Stay dogs can be an important cause of trauma in India. It is especially more common in small kids who are about the size of a grown up dog or smaller. It is advisable to keep kids away from exposure to stray dogs on the streets which can get suddenly violent if they perceive the kid as a threat. Dogs are great and cute creatures but can be dangerous to kids in certain circumstances.
I always remember my mentor’s words while I was closing up during surgery during my fellowship, “You may do the most complicated surgery in the most beautiful way possible but the patient will judge the surgery by the scar you leave behind” This maxim has been drilled into me- so much so that my residents find me being too anal about wound closures. I spend extra time being careful about how I close wounds.
Canalicular lacerations are missed quite often during evaluation of periocular injuries due to Road traffic accidents, assaults and animal bites in busy emergency rooms. At the same time, surgical repair of canalicular laceration can be very frustrating experience as the distal end of the lacerated canaliculi can become very illusive to locate. After locating theContinue reading “(Eye)Lid off with Canal(iculus) in tow!”
There is a mystical hole in the wall – of the orbit. An ancient myth among oculoplastic and maxillofacial surgeons alike-that once an Orbito- zygomatico-maxillary complex (OZM) fracture or commonly known as ZMC fracture is reduced, the orbital floor fracture automatically gets reduced and there is no need to repair the floor of the orbit. This was classic textbook teaching. However, this is true of only a small percentage of ZMC fractures.
Facial Trauma can be damaging with tissue loss. Despite accurate and meticulous reconstruction, the scarring can be severe in the face. Scar modulation is an essential part of post trauma care and I often advise patients as much when they come with traumatic injuries of the face.
The COVID-19 lockdown was a period when we had stopped elective surgery and were prioritising semi-urgent surgeries and emergencies. But some surgeries can’t wait even if not life threatening. Like this girl who fell down the stairs to have an orbital (eye socket) fracture. The walls of the bony socket holding the eye were broken entrapping the eye muscles- which causes double vision and also making the eye sunken (enophthalmos). This needed early intervention- hence a semi-urgent surgery.