedures like sclerotherapy and ablation techniques, surgical procedures, debridement and medical management with micronised purified flavonoid fraction (MPFF). Compression therapy is the mainstay treatment for venous ulcer. However, in failure cases, surgery can be preferred. Medical management with MPFF as an adjuvant therapy to standard treatment has been reported to be effective and safe in patients with venous ulcer. In addition to standard therapy, diet and lifestyle modification including progressive resistance exercise, patient education, leg elevation, weight reduction, maintaining a healthy cardiac status and strong psychosocial support reduces the risk of recurrence and improves the quality of life in patients with venous ulcer.

A 58-year-old woman presented with a pulsatile swelling in the right neck of 12 years' duration (A). The clinical examination revealed right ptosis, deviation of the tongue to right, and a large pulsatile swelling of 11 ϫ 8 cm in the right neck lifting the right pinna.Cytologic evaluation of a fine needle aspiration specimen at another center showed blood. Computed tomography (CT) imagery demonstrated an intensely enhancing vascular mass lesion with extensive vascular arcades seen in the right parapharyngeal and submandibular region causing splaying of the carotid arteries, suggesting a carotid body tumor (Cover). On exploration, the tumor was arising from the vagus nerve, and this needed to be sacrificed for total excision of the tumor (B). The tumor was hypervascular, with multiple feeding vessels from the external carotid artery. Ligation of the external carotid artery resulted in reduced bleeding from the tumor and its separation from the internal carotid artery (C). Histopathologic examination suggested a vagal paraganglioma. Postoperatively, hoarseness developed and a nasogastric tube was placed for a week.

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[This corrects the article DOI: 10.1007/s12262-018-1726-3.].