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Otologic concerns for cleft lip and palate
The management of patients with cleft lip and palate includes a focus on effective speech and language function. Poor eustachian tube function and middle ear dysfunction mean over 90% of children suffer from otitis media with effusion. This article provides...
Vascularised composite allotransplantation: an update
Vascularised composite allotransplantation (VCA) includes transplantation of multiple tissues in a single vascularised unit, such as the upper limb, or most dramatically the face. Truly remarkable results have been achieved, such as the one illustrated in this article. More than...
Complications of otoplasty
Otoplasty has a long history. Currently, two schools of thought predominate, which can be summarised as cartilage cutting and cartilage sparing techniques. The former includes removal of cartilage and the scoring of cartilage, whereas the latter involves contouring by placement...
The double-half bilobed flap or traditional bilobed flap – which is better?
Reconstruction of the nasal tip following ablative surgery can be taxing. The nasal tip is a very visible area with largely immovable skin and reconstruction needs an appreciation of the various sub-units to achieve best results. The traditional superiorly based...
When to treat a fractured mandible?
This is a prospective study from Brisbane of 215 patients with a total of 359 fractures of the mandible. Nine outcome variables were analysed with a further 19 included to adjust for potential confounding. Treatment delay was found not to...
Bone grafting in orthognathic surgery
This is a systematic review from Belgium and Saudi Arabia of 48 articles. They reviewed the complication, stability, aesthetics and healing of Le Fort I, sagittal split, chin and zygomatic osteotomies. They concluded that there was strong evidence that bone...AI facial filters have the ability to change who we find attractive
We can use them to alter lighting, smooth out our complexion and even change our hair colour, but now researchers have found that AI facial filters, when used in real time, could even have the power to influence who we...Acid attacks: part 1
In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...How I Do It - The original Blue Peel
The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...Durjoy – the Hong Kong story
I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....
