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VAC therapy and instillation

Vacuum assisted closure (VAC) therapy is now a common sight in plastic surgery departments for the management of difficult wounds, to encourage granulation tissue formation, reduce wound size and facilitate closure or reconstruction. The combined use of VAC dressing with...

Long-term follow-up of maxillary advancement in cleft palate cases

Twenty-two consecutive patients with cleft lip and palate, treated with maxillary advancements and distraction osteogenesis, were followed up for between five and 13 years. They were divided into two groups, those who were still growing and those whose growth was...

Management of keloid and hypertrophic scars

The management of keloid and hypertrophic scars is commonplace in all burns and plastic surgery outpatient clinics, and in this paper the authors review many of the current treatments available for this difficult problem. They start with an introduction about...

Evaluation of lateral crural steal

Many techniques to increase nasal tip projection and rotation have been described. The lateral crural steal (LCS) technique appears to be suitable for patients who have an under-rotation associated with poor projection of the nasal tip. The objective of the...

Factors affecting the success of canalicular repairs

This is a 10-year retrospective review of 137 canalicular laceration repairs, looking for factors which affected the outcome. A successful outcome was defined as no epiphora at three months or more after removal of the stent. Overall the success rate...

­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...

Prophylactic postoperative antibiotics for enucleation or evisceration

The authors report on a retrospective, multicentre, comparative case series looking at prophylactic antibiotics and the incidence of orbital cellulitis following enucleation or evisceration. Of the 644 cases included in the analysis, all received a single perioperative intravenous dose of...

Soft tissue changes following maxillary osteotomy, comparison of three computer programmes

This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CTs three months preoperatively and one year postoperatively. A clinical comparison between...

Reconstruction after maxillectomy

Maxillectomy for tumours of the paranasal sinuses creates large, complex defects. Whilst free flaps appear to be the preferred method of reconstruction, the best type is unclear. This article discusses a single unit’s experience using different free flaps for reconstruction....