 |
| About Bioline | All Journals | Testimonials | Membership | News |
|
||||||
|
||||||
Indian Journal of Plastic Surgery, Vol. 36, No. 2, Dec, 2003, pp. 140-141 Letter To Editor Proboscis lateralis: Comments Chai KB 05-12 Parkway Parade Medical Center, 449269. Code Number: pl03034 Sir I have read article by Bhavsar et al with considerable interest.[1] Regarding the dilatation of the central canal of the proboscis which we do before starting reconstruction, you expressed some reservations that, "repeated dilatation at regular intervals, the proboscis wll loose its suppleness". I would like to point out that we do a "rapid"[2] dilatation method each lasting about one minute. This is done daily and we accomplish it in one week. The nearest one can get to the technique is to watch our gynaecology colleague do a D & C procedure. The cervix uteri of a nulliparous patient is like the proboscis with its central canal. We increase the size of the Hegar dilator by 2 mm diameter each time we dilate. The dilatation is spread over a week for fear of tearing the delicate tissues of the child. Once the series of dilations is completed, the proboscis is split longitudinally from its root to the rim and it is attached to the contralateral hemi-nose. After this rapid dilatation to Hegar size 8 (8 mm) using the algebra formula (2 iir). We then proceed with the re-construction. I do not expect to get changes in the tissue consistency with this method of dilatation. I consider the dilatation of the proboscis an important step in the reconstruction of the absent hemi-nose. REFERENCES
Copyright 2003 - Indian Journal of Plastic Surgery |
| |||||||||
