The ear has a unique architecture of cartilage and skin. The incidence of the prominent ear is about 5%. Surgical correction of the prominent or protruding ear can be carried out either by anterior or posterior approach. We created antihelical fold of cartilage by utilizing a posterior incision to score the anterior cartilage of the lateral scapha with a knife. Sutures were often used to uphold the produced fold. The additional procedure of conchal reduction and concho-mastoid suture was done when required. The objective of our research is to evaluate the patient’s and surgeon’s satisfaction with our technique of prominent ear correction and identify any complication if it occurs post-operatively. This is a retrospective study over a period of eight years (2011-2018) which includes all patients presented to Liaquat National Hospital with prominent ear. A total of 47 patients were included. Patients with a previous history of otoplasty were excluded. Patients were followed up for at least six months postoperatively. The outcome was assessed via Visual Analogue Score by a patient, surgeon, and a third observer (assessor). The average score by the surgeon was 7.9, by the patient it was 8.4 and by the assessor it was 8.1. The average pre-operative concho-mastoid distance was 2.2 cm which decreases to 1.4 cm post-operatively. Correction of the prominent ear by this technique is safe and easy. We did not experience any major complication, giving reproducible and good aesthetic results.

The global focus on curbing the COVID-19 pandemic has reduced the overall immunization rates worldwide. This, coupled with increasing malnutrition and strained healthcare, has increased measles cases and mortality globally. Many countries are thus facing outbreaks, with Afghanistan having reported 372 deaths between January and September 2022. Therefore, Pakistan, a country in a similar economic state and the world's fourth highest reported measles cases in 2022, must take action. Moreover, the current flooded state of Pakistan and the subsequent mass movement of population, deterioration of health services, and worsened living conditions all contribute to put the country at a high risk of potentially devastating Measles outbreaks. With vaccination rates down by 42% since the start of the pandemic and the threat of an outbreak increasing daily, there is only so much time before the situation spirals out of control.

No abstract

No abstract

Background: Marjolin’s ulcer (MU) represents malignant degeneration thattypically ensues over a period of time in the post-burned lesions and scars or any other chronicwound. The worldwide incidence of MUs in such lesions is reported to be 0.77%-2%. Objectives:To determine the frequency of malignancy in post burn scars. Study Design: Descriptive, crosssectional. Place & Setting: Department of Plastic & Reconstructive Surgery, Dow Universityof Health Sciences & Dr Ruth KM Pfau Civil Hospital Karachi. Duration: December 2014 toNovember 2017. Materials & Methods: A selection criterion was defined and via non probabilityconsecutive sampling. Sample Size: 80 patients. Results: The mean age of the patients was48.6 ± 9.2years with range (30 to 60 years). The mean duration of scars was found in ourstudy to be 20.4+5.1 years. Out of 80 patients, 33 (41%) were male and 47 (59%) were female.Malignancy was recorded in 66(82.5%) patients with post burn scar. The most common typeof malignancy was squamous cell carcinoma in 27 patients (33%). Conclusion: A high indexof suspicion is required when dealing with chronic non-healing ulcers. In our environmentearly recognition and aggressive treatment of Marjolin’s ulcers and close follow-up are vital forprevention and also to improve outcome.