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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...

How I Do It - Auricular reconstruction: Helical advancement flap

As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...

Evidence based review of management for common head and neck cancers

As part of the PRS evidence based review series, this well written review summarises the up-to-date knowledge regarding the surgical and non-surgical management of the common facial skin cancers. The review is limited to BCC, SCC, MM and Merkel Cell...

Virtual learning post lockdown

The rapid onset and intensity of the COVID-19 pandemic has required some radical changes in most areas of our professional lives, including a chance to update traditional approaches to learning. Virtual learning is the use of remote video conferencing software,...

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...

Pediatric Plastic and Reconstructive Surgery

Pediatric Plastic and Reconstructive Surgery is an extensive, in-depth textbook dedicated to surgical problems in children that require the attention of a plastic surgeon. Most of the authors are consultant plastic surgeons practising in the United States and the United...

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...

Complex auricular reconstruction using a 3D printer

The authors of this paper present a new technique for complex auricular reconstruction in a patient with a previous squamous cell carcinoma of the scalp, parotid and neck treated by surgery and postoperative radiotherapy. The patient presented a depression on...