Predictive value of maximal stress test in patients showing atypical or no symptoms of ischaemic heart disease.

A study was carried out on 76 patients attending outpatients' department of medicine, Government Medical College, Nagpur. These patients had either (a) atypical angina or (b) no symptoms but certain factors for ischaemic heart disease. All cases were subjected to maximal stress test.

An alternative free-flap technique and 12-year follow-up.

Conventional free-tissue transfer without complication requires a microsurgical facility that includes a team of trained and experienced microvascular surgeons, expensive equipment, and other associated paraphernalia. To obviate the need for an operating microscope, or even magnifying loupes, an alternative technique for free-tissue transfer has been developed by the author and utilized over the past 12 years. The method involves the use of modified fasciocutaneous flaps with long vascular pedicles.

Extracorporeal fascia-fat flap for restoration of facial contour in progressive hemifacial atrophy.

A radial forearm fascia-fat flap transferred by extracorporeal tissue transfer has been evolved and is presented here for the treatment of Romberg's hemifacial atrophy as an alternative to free tissue transfer. The advantages of this technique are that it transfers a similar kind of tissue which is autogenous, the transferred tissue is not liable to undergo absorption, and it has a natural consistency and less gravitational sag. Donor site morbidity is minimal, it is almost a single stage procedure as the second stage is minor, and most important of all, results similar to free flap transfer can be achieved without the facilities and training required for microsurgery.

Reconstruction of penis by prefabrication on forearm.

Posttraumatic total loss of penis in a 20 years old patient was reconstructed by prefabrication of the organ on the forearm using distally based radial forearm flap before transferring it to the perineum using extracorporeal method of tissue transfer. In this case report merits of the technique and the concept are discussed.

Improvisation in wrap-around toe-to-thumb transfer.

Wrap-around partial great toe transfer, a one time dream, is now a well established and universally accepted method of thumb reconstruction. In this technique, part of the soft tissue of the great toe are wrapped around and shaped to the size of the graft from iliac bone in such a manner that a thumb of normal dimensions and shape is produced. Instead of the iliac bone graft, we found great merit in using the second metacarpal from the traumatised hand to be reconstructed.

The radial forearm flap: experiences with the extraordinary procedure.

Radial forearm flap has been increasingly used universally and is now a routine in most plastic surgery units. We developed the technique of Extracorporeal transfer of this flap for the benefit of those who do not have approach to the microsurgical methods. We at the same time used it as an Island flap and as a free flap depending upon the requirements and the feasibility of its transfer.

"Symbiotic tissue transfer"--a new concept in reconstructive plastic surgery.

A new hypothesis of "symbiosis" in reconstructive surgery is introduced, which has been used for single stage reconstruction of a metacarpal hand. The concept, technique and its use, along with it's merits are detailed.

Extracorporeal tissue transfer for intra-oral reconstructions.

After the introduction of the concept of extracorporeal tissue transfer by the author in 1988, the technique has gained world wide acceptance and popularity. However it has not been used intraorally and in this paper we present its use in three very difficult intra-oral reconstructions. The technique is presented along with the results, and the merits discussed.

Extracorporeal tissue transfer for salvage replantation.

The author reports the use of extracorporeal tissue transfer technique for salvaging severed digits of the hand which are unfit for replantation. The technique of extracorporeal tissue transfer has been reported by us earlier. In this paper its use has been extended for salvaging five non replantable digits in two cases.

Proboscis lateralis type IV--a report from the Indian subcontinent.

Proboscis lateralis of type IV has not yet been reported from the Indian subcontinent. The authors gives a report on a case of this type and describes the technique of reconstruction not described before. A case of a right-sided proboscis lateralis associated with ipsilateral hemi-nasal aplasia and contralateral nostril and alar defect, a contralateral cleft lip and alveolus, hypertelorism and mild hydrocephalus is presented and documented on a boy coming from the Indian subcontinent.

The radial forearm flap for reconstruction of the upper extremity.

The radial forearm flap, owing to its good-caliber arteries of long length and equally well distributed venous system, has proved very reliable. It has not only earned its place and recognition in reconstructive hand surgery, but also has emerged as a workhorse for the microvascular surgeon. We have used 14 radial forearm flaps for upper extremity reconstruction, and we present herein our experience.

Microsurgical practice on avulsed skin.

The use of avulsed skin is recommended as a source of vessels for trainees to practise microvascular techniques. If it cannot be used immediately it can be stored in the refrigerator for later use.

Use of methyl methacrylate in bone reconstruction.

We have used methyl methacrylate as bone substitute in 8 clinical cases for a variety of problems, from simple nasal implants to more complicated mandibular reconstruction including the temporomandibular joint complex. The follow-up period, which ranged up to 36 months, has been very encouraging and we continue to use this material routinely in our Unit. We present our experience.

Nonmicrosurgical transfer of the radial forearm flap for head and neck reconstruction.

In this article I present a nonmicrosurgical technique for transferring the radial forearm flap for reconstruction of defects in the head and neck. The technique is described briefly and experience with 7 patients is presented. The advantages of this method are discussed.

Nasolabial myocutaneous island flap for reconstruction of palatal fistula (a case report).

With better understanding of microcirculation of the flaps and with the introduction of the concept of myocutaneous flaps, nasolabial flap has regained its past popularity. Although it has been used increasingly for oral defects, its use for reconstruction of palatal defects has not been reported. Large anterior fistulae of palate are commonly produced when a wide cleft of palate is being repaired in an adult patient, especially by a beginner in plastic surgery, and are difficult to treat surgically.