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Postoperative delirium
This is a retrospective study from Japan analysing 102 patients who underwent oral cancer resection and free flap reconstruction. Postoperative delirium occurred in a third of these patients. An increased risk was identified in those with high preoperative albumin, postoperative...We need to talk about amputation – a difficult conversation in the developing world
What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...In conversation with Derek Mendonca
Can you tell us a bit about your background and what made you decide on a career as a paediatric plastic surgeon? I was born and raised in Bahrain, in the Middle East. My parents, both from Managlore in India,...
Form versus function concerning the external nasal valve
External nasal valve dysfunction is known to be a common cause of nasal obstruction. The authors present a prospective case series (n=19) including primary and revision cases of functional rhinoplasties. All patients reported nasal obstruction and were diagnosed with external...The Challenge of Renaissance, not Reconstruction: the aftermath of an acid attack
What madness makes a human being perpetrate a crime that is so horrible, so evil that makes it a capital offense (in Bangladesh) even though the death involved is of a person who remains alive? The motivation behind an interpersonal...
Systemic screening in adnexal lymphoma
This is a retrospective review of 119 patients diagnosed with ocular adnexal lymphoma, 85 of whom had primary adnexal disease and 34 had previously been diagnosed with lymphoma outside the ocular adnexa. Sixty-eight of the primary and 24 of the...Submandibular haematoma with airway obstruction following a warfarin overdose
Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...A novel integrated practice unit (IPU) approach to periocular skin cancer management
The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...How I Do It - Innovative delivery devices: 3DOSE Unit Dose Injector
3DOSE Unit Dose Injector is a unique and innovative disposable injector for BoNT injections, with a patented clicker system which produces audible and tactile feedback per injected dose. This new device, developed and launched by TSK Laboratory/Vlow Medical, aims to...
Botulinum Toxin in Aesthetic Medicine: Injection Protocols and Complication Management
A brilliantly succinct hardback discussing various approaches to botulinum toxin treatments for the face and the body. There are six chapters each outlining a specific category from general background and pharmacokinetics to upper and lower face, as well as non-facial...
