Introduction: A global trend to improve appearance has been observed with the advent of technological civilization and contemporary culture. This is related to social customs that places high premium on appearance, and the increased accessibility of cosmetic surgery. This article explores the perception of cosmetic surgery among university students in Nigeria. Materials and Methods: Self-administered questionnaires were used to collect data. It was divided into four sections; demographic, knowledge, attitude, and experience with cosmetic surgery. The association between knowledge, attitude, practice, and sociodemographic characteristics was sought using Chi-square statistical test. Statistical significance was set at P ≤ 0.05. Results: The respondents perceptions of what cosmetic surgery means include surgery for beauty 673 (52%), surgery on the face 84 (7%), use of chemicals for beautification 35 (3%), correction of deformity 37 (2.8%), and 116 (9%) were not sure. A significant association was found in attitude in the 15-25 age group, when asked about willingness to undergo cosmetic surgery. (P = 0.014) and recommending cosmetic surgery (P = 0.024). There was no statistically significant difference in gender when comparing the knowledge, attitude, and practice of cosmetic surgery. There was a significant difference in knowledge of cosmetic surgery among 3 ^rd and 4 ^th year students related to having heard about cosmetic surgery (P = 0.048) and knowledge of difference between cosmetic surgery and plastic surgery (P = 0.001). Participants that were single were more aware of cosmetic surgery (P = 0.013) and knew someone who had cosmetic surgery (P = 0.000). Conclusion: Attitudes toward cosmetic surgery are positively related to age, level of study, and marital status. However, there was no statistically significant difference based on gender. Our study also suggests that respondents are aware of the existence of cosmetic procedures, but they do not know what it actually means.

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Retaining a dressing on the phallus has always been difficult. Newer and innovative techniques are coming up in this regard. One such method is suggested which we find extremely useful. Advantages of this dressing are easy application, stability for long time, and easy and painless removal. Our dressing named as "Shukla dressing" is simple, cheap, easily available, and provides comfort to the patient as well as surgeon and caring nursing staff.

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Context: Width of cleft palate influences difficulty of surgical repair and indirectly the outcome. Palatoplasty complicated with oronasal fistula causes persistence of speech, feeding, and social problems. Subsequent closure of palatal fistula has high recurrence rate. Aim: To determine the relationship between palatal cleft width and oronasal fistula. Setting and Design: One-year prospective nonblinded study. Materials and Methods: All consecutive patients with cleft palate that presented to the study institutions within the period, and met inclusion criteria were studied. The width of the palatal cleft defect was measured intraoperatively. Statistical Analysis Used: Chi-square and Mann-Whitney U-tests were used. P < 0.05 were considered statistically significant. Results: Forty-six patients were studied out of 53 patients seen during the study period. These were 22 males and 24 females giving male to female ratio of 0.92:1. Patients' ages ranged from 10 months to 28 years; 52.17% of the study population were 2 years and below while 47.83% were aged over 2 years. Cleft width ranged from 4 to 25 mm. Nineteen patients developed fistula. Thus, the overall rate is 41.30%. Likelihood of fistula occurring increased as the width of cleft increased. Fistula rate was higher for patients with cleft width above 15 mm. Fistula rate for intravelar veloplasty was 30% and 50% for von Langenbeck repair; this was not statistically significant. Conclusion: Cleft width is a strong factor in the development of oronasal fistula. The fistula rate suggests a high burden of the problem. Efforts should be made to improve management outcome.

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Pharyngocutaneous fistula (PCF) is an infrequent complication of salvage total laryngectomy with associated increased morbidity. Chemoradiation for advanced laryngeal cancer is associated with increased incidence of PCF. In this case report, we present the first successful repair of a major PCF with prior chemoradiation therapy after multiple attempts at repair of the fistula in our health-care service.

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Introduction: Deep dermal injury of the hand should have a special management because it has a high potential to affect the functional capabilities of the hand. This study was established to measure the outcome of managing these special types of patients and comparing their outcome with nondiabetics. The goal was to intervene and cover the wound within a time limit of <14 days. Patients and Methods: Between the period of November 2011 and October 2013, we managed a total number of 12 patients with deep dermal burn to the hands in the Burn Unit at King Fahad General Hospital, Jeddah . Four patients were insulin-dependent diabetics, and eight were nondiabetics. An early tangential excision and skin grafting was done in these patients within 14 days of injury. Results: All 12 patients were male. The average age was 45 years. The average total body surface area (TBSA) burnt was 35%, with a range of 2-65%. Four patients were insulin-dependent diabetics, whereas eight patients had no medical comorbidity. Two of the diabetics had an isolated hand burn, and the other two had 30% and 50% of TBSA full-thickness burn, respectively. The graft take was satisfactory among the patients with no difference between the diabetics and the nondiabetics. The grafted hands underwent physiotherapy following the procedure. Satisfactory outcomes were seen among all the grafted hands, with near return to full function. Conclusions: Tangential excision is recommended during the first 5 days postburn to reduce the risk of infection and graft loss. Diabetic patients do not behave differently from nondiabetic patients in their response to graft take, wound healing, and return to work.

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Cupping therapy is an ancient alternative medicine practice with origins in the Middle East. It involves mobilization of blood flow to promote healing through either heat or suction. It is rare in Sub-Saharan Africa. The authors present an 80-year-old known diabetic Nigerian female with 2% burns to the left shoulder from cupping therapy for back pain. The methods of cupping therapy and the potential adverse events from a Plastic Surgery perspective are discussed.

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