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Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...

Non-surgical rhinoplasty

Some patients would like to alter the appearance of their nose without surgery or make further subtle changes after a rhinoplasty. Lydia Badia explains how this can be done, thanks to injectable fillers.

Higher dose neurotoxins – what’s new?

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. How can we achieve longer lasting results with neurotoxins? With a new...

Could a technology from the past change skin disinfection for the future?

It wouldn’t be unreasonable to argue that the field of medicine has seen some of the most significant scientific advances of the past 100 years: the cracking of genetic coding, the advances in pharmacology, the development of biopharmaceuticals and the...

Plastic surgery and safety issues: a patient perspective

Patient safety in the unregulated world of cosmetic plastic surgery is now an extremely serious global issue. The media is always ready to sensationalise disasters but what can be done to prevent them? One key issue is the concept of...

SMAS facelift plication technique to close large skin defects

Resection of skin lesions from the facial region is typically a straightforward procedure, yet the challenge arises in effectively closing the resulting deformity [1]. Surgeons frequently face hurdles, especially when the lesion occupies a restricted anatomical region with limited skin...

Perceptions and deceptions: a personal blog by the editor 5 September 2016

The junior doctors are without doubt the very backbone of the NHS. They span from the newly graduated medical students to the most senior postgraduate trainees who are about to embark on a definitive post as a hospital consultant or...

Is rib cartilage a safe material for rhinoplasty

This is a meta-analysis of complications associated with use of autologus costal cartilage in rhinoplasty involving 10 studies with 491 patients with a mean follow-up of 33 months. The results of the meta-analysis show a very low rate of complications...

How to measure functional outcome after nose surgery

The authors of this paper perform a systematic review of the literature on two of the most popular patient-reported measures for nasal obstruction, the Nasal Obstruction Symptom Evaluation (NOSE) and the visual analog scale (VAS). They compare pre and postoperative...

­Distal edge necrosis in cervicofacial rotation-advancement flaps

Mohs facial reconstructive surgery can be a difficult process for a patient to undergo. The goal of facial reconstruction is to restore contour, function and aesthetics while minimising morbidity. The authors conducted a review of 88 patients who underwent cervicofacial...

Total nasal tip reconstruction with autologous auricular cartilage

This paper shows an original and effective procedure for total nasal tip framework reconstruction using autologous auricular cartilage. The authors explain how the seagull-wings technique, described some years ago by one of them (Fernando Pedroza) to treat severe nasal tip...

A useful regional flap for head and neck reconstruction

This article explains the experience of the head and neck department of the Massachusetts Eye and Ear Infirmary with a seldom used regional flap, the supraclavicular artery (SCA) fasciocutaneous flap. This versatile flap is based on the supraclavicular artery, a...