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Thyroid eye disease and obstructive sleep apnoea

This is a retrospective study looking for an association between compressive optic neuropathy in thyroid eye disease (TED-CON) and obstructive sleep apnoea (OSA). One hundred and nine patients with thyroid eye disease were asked to complete a validated questionnaire designed...

A new autologous flap option for breast reconstruction

The authors of this paper present the first meaningful series utilising the lateral thigh perforator flap for breast construction. Eight patients had delayed unilateral reconstruction, each with two stacked flaps. Anastamoses were performed antegrade and retrograde to one internal mammary...

Surgical management of refractory osteoradionecrosis

This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. Thity-six segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used with soft tissue...

Hierarchy of orthognathic surgical stability

This study was designed as ‘an overview’ of secondary studies and analysed 15 articles. Two procedures were considered highly unstable, a bilateral sagittal split osteotomy for clockwise rotation of the mandible with bi-cortical screw rigid internal fixation, and posterior maxillary...

Non-intentional burns in children

This is an interesting epidemiological study on the incidence and relevant factors in paediatric burns. There is some very good data, well presented and analysed well. This study would be well placed in with Switzerland’s public health setting to help...

The value of bariatric specific chart to initiate resuscitation

This is an interesting well written retrospective analysis of resuscitation in bariatric patients, but the study has two significant flaws. The first flaw is that parklands formula, with estimate from lund browder charts, is a guide and a best estimate...

Vitamin D and thyroid eye disease

This is a retrospective review of vitamin D levels in patients with thyroid eye disease (TED). Vitamin D levels in 89 patients with Grave’s disease and TED were compared against 89 patients with Grave’s disease and no TED. They also...

Ablepharon-macrostomia syndrome

The ablepharon-macrostomia syndrome is a very rare condition caused by a dominant mutation in the TWIST2 gene. Congenital defects include rudimentary eyelids, macrostomia, ambiguous genitalia and campodactyly. Neonates are at risk of severe corneal exposure without intervention. Previous reports have...

Maximising the results of blepharoplasty

The aesthetic anatomy of lower eyelid is detailed leading to discussion of operative technique to achieve the goals of blepharoplasty; for the lower lid these are a youthful lid cheek junction, a positive canthal tilt and no scleral show. The...

Less extrusion of StopLoss Jones Tubes

This is a retrospective comparison of the survival of StopLoss Jones tubes with conventional Lester Jones tubes. Between 2014 and 2016, 31 StopLoss and 59 Lester-Jones tubes were inserted. The authors compared the extrusion and sinking-in rates between the StopLoss...

The value of bariatric specific chart to initiate resuscitation of adult bariatric burns

This is an interesting well written retrospective analysis of resuscitation in bariatric patients, but the study has two significant flaws. The first flaw is that parkland’s formula, with estimate from lund browder charts is a guide and a best estimate...

Clinical histopathology of 250 parotidectomy patients

This is a retrospective study of 250 consecutive parotidectomy patients at units in Belgium and the Netherlands. The sensitivity and specificity of FNAC was 64% and 99% respectively. The sensitivity being slightly lower than the often quoted 80%. MRI and...