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Classification and assessment of midfacial fractures: no more Le Fort facial fractures

There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...

Airway first in patients with facial trauma

Anyone that has ever been on an advanced trauma life support (ATLS) or indeed any other trauma course will be well indoctrinated with the principles of airways, breathing and circulation (ABC). Securing the airway is of paramount importance; but what...

Surgical exposures of the hand

This paper by Watt and Chung gives the reader an overview of hand anatomy, comments upon the aesthetics of hand surgery and summarizes some surgical approaches to the hand. The introduction presents a concise overview of the relevant anatomy of...

The role of thrombolytics in acute and chronic occlusion of the hand

In keeping with much of this edition of the Hand Clinics journal, this article accurately and appropriately sets out the background, epidemiology and current approach to management of acute and chronic upper limb ischaemia. The background sections ease the reader...

Assessing acne vulgaris

The author reviews the evidence surrounding acne development, prevalence and assessment, discussing the importance of capturing a detailed patient history, with reference to aspects of the author’s own assessment tool. The crucial role of the pilosebaceous unit in relation to...

Treating individuals who identify as transgender

An interesting oversight of a specialised area of aesthetic medicine concerning hair removal for male-to-female transgender individuals. The author discusses the definition of ‘transgender’ with reference to The Gender Identity Research and Education Society, to guide aesthetic nurses to this...

Management of post-acne scarring

The author provides a detailed discussion of acne scarring, underpinned by statistics, reflecting the current prevalence. The pathogenesis of acne scarring, different types of scars and severe psychological impact are explored with emphasis on providing evidence-based treatments in aesthetic practice....

Nanotechnology and regenerative therapeutics in plastic surgery

This review is focussed on how novel nanotech therapeutics can apply to modern plastic surgery. The review does not pose a specific question and, therefore, does not base the review on a particular hypothesis to whether nanotech carries an evidence...

The initial management of nasal trauma

Nasal trauma and fractures are some of the most prevalent clinical problems in a facial surgery practice. Fractures of the nose are the most common facial fractures and reported to be the third most common fracture of the human skeleton....

Exposure of the forearm and distal radius

Klausmeyer and Mudgal are a plastic surgeon from Colorado and an orthopaedic surgeon from Boston, respectively, who both specialise in hand surgery. In this article the authors describe the approaches to the forearm and distal radius. They commenced with a...

Maximising treatment outcomes with skin peels

The author provides a comprehensive overview of skin peels as one of the main treatment options for the improvement of photodamage, hyperpigmentation and mild acne, whilst reinforcing that aesthetic practitioners have a responsibility to inform patients of all the available...

Post-cancer prosthodontic reconstruction

A functional outcome after head and neck cancer resection is aimed at restoring speech and swallow. Dental reconstruction greatly facilitates this, particularly by enabling the patient to chew food. The authors reinforce the need for careful presurgical planning with treatment...