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We need to talk about amputation – a difficult conversation in the developing world
What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...Preservation rhinoplasty
Hump reduction and osteotomies to close the open roof, or lowering the whole nasal dorsum? Charles East explains how preservation techniques can improve outcomes by maintaining the integral structures of the nose. What is preservation rhinoplasty? The origins of reduction...In conversation with Professor David Sines
In January 2016 a new voluntary regulatory register was established – the Joint Council for Cosmetic Practitioners (JCCP), chaired by Professor David Sines. Since that time the JCCP has met with challenges from many within the aesthetics industry. We spoke...
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...
A simplified method for advancement genioplasty
Lower facial aesthetics can be improved with either bony advancement osteotomy or alloplastic implant augmentation. The choice of these options frequently depends on the experience of the surgeon. In their retrospective study on 126 patients, Chan and Ducic, describe and...
Extranodal NK/T cell lymphoma in the head and neck
The authors present a retrospective single institution review of patients with a very rare variant of non-Hodgkin lymphomas (NHL). They report on the occurrence, clinical course and outcomes of their patients with natural killer/T-cell lymphoma (NKTCL) nasal type. Sixty-three patients...
Use of acellular dermal matrices in revisional breast reconstruction
In this study the authors present a review of their experience in using Acellular Dermal Matrix (AlloDerm) in revision breast reconstruction procedures. They retrospectively reviewed all revisional breast reconstruction cases over a five-year period in which AlloDerm had been utilised....
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...
A plea for reconstructive plastic surgery in the routine care of sarcoma patients
The authors from the Mayo Clinic demonstrate the advantage of early intervention by plastic surgeons in the care of patients with sarcoma. A retrospective case study review looks at the wound complication rate of surgery for those patients who have...
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...
