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Emerging trends in the aesthetics of rhinoplasty: from local to global

The concept of ‘beauty’ can be bewildering in its scope and variation through time and geographical location. As the aim of facial plastic surgery consists of restoration of form and function, the definition of beauty takes on immense importance. Although...

Inferior alveolar nerve (IAN) recovery after ORIF fractured mandible

Mandibular fractures are quite common facial injuries, but aetiology varies with country and age. Common treatment options are open reduction and internal fixation via an intra oral or extra oral incision. Nerve injury or dysfunction is often seen preoperatively and...

Two for the price of one multiple parotid neoplasms

With advancing years come many benefits, but one drawback is the acquisition of parotid (or thyroid) neoplasms. Conventional teaching is that most are benign and slowly enlarge, and not infrequently are found bilaterally as in Warthin’s. Pleomorphic adenomas are also...

Ultrastructural changes in keloid scars

One of the most intriguing and infuriating problems confronting plastic surgeons is the occurrence of hypertrophic and keloid scars, in some patients – particularly black Africans – but not in others. Many theories have been proposed regarding the cause of...

Comparing the rates of fat necrosis in irradiated muscle-sparing tram versus diep flap breast reconstruction

The authors performed a retrospective cohort study of patients undergoing immediate autologous breast reconstruction with an abdominal free flap. Over a 17-month period, 625 flaps were included in 518 patients, with 40 flaps receiving irradiation. Mean patient age and BMI...

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...

Better outcomes from early repair of type B blow-out fractures

This paper examines whether early, rather than late, surgical repair results in better motility outcomes for a particular subgroup of orbital floor blowout fractures. The authors divide floor fractures into types A and B, depending on whether or not the...

Avoiding pre-placed recti sutures in enucleation

This is a retrospective review of 40 patients who underwent enucleation using a non-conventional technique in which the recti muscles were detached from the sclera without pre-placing any sutures to secure the cut muscle ends. The surgery was only performed...

A superbly readable review of cleft orthognathics

It is a long time since I had any involvement with cleft surgery, but I do occasionally encounter cleft patients (presenting with other things), and trainees who will soon be asked to give a reasonable account of things that they...

PRP and Microneedling in Aesthetic Medicine

Platelet rich plasma (PRP) makes sense scientifically. Platelets are a bit like biological robots. They do not have a cell nucleus, but they do have a program which directs them to surveil blood vessel walls and, in particular, to respond...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

Globe trotter: Vasant Oswal launches memoir

Vasant Oswal was brought up in an era when public transport in India relied on horses. From humble beginnings in Pune in the western state of Maharashtra, he went on to become a pioneer in laser surgery in the larynx. He would also receive a Fellowship by Election at the Royal College of Surgeons, not to mention serving as Editor in Chief of ENT and Audiology News.