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Flaps and Reconstructive Surgery 2nd Edition

This second edition of the popular Flaps and Reconstructive Surgery builds impressively on the first. Whilst the editors need little introduction, their expertise is supplemented by contributions from over 180 authors and world-renowned experts, providing a thoroughly comprehensive text. Part...

Lymph node ratio – another predictor of outcomes in tongue SCC

Oral squamous cell carcinoma (SCC) is an increasing disease with over 263,000 diagnosed new cases and 128,000 deaths annually worldwide. Although there have been significant advances in diagnostics, surgery and anaesthetics there has been no increase in the survival rates...

Hypertrophic burn scar-associated pruritus treated with a cooling nanoemulsion-enhanced novel hydrogel

Intractable pruritus is a challenging symptom of burn-induced hypertrophic scars. The exact pathogenesis of itch is unknown and conventional management with anti-histamines is often insufficient. Proposed treatments for pruritus include exposure to a cooling surface and maintenance of a well-hydrated...

Do implants assist rehabilitation following mandibular reconstruction?

The gold standard for the reconstruction of the mandible is a free bony flap, the fibula being commonly used. Following reconstruction optimal function and aesthetic rehabilitation is the goal. There is no doubt that patients consider chewing, swallowing and speech...

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...

Reconstruction paediatric lower facial defects with an expanded flap from the submental region

Lower facial and perioral scars from burns or defects following treatment of vascular lesions can lead to serious facial deformity with lip ectropion and asymmetry. Conventional reconstructive methods like skin grafts or free flaps do not always give a satisfactory...

Comparison of petrolatum gel with silver sulfadiazine dressings in small superficial burns

This was a randomised controlled trial set up in a single burns centre in Manila in the Philippines. Inclusion criteria were superficial burns not requiring skin grafting, and up to 10% total body surface area in young, fit adults between...

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...

Endoscope and concealed incisions for small benign tumours of the accessory parotid gland

While the most common conventional approaches for benign tumours of the parotid gland are the standard parotidectomy incision, a modified standard parotidectomy incision and a face lift incision, the authors have used a modified endoscopic approach with minimal concealed incisions...

Avoiding pre-placed recti sutures in enucleation

This is a retrospective review of 40 patients who underwent enucleation using a non-conventional technique in which the recti muscles were detached from the sclera without pre-placing any sutures to secure the cut muscle ends. The surgery was only performed...

VITASPARK - a career counselling service with a difference!

Focusing on the needs of today’s surgical trainees, Vitaspark has been created and curated by Aishan Patil, a Scottish surgical SpR, and colleagues.

Barbed threads for philthral shortening and vermilion eversion

Ageing of the perioral region is a multifactorial process that stems from underlying skeletal resorption, descent of soft tissues, dermal thinning and cumulative muscular activity [1]. These changes translate into several hallmark features: the philtral column elongates, the vermilion loses...