Plastic surgery trainees’ exposure to cosmetic surgery during training

Cosmetic surgery is an essential component of plastic surgery training and is required in order to CCT. However, the training opportunities in UK are limited. The current operative requirements for plastic surgery trainees are 100 procedures during specialist training, either...

Transgender breast surgery

Most plastic surgeons working outside specialist centres for gender affirmation surgery will have a number of patients within their population wishing to undergo their breast surgery more locally. Surgery for this small minority is informed largely by experience in the...

Transgender facial surgery

In this review article the author outlines the various elements of this subspecialty, with reference to published literature and his own clinical experience in the field. The article does not present new data, and lacks the detail necessary to appeal...

Modified subciliary approach to the orbital floor

Fractures involving the lateral midface and orbital floor are routinely treated by maxillofacial surgeons. The surgical management requires access to the facial skeleton to reposition and free the soft tissues. There are three main approaches to the orbital floor the...

When to treat a fractured mandible?

This is a prospective study from Brisbane of 215 patients with a total of 359 fractures of the mandible. Nine outcome variables were analysed with a further 19 included to adjust for potential confounding. Treatment delay was found not to...

One anastomosis or two

This is a cumulative meta-analysis from Hong Kong reviewing 27 articles and a total of 7389 flaps. The authors, at the outset, acknowledge that the number of anastomoses is not the only factor of venous compromise and flap failure. Nonetheless...

Tranexamic acid and blood loss in bimaxillary surgery

This is a randomised, double blind, placebo-controlled trial from Thailand to clarify the most effective dose of Tranexamic acid in reducing blood loss during a bimaxillary osteotomy. They confirmed that the dose of 10mg per kg is the most efficacious...

Blindness after orthognathic surgery

This is a case report and review of the literature of this rare, but well recognised alarming complication. The authors discuss the possible mechanisms, suggesting that it does not arise from a direct injury to the optic nerve and is...

Non-surgical vs. surgical labiaplasty

The author suggests that unfavourable post-surgical complications and patient satisfaction are outcomes which are often unmet following more invasive procedures, demonstrated by an increase in demand into non-surgical procedures to correct labial hypertrophy, which is inconsistently defined by a limited...

Outcomes of heavily pre-treated oral squamous cell carcinomas

Oral squamous cell carcinoma is one of the more common cancers worldwide. Surgery is the mainstay of treatment and often these patients have had adjuvant therapies. In spite of improving five year survival rates, local recurrent progressive disease is still...

Postoperative antibiotics after a free flap surgery – is one dose enough?

Major head and neck surgery with ablation of oral cancer, neck dissection and free flap reconstruction is a well-established part of maxillofacial surgery. These patients however already have significant co-morbidities and together with a long operation, large wounds open for...

Which patients are more likely to have postoperative pulmonary complications after major head and neck?

Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...