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Delayed intraoral wound healing in patients on bisphosphonates
Since Marx first described bisphosphonate related osteonecrosis of the jaw (BRONJ), the literature is now replete with cases of BRONJ. There are no internationally accepted protocols. A three month cessation of drug treatment, a ‘drug holiday’ has been advocated. The...
Extracapsular dissection versus parotidectomy
This is a literature review of 16 papers using the PRISMA protocol. In comparing the two techniques, not surprisingly, they found that the extracapsular dissection had a reduced facial nerve paralysis, Frey syndrome and operation time but also a reduced...Cosmetic labiaplasty – basic relevant anatomy and surgical considerations
Consultant Plastic Surgeon, Ewa Majdak-Paredes, explores the increasing demand for labiaplasty and the surgical techniques to obtain the best outcome for patients. It is recognised that there is an increasing demand for labiaplasty procedures including amongst teenagers. Genital dimensions in...How I Do It - Wound closure
Looking to upskill? Professor James Frame and a host of co-authors share their tips and tricks so you can benefit from their experience. I recently saw two wound closures exhibiting poor technique and contributing significant morbidity, including suture site inflammation,...The three stages of breast reconstruction
Breast cancer has become so common that most people reading this article will know someone (either professionally or personally) who has been affected by breast cancer. One of the most common treatments for breast cancer is removal of the ‘whole’...Facing suffocation: young woman saved from critical neck growth that could have caused death
A young woman whose sore throat became a life-threatening growth in her neck, leaving her struggling to breathe and facing suffocation, has had it removed for free by surgical volunteers from international charity Mercy Ships. “When we first met her,...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 13) – Records of necessary information
Today is the first day of the Chinese New Year. This is the year of the Tiger. I am fine, I am a Dragon. This is going to be an interesting year.The Vascular Birthmarks Foundation (VBF) 2023 Free Laser and Ultrasound Clinic – Greece
The Vascular Birthmarks Foundation’s (VBF) Free Laser Clinics are aimed at delivering much-needed access to early intervention for individuals and families living with a vascular birthmark, anomaly and / or related syndrome (VBARS) in the United States and abroad. In...
Use of spacers for mandibular defects after resection of mandible preceding definitive osseous reconstruction
The authors propose the use of rigid polyethylene and silicon spacers in mandibular defects as an interim measure before definitive osseous reconstruction after mandibular resections for locally aggressive benign disease. The authors point out that the current intermediate reconstruction systems...
