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Superficial lymphatics of the abdominal wall in lymphatic microsurgery
This elegant and beautifully illustrated article requires to be carefully studied in its entirety by any surgeon planning to carry out lymphovenous anastomoses or vascularised lymph node transfer in the groin area. As the authors point out, the most difficult...
Prophylactic postoperative antibiotics for enucleation or evisceration
The authors report on a retrospective, multicentre, comparative case series looking at prophylactic antibiotics and the incidence of orbital cellulitis following enucleation or evisceration. Of the 644 cases included in the analysis, all received a single perioperative intravenous dose of...
Medial conjunctivoplasty for epiphora associated with conjunctivochalasis
The authors describe a retrospective review of 18 patients (25 eyes) who underwent medial conjunctivoplasty for epiphora between 2000 and 2012. In all cases, the epiphora was felt to be predominantly due to the mechanical disruption of normal tear flow...
How long should you wait for your adrenaline to work?
The authors present a prospective, randomised, triple-blind study to see how long it really takes to obtain the lowest cutaneous haemoglobin concentration after lignocaine with adrenaline injection. Twelve healthy volunteers were injected simultaneously in each arm with either plain 1%...
How affective is lignocaine in the infiltration for tumescent liposuction?
The authors present a prospective, randomised, double-blind study to assess whether the inclusion of lignocaine in the standard infiltration for tumescent liposuction, reduces postoperative pain. A cohort of women, aged 18-40, BMI 20-27, and receiving abdominal or back liposuction were...
Endoscopic brow lift in the course of time
The authors present a systematic review on the advantages and disadvantages of various brow-lifting techniques. They present their decision algorithm for closed versus opened approach, including potential complications and their management in general. After a detailed description of the endoscopic...
Male pattern baldness is not all in the genes
Gentlemen, be advised (if it’s not already too late) that you may be able to influence your chances of going bald. The authors of this study compared the patterns of baldness in 92 pairs of identical twins and correlated these...
Proprioception and ptosis
This is a small prospective study investigating the effect of proprioceptive factors on upper lid height. Eight unilaterally anophthalmic patients with ocular prostheses and normal lid heights had standardised photographic measurements taken of their eyelid and brow positions. Three sets...
Myopathic ptosis and lower lid retraction surgery
This is a description of a surgical technique which simultaneously addresses both the upper lid ptosis and lower lid retraction in patients with moderate to severe myopathic ptosis. The procedure was performed on 16 eyes of nine patients and involved...
Conjunctival mapping biopsies in sebaceous carcinoma
This is a retrospective review of conjunctival mapping biopsies in patients with periocular sebaceous cell carcinoma. The authors reviewed the biopsy technique and outcomes of 45 patients who had mapping biopsies performed over a 25-year period. A total of 429...
Imiquimod for lentigo maligna
This is a retrospective review of 12 patients with periocular lentigo maligna treated with topical 5% imiquimod cream. In six patients it was the only treatment, and in the other six it was used following partial excision, cryotherapy or both....
