You searched for "flaps"

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Bottoms up

Surgeons say no to Brazilian buttock lift (BBL) but yes to superficial gluteal lipofilling (SGL) as real time ultrasound technology allows gluteal fat grafting to be performed safely. In 2018 the British Association of Aesthetic Plastic Surgeons (BAAPS www.baaps.org.uk) dissuaded...

Risks of tracheostomy in head and neck cancer

Tracheostomy is an accepted surgical procedure that is one of the oldest ways of securing the airway. It is widely accepted to protect the airway after big cases of head and neck cancer and especially following free flap reconstruction. It...

Contrasting contemporary plastic surgery training with that in the late 20th century: ‘thirteen years a slave’

The Past Was I a slave? Absolutely not. I loved every minute of my training. I had the choice of career pathway as a young surgeon, but I was hypnotised by enthusiasm and a desire to help people with major...

Platysma muscle use for oral sphincter substitution or countering excessive pull of a free muscle, following facial palsy

The use of the platysma muscle as a pedicled ‘apron’ flap in order to minimise the overactivity of a free muscle transfer, used in the treatment of facial palsy, is described in admirable detail. The successful results are carefully assessed...

Rectal ketamine during paediatric burn wound dressing procedures

Ketamine is well reported as being safe to use in providing analgesia, sedation and amnesia in paediatric populations. This prospective, randomised, double-blinded study aimed to establish an optimum dose of ketamine in burns treatment settings in children aged six months...

50 Studies Every Plastic Surgeon Should Know

How do you decide the 50 most influential papers in plastic surgery? The breadth of subspecialties within plastic surgery makes this herculean task even harder. This book has attempted to collate each paper which has shaped and guided the practice...

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...

CAD/CAM assisted mandibular reconstruction free hand: is there a difference?

The gold standard for the reconstruction of the mandible is a free bony flap, the fibula is commonly used. The fibula is a straight bone and indeed all the other donor sites present various other considerations and difficulties, to allow...

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...

The place of BoNT in TMD: review article and case report

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. Over the last decade, there has been a great deal of interest...

2nd Chance: reconstructive surgery for life reconstruction

Many populations throughout the developing world have no access to the specialist healthcare needed by patients who have suffered severe burns, war injuries or congenital disorders. The specialties of plastic and maxillofacial surgery can make a vital contribution and PMFA...