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Significance of exterior capsular spread in a clinically negative neck

This is a retrospective paper from Zagreb of 61 patients with a clinically T1-T3 N0 squamous cell carcinoma undergoing primary surgical treatment. All patients had a level I-IIII/IV elective neck dissection. Those who had adverse histological features, including extracapsular spread,...

Facial asymmetry and nasal septal deviation

The authors’ aim was to evaluate the relationship between nasal septal deviation and facial asymmetry. They performed a study of 60 patients who had facial 3D CT scans from April 2011 to March 2014 and confirmed facial asymmetry, who were...

A modification of the crescentic flap for nasal skin reconstruction

Non melanoma skin cancers are the most frequent malignant skin tumours and in over 25% of cases affect the nose. Following excision, the reconstruction can be challenging. The nasal complex has adjacent concave and convex surfaces, minimal laxity and nasal...

Modified reversed superficial peroneal artery flap in reconstruction of ankle and foot defects following severe burns

Deep burns involving the foot and ankle represent a significant reconstructive challenge. This paper serves as a clinical review of the modified reversed superficial artery flap. The authors describe key anatomy, surgical steps and clinical outcomes in a small series....

The role of topical peptides in skincare

The sustained global interest in regenerative medicine is evident and increasingly aligned to the emerging field of regenerative aesthetics [1]. Arguably, regenerative medicine is an established and evolving specialism of medicine, and the rise of associated medical aesthetic treatments and...

A new treatment for genitourinary syndrome of menopause

Genitourinary syndrome of menopause (GSM) [1] is defined as a collection of symptoms and signs mainly associated with the progressive decrease in oestrogen levels. The lack of hormones, usually produced by the ovaries in fertile age, may lead to genital...

How I Do It- Nipple reconstruction

A simple and reliable technique for post mastectomy nipple reconstruction. The final stage of postmastectomy breast reconstruction is the recreation of the nipple areolar complex. This can only be considered when the breast shape has stabilised in terms of ptosis....

Body Contouring and Liposuction: Expert Consult

The authors, in the Preface of Body Contouring and Liposuction, acknowledge that this challenging and constantly evolving branch of plastic surgery lies at a unique intersection of “surgical skill, artistry and new technology”. Their book aims to deconstruct and simplify...

Acid Survivors Trust International

The shocking acid attack on two British nationals in Zanzibar in August 2013 drew attention to a little known and under-reported form of interpersonal violence. Acid attack is a particularly vicious form of a premeditated assault, where acid is thrown,...

A superbly readable review of cleft orthognathics

It is a long time since I had any involvement with cleft surgery, but I do occasionally encounter cleft patients (presenting with other things), and trainees who will soon be asked to give a reasonable account of things that they...

Perceptions and deceptions: a personal blog by the editor 4 July 2016

I would like to take this opportunity to share a blog with Chris Day and the other junior doctors to talk about ‘whistle blowing’ and what it means. Typically, it refers to people who “speak out of turn”, “wash the...

How I Do It - Combination Treatment – Frax Pro™ System with Cosmeceuticals

The Frax Pro™ is a dual wavelength platform of non-ablative fractional laser technology encompassing the wavelengths 1550 and 1940nm, both in the mid infrared region. This produces tissue coagulation through microscopic zones which ultimately leads to a specific biological response...