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The role of maxillomandibular advancement surgery in obstructive sleep apnoea

Facial surgery for the correction of acquired or developmental skeletal and occlusal abnormalities has been practised within the scope of oral and maxillofacial surgery (OMFS) for several decades. OMFS surgeons have an understanding of the influence of skeletal movements on...

Mandibular asymmetry: Importance of personalised treatment

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Human facial symmetry is a key determinant for assessing facial attractiveness, and...

Reconstructive Plastic Surgery of the Head and Neck: Current Techniques and Flap Atlas

Head and neck reconstruction continues to provide a challenge to surgeons, driving innovative approaches in free-flap surgery and a need to embrace developing technologies. This excellent text, written primarily by authors from the renowned MD Anderson Cancer Center in Texas,...

Reconstruction of the Head and Neck - a defect-orientated approach

Head and neck reconstruction following removal of oncological disease or trauma is the most varied and challenging surgery performed in the world. Techniques range from rotational flaps to free tissue transfer and microvascular anastomosis. All are covered in this textbook....

Is patient masking leading to an increase in post-op infection after eyelid surgery?

Due to the COVID-19 pandemic, the use of facemasks or face coverings in the clinical setting has become necessary. It is important to recognise that facemasks can be a source of infection after eye surgery and consider ways to minimise...

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...

Money saving using CAD-CAM in mandibular reconstruction

Computer aided design and computer aided manufacturing (CAD-CAM) are an exciting dimension in the functional and accurate reconstruction of the oral cavity. The fibula is commonly used for mandibular reconstruction as a free flap. This straight bone needs to be...

Biodegradable plates in lateral orbitotomy surgery

This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...

Total lower lip reconstruction

Total or near total defects of the lower lip may result from trauma, cancer ablation or congenital causes. Defects usually involve the full thickness and include skin, muscle and mucosa. There are a number of techniques for the one stage...

Orthognathic surgery for OSAS

Orthognathic surgery is developing as a viable and long-lasting treatment option for obstructive sleep apnoea syndrome (OSAS). There have been a growing number of publications that report the benefit of using conventional orthognathic techniques for OSAS. In the present retrospective...

Application of substance P as an osteogenitor in mandibular distraction osteogenesis

In this well organised study the authors demonstrate the benefit of use of substance P to improve the quality of bone during mandibular distraction. Substance P is a neuropeptide that is distributed in those sensory nerve fibres that innervate the...

Changing trends in the management of osteoradionecrosis (ORN)

In the wake of new drugs that have been introduced for ORN like pentoxifylline, tocopherol, clodronate etc, traditional ‘conservative’ management of osteoradionecrosis (ORN) including minimal surgical debridement and hyperbaric oxygen therapy (HBOT) is under review. This study is a retrospective...