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Editor’s reaction to acid attacks in London
As I travelled to work to day I heard on the radio that there had been five separate “acid attacks” in London last night. It appears that these were all perpetrated by the same assailants and the motivation for the...
Problems in Breast Surgery A Repair Manual
Breast surgery is one of the most commonly performed plastic surgical procedures with a high incidence of revisions carried out, not only for complications, but also due to the natural evolution of the breast, ageing, or the consequences of long-term...
TRALI following fresh frozen plasma resuscitation from burn shock
This study aims to examine the incidence of transfusion related acute lung injury (TRALI) in burns resuscitation using fresh frozen plasma (FFP). The authors conducted a retrospective chart review of patients who met their requirement of ‘severe burn‘, that being...
Wide en bloc resection of lacrimal sac tumours
This is a retrospective review of the management and outcomes of 14 malignant tumours of the lacrimal sac. All patients were operated on jointly by an orbital surgeon and a head and neck surgeon. There is a detailed description of...
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...
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...
Pedicle calcification an uncommon problem
Bony free flap reconstruction of the facial skeleton following ablative surgery is common. Replacement with like for like tissues to reduce morbidity and facilitate rehabilitation is accepted gold standard. Current microvascular flap transfers have success rates in excess of 90%...Focus on: Cosmeceuticals (part 2)
To start the second part (see also Definitions, regulations and a review of the market and Skin anatomy and photoageing and Focus on: Cosmeceuticals (part 2) - continued) of this special focus on cosmeceuticals the authors will present some of...Using growth factors in skincare protocols to elevate patient results
All patients embarking on an aesthetic journey should be introduced to the importance of skin and why a healthy skin canvas is fundamental in producing the best possible surgical and non-surgical results. Investing in a carefully curated skincare regime can...
Auricular Reconstruction
In 2013 I sat in a little cafe in Nice with a small band of ear surgeons. We were there to put finishing touches to our plans to form the International Society for Auricular Reconstruction (ISAR). One in our midst...
Sunscreens and their properties for skin protection
A highly relevant discussion on the many facets of photoageing, with a sound overview of different UV rays, supported by clear diagrams showing the penetration depth of different light wavelengths. The composition and some of the myths surrounding physical and...
