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Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...

Submandibular haematoma with airway obstruction following a warfarin overdose

Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...

A ventral solution to a perineal problem: a case report

The repair of postoperative perineal hernias is extremely challenging. Two male patients with problematic secondary perineal hernias following abdominoperineal resection of rectal adenocarcinoma have been successfully treated using the Ventralex™ composite, self-expanding ventral patch, normally used for umbilical and epigastric...

How I Do It - Otoplasty: Anterior scoring technique

Standard intraoperative preparation and draping is carried out. The ear is folded back and the intended antihelix (antihelical fold) is marked (Figure 1). Tattooing of the new antihelix, using a blue needle and ink, is done. It is inserted through...

How I Do It - Otoplasty

Otoplasty techniques to correct ear prominence can be broadly divided in two categories. Suturing techniques and scoring or weakening techniques. Suturing is the approach we prefer, due to more predictable results and less occurrence of non-correctable complications. Suturing techniques involve...

How I Do It - X neo-umbilicoplasty

Following an abdominoplasty the umbilicus is repositioned and inset into a new position. When healed it should have a natural appearance and in order to get this outcome it is necessary to understand what is ‘normal’. Several different morphological appearances...

New IPL technology as treatment for melasma

Background Melasma is an acquired refractory pigmented skin disease. It is a complex multifactorial disorder and its pathogenesis has not yet been fully elucidated. Risk factors include genetic predisposition, sun exposure, stress, medications, and pregnancy. Melasma is divided into three...

Venous lake of the lip treated with Nd YAG, LONGPULSE Laser: Two case reports

Venous lake of the lip is a benign vascular lesion characterised by dilation of superficial veins (venous ectasia). Clinically, it presents as a purplish-blue to violaceous, soft and compressible papule or nodule, most commonly located on the lower lip of...

HOW I DO IT - Er:YAG laser ablation for enhanced lesion removal

Ablative lasers, such as CO2 and Er:YAG, may be regarded as superior to traditional surgical techniques – elliptical excision, curettage, cautery and cryotherapy – because they provide greater precision and uniformity in lesion removal. This enhanced accuracy translates into improved...