Cavernous sinus thrombosis and orbital cellulitis

This is a report of six cases of combined orbital cellulitis and infective cavernous sinus thrombosis, with a literature review. The average age was 39 years, four were male and two were intravenous drug users. All had sinusitis, usually involving...

A new autologous flap option for breast reconstruction

The authors of this paper present the first meaningful series utilising the lateral thigh perforator flap for breast construction. Eight patients had delayed unilateral reconstruction, each with two stacked flaps. Anastamoses were performed antegrade and retrograde to one internal mammary...

A superbly readable review of cleft orthognathics

It is a long time since I had any involvement with cleft surgery, but I do occasionally encounter cleft patients (presenting with other things), and trainees who will soon be asked to give a reasonable account of things that they...

Jawline augmentation: restoring balance in the ageing face

The context of the popularity of injectable treatments is outlined with the American Society of Plastic Surgeons (ASPS) 2018 stats describing the 3% rise in the number of injectable dermal fillers being performed. The author gives a detailed description of...

Rosacea: approaches to a complex and chronic skin condition

The complexity surrounding the causes of rosacea are briefly outlined, such as organism colonisation, susceptible skin types, and the challenge of misdiagnosis. The author classifies the condition into the following sub-types: erythematotelangiectatic rosacea, papulopustular rosacea, phymatous rosacea and ocular rosacea....

Corneal neurotisation with an allograft

This is the first reported use of an acellular nerve allograft for corneal neurotisation. Seven patients received a 7cm long commercially prepared acellular nerve allograft. This was coapted to a functioning supratrochlear, supraorbital or infraorbital nerve and then tunnelled to...

IgG4-related disease or Graves orbitopathy

This is a retrospective review of patients who had been diagnosed with both IgG4-related ophthalmic disease (IgG4-ROD) and Graves orbitopathy over a four-year period. Eight patients were identified. The diagnosis of IgG4-ROD was based on 10 or more IgG4+ plasma...

Abdominoplasty – current trends and technical considerations

This review article is based on a thorough literature search performed on Pubmed, the aim being to provide a detailed update on the contemporary practice of abdominoplasty. Technical modifications in the use of liposuction, scar placement, progressive tension sutures, elimination...

Soft tissue changes following maxillary osteotomy, comparison of three computer programmes

This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CTs three months preoperatively and one year postoperatively. A clinical comparison between...

Lymph node ratio in tongue cancer

This is an analysis of 88 patients treated in Switzerland between 2003 and 2012. All patients had a selective neck dissection and recurrence occurred in 25 patients. Overall and disease specific survival were 72% and 80%. They specifically looked at...

Infection in prosthetic temporomandibular joints

This is an overview from an internationally recognised temporomandibular joint (TMJ) surgeon. It is a comprehensive article highlighting that incidence is likely to be underestimated and prevention the main objective. Not surprisingly a lot of the conclusions are based on...

Temporary tracheostomies are not always necessary for head and neck free flap reconstruction

Complex head and neck cancer cases with reconstruction can be challenging due to the risk of loss of airway. Temporary tracheostomies are often used to protect the airway following complex oral and maxillofacial ablative surgery and reconstruction. However, while this...