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1835 schools meeting the following criteria: Nursing
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Chemeketa Community College
Salem, Oregon
Approximate Cost: $11,340.00
Chemeketa Community College is an exciting and diverse place to learn and grow. Students from all age groups and experiences with a wide variety of educational goals attend. Each year we serve about 120 international students from a variety of cultures, ethnicities and countries. At Chemeketa,…
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Community College of Philadelphia
Philadelphia, Pennsylvania
Approximate Cost: $13,800.00
Community College of Philadelphia provides an affordable education that prepares you for transfer to a four-year college or university and for your future career. Affordable tuition and opportunities for financial assistance make it easy for you to pursue your goals. With a range of student…
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Felician College
Lodi, New Jersey
Approximate Cost: $29,990.00
Felician College provides individualized attention and support to prepare international students for life and success after graduation. Their enduring purpose is to "promote a love for learning, a desire for God, self knowledge, service to others, and respect for all creation."
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Flathead Valley Community College
Kalispell, Montana
Approximate Cost: $10,802.00
Flathead Valley Community College promotes excellence in lifelong learning focused on student success and community needs. Our college is proud to provide our students with an exceptional education presented by outstanding faculty, not teaching assistants. Many of our faculty have studied all over the world and…
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Grayson College
Denison, Texas
Approximate Cost: $3,192.00
Grayson College, as the community's college, embraces lifelong learning focused on educational, cultural, social, and public service activities designed to tangibly enrich the individual and our community.
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Hiram College
Hiram, Ohio
Approximate Cost: $29,065.00
The mission of Hiram College is to foster intellectual excellence and social responsibility enabling our students to thrive in their chosen careers flourish in life and face the urgent challenges of the times.
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McNeese State University
Lake Charles, Louisiana
Approximate Cost: $13,205.00
McNeese State University is a public university located in Lake Charles, Louisiana, in the United States. Founded in 1939 as Lake Charles Junior College, it was renamed McNeese Junior College after John McNeese, an early local educator. It adopted its present name in 1970. McNeese is…
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Miami University - Ohio
Oxford, Ohio
Approximate Cost: $29,755.00
Miami is a residential university with faculty who are dedicated to learning and discovery. A liberal education core provides the foundation for the more specialized studies of the majors. Immersing students in both academic and co-curricular experiences has enabled Miami to achieve a top-tier national…
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Monroe College
New Rochelle, New York
Approximate Cost: $12,440.00
Monroe has three campuses. Two in New York (New Rochelle and Bronx) and one in St. Lucia. Monroe College was founded in 1933 with a single goal: To educate men and women for a successful future in the world. Monroe is recognized as a…
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National University
La Jolla, California
Approximate Cost: $11,376.00
Founded in 1971, National University is the second largest private, not for profit institution in California. The University offers more than 100 undergraduate and graduate degrees in the area of business management, engineering,education, media and communications, liberal arts, and healthcare. Our English Language program accepts…
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Northwestern College
Orange City, Iowa
Approximate Cost: $24,630.00
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Slippery Rock University
Slippery Rock, Pennsylvania
Approximate Cost: $11,804.00
SRU welcomes the exchange of students, scholars and faculty. Currently 76 international students from 36 nations are studying on campus. Located in the rolling hills of western Pennsylvania, the 660-acre campus is less than an hour north of Pittsburgh. Two major highways, I-79 and I-80,…
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State University of New York - Brockport
Brockport, New York
Approximate Cost: $32,850.00
If you want to study in a challenging academic environment with world-class faculty; be actively involved in academic, cultural, social and athletic programs; and apply what you have learned to challenges in the real world, then consider the State University of New York-Brockport. We are a…
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Mississippi , Mississippi
Approximate Cost: $12,000.00
StudyMississippi is a consortium of accredited educational institutions in the U.S. State of Mississippi whose purpose is to connect international students and professionals with quality Mississippi education and training. Members include high schools, community colleges, public and private colleges and universities, and professional English language…
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Tidewater Community College
Norfolk, Virginia
Approximate Cost: $8,098.00
Tidewater Community College, also known as "TCC," is a two-year higher education institution in South Hampton Roads with campuses in Chesapeake, Norfolk, Portsmouth, and Virginia Beach. It is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award the associate degree;…
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University of Kentucky
Lexington, Kentucky
Approximate Cost: $18,740.00
The University of Kentucky (UK), founded in 1865, is a public land grant university dedicated to improving people's lives through excellence in education, research and creative work, service and healthcare. As Kentucky's flagship institution, UK plays a critical leadership role by promoting diversity, inclusion,…
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University of Maine - Pathway Program
Orono, Maine
Approximate Cost: $26,356.00
The University of Maine offers the unique Pathway programs, International Year One, and a Pre-Master's program which allow students to bring their English up to speed in a university environment and meet language proficiency requirements to directly enter into the degree program of their dreams.
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Valencia College
Orlando, Florida
Approximate Cost: $9,005.00
As the inaugural winner of the Aspen Prize for Community College Excellence, Valencia is recognized as one of the best colleges in the nation. At Valencia, you'll get a quality education at a price you can afford. We offer the same education as a state…
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Walden University
Approximate Cost: $10,610.00
For more than 40 years, Walden University, an accredited institution, has helped working professionals reach their educational goals. Walden degree and certificate programs are designed to help students explore current market trends, gain relevant skills that can be applied immediately in the real world, and…
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Widener University - Pathway Program
Chester, Pennsylvania
Approximate Cost: $34,762.00
Widener University offers the unique Pathway programs, International Year One, and a Pre-Master's program which allow students to bring their English up to speed in a university environment and meet language proficiency requirements to directly enter into the degree program of their dreams.
Alpena Community College
Alpena, Michigan
Public University
Approximate Cost: $7,280.00
International Students: 1
Alvernia College
Reading, Pennsylvania
Private not-for-profit University
Approximate Cost: $39,982.00
International Students: 10
Alverno College
Milwaukee, Wisconsin
Private not-for-profit University
Approximate Cost: $32,167.00
International Students: 52
Alvin Community College
Alvin, Texas
Public University
Approximate Cost: $5,119.00
International Students: 10
American Career College-Los Angeles
Los Angeles, California
Private for-profit University
International Students: 0
American International College
Springfield, Massachusetts
Private not-for-profit University
Approximate Cost: $41,866.00
International Students: 96
American Public University System
Charles Town, West Virginia
Private for-profit University
Approximate Cost: $6,000.00
International Students: 746
American River College
Sacramento, California
Public University
Approximate Cost: $7,974.00
International Students: 294
American Samoa Community College
Pago Pago, AS
Public University
Approximate Cost: $4,420.00
International Students: 224
American University of Health Sciences
Signal Hill, California
Private for-profit University
Approximate Cost: $31,700.00
International Students: 0
Ancilla College
Donaldson, Indiana
Private not-for-profit University
Approximate Cost: $14,950.00
International Students: 3
Anderson University - Anderson, Indiana
Anderson, Indiana
Private not-for-profit University
Approximate Cost: $36,870.00
International Students: 70
Andrew College
Cuthbert, Georgia
Private not-for-profit University
Approximate Cost: $25,398.00
International Students: 11
Andrews University
Berrien Springs, Michigan
Private not-for-profit University
Approximate Cost: $32,402.00
International Students: 762
Angeles Institute
ARTESIA, California
Private for-profit University
International Students: 4
Angelina College
Lufkin, Texas
Public University
Approximate Cost: $13,075.00
International Students: 11
Angelo State University
San Angelo, Texas
Public University
Approximate Cost: $26,856.00
International Students: 93
Anglia Ruskin University
Chelmsford, England
Anna Maria College
Paxton, Massachusetts
Private not-for-profit University
Approximate Cost: $42,930.00
International Students: 4
Anne Arundel Community College
Arnold, Maryland
Public University
Approximate Cost: $11,649.00
International Students: 247
Note: Some of the schools in the InternationalStudent.com School Search database have not reported all of the data we make available. When this is the case, it is indicated by 'N/A' (not applicable).


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NEWSLETTER ASSOCIATION OF PLASTIC SURGEONS OF INDIA – U.P.CHAPTER MAY, 2006 VOL 2/06 EDITORIAL evaluation. Isolated microtia is now considered a CRANIOFACIAL MICROSOMIA microform of Craniofacial microsomia and should prompt thorough evaluation before undertaking raniofacial microsomia is a spectrum of cosmetic repairs. In addition, when there is a C morphogenetic abnormalities involving structures derived from the first and second branchial arches. It is the second most common facial significant facial bone hypoplasia, patients can develop airway obstruction called sleep apnea. Untreated, this can lead to poor weight gain, small stature, cerebral hypoxia, and even death. birth defect after cleft lip and palate. Fourteen terms describing this malformation complex can be found in the literature including First and Second Branchial Most patients with Craniofacial microsomia have some Arch Syndrome, Hemifacial Microsomia, Dysostosis degree of mandibular hypoplasia that is seen clinically otomandibularis, Congenital oto-cephalic syndrome, as a deviated chin, occlusal cant and an asymmetry in Auriculo-branciogenic dysplasia, Oto-cranio cephalic the position of the corners of the mouth. Patients with syndrome and Goldenhar-Gorlin Syndrome. Goldenhar mandibular growth disturbances can present at any age. syndrome is a variant of Craniofacial microsomia and The challenge in treating many of these patients lies in has cervical (neck) and rib anomalies and epibulbar the variability of age and associated pathology of other dermoids facial structures such as the maxilla, the muscles of mastication, the zygoma, etc. All of these elements Paramount to the understanding of Craniofacial have a well-orchestrated interplay with one another, microsomia is an appreciation of head and neck and therefore, the type of treatment chosen to address embryology. Development of the branchial arches, the individual deformity must be specific to the facial growth, and differential craniofacial growth patient's needs. contribute to the formation of the facial structures. All structures derived from the 1st. and 2nd Branchial arches Classification: – bones, muscles, cranial nerves, organs and glands can be involved. The collected group of deformities that The classification system of mandibular hypoplasia make up this syndrome may vary greatly in extent and most frequently used is that of Pruzansky: Grade 1 degree covering a wide spectrum ranging from mild mandibles are normal in configuration, but reduced in underdevelopment of the lower jaw to severe deformity size. Grade 2 mandibles demonstrate hypoplasia plus of the skull and face. Characteristically this deformity, mal-development of the associated condyle and as the name implies (hemifacial), involves one side of coronoid processes. Kaban, et al later sub-classified the the face, however involvement of both sides to some latter group as either 2a or 2b. Grade 2a mandibles degree can be observed in as high as 15% of all cases. have hypoplastic and malformed condyles, but the The most obvious deformity involves the lower jaw condylar head/glenoid fossa spatial relationship is and ear, but soft tissue deficiency, maxillary spatially maintained in the sagittal dimension similar to hypoplasia and even orbit and skull anomalies may that of the contralateral side. In these patients the also be present. Lack of development of the external misshapen condyle is functional and can be used in the ear is a common feature with the severity of the ear mandibular reconstruction. Grade 2b mandibles have a deformity proportional to the jaw deformity. The severely hypoplastic and malformed condyle, which is parotid can be malformed or missing, auricular and displaced outside of the sagittal plane of the facial nerve abnormalities have been reported in up to contralateral temporal mandibular joint (TMJ). These fifty percent of affected children, and hearing loss to patients frequently have restricted TMJ function. Grade varying degrees present cause for otolaryngologic 3 mandibles are severely hypoplastic and lack a condyle, coronoid process and glenoid fossa. This Incidence: classification system can be applied to patients with unilateral or bilateral mandibular hypoplasia. Any Craniofacial Microsomia has an incidence reported treatment plan constructed for these patients must between 1/3500 to 1/26,550 live births. The male to factor in the age of the patient and the degree of female and right to left sided ratios are both 3:2. skeletal hypoplasia in order to optimize long-term Bilateral involvement occurs in roughly ten percent of results. cases. The majority of cases are sporadic with no definite inheritance being proven in the literature. Meurman, in 1957, proposed the first classification Recurrence risk is consistently reported at 2-3 percent scheme for Craniofacial microsomia based on auricular for subsequent pregnancies. findings. Murray has proposed a new scheme based on skeletal abnormalities, which has proven useful in Aetiopathology: planning surgical management in this diverse group of patients. Type one patients have small mandibles with In a paper published in 1973, Poswillo attributed the normal shape, a normal glenoid fossa and a short development of facial deformities consistent with mandibular ramus. Type two findings include an Craniofacial microsomia to disruption of the stapedial anteriorly and medially displaced temporomandibular artery. The stapedial artery functions as a stopgap joints (TMJ), a short and abnormally shaped ramus, vascular channel during days 33-45 of embryologic and an abnormally contoured TMJ cavity. Complete development. Poswillo fed pregnant rats triazene and absence of the mandibular ramus and glenoid fossa, no pregnant monkeys thalidomide and showed the TMJ and the body of the mandible ending at the molar consistent maldevelopment of first and second region classifies type three patients. branchial arch structures. Robinson in 1987 supported Poswillo's theory by demonstrating carotid flow David, Mahatumarat and Cooter propounded the most abnormalities in two and defects related to vascular comprehensive classification in 1987 from the disruption in a third child with Craniofacial Australian Cranio-Facial Unit of Adelaide, Australia. microsomia. Three categories were sought in each patient – Skeletal, Auricular and Soft tissue. The 5 Skeletal Pre-operative evaluation: categories are: The evaluation of Craniofacial microsomia includes a S1 – Small Mandible of normal shape thorough history and physical examination, S2 – Condyle, Ramus and Sigmoid Notch photographic and cephalometric analysis, and three- identifiable but grossly distorted. Mandible dimensional computed tomographic study. Family strikingly different in size and shape from history of consanguinity, intrauterine exposure to normal infection and toxins, and problems with delivery S3 – Mandible severely malformed, ranging should be explored. Physical exam should focus on from poorly identifiable ramal component to facial asymmetry as well as on isolated findings complete agenesis of ramus consistent with this syndrome. Photographs and S4 – S3 Mandible + Orbital involvement – cephalometry allow for monitoring of facial symmetry gross posterior recession of lateral and over time and aid in planning surgical approaches to posterior orbital rims individual patients. Three-dimensional computed S5 – S4 defect + Orbital dystopia, hypoplasia tomography provides accurate reconstruction of and asymmetrical neuroranium and a flat patients' craniofacial skeletons and alleviates the need temporal fossa for constructing physical models. This allows for faster The 4 auricular categories are: and more accurate surgical planning. A0 – Normal A1 – Small malformed auricle, retaining all features Treatment: A2 – Rudimentary Auricle, with hook at cranial end corresponding to the helix Treatment of Craniofacial microsomia is A3 – Malformed lobule + absent rest of pinna individualized. Principles basic to all cases include And the 3 soft tissue categories are: treating bony tissue deficits first, followed by soft T1 – Minimal contour defect with no cranial tissue augmentation. The mandible is addressed nerve involvement initially since correction of mandibular malformations T2 – Moderate defect often stimulates maxillary growth. Maxillary growth is T3 – Major defect, obvious facial scoliosis, further enhanced with the use of maxillary activators. severe hypoplasia of cranial nerves, parotid, Costochondral grafts must be used in TMJ Ms of mastication, eye involvement + facial reconstructions. Soft tissue deficits are corrected with clefts local and microvascular free flaps. Facial nerve defects usually are permanent and hearing must be assessed early to allow for hearing augmentation. 2 Reconstruction of middle ear structures is often An intraoral mucosal incision along the oblique line of delayed until craniofacial reconstruction is complete. the ramus is used for placement of both intra and extraoral devices. The UCLA Craniofacial Clinic Protocol and the Australian Cranio-Facial Unit Protocol are aimed at Intraoral incision and subperiosteal dissection is maximizing results and minimizing the number of employed to elevate the entire lateral periosteal surface procedures. The timing and types of procedures may with a sharp-ended elevator. After the region of the vary depending on the severity of the deformity and the osteotomy is exposed, the reciprocating saw is used to individual patient. Typically, corrections include many create lateral, anterior, and posterior corticotomies. The of the following: direction of the osteotomy is based solely on the bony 1) Preauricular skin tags: (age under 1 year): Excision; pathology as well as the position of tooth follicles. The 2) Macrostomia or wide mouth: (age under 1 year): vector of the distraction is also a variable. Distraction Commisuroplasty; can occur in the vertical, horizontal, or oblique vectors 3) Mandibular hypoplasia: (5-8 years of age): Internal (based on the relationship of the vector to the long axis distraction osteogenesis is used to lengthen the lower of the mandibular body). A vertical vector of jaw. (For severe cases with absence of mandibular distraction is preferred for lengthening a deficient condyle and ramus, a rib graft may be necessary). ramus in a vertical dimension or for transporting the 4) External ear deformity or absence: (6-8 years of condyle up into the glenoid fossa. The horizontal age): Staged ear reconstruction with a rib graft vector along the long axis of the mandible is chosen in framework, elevation, lobule (ear lobe) and tragus order to lengthen the mandible in a purely horizontal (front of ear) reconstruction are performed. plane, as in bilateral micrognathias whose deficiency is 5) Orbital dystopia (asymmetric eyes): (6-11 years of predominately in the mandibular body. If an oblique age): Although rarely required, repositioning of the vector (a direction between the vertical and horizontal orbit and/or advancement of the forehead and brow vectors) is chosen, the osteotomy is placed anterior to (fronto-orbital advancement) may be performed. the coronoid in order to prevent impingement of the 6) Jaw asymmetry: (15-18 years or age of skeletal coronoid on the zygomaticomaxillary buttress during maturity): Preoperative orthodontics followed by jaw distraction. An oblique distraction vector not only (orthognathic) surgery with Le Fort I (upper jaw) and lengthens, but also vertically elongates the mandible. mandibular sagittal-split (lower jaw) osteotomies are Before converting the corticotomy into an osteotomy, often necessary. the pins are placed. If the intraoral device is used, a 7) Soft tissue asymmetry: (after jaw surgery): Final single percutaneous stab incision is made for the facial contouring with autogenous fat grafting, dermal placement of the screwdriver. For the extraoral device, fat grafts or even a fascial-fat free flap from the upper a two-holed trocar is used for percutaneous placement back are often necessary after other corrections. of the posterior pins. The second anterior pair of pins is placed so that the skin between the two pin sites is Mandibular distraction: compressed, thereby reducing the amount of tension on the wound and the length of the scar. The device is Distraction has the advantage over other techniques in attached to the pins. A 3 mm osteotome completes the that it requires minimal operative time, carries little medial wall osteotomy, liberating the mandibular risk, minimizes hospitalization time, obviates the need segments for distraction. The wounds are closed in for blood transfusion, bone graft and intermaxillary layers with absorbable sutures. fixation, and has minimal relapse rates. In a typical mandibular distraction, anesthesia can be administered After a delay of 5 to 7 days (termed the latency period), by either oral or nasal endotracheal intubation, but distraction commences at a rate of 0.5 mm twice a day nasal intubation is preferred. The mandibular border is (termed the activation phase). This rate is continued outlined on the skin surface with a surgical marker as a until the mandibular length is overcorrected by several point of reference. Based on the patient's pathologic millimeters. During distraction, the vertical or oblique anatomy, the decision is made whether to use an vector will typically become more horizontal, due to intraoral or extraoral distraction device. Patients who the counterclockwise pull of the muscles of require only unidirectional lengthening and have mastication. At this time orthodontic intermaxillary adequate mandibular bone stock are ideal candidates elastics may be used to mold the regenerating bone and for intraoral distraction. Patients with severe optimize the occlusion (termed molding the mandibular deficiencies require distraction in multiple regenerate). The device is left in place to serve as an dimensions and are best treated with an extraoral external fixator for 8 or more weeks, until there is device. In addition, patients who have previous radiographic evidence of mineralization. This stage is external scars from other procedures are treated with an known as the consolidation phase. extraoral device. With an extraoral approach, care is taken not to damage soft tissue that may be needed for In patients with unilateral Craniofacial microsomia future surgeries, such as external ear remnants or undergoing distraction, it is important that a dental microvascular soft tissue augmentation. Any incisions impression be taken and a bite block placed in the are placed in areas that can incorporate the distraction surgically created posterior open bite when the device pins, so a second percutaneous pin site is unnecessary. is removed. This will allow the orthodontist to level the 3 maxillary occlusal plane by allowing for eruption of involved a Le Fort I osteotomy followed by ipsilateral the ipsilateral maxillary dento-alveolar complex. lengthening of the mandible with bone grafts and a Distraction will also affect the entire facial milieu: the contralateral impaction. The deficient maxilla can be soft tissue envelope bulk will increase due to a distracted in conjunction with the mandible. In this combination of soft tissue expansion and muscle technique, a Le Fort 1 corticotomy is made at the time hypertrophy and leveling of the oral commissure are of the mandibular osteotomy and placement of the usually noted. distraction device. The upper and lower jaws are wired into intermaxillary fixation. After a 5-day latency Age is also a factor in developing a treatment plan. period, distraction is commenced at the rate of 1 Under 2 years of age, mandibular distraction is not mm/day. At the conclusion of maxillary/mandibular usually performed because it is difficult to identify distraction, the device is left in place for 8 weeks to tooth buds at this age, and therefore permanent dental allow for bone consolidation. Using this technique, we injury is a likely occurrence. Secondly, distraction at have had excellent soft tissue and bony results with this age can be a daunting experience for the patient complete leveling of the dental occlusion. and the parents. The exception to this would be when Intermaxillary fixation is not employed during the early mandibular distraction is used to prevent latency period; instead heavy guiding elastics are tracheotomy in a newborn with micrognathia that is placed at the time of distraction. The bands are causing severe airway obstruction. modified throughout the process to obtain optimal dental alignment. Final Orthognathic surgery and Free Composite Tissue Transfer Summary: Children with S3, S4 and S5 (absent ramus, condyle, Craniofacial microsomia is a syndrome with diverse and/or glenoid fossa), are initially treated with an presentation. The majority of cases are sporadic with autogenous costochondral rib graft reconstruction at stapedial artery disruption being considered the most approximately 3-4 years of age (first stage). The likely etiology. The ACFU Classification based on costochondral graft will increase mandibular length, skeletal, external ear and Soft Tissue abnormalities is reconstruct the condyle, and form a pseudoarthrosis most comprehensive and treatment specific. Treatment with the glenoid fossa. In a second stage, at least 6 schemes are adapted to the specific dysmorphology of months after removal of the fixation, distraction of the individual patients. Distraction histiogenesis, rib graft can be performed. At the time of skeletal Orthognathic surgeries, Composite Free Tissue maturity however microvascular free tissue transfer is Transfer along with good pre and postoperative offered to create absent parts of the mandible. When orthodontics and timely reconstruction of external ear the glenoid fossa is absent, a new one is constructed and other facial clefts and soft tissue blemishes with rib grafts fixated to the zygomatic arch. From age completes the treatment. 6 to the teen years, during the period of mixed dentition, orthodontic treatment is needed to promote growth of the affected dentoalveolus and to aid in the proper eruption of the permanent teeth. Indications for surgery in the teen years include: 1) residual post surgical skeletal deficiency due to surgical relapse or abnormal growth, 2) unsatisfactory bone contour, 3) malocclusion, or 4) absence of previous treatment. Any VIEWS appropriately chosen maxillofacial surgical procedure could be performed during this time ranging from sagittal split osteotomies, to bone grafting, to distraction. In patients with minimal mandibular FACE TRANSPLANT – SCIENCE FOLLOWS deformities, classic orthognathic procedures are THE ADVENTUROUS SURGERY indicated. Mandibular distraction should be considered in patients with moderate to severe skeletal deficiency, or bilateral disease, in whom pressure from the soft In the first peer-reviewed, scientific studies of their tissues would significantly increase the risk of kind, U.S. plastic surgeons demonstrated how to postoperative graft resorption or skeletal relapse. successfully complete full facial tissue transplantation from one human body to another, reports the March issue of Plastic and Reconstructive Surgery. (PRS), the Restricted mandibular growth is frequently associated official medical journal of the American Society of with abnormal maxillary development. The ipsilateral Plastic Surgeons (ASPS). maxilla and dento-alveolar processes are often deficient in the vertical dimension. In mild cases this can be treated with a bite block and orthodontic "For the first time, we have scientific data that takes us therapy as described above; however, in more severe beyond traditional reconstructive techniques and partial circumstances a maxillary (Le Fort I) leveling facial transplantation," said ASPS President Bruce procedure may be considered. Traditionally, this has Cunningham, MD. "What we thought of as a 4 possibility - reconstructing the entire face of someone REGAINING VIRGINITY BY PLASTIC with a severe facial disfigurement, in one surgery, from SURGERY one complete facial skin flap taken from a donor - is no longer just theory, but will become an actuality." Could you put a price on virginity? Is it too late? Well "Through these particular studies we have determined now, one can buy it back! There is a surgical that full facial tissue transplantation is a successful procedure that will re-install virginity. approach in helping patients horribly disfigured by burns, accidents and other trauma," said study lead This is not a joke. This is real. It isn"t cheap, either. author Maria Siemionow, MD, director of plastic The procedure will set you back about $2,000 in the surgery research at the Cleveland Clinic. "The U.S. And as everyone knows, it only takes a moment transplantation of a facial tissue flap from one cadaver to lose, even if it"s for the second time. A bonus: This to another has allowed us to do the following: estimate magical re-virginization surgery is available and not the time it takes to perform this particular difficult to master! Dr. Marco Pelosi, a GYN and transplantation, perfect our technique and visually plastic surgeon in beautiful downtown Bayonne, confirm that a facial tissue flap is a match when performs 10 hymenoplasties each month, according to covering severe burns and other trauma." the London Times. Although traditional methods for facial reconstruction, The technique was only perfected five years ago, by which include skin grafts and flaps, are reliable and Beverly Hills plastic surgeon Dr. David Matlock. He effective techniques for reconstructing the face, they trained a handful of doctors who have set up shop may not be ideal, according to the studies. It is nearly nationally, and in Canada. Hymenoplasty is not impossible to match the skin quality, texture and color licensed by any credited plastic surgery or of the face with any other tissue available on the body. gynecological association (quashing my belief that, to In addition, it takes multiple grafts and surgeries to doctors, there is no such thing as unnecessary surgery). successfully reconstruct the entire face. Many patients All the operations have been paid for by the individual. are left with a patchy, unfavorable appearance, And yet, there are customers who have gotten the including large scars and mismatched skin. The studies surgery and loved it so much that they feel like singing found the only way to surgically match facial skin their hymenoplasties" praises from the rooftops. texture, pliability and color is through facial Thousands of dollars, and it lasts a few seconds when transplantation. challenged. And still it"s becoming more popular among those that can afford it. "There is no doubt that facial transplantation can Bayonne"s Dr. Pelosi says his clientele are "upper-class improve the quality of life for patients, however, facial ladies coming in from Manhattan, getting ready for a transplantation will not replace traditional techniques," second-honeymoon cruise...or some women had a said Rod Rohrich, MD, editor of PRS. "This is an disappointing time the first time they were deflowered exciting time in plastic surgery, but it is important to and now they have found someone special they would remember that, at least in the near future, facial really like to give it up to." Bigger picture: could this transplantation will be a last resort procedure popular, new surgical procedure be evidence that we performed on carefully selected patients on a case-by- are moving backwards in time? case basis." Well it is a mad mad world out there, who are we to In the studies, doctors used cadavers to perform mock judge? facial transplantations in order to outline the necessary steps to transplant a human face. Through these trials, they were able to visually show the full extent of the procedure's outcome. EXPANSION AUGMENTATION During the procedure it took surgeons approximately five hours to perform the mock facial transplantation, Expansion-augmentation was first developed for this did not include vessel and nerve repair. In living reconstructive reasons but was soon used for cosmetic recipients, the authors estimate the total length of reasons as well. After years of development, surgery will be approximately 11-15 hours. expansion-augmentation will now normally involve a permanent saline expander. When using the expansion- "Plastic surgeons have historically been at the forefront augmentation technique, the expansion-augmentation of transplantation medicine," said Dr. Cunningham. patient has the ability to adjust the final size post- "The first successful hand transplantation was operatively. performed by a plastic surgeon in 1998, as was the first kidney transplant in 1954. The idea of tissue According to the conclusion of a three-year study transplantation has opened a new era in this field of following women with breast implants, it was shown medicine." that a large amount of women returned to plastic 5 surgeons in order to change the implant size. The conditions such as asthma and bronchitis. The advantage of choosing the expansion-augmentation U.S. Food and Drug Administration (FDA) technique is that it will allow the women to more easily have banned this agent because it can raise alter her implants to a more desirable result. blood pressure, heart rate and metabolic rate, ultimately causing heart attacks, heart Another advantage of expansion-augmentation is that it arrhythmia, stroke and even death. is able to better adjust breast asymmetries that can Echinacea is often used for the prevention and commonly exist. Using expansion-augmentation, treatment of viral, bacterial and fungal volume differences, nipple positions, base widths, and infections, as well as chronic wounds, ulcers ptosis or pseudoptosis can be more appropriately and arthritis. However, it can trigger attuned, which can be difficult to achieve with alternate immunosuppression, causing poor wound breast augmentation techniques. healing and infection. Glucosamine, often offered in conjunction Since every woman will have individual factors with chondroitin, contains chemical elements influencing how the breast augmentation will turn out, that mimic human insulin, and may artificially expansion-augmentation has the ability to allow for a cause hypoglycemia during surgery. more predictable outcome. Some women's breast augmentation results will be influenced by their natural Other common supplements taken by patients in the shape and personal traits, as well as by the surgical study that may cause dangerous side effects included procedure like scarring and other unforeseeable results, gingko biloba, goldenseal, milk thistle, ginseng, kava expansion-augmentation might be a good option for and garlic. women that have risk of producing unpredictable outcomes. In addition to having a greater tendency toward taking herbal supplements, 35 percent of plastic surgery patients were more likely to engage in homeopathic practices, including acupuncture, hypnosis, chiropractic manipulation, massage, yoga and Pilates. HERBAL SUPPLEMENTS – A SMOKING GUN Only six percent of the general population practiced homeopathies on a weekly basis. Natural herbal supplements are supposed to help boost our immune systems, give us more energy and make us Patients should be encouraged to tell doctors about all generally healthier. However, many of these of the medications they are taking – natural or "harmless" supplements could cause dangerous side prescribed. Only then can we safely suggest the effects during plastic surgery, reports a study in appropriate discontinuation period, which can range February"s Plastic and Reconstructive Surgery®, the from 24 hours to one month. Taking this precaution is official medical journal of the American Society of essential to a safe surgery and smooth recovery. Plastic Surgeons (ASPS). In fact, the study found approximately 55 percent of plastic surgery patients, compared to 24 percent of the general public, take supplements but often do not tell their surgeons. When patients are asked about the medications they are taking, many do not mention medicinal herbs because they assume that they are safe. What many unsuspecting patients don"t know is that the natural herbs they are taking may cause serious complications NEWS during and after surgery." All 55 percent of plastic surgery patients who used herbal supplements took at least two different AESURG 2006 supplements and at least one on a daily basis. The most popular herbal supplements were chondroitin (18 The International Conference on Aesthetic Surgery, percent), ephedra (18 percent), echinacea (14 percent) held in Golden Park Hotel, Kolkata from February 3 to and glucosamine (10 percent). 5 was attended by over 150 delegates and will be remembered both for its scientific content and social Chondroitin is often used to treat engagements for a very long time to come. The osteoarthritis. People using chondroitin may Conference Operative Workshop was held at Garden suffer from bleeding complications during Reach Hospital and Rhinoplasties of five different surgery, particularly when used in types were on the list. Dr. S.P. Arumugam of the US combination with doctor-prescribed blood- performed an Augmentation of the nasal dorsum with a thinning medications. silicon implant and later on showed his technique of Ephedra has been known to promote weight dealing with a cleft lip nose. Dr. K.S. Bhangoo of the loss, increase energy and treat respiratory tract USA gave an excellent disposition of reduction rhinoplasty and later on went on to show the thread lift 6 technique of rejuvenating the forehead and mid face. importance of dissecting in correct plane around the Dr. Vakis Konotes of Greece performed a rhinoplasty inguinal region to preserve the lymphatics, and showed in a post traumatic crooked nose, previously operated that the abdominal flap was raised only up to the with less than optimal result, and he showed the utility umbilicus and supra umbilical blunt dissection only of the "Turkish delight" cartilage graft technique. Dr. was being done for flap mobilization and closure. Devansh of New Delhi demonstrated the Radio Frequency facial rejuvenation and later on made a The session on Rhinoplasty had Dr. S.P. Arumugam small presentation on the same topic. Dr. S.C. Vyas of and Dr. K.S. Bhangoo speak on Augmentation and the USA also was amongst the guest operators and he Reduction Rhinoplasty respectively. Dr. S.C. Vyas demonstrated a routine hump reduction and alar base emphasized the importance of spreader grafts and Dr. resection. Dr. A.R. Lari of Kuwait concluded the day"s Vakis Kontoes gave his views on the surgery, the way proceedings with demonstration of the use of fillers in it is practiced in Greece. Dr. Devansh talked about the correction of acne marks and scars on the face. All Open Rhinoplasty and the best lecture in this series the surgeries were very well demonstrated and was delivered on Cleft Lip Rhinoplasty y Dr. R. B. moderators from the floor made the discussion between Ahuja in which after defining the morbid anatomy and the audience and the operators very lively. The day establishing a clear perspective of the effects of growth ended with a banquet on a steamer as it gently cruised and primary lip repair he went ahead to define clear up and down the expanse of a tranquil river Hooghly. steps of the surgical correction in the form of exposure, alar cartilage modification, septal correction, The symposium on Surgical rejuvenation of the face osteotomy, dorsal augmentation, tip definition and had 6 speakers. While Dr. Manish Gupta of the US maxillary augmentation. emphasized on a balanced approach to mid face rejuvenation, dwelling at length on assessment, The session on Lasers had 3 speakers; Dr. L.D. Dhami planning, technique and complications, Dr. S.P. of Mumbai discussed the treatment of pigmented Arumugam talked about "Short scar face lifts" vascular lesions, Dr. Kuldeep Singh deliberated on hair reiterating that this was less traumatic, has lesser removal in resistant and secondary cases and Dr. complications and yet give equally good results. He Manoj Johar while talking about the role of lasers in also advised adding contour thread lifts whenever aesthetics cautioned that one should not be too keen in necessary to give better and longer lasting results. learning the tricks of the trade but instead try to learn Thread lift was discussed at length with videos and still the trade itself. The symposium on Breast aesthetic slides by Dr. K. S. Bhangoo and right throughout his surgery saw most of the speakers choosing the vertical discussion he kept on emphasizing that this was not a scar technique, when opting for breast reduction. Dr. substitute or alternative to face lift. It can elevate ptotic Ashok Gupta and Dr. D. Panfilov of Germany gave us malar fat pads, improve contour, is minimally the benefit of their vast experience of breast detectable, leaves minimal scar, has no downtime, is augmentation and Dr. Suresh Gupta walked down the simple and effective, can be combined with other memory lane of breast reduction techniques. procedures and doesn"t burn any bridges for future intervention. Lectures on Lip Contouring by D. Ashok The session on Hair restoration had Dr. R. Rajput of Gupta using dermo-fat graft and soft tissue fillers and Mumbai deliver a very informative talk on medical Current techniques in blepharoplasty by Dr. S.C. Vyas management of hair loss by a cyclical treatment were very well composed. Dr. Vakis Konotes then schedule, emphasizing that not only the graft gave a video demonstration on facelift, blepharoplasty requirement goes down but also at times surgery can be and CO2 resurfacing of face with interesting bits of avoided. Discussing the current trends in this surgery discussion interjected in between. Dr. K. Ramchandran of Chennai talked about the importance follicular units, cautioned against the use of The Symposium on Non surgical facial rejuvenation "biofibers" as the often cause scalp infections and had 4 speakers; D. S.P. Arumugam talked about is peeped into the future of hair follicle culture and stem cream Programme, Dr. Devansh discussed the utility of cell research. Dr. Humayun Mohammad of Pakistan Radio frequency facial rejuvenation, Dr. Kuldeep showed the importance of naturalness of hair transplant Singh of New Delhi gave an excellent disposition of surgery, particularly the frontal hairline, the density, what all can be achieved by fillers by addressing static the angle of exit from the scalp, the temporal peak and skin folds, lip sculpturing, volume augmentation and the fronto-temporal angle. Lectures on complications scar revisions, and finally Dr. B. S. Chandrashekhar of in Cosmetic Surgery by Dr. L.D. Dhami, and Chennai deliberated on Long term hair removal L.H.E Autologous Fat transfer by Dr. D. Panfilov were also – a new non laser life technology. A session on very interesting. Liposuction and Abdominoplasty had two speakers with beautiful video presentations. Dr. A.R. Lari A very well arranged conference with excellent extra- discussed the finer details of his mega-liposuctions, his curricular activities, a trip to the Eden Gardens, a light technique of umbilicoplasty, and buttock contouring by and sound show at the Victoria Memorial and some injecting fat, harvested from the abdomen into the excellent culinary delights were all made possible by gluteal muscles. Dr. Mohan Rangaswamy of Oman the untiring efforts of Dr. Manoj Khanna and is team of then showed his short scar high-tension Plastic Surgeons of the West Bengal Chapter of APSI. lipoabdominoplasty in which he emphasized the 7 CRANIOCON 2006 performs under operating microscope with beautiful muscle dissection of the soft palate and subsequent intra-velar veloplasty. All the steps of his repair were The Annual Conference of UP Chapter of APSI this magnified many times on the screen and were very year took the shape of CRANIOCON 2006, a easy to follow and understand. Prof K.S. Goleria a wonderfully interactive conference and Workshop on Cleft Lip repair with alveolar bone grafting and a Cleft Craniofacial Surgery. The three-day extravaganza Lip Rhinoplasty and later on delivered a lecture in the started on March 11, 2006 in the Post Graduate memory of Swami Vivekananda on Cleft related Department of Plastic Surgery, King George"s Medical craniofacial surgery. Drawing from his vast experience University, coinciding with the Foundation day of the of treating these patients and the fact that he remains a Department, with a brainstorming lecture session. Dr. teacher par excellence his contribution to this S. Bhattacharya started the proceedings with a lecture conference was acclaimed by all the delegates. on Craniofacial Microsomia in which he showed the The final day started with a Symposium on versatility of a classification system propounded by the Craniofacial Surgery in which Prof. K.S. Goleria Australian Cranio-facial Unit in terms of predicting the discussed the salient points of setting up of a treatment protocol and also presented the changing Craniofacial Unit, Dr. K. Sridhar talked about the trend in the treatment from bimaxillary surgeries in approach and planning of a Craniofacial Surgery, Prof. adulthood to distraction histiogenesis during the period R.K. Sharma cautioned about the complications of of adolescence. Dr. A.K. Singh of Lucknow then Craniofacial Surgery and suggested precautions to presented his experience of managing the complex avoid them ad Dr. Rohit Khanna, an eminent problem of Hypertelorism, discussing a few interesting Orthodontist of Lucknow, deliberated at length about per-operative details of the management of nasal Orthodontics in Cleft Lip ad Palate patients. bridge and dorsum. The surgical feast continued with Prof. G.S. Kalra Mr. Brian Sommerland of U.K delivered the demonstrating two Lefort I osteotomies with maxillary prestigious Prof. R.N. Sharma Memorial Oration on advancement, Dr. K. Sridhar and Prof. R.K. Sharma "The World Wide Challenge of Cleft Lip & Palate" and demonstrating a hypertelorism correction and Prof. with his experience of having operated on these K.S. Goleria showing a Secondary Lip correction in a patients in all continents except Antarctica; no one was Cleft Lip cripple. Live telecasts of these surgeries were better suited to present this perspective. Prof. K.S. made further lively by an excellent interaction between Goleria discussed about Craniosynostosis, its diagnosis the operators and the moderators and a very and management protocol, Prof. G.S. Kalra of Jaipur enthusiastic bunch of delegates The Department of talked about a wide variety of Splints and Appliances Neurosurgery under the stewardship of Prof. D.K. used in Orthognathic Surgery, their indications, design Chabra were always around to help and so were the mechanics and fabrication, and Prof R.K. Sharma of staff of Vivekananda Polyclinic. Chandigarh deliberated upon the various osteotomies The conference could have been conducted in any 5 that are performed in Orthognathic Surgery, their star facility but by purposely bringing it to the pious morbid anatomy, indications, operative procedures and ambience of this charitable institution, run by the world pitfalls. famous Ram Krishna Seva Sansthan, the organizers The best part of the day was however saved for last wanted to show the delegates how efficiently and when 16 patients, complete with all investigations and selflessly health care of the highest order can be Orthodontic work up were presented one by one in a catered to the poorest of the poor without making any Planning Session by the host Plastic Surgeons and compromises in its quality. Swami Muktinathanand ji Orthodontist Dr. Rohit Khanna. The Operating Faculty and his dedicate team deserve our special word praise and the delegates, numbering more than 100, discussed and salutation for helping the UPAPSI to organize such at length about the treatment options and marveled at a wonderful conference. the excellent homework that was done by the organizers. The venue shifted to the beautiful Vivekananda Polyclinic the next day, and the proceedings started 5th ANNUAL CONFERENCE OF ISCLP & CA with a very informative lecture on Velopharyngeal Incompetence, delivered by Mr. Brian Sommerland in which he discussed at length about the aetiology, (Personal communication to the Editor from Prof. investigations and treatment of this condition. The live Mukund Thatte, President, ISCLP & CA and Dr. D.N. operative sessions that followed were conducted Uppadhayya, Plastic Surgery Trainee, K.G.M.U. simultaneously in three operating theatres and Lucknow) transmitted live in three different halls. Prof. G.S. Kalra operated upon a child with bilateral Tessier 12 The 5th Annual Congress and International Update of cleft with bilateral encephaloceles and hypertelorism, the Indian Society of Cleft Lip, Palate and Craniofacial and Dr. K. Sridhar of Chennai along with Prof. R.K. Anomalies was held in Guwahati from the 23rd to 26th Sharma operated a child with Fronto-nasal meningo- of March, 2006 at the Administrative Staff College, encephalocele with asymmetrical hypertelorism and Khanapara. telecanthus. Mr. Brain Sommerland demonstrated his technique of Palate repair in 2 patients, which he 8 Though, as desired by the President, Dr. Mukund results at length and demonstrated the good outcome of Thatte, the monopoly of the Metro cities was broken his surgery. and the conference was taken to a smaller city, the In the last symposium of the day Dr. Gunvor Semb of psychological barrier of distance seemed non existant U.K. spoke on "Orthodontic treatment options for as the conference drew faculty from all across the patients with complete cleft lip and palate" and globe including international luminaries like Dr. Ian demonstrated how our understanding of the role of Jackson, Dr. Michael Karsten, Dr. Brian Sommerlad, orthodontics in the treatment of cleft patients had Dr. Gunvor Semb, Prof. Peter Mossey, Dr. Jean Clude changed radically after the preliminary results of the Talmant and Prof. William Shaw and all over the Eurocran project started trickling out. She spoke at country like Prof. Mukund Reddy, Dr. K. Shridhar, length about how the project was mooted and how it Prof. A.K. Singh, Dr. Rajiv Ahuja, Dr. Ramesh has grown with time and is providing very exciting Sharma, Dr. Mukund Jagganathan, Dr. Jyothsana data that will change our perception of cleft Murthy, Dr. Mukund Thatte, Dr. S.P.Bajaj, Dr. management. Braithwaite Oration by Prof William Gunasheelan Rajan and Dr. Krishna Shama Rao. Shaw of Manchester who spoke of the WHO initiative for cleft research and collaboration amongst all The first day started off with addresses by Prof. countries. Day 2 ended with the free paper sessions and N.N.Barman and Dr. M. Jagganathan, Chairman, poster presentations. National Scientific Committee. This was followed by a Video Operating session with some excellent Day 3 began with the Millard Oration by Prof. Michael expositions on various topics by Prof. C. Thomas from Carsten, in which he stressed the radical changes that Oman, Dr. S.Gosla Reddy, Dr. M. Jagganathan, Dr. are coming about in the field of craniofacial surgery Krishna Shama Rao and Dr. Ian Jackson. Dr N.J. after BMP has become a reality. He spoke on Mokal's and Dr M. Jagannathan's videos were notable Developmental field repair ---a new concept in Cleft for its clarity but all were very well illustrated. thinking---where embryology drives surgical This was followed by a Symposium on "The Advances technique. He painted a picture of the not-so-far- in Cleft and Craniofacial Surgery". away-future where BMP will play a very important The symposium and indeed the whole meeting was role in every aspect of craniofacial surgery. characterized by the fact that all plenary sessions were In a symposium on Craniofacial surgery – The Orbit, multi disciplinary including all faculties involved in the main speakers were Prof Ian Jackson and Dr. R.K. cleft care. Prof. Michael Carsten spoke at length about Sharma who spoke on Horizontal and Vertical orbital the breakthroughs that they have been achieving with dystopias and presented picture examples to prove their the use of "Bone Morphogenetic Protein" and how this point. is radically transforming craniofacial surgery and our Dr Subramani gave a talk on a new classification of concept of bone regeneration. He stressed that BMP Cranio Facial Clefts and Dr Sridhar gave the first will soon replace all bone grafts and break exciting analysis of his work on the TN survey that was new frontiers in this field of plastic surgery. fascinating. Prof. Peter Mossey narrated his experiences with cleft This was followed by another symposium on patients and spoke about the Eurocran project going on "Multicentric studies and Protocols" in which the main in Europe. participants were Dr. Gunvor Semb and Dr. John The day ended with Dr Tambwekar giving the Clark, both from U.K. Founder's oration based on his thinking about normal The last item of business was case presentations by and abnormal anatomy. various experts in "Ask the Experts". Formal inauguration took place in the evening at the hands of Mr. Saikia the noted littérateur from Assam. The Presidential Speech followed this where he stressed the fact that it was important to get out of the INTERNATIONAL WORKSHOP AND metro circuit of conferences and spread our message to SYMPOSIUM ON HYPOSPADIAS, EXSTROPHY more deprived regions. AND EPISPADIAS Day 2 saw Prof. Ian Jackson and Dr. Brian Sommerlad deliver their lectures on "Bilateral Cleft Management". Personal communication to the Editor from Prof. A. Dr. Brian Sommerlad dwelled into the details of his Wakhlu, Organizing Secretary of the Workshop and technique of cleft palate closure and the protocol that Professor of Paediatric Surgery, K.G.M.U. Lucknow) he follows and answered the many queries that followed thereafter. Dr. Jean Claude Talmant of France This three day Operative Workshop and Lecture spoke on the Delaire approach of Cleft lip repair. Other session was held in the royal ambience of the symposia included one on "Inadequately addressed Administrative Block of King George"s Medical issues in Cleft management" followed by one on College, Lucknow. The academic session began with "Secondary deformities in cleft patients". the AK Wakhlu Oration delivered by Dr Richard Later on in the day Dr. Brian Sommerlad spoke on Grady, Associate Professor of Urology at the "Management of Velopharyngeal Incompetence". He University of Washington School of Medicine. He demonstrated how he diagnoses, treats and follows the summarized the embryology, history of treatment and patients with VPI due to cleft palate. He discussed his current concepts in the treatment of this difficult 9 anomaly in his 30-minute lecture. This was followed narrow bladder outlet, ischaemic injury in epispadias by a lecture on the embryology of Exstrophy Bladder repair and complications of continence producing by Dr Sylvie Beaudoin from Paris, essentially a procedures were also dealt with exhaustively. The last surgeon she presented their studies on embryology of part of the lecture covered gynecologic issues in this anomaly. Aided by experimental and embryologic females and male infertility. Mr. Justin Kelly detailed studies they have demonstrated that the pelvic ring and the technical points and principles of his own the vesico urethral unit develop in a coordinated technique," radical soft tissue mobilisation in the repair manner and the cloacal membrane, previously thought of Exstrophy bladder in the next lecture, this extensive to be the chief structure related to the exstrophy group operation is said to give better results than some of the of anomalies is actually more concerned with the conventional methods of repair it involves soft tissue development of the anorectum. The lecture on mobilisation in the pelvis and also the anterior embryology was followed by Dr Grady"s talk on abdominal wall for a tension free closure. Mr. Prasad surgical treatment of epispadias, this lecture Godbole, consultant pediatric urologist a the Sheffield summarized the anatomical principles involved in Children"s Hospital then lectured on the methods of epispadias repair. He also described the different improving continence in patients with bladder techniques of epispadias repair and their modifications exstrophy, he detailed bladder neck reconstruction, practiced over the years. The next lecture by Dr Ranjiv bladder augmentation, endourethral injection of Mathews detailed the anatomical aspects of exstrophy bulking agents and the artificial urinary sphincter. Dr bladder specially the rarely described abnormal Anurag Krishna discussed the quality of life issues anatomy of the bony pelvis. This excellent lecture such as functional closure of the bladder, cosmesis and detailed all the different types of osteotomies body image future sexual function and psychosocial performed for exstrophy bladder including the methods impact of the operation; he also highlighted the total of external fixation. In addition Dr Mathews also absence of any state support in the management of detailed the pelvic floor anatomy, bladder anomalies, these unfortunate children and the tremendous financial genital defects and penile anomalies found associated and psychological burden on the family. with epispadias and exstrophy. Following this session on Exstrophy came a lecture on the anatomy and Dr Govind Datar, pediatric surgeon from Pune, principles of Hypospadias repair by Dr GG Singhal, lectured next on the vexing issue of the failed Consultant Asopa Hospital Agra. Dr Singhal outlined Exstrophy Repair he began with a definition of failure the detailed penile anatomy in Hypospadias together of the exstrophy repair not only in terms of breakdown with the prerequisites of the operating surgeon, his of the wound but also failure to achieve adequate familiarity with several operative techniques and their continence, failure of adequate sexual function etc. Dr results. He then described the relevant details of the Ranjiv Mathews, Associate Professor of Pediatric commonly used operative techniques for repair of Urology at Baltimore, detailed their technique of Hypospadias. This was followed by a lecture on the staged repair of bladder exstrophy with the use of staged repair of Exstrophy by Dr Veeresh Bhatnagar, osteotomy. He was the only surgeon among the faculty who detailed the operative techniques and post who favoured the use of bilateral single or double operative care of patients undergoing staged repair of osteotomies to aid bladder closure beyond the neonatal bladder exstrophy. This lecture also described the period. Both osteotomies are performed on the iliac surgery for bladder neck reconstruction, bladder bone, and are the posterior vertical and anterior augmentation and mentioned epispadias repair. The horizontal. Dr Mathews also detailed the subsequent next lecture by Dr S N Kureel described his experience stages of bladder neck reconstruction and epispadias with single stage reconstruction of exstrophy bladder. repair concluding that staged repair of bladder Illustrated with color illustrations in the workbook this exstrophy remains the gold standard for this condition. talk focused on the finer technical points, which govern successful outcome in single stage reconstruction of The final lecture of the academic session was by Prof exstrophy. Bharti Kulkarni, from Sion hospital Mumbai who described her pioneering technique for single stage Having covered the various aspects of the conventional reconstruction of exstrophy bladder, the modification and recent treatment of exstrophy, epispadias and involves transposition of skin flaps from the ventral the Hypospadias the academic sessions went on to the dorsal aspect of the penis thus normalizing the lectures discussing the associated procedures in these distribution of hair bearing skin. In addition conditions and the surgery and management of mobilization of these flaps permits deep dissection complications. Dr Minu Bajpai lectured on the ventral the crura of penis thus one can dissect the management of vesicoureteric reflux in patients with bulbospongiosus muscle and the external urethral bladder exstrophy he highlighted the factors sphincter and mobilize them completely to wrap them responsible for VUR, the indications and technical round the membranous urethra. The technique is considerations of surgery for VUR in bladder characterized by normalization of pubic hair exstrophy and the technique of ureteric reimplantation. distribution, normalization of the penoscrotal angle and Dr Sudipta Sen, Professor of Pediatric Surgery at increasing dry intervals in the patients in short term. Vellore, detailed the complications of the various None of the patients have reached school age yet for operative and urinary diversion procedures used in actual continence to be commented upon. bladder exstrophy. The complications of wide and 10 1st INTERNATIONAL TUTORIAL SERRIES IN classroom sessions) have been compiled into a set of AESTHETIC SURGERY educational DVD"s for aspiring aesthetic surgeons and are available on request. Please contact (Personal communication to the Editor from Dr. Neeta email@example.com or Patel, Member, Organizing Committee and Faculty) firstname.lastname@example.com for the same. The 1st International Tutorial series in Aesthetic Surgery was held between the February 6 to 15, 2006 at the Bombay Hospital. This tutorial series being first of its kind was conducted with the sole purpose of updating and enhancing the skills and knowledge of all ACROSS SEVEN the plastic surgeons interested in aesthetic surgery. The course essentially consisted of live surgeries, SEAS deferred surgeries (surgeries done during the course but not relayed live), operative videos, didactic lectures PLASTIC SURGERY TOURISM and conventional classroom sessions. An expert faculty of both international and national repute contributed all of these. These included Dr. Thomas Biggs from USA, So how did the women find a way to make their Dr. Claude Lassus from France, Dr. Paraskevas surgical dreams come true on a budget? All they had to Kontoes from Greece, Dr. Daniel Cassuto from Italy, do was become part of the multi-million-dollar Dr. Panfilov Dimitri from Germany, Dr. Abdul Reda lipotourism trade, a business built around two ideas: Lari from Kuwait, Dr. Ayman Hajjar from UAE, Dr. foreign doctors who offer cut-rate surgery and Bacci from Italy, Dr.Al Khairy from Pakistan, Dr. Americans who are willing to go overseas to go under Brandi from Italy, Dr. Wolfgang Funk from Germany, the knife. Who wouldn't be tempted by the idea of sun, Dr.Satish Vyas from USA, Dr. Castillo from Mexico fun and surgery at unbeatable prices? Consider this: A and Dr. Nijjadah from Kuwait. The Indian faculty tummy tuck in the United States would set you back at included besides Dr Ashok Gupta (Course Director) Dr least $6,000, but in Costa Rica it's only $2,000. A Baman Daver, Dr Lokesh, Dr Ramchandran, Dr Manoj facelift in the U.S. costs up to $9,000. In Malaysia it Johar, Dr Sattur, Dr Nitin Mokal, Dr Manoj Khanna, costs a third of that. And a breast augmentation in the Dr A.P Chitre, Dr Mani Varghese, Dr Vahanvala, Dr U.S. costs $7,000, but in the Dominican Republic, only Raman Goel, Dr MufiLakdawalla, Dr Satish Arolkar $2,000. and Dr Neeta Patel. Dr. Tom Biggs who was the course preceptor not only contributed individually but also moderated the In fact, the Dominican Republic is fast becoming the sessions so as to make them learning friendly to the Caribbean Mecca of lipotourism. Eighty percent of the rapt audience. Each day also saw a two-hour afternoon plastic surgery patients there come from abroad lured class where doubts and problem cases were discussed by low prices and a seductive climate. But as the freely between him and the audience. There was also a lipotourism in the Dominican Republic grows, some boot workshop with emphasis given to the practical American doctors are concerned about the quality of tips and tricks used for better results. care patients who go there receive. And, as we found, This course had a registration of 120 members from choosing one questionable doctor can lead to tragic our fraternity but we also had about 50 registrations consequences. You can find ads for clinics in the exclusively for the facial plastic surgery conference Dominican Republic on Web sites, but much of the which was conducted during the same period between business is drummed up by word of mouth in an the 7th and 9th of Feb. Besides plastic surgeons we also unusual setting that is anything but clinical -- mom and had ENT and maxillofacial surgeons attending the pop beauty salons. Dateline went to one in Manhattan conference. Three symposia was conducted during the with our hidden cameras last November. There were conference namely on Rhinoplasty, lasers and dozens of women jammed in the salon, many of them orthognathic surgery The topics and surgeries waiting for an appointment. And it wasn't just any conducted covered all aspects of aesthetic surgery right appointment. They were prepared to wait for hours, if from hair restoration, face rejuvenation both surgical they had to. They had paid the manager of the salon and non-surgical, breast aesthetics, liposuction and $15 to meet a plastic surgeon who was pitching his body contouring as well as less presented topics such clinic in the Dominican Republic. as penile lengthening, fat transplant, mid face lift through blepharoplasty approach, obesity related And business is good. The salon owner tells us about procedures, sex reassignment and legal and ethical the doctor's busy schedule. She was a walking talking problems in aesthetic surgery practice advertisement for the doctor's work. While they waited The entire course was well received by the audience to meet him, many of the women were just as open to with requests for conducting it on a regular annual talking about the surgery they want. There were lots of basis. The faculty was also very encouraging in this laughter and anticipation among the women, but what respect and they have assured us they would help us we didn't hear was anyone talking about what could go conduct it in future. The proceedings of the entire wrong. course (operative sessions, lectures, workshops and 11 Blacks: Nose reshaping, liposuction, and breast 10 MILLION COSMETIC PROCEDURES IN 2005 reduction Asian Americans: Nose reshaping, eyelid IN THE U.S. surgery, and breast augmentation Hispanics: Breast augmentation, liposuction, and nose reshaping In 2005, cosmetic procedures -- including surgery and The most common cosmetic surgeries for men were minimally invasive treatments such as Botox injections nose reshaping, hair transplantation, liposuction, eyelid and laser hair removal -- were done more than 10 surgery, and breast reduction. More than 300,000 men million times in the U.S. That"s an increase of 11 got Botox and more than 200,000 got percent from 2004 and 38 percent from 2000, micodermabrasion, the report shows. according to the American Society of Plastic Surgeons. Add in reconstructive plastic surgery -- such as surgery For the youngest patients, who were at most 18 years to remove tumors or mend wounds -- and the grand old, nose reshaping led the list. More than 47,300 total tops 15 million procedures. Most cosmetic youths had their noses reshaped in 2005, compared patients were women, whites, and middle-aged adults, with more than 13,000 who got cosmetic surgery on the report shows. But more than a million men got their ears, about 3,000 who got liposuction, about cosmetic procedures. So did more than 300,000 youths 3,500 who got breast augmentation, and about 4,200 aged 18 and younger. males who had breast reduction surgery. According to the report, America"s five most common SOURCE: News release and statistics report, The cosmetic surgeries in 2005 were: American Society of Plastic Surgeons. 1. Liposuction: 323,605 2. Nose reshaping: 298,413 3. Breast augmentation: 291,350 PLASTIC SURGERY FOR MIGRAINES 4. Eyelid surgery: 230,697 5. Tummy tuck: 134,746 During the 35 years she suffered from frequent migraines so severe they made her vomit, Viera Bernat Facelifts didn"t make the list. "The facelift is still a said she tried nearly every treatment imaginable. She highly sought-after procedure. Nearly 109,000 were changed her diet, practiced relaxation exercises and performed last year," says American Society of Plastic took a string of powerful drugs, from narcotic Surgeons president Bruce Cunningham, MD, in a news painkillers to Imitrex, one of a class of medications release. "However, the fact [that] it didn"t make the top called triptans. five surgical procedures can be attributed to increased "Nothing really worked," said Bernat, 62, a family consumer demand for minimally invasive injectable physician who practices in Solon, Ohio. Despite a high wrinkle fillers and fighters as a remedy to combat pain threshold, she said, "mostly I suffered." Desperate facial aging," Cunningham says. for relief, Bernat tried a new and controversial remedy: plastic surgery. The report also lists the top five minimally invasive cosmetic procedures: Nearly three years ago, as part of an experimental study, Bernat had her forehead lifted and her nose 1. Botox: 3,839,387 reshaped by Cleveland plastic surgeon Bahman 2. Chemical peel: 1,033,581 Guyuron. For several months before the outpatient 3. Microdermabrasion: 837,711 surgery, Guyuron had injected the anti-wrinkle drug 4. Laser hair removal: 782,732 Botox, also known as botulinum toxin A, into sites on 5. Sclerotherapy (includes injectable wrinkle fillers): Bernat's face and the back of her neck to determine if 589,768 the paralytic drug reduced her headaches. Based on the results of those injections, Guyuron decided that The most common reconstructive surgeries were: muscles or tissue underlying those spots should be surgically removed to treat her pain. 1. Tumor removal: 3,936,405 To Bernat's delight, the surgery worked. Although she 2. Laceration (cut) repair: 344,231 occasionally gets minor headaches and her forehead 3. Scar revision: 181,011 still feels numb, her weekly migraines have stopped. "I 4. Hand surgery: 171,972 feel that I have my life back," she said. "I am so 5. Breast reduction: 114,250 grateful." No one knows what causes migraines, which affect an estimated 28 million Americans, according to the Data came from a national online database for plastic National Institutes of Health. The condition, which surgery procedures and from an annual survey sent to often surfaces before age 35, appears to be a more than 17,000 board-certified specialists in neurological problem linked to inherited abnormalities specialties most likely to perform plastic surgery. The in genes that affect certain brain cells, rather than the three most commonly requested cosmetic surgeries dilation of blood vessels in the head, as scientists had varied by ethnic group: long theorized. 12 Guyuron has another theory: that migraines are Login. triggered by muscles that pinch the trigeminal nerve, Stephen Silberstein, director of the Jefferson Headache which studies have shown is activated during a Center at Thomas Jefferson University in Philadelphia, migraine attack. For the past six years he has pursued agreed. One concern, he said, is Guyuron's reliance on this theory, publishing in the peer-reviewed journal Botox, which has been shown to have a high placebo Plastic and Reconstructive Surgery several studies of response. About 40 percent of patients in some studies the surgical treatment he pioneered. Guyuron said he did as well after being injected with a dummy liquid as got the idea after several patients casually told him that with Botox, one reason the Food and Drug their migraines had vanished after they underwent Administration has not approved the wrinkle smoother cosmetic forehead surgery to smooth wrinkles and lift as a migraine treatment, according to neurologists. their brows. "What I'm concerned about is that migraine patients are In his most recent study, published in January, desperate, and some of them will grasp onto this," said Guyuron said that 92 percent of 89 patients he operated neurologist Merle Diamond, associate director of the on reported that the frequency, intensity and duration Diamond Headache Clinic in Chicago. "I certainly of their migraines were reduced by at least 50 percent. wouldn't want to have people rushing off to get their In 35 percent of these patients, including Bernat, muscles cut." surgery eliminated the migraines. In a control group of Jennifer S. Kriegler, a neurologist and co-author of the 25 patients who received saline injections, 15 percent January study, said that she diagnosed patients. All had reported a significant reduction in headaches, but none migraines according to the standard medical definition. reported that their migraines were eliminated. "I will tell you I was as skeptical as anyone," she said. "It's too early to call it a cure," said Guyuron, a clinical "To me the biggest issue is going to be long-term professor of plastic surgery at Case Western Reserve follow-up." University, who is following patients to see how they Surgery, she said, is not a first-line treatment. "These fare long-term. But many neurologists say they are are people who have failed everything" or who cannot skeptical of Guyuron's hypothesis - that removing take triptans. muscles pressing on nerves will quell migraine pain - Cost is a major drawback, Stark noted, because as well as the methodology of his latest study, which insurance companies would consider the surgery, for assigned four times as many patients to the treatment which Guyuron charges $4,000 per site, cosmetic and group as to the control group. Some critics point out ineligible for reimbursement, just as they do with that Guyuron performed a variety of procedures on the Botox treatments for migraines. Most patients, patients, making it impossible to evaluate the success according to Guyuron, need surgery on at least two of treatment. Nearly all had a forehead lift, which sites. He views the issue in a different light. Patients involved removing the corrugator muscles, while 70 who undergo surgery, which he has taught to several percent had an operation to straighten a deviated nasal plastic surgeons around the country, would save money septum (the cartilage and bone that separates the they now spend on drugs and avoid the side effects of nostrils) and 38 percent had a portion of the greater medications. occipital muscle from the back of the neck removed. "The majority," he added, "would benefit from the "The data is impressive, but the rate of temporary side aesthetic changes they would experience." effects was astronomically high," said Stuart R. Stark, medical director of the Neurology and Headache Treatment Center of Alexandria, Va., who said that patients have asked him whether they should have the surgery. Among the temporary side effects Guyuron and his team reported, most related to Botox injections, were hollowing of the muscles in the temple, which created a scooped-out appearance (23 percent); a drooping FORTHCOMING eyelid, also known as ptosis (10 percent); and intense scalp itching lasting an average of six months (9 EVENTS percent)."I've probably had three ptosis patients in the last five years," said Stark, who uses Botox to control CONFERENCES IN 2006 migraines in some patients who don't respond to triptan drugs or who can't take them because they have cardiac problems. Hollowed temples, he said, "would be May 11 & 12, 2006 upsetting to a patient, and it can take many months for 2nd.International Workshop on Cleft Lip & Palate it to go away." Venue: Institute of Child Health, Great Ormond Street Ivan S. Login, a migraine expert and professor of Hospital for Children, London, UK. neurology at the University of Virginia, said he wasn't Contact: Louise Conn, Cleft Lip & Palate sure Guyuron's patients had migraines or a different Coordinator, Great Ormond Street Hospital, London type of headache caused by sinus or other problems. WC1N 3JH, UK. He also said that the success rate seemed unusually Tel: +44 20 7829 7922 high. "Until these results are replicated, it's hard to Fax: +44 20 7829 7947 know how much validity to put on this data," said Email: firstname.lastname@example.com 13 May 17 - 20, 2006 August 12 & 13, 2006 4th Central European Advanced Course on First National Workshop on Propeller Flaps Aesthetic Plastic Surgery Venue: RIGHT HOSPTITALS, Chennai INDIA. Venue: Prague, Czech Republic Contact: Prof.G.Balakrishnan, Medical Director, Tel: 420-2-6716-3030 RIGHT HOSPTITALS, #1, Prof.Subramaniam street, URL: aps.cls.cz Kilpauk, Chennai 600 010. Tamil Nadu, India. Tel: 91 44 26493939, 91 44 26403999 Email: firstname.lastname@example.com; email@example.com May 20 & 21, 2006 URL: www.righthospitals.com National workshop on Multidisciplinary approach in Wound Management and Research Contact: Dr. Pramod Kumar, Department of Burns August 12 – 14, 2006 and Plastic Surgery, Kasturba Medical College & Joint International Conference of Pakistan Hospital, MAHE, Manipal, 576104. INDIA Association of Plastic Surgeons and West Asia Venue: Conference Hall, 3rd, Floor Shridi Sai Baba Society of Aesthetic Plastic Surgery Cancer Hospital and Research Center, Manipal Venue: Pearl Continental Hotel, Karachi, PAKISTAN. Tel: 0820 2922286, 2922192 Contact: PAPS & WASAPS Conference Office Fax: 0820 2571934, 2570062 20-E, Lane-12, Ittehad Phase 2 Ext.D.H.A Email: firstname.lastname@example.com Karachi PAKISTAN. email@example.com Tel: 00-92-0333-2102258 Email: email@example.com www.pakconference.com June 1 - 3, 2006 ISAPS Venice Postgraduate Instructional Course Venue: Venice, Italy September 1 - 3, 2006 Contact: Karen Rogerson 30th Annual Conference of Indian Society of Tel: 39-02-480495202 Surgery of Hand ISSHCON 2006 Fax: 39-02-43911650 Venue: Department of Orthopaedics, Government Email: email@example.com Medical College & Hospital, Sector 32, Chandigarh, URL: www.surgerycourse.org/venice2006/ INDIA. Contact: Dr. Ravi Kumar Gupta Tel: 91 172 2665545 (Extn. 2311), 2621023 June 2 - 4, 2006 Email: firstname.lastname@example.com COSMOLASERCON 2006 URL: www.gmch.nic.in/issh2006 Venue: Balabhai Nanavati Hospital, Mumbai. Contact: Dr. L.D. Dhami, C/212 Lancelot, S.V. Road, Borivli (W), Mumbai 400 092 September 13 - 20, 2006 Tel: 91-22-56943626, 28016529 International Workshop on Reconstructive Fax: 91-22-56943237 Microsurgery, 2006 International Conference of Email: email@example.com Plastic Surgery and the 4th. International Workshop URL: www.iacls.com on Cleft Lip & Palate and Maxillofacial Surgery Venue: Chang Gung Hospital, Taipei, TAIWAN Contact: Department of Plastic Surgery, Chang Gung June 14 - 17, 2006 Hospital, 5, Fu-Hsing Street, Kuei-Shan, Taoyuan 60th Annual Meeting - Canadian Society of Plastic (33305), TAIWAN Surgeons Tel: (886) 3 3281200 Ext. 3355 Venue: Fairmont Château Frontenac, Québec, Fax: (886) 3 3285818 CANADA Email: adm.cgmh.org.twmicro@d Contact: Karyn Wagner Website: www.cgmh.org.tw Email: firstname.lastname@example.com September 21 & 22, 2006 August 2 - 6, 2006 BAAPS Annual Meeting 2006 ISAPS 18th Congress Venue: Bath, United Kingdom Venue: Rio de Janeiro, Brazil Tel: 44-207-430-1840 Contact: ISAPS Executive Office Fax: 44-207-242-4922 Tel: 1-603-643-2325 Email: firstname.lastname@example.com Fax: 1-603-643-1444 Email: firstname.lastname@example.com URL: www.isaps.org September 26 – October 1, 2006 Australian & New Zealand Head & Neck Society 8th Annual Scientific Meeting And New Zealand 14 Association of Plastic Surgeons Annual Scientific Meeting Venue: Duxton Hotel, Wellington, New Zealand Contact: Karen Williamson AFMEA, Conference SECRETARIAT Manager, Medical Industry Assn of NZ, PO Box 8378, Symonds Street, Auckland, New Zealand Tel: +64 9 9173650 Department of Plastic & Reconstr. Surgery Fax: +64 9 9173651 Institute of Medical Sciences, B.H.U. Email: firstname.lastname@example.com VARANASI, INDIA Website: www.headandneck2006.co.nz www.plasticsurgery2006.co.nz October 12 – 14, 2006 The IV International Plastic Surgery Course Venue: Ekaterinburg, Russia Tel: 7-343-371-8820 EDITORIAL OFFICE Email: firstname.lastname@example.com Website: www.plastic-surgery.ru Dr. Surajit Bhattacharya Lucknow Plastic Surgery, Capital Diagnostics, Mini Plaza, M2 Gole Market 1-5 November 2006 Mahanagar, LUCKNOW 226006, INDIA 2nd Annual Bariatric Plastic Surgery Workshop Venue: Ritz-Carlton, Amelia Island, Florida Tel: 91 522 2384881 / +94150 81668 Tel: 1-601-815-1313 Fax: 91 522 2380550 Email: email@example.com Email email@example.com Website: www.bariatricworkshop.com URL: http://up-apsi.com/ www.lucknowplasticsurgery.com November 20 - 24, 2006 APSICON – 2006 Annual Conference of Association of Plastic Surgeons of India Venue: Ramoji Film City, Hyderabad, INDIA Contact: Prof. D. Mukunda Reddy, Dr. R. Srikanth, Department of Plastic Surgery, Nizams Institute of Medical Sciences, Punjagutta, Hyderabad - 500 082, INDIA Tel: +91-9848050093, +91-9848098804 91-40- 2339119175 Email: email@example.com firstname.lastname@example.com URL: www.apsicon.com 15
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Organizing Deep Cabinets and Lazy Susans
I finished my kitchen severl years ago but recently decided to reorganize my cabinets.
I have a cabinet over my built-in MW with three deep (24") shelves. I have snacks on one shelf (bags of chips, crackers, etc...) and cereal on the next up. The top one is useless unless you are a basketball player.
Items are always getting "lost" in these cabinets. For instance I recently found a Costo sized box of hot chocolate that is about 1 1/2 years old that I didn't know I had -- it was shoved way in the back.
Anyone have ideas for organizing these cabinets.
Also, I am wondering what people store in their lazy susans. Right now I have my baking stuff (flour, sugar, etc.
Can you add open drawers? I know there are wire basket drawer kits out there, maybe one would fit the shelves? Or even just wicker baskets?
Or how about placing small appliances or items that you rarely use in the back of shelves and then place shallow baskets or decorative open boxes that fit in front of the appliance/item (hiding it) for items used more often.
Just some ideas, off the top of my head. Good luck!
I keep platters, griddle, cookie sheets, cooling racks, muffin tins, roasting pan & accessories, cake pans, and metal rectangular casserole pans over my 30" double ovens. You could fit most of the same amount of stuff over your MW. Notice in the pic below, I put one shelf in and put the griddle (on the right) and platters beneath it and then the tray dividers on top of the shelf. My racks, etc are placed the long way down so they stick further back rather than up so I'm able to utilize both the vertical space and depth.
This arrangement allows me to access the platters easily and fully. The racks, etc. only need to be pulled out from the bottom so you don't have to reach the top of the cabinet.
In my old kitchen, I kept all my pots & pans, cake pans, and a few accessories in my lazy susan...it wasn't a super susan, it had the center pole. I had originally planned to have a super susan in my new kitchen and I had planned to put most of my small appliances in it (waffle iron, bread machine, toaster, blender, food processor, etc.). Unfortunately, my DH took over the corner and "made" me turn it into a Pet Center (in a cabinet w/2 pullout shelves turned 90o so it faces the back of the peninusla).
I like the idea of the tray divider. I actually already have a floor cabinet with a tray divider but it is only 15 inches wide and it is full of my cutting boards and wire cookie racks. No room for the other things like muffin pans.
I wonder if they sell a kit that does involve drilling into the shelf.
I have a similar space and I put my really big Rubbermaid containers up there.
If you want to put trays and baking sheets, I've posted this before, but they sell racks at The Container Store that you don't have to drill down. I use the wire ones but they also have maple.
White wire:


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Cherry Baked Ham
1 Comment
01/02/2010 - 19:06
I once was treated to a baked ham with instead of pineapple slices garnishing the top, tart cherries attached with cloves on each of the diamond that were cut into the surface of the ham; and either basted with the cherry juice or marinated in it. Really good. Years ago. So now I'm trying to devise the recipe, or if anyone knows one, I'd love to know. Mike


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A nice click effct
A well-defined but light snare drum sound. Part of a pack of samples synthesized in the generic Drumsynth application.
Music Loop to be played as background, trying to be funky.
Cat meowing
Taken bits and pieces from 189230__starvolt__shuffling-3-front and it sounded oddly like shoveling somehow...AGAIN!
2 of 3 variations on drum loop 090 bpm. created on ensoniq eps 16+ sampler.
This is a sample that comes from my Foley and production tools samplepack.
home recorded random click, sampled, eq'd & processed in Logic Pro
Various loops from a range of office, factory and industrial machinery. Useful background SFX loops
Recorded by myself and students at California State University, Chico for an electro-acoustic composition project of mine. Apogee Duet + ...
A sound what I recorded: A Domino Sound effect - The blocks are falling.
Field-recording of can with natural catacomb reverb. If you use it - send me a link :)
An assortment of pen sounds for you to chop up and use in your project!
Clear stereo Keys sounds Creative Commons — Attribution 3.0 Unported http://creativecommons.org/licenses/by/3.0 You are free to use the sound (even for ...
Mono recording of dot matrix impact printer kx-p1080 printing on paper, includes manual feeding of paper and paper eject. Recorded ...


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Who are the Ladies' Amateur Sleuth Society: Four unconventional beauties banding together to unravel real-life mysteries?
Four best friends past the age of twenty with no marital prospects and nothing better to occupy their time?
Lady Amelia Watersfield's lighthearted detecting club becomes more than simply an intriguing diversion when her father's priceless Egyptian artifact is stolen under his very nose. ...
Who are the Ladies' Amateur Sleuth Society: Four unconventional beauties banding together to unravel real-life mysteries?
Four best friends past the age of twenty with no marital prospects and nothing better to occupy their time?
Lady Amelia Watersfield's lighthearted detecting club becomes more than simply an intriguing diversion when her father's priceless Egyptian artifact is stolen under his very nose. Now the game is afoot in earnest -- and Amelia nearly swoons to discover the detective assigned to "assist" her is a handsome, brilliant, and breathtaking investigator who might as well be a young SherlockHolmes himself!
Inspector Colin Brindley has no interest in encouraging a meddling beauty who imagines herself Watson to his Holmes. But Amelia is as sharp-witted and brave as she is lovely -- and in their wild hunt for an elusive thief, Colin's heart may end up being the precious object that's gotten truly purloined.
"It is a capital mistake to theorize before one has data."
A Scandal in Bohemia
"She's gone! Oh, good heavens, she's gone!"
Amelia jumped at her father's yell. She ran as swiftly as she could to her father's study. He stood in the middle of the room wringing his hands.
"Father," she said, her voice labored from her exertion. "Who's gone?"
"Oh, Amelia, it's dreadful. I came in here to work, you know how I do each morning. Come in, read the paper, have some tea, make some notes in my journal -- everything was as it should be, but as I got up to pour a second cup of tea, which you know is my custom to do, I just happened to move the tea tray over to the bookshelf and then I realized she was gone."
"Yes, Father, but who is gone?"
Amelia spun around to the table where the antique usually sat and, precisely as he said, the piece was missing. "I'm positive there is a logical explanation. Let us retrace your steps."
Her father waved his hands about so frantically, it looked as though he might take flight. "My steps are the same as always, dear girl, there was nothing different about this morning save the fact that my prize possession is missing. We must call the authorities. Report a burglary."
"Is anything else missing?"
Amelia took a quick scan of the room. It was hard to decipher if anyone had rifled through anything, as the room was always rather messy, with papers and books spread about. Today was no different. Six books were piled on top of her father's desk and two maps lay unrolled on the floor. The few other artifacts he kept in his office remained in their places. It was curious indeed.
"I do not think so, but I have not looked around. I only just discovered she was missing. Oh, perhaps everything is gone." He grabbed the sides of his face. "My entire collection."
"Father, please sit before you have a fainting spell. You look quite pale."
"Yes, yes, you're right. I am feeling a tad light-headed." He allowed her to lead him to his chair, but once seated he shook his head firmly. "But you should know, girl, that men do not have fainting spells. We have a much stronger constitution than you women do."
"Of course." It was not an accurate statement, for she knew firsthand that her father had fainted in the past. That time when she'd cut her finger and at the first sight of blood, he'd fallen over. Or the time he nearly dropped the ancient Greek vase on the dining room table. He was sensitive about things, but he'd always claimed he'd simply dozed off. There was no sense in arguing with him.
"Take heart, Papa, it looks as though not all is lost. I believe Monsieur Pitre returned your vase, and it's all cleaned up."
Her father nodded. "Yes, he brought it by last night." He stood suddenly. "Authorities, Amelia, we must contact them straightaway. Oh, this is dreadful. Poor Nefertiti."
"I will do so right now. You sit still and try to calm yourself and I will soon discover what has happened to her."
Ah, a mystery right in her own home. She nearly giggled with delight. Despite the fact that it was wrong to enjoy her father's misfortune, she secretly hoped for the opportunity to discover the truth behind Nefertiti's disappearance. Amelia was quite clever when it came to solving the mysteries in the Sherlock stories -- surely this wouldn't be vastly different.
Two hours later, the authorities proved not so helpful. They had sent an officer over to investigate, but there was no evidence someone had actually broken into the home. And no evidence that a statue had even been in this office, aside from Amelia and her father's word. As the authorities saw it, no crime had been committed. Amelia had been instructed to contact them should any additional evidence appear.
"We shall discern this on our own, Father, we do not need the police."
"You are quite right, my girl." Her father's features wrinkled as he pondered the situation, then his face broke into a smile. "I know precisely the person to assist us. Webster Brindley's boy. I do believe he's a private inspector. Surely he will help. I seem to recall Webster sending me a bit of post with his son's card."
He flipped through a stack of papers on the desk. "Surely it's here somewhere. We must find it and have him come to the house. Evidence or not, a crime was committed and I want Nefertiti back home safely."
"We shall find him," Amelia soothed. She gave him an encouraging smile and squeezed his hand. "I shall send for the inspector straightaway."
Four hours later Amelia sat in her father's study desperately trying to console him.
"Father, do calm down, the inspector should be here any moment," Amelia said.
"I know you're right dear, but this is Nefertiti. Every moment she is gone is wretched. She is irreplaceable, Amelia."
"Of course she is. And we shall find her." Amelia watched her father wear a path in the expensive Persian rug. With his short stature, he resembled a child's windup toy, chugging back and forth across the floor. She suppressed a smile. This was supposed to be a serious matter.
There was a short rap on the door, and then their butler, Weston, entered with a very tall man at his heels.
"Lord Watersfield, a Colin Brindley to see you. He says he's an inspector for hire and you requested his presence." Weston's tone was severe, and he did nothing to hide the annoyance in his expression.
Weston was quite likely the most arrogant man in all of London, but he'd served their family with a loyalty that was difficult to come by. And seeing as neither Amelia nor her father had an ounce of pretension in their bodies, Weston viewed it as his obligation to carry enough for both of them.
Excerpted from A Study in Scandal by Robyn DeHart Copyright © 2006 by Robyn DeHart. Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.
Posted December 9, 2008
In 1892 London, Amelia Watersfield formed the Ladies¿ Amateur Sleuth Society with three close friends because she loves mystery novels especially the one starring Holmes. She informs her friends Margaret Piddington, Wilhelmina Mabson and Charlotte Reed that they will work on their first case, the Jack of Hearts robbery at the opera. Her friends agree, but lack Amelia¿s enthusiasm. --- Someone steals Nefertiti¿s bust from the extensive ancient Egyptian collection owned by Amelia¿s father, terribly upsetting him. Amelia and her dad hire private sleuth Colin Brindley to investigate. Amelia finds the detective dashing while Colin struggles to concentrate on the case as his mind keeps focusing on his client¿s daughter. As he begins to make inquiries into her dad¿s case, Amelia forces him to accept her as his Watson not just to keep her safe, which is the top priority of the sleuth. She proves quite helpful even at times acting more like Holmes as they fall in love, but he worries that she will go after Jack of Hearts. --- A STUDY IN SCANDAL is a fabulous Victorian private investigative romance that pays homage to Holmes. The story line is fast-paced as Amelia bullies her way into the inquiries Colin makes while inspiring him to do his best. Fans will enjoy this superb thriller and want more romantic detective stories starring the Holmes-Watson lead couple and the other three members of the Ladies¿ Amateur Sleuth Society. --- Harriet Klausner
2 out of 2 people found this review helpful.Was this review helpful? Yes NoThank you for your feedback. Report this reviewThank you, this review has been flagged.
Posted July 24, 2014
This is the first book in the Amateur Sleuth Society!
Amateur Sleuth Society is four unconventional ladies (friends) that band toghter to solve mysteries and to relieve their boredom! While solving this mysteries little do they realize they will find their love! If you wish to read them in order it is:
1. A Study in Scandal
2. Deliciously Wicked
3. Temped at Ever Turn
4. A Marriage Most Convenient
Posted September 20, 2013
Nothing was great to meWas this review helpful? Yes NoThank you for your feedback. Report this reviewThank you, this review has been flagged.
Posted April 15, 2012
the story very much captivated my attention and it was hard to put it down to do other things.Was this review helpful? Yes NoThank you for your feedback. Report this reviewThank you, this review has been flagged.
Posted March 29, 2012
Only 190 pages, very shortWas this review helpful? Yes NoThank you for your feedback. Report this reviewThank you, this review has been flagged.
Posted March 25, 2012
This was a different take on a romance novel. It had a lot of mystery which was nice.
Over all it was good as part of the overall series.
Posted March 19, 2012
Cute and quirky!! First read bye this author, def a keeper. The main chars are both likable and fun. Was romantic and kept you wondering who took the artifact till the very end. A bit slow in some spots ,but overall a good read.Was this review helpful? Yes NoThank you for your feedback. Report this reviewThank you, this review has been flagged.
Posted March 25, 2012
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Posted April 20, 2012
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Posted April 12, 2012
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