The distance of the victim from the blast site has no major infiuence in producing effects on middle and inner ear in our study of the surviving individuals. Rupture of the tympanic membrane occurs due to the positive wave but both everted and inverted edges can be found in multiple perforations of the tympanic membrane.

Introduction Pectoralis muscle flap is one of the most common regional flap used in orofacial reconstruction. Mobilization of pedicle and reach of the skin paddle is a technical consideration. Method Based on the anatomical difference in blood supply to clavicular and sternal head, we elaborate a tecnique to maximise the length of pedicle in maxillofacial reconstruction. Conclusion The proposed technique is reproducible and reliable and possibly increase the indications of usage of the flap.

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