Sonia Kukreja Pandey

• MBBS; MS; MCh Plastic Surgery
• Clinical Fellow at Cleveland Clinic

Post burn nasal vestibular stenosis splint design

We present a case with a large 5 × 8 cm full-thickness defect in the temporo-parietal region, which was managed with an extended posterior auricular artery-based flap in one stage. The flap was shaped like a 'gandasa' (an axe-like agricultural implement used in Punjab, India). This allowed ample movement of the flap and also permitted a V-Y closure...

Breast lymphedema, an often-overlooked complication of breast cancer treatment, affects nearly half of patients undergoing breast conservation surgery and responds poorly to conservative measures. While lymphaticovenous bypass (LVB) is a well-established intervention for extremity lymphedema, its application in breast lymphedema has been sporadic....

Effective imaging of the lymphatic system is crucial for accurate diagnosis and targeted treatment of upper extremity lymphedema. The increasing adoption of indocyanine green (ICG) lymphography highlights the need for a standardized protocol to conduct, record, and interpret the findings in a systematic and reproducible manner. We present a novel u...

Access to trained lymphedema care providers remains limited making patient-driven management solutions essential. One such option, sequential intermittent pneumatic compression (IPC), has gained traction as a supportive tool for lymphedema management. While newer IPC devices and innovative applications are being introduced to the market, questions...

Background Primary lymphedema, a condition characterized by impaired lymphatic function, has long remained underexplored. Current diagnostic approaches rely on clinical history and genetic testing, yet the genetic underpinnings remain elusive in many cases. Traditional thinking suggests that primary lymphedema is confined to specific anatomical reg...

With the increased awareness about lymphedema, patients seeking intervention during the early stage of the disease are increasing. At the same time, the recent advances in supermicrosurgery have improved the outcomes of lymphaticovenular anastomosis (LVA) in early lymphedema. Despite the proven potential of this minimally invasive procedure, LVA is...

Great advancements have been made in the management of lymphedema of the extremities with lymphatic surgery. However, lymphedema of other regions, including head and neck, has remained neglected. Recent discovery of lymphatic system in the brain and the communication between intracranial and paracranial lymphatic systems has drawn attention to the...

Background Lymphedema diagnosis relies on effective imaging of the lymphatic system. Indocyanine green (ICG) lymphography has become an essential diagnostic tool, but globally accepted protocols and objective analysis methods are lacking. In this study, we aimed to investigate artificial intelligence (AI), specifically convolutional neural networks...

Purpose of Review We present the latest advancements in lymph node-to-vein anastomosis (LNVA), a crucial technique in the surgical treatment of lymphedema. Our work traces the evolution of LNVA, highlighting its transformation into a primary procedure for managing lower extremity lymphedema. Recent Findings Utilizing innovative imaging and radiofr...

Liposuction for treatment of lymphedema is an effective and time-tested treatment. However, as there is a fear regarding further lymphatic damage caused by liposuction, we objectively compared lymphatic function pre- and post-liposuction. All patients with solid-predominant lymphedema who were treated during the study period of June 2014 and Novemb...

Early detection and treatment can slow the progression of lymphedema. To diagnose lymphedema in the subclinical phase, a sensitive imaging modality is required. Radioisotope-based lymphoscintigraphy (LSG) has been the “gold standard” for a century. Indocyanine green lymphography (ICGL) is being used at our institute for diagnosing and grading all l...

Purpose The purpose of this study is to determine whether patients with unoperated craniosynostosis have different frontal sinus pneumatization than unaffected controls. Methods Retrospective review was performed between 2009 and 2020 of previously unoperated patients with craniosynostosis older than 5 years old at first presentation to our instit...

Supermicrosurgical lymphaticovenular anastomosis (LVA) is the most sought-after procedure among lymphedema patients. However, the same enthusiasm is currently not shared among lymphedema surgeons due to the lackluster results of LVA. The common unfavorable experience with this famed procedure is at least partially caused by the difficulty in findin...

Purpose: There are no established criteria for discontinuing ex vivo normothermic limb perfusion (EVNLP) before irreversible damage occurs. This study evaluates weight gain as an indicator of injury during EVNLP. Methods: Sixteen Yorkshire pig forelimbs were procured and preserved using EVNLP with a hemoglobin-based oxygen carrier (HBOC-201) or...

Early surgical intervention for lymphedema can delay, prevent, and even reverse lymphatic degeneration. Vascularized lymph vessel transplant (VLVT) has emerged as an alternative to vascularized lymph node transplant (VLNT) for the treatment of advanced, fluid-predominant lymphedema, providing highly favorable outcomes with reduced donor-site compli...

Introduction: Carpal collapse of wrist occurs in disorders like rheumatoid arthritis and Kienbock's disease. Three techniques have been described to measure carpal collapse. First, the carpal height ratio (CHR), measured by dividing carpal height by 3rd metacarpal length. Second, the revised carpal height ratio (RCH ratio), measured by dividing car...