Tanino class II was the most common type observed in our studies. A few rarer associations such as nevus of Ito and hemangioma were also noted in our patients.

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INTRODUCTIONRepair of partial or incomplete ear lobe cleft is a common request in cosmetic surgery. Due to the upsurge in ear lobe piercing, more patients present with complications like ear lobe cleft dilatation, complete tear and mutilation. Many factors such as facial aging, local trauma and mechanical effects of the ear ring contribute to ear lobe clefts. Ear lobe clefts are generally classified as complete or incomplete. Complete clefts are usually unilateral and caused by trauma. Incomplete clefts are usually bilateral, seen in women who use heavy ear ring for a prolonged period. A partial cleft occurs when the piercing canal is elongated or deformed, but has not severed through the earlobe.There are many surgical and non-surgical techniques described for ear lobe cleft repair.1-5 Removal of the scar epithelium and approximation of the edges form the basis of these techniques. Phenol and tricholoroacetic acid (TCA) has been used in non-surgical closure of ear lobe clefts. 3 We conducted a study to assess the efficacy of TCA in incomplete ear lobe cleft repair. METHODSThis study was conducted at department of dermatology, PSG hospitals for a period of one year from June 2014 to June 2015. A total of 30 females with bilateral incomplete ear lobe cleft were included in the study group. Pateints with keloidal tendency, pregnant and ABSTRACT Background:The aim of the present study was to assess the efficacy of 100% trichloroacetic acid (TCA) for the incomplete ear lobe cleft repair. Methods: A total of 30 females with bilateral incomplete ear lobe cleft were included in the study group. Under local anaesthesia, 100% TCA was applied to the abraded surface with the help of toothpick till frosting was achieved and the wound was closed with a micropore tape. Patients were reviewed weekly and 100% TCA was applied until frosting was achieved, without abrasion on the edges of cleft once a week till complete closure of the ear lobe cleft. Results: Out of 30 patients 28 (93.33 %) had complete closure of cleft. Two patients (6.66%) had incomplete closure even after four application of TCA. Temporary post inflammatory pigmentation was seen in 22 (73.33%) patients which subsided one week after the last TCA application. Minimum number of sittings required was one and maximum required for complete closure was 3 sessions. Conclusions: Multiple applications, temporary post inflammatory pigmentation, inward rolling of edges, mild scarring as a result of secondary healing of the wound and failure to repair the bigger clefts were the disadvantages of this technique.

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Introduction:Allergic contact dermatitis (ACD) is an inflammatory disorder, which occurs as a result of repeated contact with an allergen. Fragrances are the products obtained naturally or produced synthetically. The purpose of this study is to detect the fragrance allergens producing ACD.Materials and Methods:This is an open-label prospective observational study. Patients of age above 18 years with history of using cosmetic products with dermatitis lesions over face, neck, axilla and hands were included. Patch testing was done with fragrance series by using the standard technique. The results were interpreted on day 2 and day 4 as recommended by International Contact Dermatitis Research Group criteria.Results:Totally 27 patients were included in this study. Of them, 12 were males and 15 were females; the mean age was 43 years. The mean duration of symptoms was 12.5 months. The most common site of involvement was hands. Housewives and office workers were the most commonly affected occupational groups. The most commonly used category of cosmetic product was talcum powders by 13 (48.1%) patients. In this study, 85.18% patients showed at least one fragrance antigen positivity. Fragrance mix II is the most frequent allergen in this study.Discussion:We conclude that the fragrance mix II is an important marker to find out fragrance allergy. Hand dermatitis is the most common presentation in patients with fragrance allergy. Perfumed talcum powders, soaps and perfumes are the leading sources of sensitization to fragrance allergens.