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One anastomosis or two
This is a cumulative meta-analysis from Hong Kong reviewing 27 articles and a total of 7389 flaps. The authors, at the outset, acknowledge that the number of anastomoses is not the only factor of venous compromise and flap failure. Nonetheless...Natural lifting effect and skin rejuvenation with biphasic medical peeling combined with microneedling
Skin ageing affects the supporting structures of the skin along with the epidermal tissue. Collagen development slows down, and the ability to bind water decreases, the skin becomes thinner and more sensitive. Microcirculation, oxygen supply, fat content and hydration are...How I Do It - Contouring the lower jaw (surgical)
It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...
Early hypothermia as risk factor in severely burned patients
This retrospective outcome study looks at patient temperature on admission and if this affected outcome and what variables play a part in the patient’s temperature. Again, this is well written and thought out, but is limited by sample size. They...
Do implants assist rehabilitation following mandibular reconstruction?
The gold standard for the reconstruction of the mandible is a free bony flap, the fibula being commonly used. Following reconstruction optimal function and aesthetic rehabilitation is the goal. There is no doubt that patients consider chewing, swallowing and speech...
Method of surgical resection affects reporting of margins of tumours in the oral cavity
It is important to obtain tumour-free resection margins in patients with oral cancer. Pathological processing is known to cause tissue to shrink, which affects the reported margins, and it is postulated that the method of resection also has an effect....
Principles of Facial Reconstruction: A Subunit Approach to Cutaneous Repair
Principles of Facial Reconstruction is an excellent book for any trainee in plastic surgery, ENT or maxillofacial surgery. It is a well written book, that subdivides facial reconstruction into each subunit, with different chapters for each area. There are 10...How I Do It - Surgical tear trough treatment and periorbital procedures
It is very helpful to use the patient’s old photographs as a guide to addressing the bothersome changes that have occurred in order to plan an approach that maintains an individual’s natural appearance. Periorbital rejuvenation should be considered in the...
Columellar strut in rhinoplasty
Several techniques are described to improve nasal tip shape; most of them include suture techniques or invisible grafts. In this article the author wants to put emphasis in the role of the columellar strut graft as a method to correct...
