The value of bariatric specific chart to initiate resuscitation of adult bariatric burns

This is an interesting well written retrospective analysis of resuscitation in bariatric patients, but the study has two significant flaws. The first flaw is that parkland’s formula, with estimate from lund browder charts is a guide and a best estimate...

Systematic review of PUC compared with textured silicone implants

Poly-urethane coated (PUC) implants have recently been back in the spotlight following the halt on Silimed implant use in Europe and this review is timely in assessing the perceived benefits of these prostheses. This review was adherent to the PRISMA...

Facial nerve injuries in fixing mandibular condylar fractures

The commonest fracture of the mandible is reported in the region of the condyle. Untreated this can lead to shortening of the ramus, facial asymmetry, arthrosis of the temporomandibular joint, impaired mastication and speech. The standard treatment is open reduction...

The Accordion Severity Grading System in the assessment of negative outcomes following carpal tunnel release

Classification systems come and go, some more memorable than others. Without such systems it is not possible to compare like with like and so it must be conceded that they are necessary, although I personally find them difficult to commit...