The use of diced cartilage grafts in reconstructive surgery was first described by Peer in 1943 though it was not for rhinoplasty. A number of studies describing diced cartilage have followed since then, but the technique has never achieved widespread use. In recent years, however, an interest in using diced cartilage for augmentation rhinoplasty has resurfaced. As surgeons revisit this technique, it is important that this technique is subjected to critical evaluation in terms of materials, approaches, and indications of using using diced-cartilage augmentation. External rhinoplasty approach with diced cartilage as a graft was used to for augmenting the nasal dorsum in 32 patients. Cosmetic appearance improved in all cases both subjectively and objectively. Only one patient showed constriction of dorsum 09 months after surgery. None of the patient had any intra-operative complication, 02 had donor site complication in the form of aural haematoma in 01 patient and wound infection in 01 patient. Diced cartilage technique is an attractive option for use in rhinoplasties especially those requiring augmentation procedures.
Ocular trauma accounts for a significant proportion of cases in any emergency eye outpatient department. There are very few cases reporting ocular injuries after leech exposure. Leeches are annelids belonging to the subclass Hirudinea; they dwell in fresh water and the sea and can be terrestrial. An oral sucker present anteriorly helps to attach to the host by releasing an anesthetic that prevents its recognition as a foreign body. Although many methods of leech removal have been proposed, its removal with forceps after instillation of local anesthetic remains a safe and effective method.
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