8/14/2019 Indian Journal of Plastic Surgery - Dr.Lakshmi Saleem Article

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ISSN 0970-03

Indian Journal ofPlastic Surgery

September 2009 / Volume 42 / Supplement 1

Official Publication of Association of Plastic Surgeons of India

www.ijps.org

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Supplement on Cleft Lip and Palate

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palate risk. Am J Med Genet 1999;85:84-5.

78. Martinelli M, Scapoli L, Pezzetti F, Carinci F, Carinci P, Stabellini G,

et al. C677T variant form at the MTHFR gene and CL/P: A risk factor

for mothers? Am J Med Genet 2001;98:357-60.

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Exploring the effects of methylenetetrahydrofolate reductase gene

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Norwegian case-parent triads. Am J Epidemiol 2003;157:1083-91.

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Source of Support: Nil, Conflict of Interest: None declared.

Mossey and Little

Prof CBK was a Guide and Guru to many of the senior Indian

plastic surgeons. He was most concerned with the patients

welfare and commitment to the profession rather than hispersonal stature, recognitions and awards.

He had tremendous reconstructive surgical innovative skills

with which he developed his own techniques; however, hardly

he ever thought of publishing them. He was a devoted surgeon

and a great teacher who took pains in teaching untiringly.

He always believed in stressing the importance of treatment

planning sessions wherein each problem was discussed before

surgery in a three dimensional view, always keeping the final

functional and aesthetic result in mind. He always analyzed

the problem by recreating the defect and planning it in reverse

with the help of pieces of lint or rubber sheet and hand-drawn

sketches towards planning management in most accurate detail.He always believed in common sense in planning and execution

so as to obtain the least morbidity. He taught us to anticipate

possible complications at each stage and be ready with solutions

whenever problems arose. A typical example was to keep the

tourniquet ready at the bed-side of every electrical burns patient

to deal with the torrential secondary hemorrhage.

His discipline in treating cleft children was remarkable and he

had developed a protocol for team approach for their long term

management. He improvised and had his own style of using

fascia lataslings to narrow the nasopharynx for better speech.

He used to encourage his residents to practice suturing andsurgical knots in the depths inside a tumbler. He always liked

to teach practical points in day to day management rather than

giving didactic lectures.

CBK was a man of few words and low tone. He was always known

for his punctuality, honesty, discipline, and straight forwardness

without any diplomacy or hesitation in expressing his views

which made him a terror in discussions.

But behind such an intimidating veneer lay a loving, fatherly

affection and a soft natured soul which could be felt by his

closest associates. I cannot forget the days when I was pregnant

during my residency; he never missed to enquire about my food,well-being and stamina to be able to continue the demanding

night duties. He silently used to appreciate my courage to go

through residency with out a break and I learnt later that he

used to talk about it at home to his family.

He always believed and taught us that the attitude of a plastic

surgeon should be appropriate in understanding the needs and

fears of the patient more than the technical and surgical skills as

those could be acquired with practice in due course.

Prof. C. Balakrishnan

Dr. Lakshmi Saleem

Salaja Clinic, 101 Srivenkatrama Apts, Thakur Mansion Lane, Somajiguda, Hyderabad 500082, India.

Email: lakshmi.saleem@gmail.com Prof. C. Balakrishnan

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Indian J Plast Surg Supplement 1 2009 Vol 42 S18