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Case-based illustration and discussion of surgical modalities to manage traumatic hand defects

The authors present four clinical cases of soft tissue defects affecting the hand and discuss various surgical management options available. These cases include a dorsal hand wound, thumb pulp defect, first webspace defect and a volar finger defect. For each...

An elegant extension to the facelift, resulting in good neck correction

The author discusses his experience in over 200 cases of an overlapping plication platysmaplasty technique via the facelift incision, thus avoiding a submental incision. A logical argument is made to the benefit of the procedure, providing more extensive retraction in...

Reconstruction after maxillectomy

Maxillectomy for tumours of the paranasal sinuses creates large, complex defects. Whilst free flaps appear to be the preferred method of reconstruction, the best type is unclear. This article discusses a single unit’s experience using different free flaps for reconstruction....

Imaging accurately predicting the need for mandibular resection

This is an article from Australia of 109 patients, 83 of which had CT, 72 MRI and the presence of bone invasion on imaging was compared with the histopathology. Bone invasion was present in 44 of 109 resection specimens. Bone...

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...

How I Do It - Contouring the lower jaw (non-surgical)

It is important to invest time in analysing the lower aspect of the face whilst in discussion with the patient to establish a mutual agreement as to the level of desired correction along with the choice of product. I find...

How I Do It - Utilising ARES AK and AO as a multi-factorial approach

The Advanced Regenerative Esthetic Solutions (ARES®) line from CMed Aesthetics positions itself as “the most innovative mesotherapy line”. Mesotherapy is a minimally invasive cosmetic treatment that involves injecting small amounts of vitamins, enzymes, hormones, and other substances into the middle...

Auricular reconstruction: flip-flop flap

Describing an approach to the straightforward and reliable flip-flop axial flap for reconstruction of the conchal bowl subunit of the auricle. The ‘flip-flop’ flap describes an axial subcutaneous island flap lying between the auricular sulcus and mastoid process. The flap...

The arguments for polyurethane covered breast implants in cosmetic and reconstructive breast surgery

The surgeon’s viewpoint Medical grade silicone has been used for breast augmentation since the 1960s and is the preferred base material to use as the filler in breast implants. Cohesive gel silicone implants are now exclusively available in the UK....

Rhinoplasty for cleft nose deformity

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Modern cleft lip and palate repairs produce excellent functional and aesthetic results...

Burns care in India: unique and continuing challenges

The author interviews Dr Shobha Chamania, Chief of Choithram Hospital Burn Unit, to obtain an insight into the unique challenges burns care practitioners face in India. Choithram Hospital Burn Unit is an Interburns accredited training centre located in Indore City,...

Purse string closure after excision of paediatric facial lesions

Circular excision and purse-string closure has been described for infantile haemangiomas as an alternative to lenticular excision. Records of 77 consecutive paediatric patients with facial skin lesions treated with circular excision and purse-string closure from 2007-2014 were reviewed. Lesions excised...