Background: Closure of wound depends on the location, length of the wound and the age of the patient. Ideally, wound closure device should be easy to enable rapid closure, painless and provide excellent cosmetic appearance and it should be cost effective. Optimal closure technique is necessary for cosmesis and avoiding infection, scarring and adequate wound healing. Proper evasion of wound edges, minimal suture marks, adequate tensile strength and optimal approximation of skin edges should be learnt. Materials and Methods: The present study is a randomized study conducted at Sir Sayajirao General Hospital and Medical College, Vadodara from June 2017 to October 2018 on 100 patients with a follow up period of 1 month. Patients were evaluated postoperatively with respect to closure time, pain, cosmesis and complications like seroma, infection, wound dehiscence, etc.Results: Adhesive tape is better in terms of short closure time, post-operative pain and price as compare to suture material for closure of surgical site incisions but more number of randomized control trials and multicenter trials need to be undertaken with long term follow up for scar assessment.

Background: Auricular defects pose one of the most difficult challenges in reconstructive surgery of the head and neck. The reason is the unique three-dimensional anatomical architecture of the auricle, with its multiple concavities and convolutions of the cartilage and the thin, delicate skin cover. Acquired auricular deformities commonly result from traumatic injuries, burn trauma or tumour extirpation. These vary in severity from simple lacerations to complete auricular avulsions. Congenital ear deformity (microtia) occurs in every 1 out of 6000 live births. The goal of reconstruction is the precise duplication of the missing anatomical part with regard to size, orientation and anatomical landmarks.Methods: Range from healing by secondary intention to complete replacement with autologous rib cartilage and/or auricular prosthesis. Total auricular reconstruction was done by two methods: (1) Nagata and (2) Brent’s method. Nagata’s technique is commonly performed in this study. The present study aimed to evaluate the reconstruction of auricular defects using autologous rib cartilage graft with or without temperoparietal fascia flap covered by split-thickness skin graft.Results: Excellent cosmetic result can be obtained with adequate skills and training in carving the cartilage for auricular framework. This improves confidence and gives psychological support to microtia patients.Conclusions: With training and method, results in ear reconstruction using autologous rib cartilage are excellent and reproducible.

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Injuries to hand are common at work. Most of them are noticeable and can be managed. Complete foreign body removal depends on location and mechanism of injury. There are few reports of accidental injury by foreign body followed by delayed retrival of foreign body. We report this case of delayed removal of foreign body after 6 months hoping to expand the literature and to provide insight to prevent septic complications by early prompt detection and removal of foreign bodies.