The common peroneal nerve, also known as the common fibular nerve, is a major nerve that innervates the lower extremity. As one of the two major branches off the sciatic nerve, it receives fibers from the posterior divisions of L4 through S2. Specifically, it originates from the sciatic nerve and separates from it proximal to the popliteal fossa and courses its way along the posterolateral aspect of the leg deep to the long head of the biceps femoris and through the popliteal fossa before passing behind the proximal fibular head. Just inferior and lateral to the fibular head, at the fibular neck, it divides into two nerves–the superficial and deep fibular nerves. The superficial fibular nerve courses anterolaterally between the fibularis longus muscle and extensor digitorum longus muscle within the lateral compartment. As it moves distally, it terminates within the lateral compartment before reaching the ankle and foot. The deep fibular nerve courses anteriorly and runs adjacent to the anterior tibial artery between the extensor digitorum longus muscle and the tibialis anterior muscle. As the deep fibular nerve travels distally, it runs within the anterior compartment of the leg between two muscles. These muscles include the extensor hallucis longus muscle and the tibialis anterior muscle. As the nerve approaches the foot just anterior to the talus, it divides into medial and lateral branches. The medial branch travels alongside the dorsalis pedis artery and terminates in between the first two metatarsals. The lateral branch travels alongside the lateral tarsal artery and terminates near the fifth metatarsal.

The various curves, depressions and elevations of the auricle make it challenging to treat, as dermabrasion and retention of the graft is difficult. The purpose of this paper is to prove the usefulness, simplicity and the cost-effectiveness of microskin grafting in treating the vitiligo of the auricle successfully. In all the six patients, the microskin grafting for vitiligo of the auricle was successful. The near total pigmentation was achieved within 3-6 months. The donor area deformities were hardly noticed in post auricular areas as the harvested graft was uniformly thin. No post-operative photochemotherapy was given. The ambulation was not a problem as the graft was harvested from the post-auricular area, with the exception of one patient, in whose case the graft was taken from the thigh. The microskin grafting represents promising, simple and cost-effective therapy for vitiligo of difficult-to-treat site such as the auricle.

Background: The vitiligo of the penis and vulva is a difficult to treat region of the body where the existing surgical repigmentation methods usually do not give satisfactory results.Objective: This study was conducted to evaluate the efficacy of microskin grafting in stable genital vitiligo.Methods: Four male patients and 1 female patient were included in this study, and microskin grafting was performed in the stable vitiliginous areas of genitals under regional anaesthesia.Results: The microskin grafting technique has shown desired results at these sites with near total pigmentation and negligible donor area deformity.Conclusion: The microskin grafting for vitiligo is simple, reliable, and the most cost-effective technique of tissue grafting that has all the benefits of the latest cellular grafting techniques without its high cost and infrastructure.

© 2014 by the American Society for Dermatologic Surgery, Inc. Published by Lippincott Williams & Wilkins

Various methods have been described in the literature for earlobe reconstruction in one or many stages. Authors describe here a simple, single-stage technique to reconstruct the loss of the earlobe. The technique is clearly illustrated in a step-by-step manner and produces a naturallooking earlobe without an unpleasant secondary deformity with desirable texture and color match.Level of Evidence: Level IV, therapeutic study.

Various methods of nasal alar reconstruction has been described in the medical literature but very few for defects involving the alar rim. These are single- or multistage procedures and have their pros and cons. The authors have designed a novel technique for alar rim defects by advancing a flap alongside the alar crease. This flap is simple, easy to execute and provides desirable results for full-thickness defects in a single-stage procedure.