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Rib grafts for mandibular reconstruction
The mandible provides support for the function of the lips, floor of mouth and tongue, and provision of oral competence and function such as swallowing, chewing and speech. Reconstruction of the mandible following ablation thus requires good bone stock to...The patient journey in DIEP flap breast reconstruction
In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...Cleft lip and palate care in low resource countries
The author explains why the traditional ‘humanitarian mission’ style of charity work needs to change and how the charity CLEFT is making an impact. It is estimated that between 150,000 and 250,000 babies are born each year worldwide with clefts...OPINION - Influencers affect us all: but are they as good as we think?
Recently I was approached by the son of a 75-year-old lady for a second opinion on a large fungating malignant melanoma on the outer lateral aspect of her left thigh. She had noticed an enlarging 50p size pigmented lesion just...How I Do It - Performing a mastopexy or reduction using Breform™ mesh
Gravity defying breast surgery – the Holy Grail for breast surgeons. Repeat ptosis and pseudoptosis are significant problems facing patients and surgeons after breast reduction and mastopexy. Further surgery to correct this can be challenging, with increased complications, and the...Hymenoplasty and virginity – an issue of socio-cultural morality and medical ethics
This article reflects the increasing complexity of the modern world, where the rich diversity of culture, morals, the law and religion, can have profound effects on medical practice. Sometimes there is considerable debate which is not in fact appropriate. This...
Outcomes of heavily pre-treated oral squamous cell carcinomas
Oral squamous cell carcinoma is one of the more common cancers worldwide. Surgery is the mainstay of treatment and often these patients have had adjuvant therapies. In spite of improving five year survival rates, local recurrent progressive disease is still...
Lymph node ratio – another predictor of outcomes in tongue SCC
Oral squamous cell carcinoma (SCC) is an increasing disease with over 263,000 diagnosed new cases and 128,000 deaths annually worldwide. Although there have been significant advances in diagnostics, surgery and anaesthetics there has been no increase in the survival rates...
Z-plasty release of congenital muscular torticollis
Congenital muscular torticollis (CMT) is common in neonates, with a frequency of 0.3% to 2%, and usually responds to passive stretching below the age of one year. This study evaluated the results of performing an inferior Z-plasty release of the...
Malar mounds and festoons
Periorbital rejuvenation and blepharoplasty, in particular, are very common procedures nowadays in aesthetic practice. More than 153,000 blepharoplasty procedures were peformed in the USA during 2012. Blepharoplasty can sometimes be a very challenging surgery, especially if the patient presents with...
Bleb-related changes in upper lid position
This is a review of five patients with upper lid ptosis or lid retraction secondary to large filtering blebs post-trabeculectomy. The authors review each case and apply a model to analyse the separate forces acting on the upper lid to...
