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Which patients are more likely to have postoperative pulmonary complications after major head and neck?

Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...

Postoperative follow-up of oral squamous cell carcinoma: a new protocol

Oral and oropharyngeal cancers together are the sixth most common malignancy in the world, with an increasing incidence of oral squamous cell carcinoma (OSCC). The recurrence rate of OSCC is reported to be approximately 10-26%. About two-thirds of all recurrent...

Making Decisions and Avoiding Complications in Skin Flaps

Whereas modern readings on reconstructive surgery impress by their high-quality graphic illustrations on heavy glossy paper next to lengthy discussions, this book has a remarkably unpretentious appearance. At first glance it becomes clear that the reader should not expect a...

Perceptions and deceptions: a personal blog by the editor 21 July 2016

It must be bloggers block! The information incoming is just too great to handle. I have cross-posted about this blog in an editorial I have just written for our magazine. I am revisiting the inquest of a girl that died...

Facial asymmetry in patients with deviated noses

Rhinoplasty of a deviated nose is known to be a challenge of its own kind, especially when patients presenting with a deviated nose are unaware of their underlying facial asymmetry. Patients with a successfully straightened nose, continue to perceive their...

Recent developments in hyaluronic acid research

Hyaluronic acid has a role in many medical specialties, not just aesthetics. Anna Baker takes us through the latest evidence and therapeutic indications. The evidence and demand for hyaluronic acid (HA) based technologies continues to expand and evolve across a...

‘Split’ earlobe repair

Surgical repair of the earlobe is an increasingly sought-after procedure for patients of all ages. The most common reason for those wanting definitive surgical repair of their earlobe deformity is due to a ‘split’ or elongated earlobe piercing. The resultant...

Clinical histopathology of 250 parotidectomy patients

This is a retrospective study of 250 consecutive parotidectomy patients at units in Belgium and the Netherlands. The sensitivity and specificity of FNAC was 64% and 99% respectively. The sensitivity being slightly lower than the often quoted 80%. MRI and...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 25)

Time out I am taking a time out because I want to go back to 2014. At that time there were no mandatory guidelines regarding the administration of procedural sedation in cosmetic practice in Hong Kong. Because of the call...

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...

Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide

“…the quality of the studies was not good enough for the committee to make a strong recommendation for the choice of antiseptic preparation.” NICE Guidelines NG125 Skin preparation before an invasive procedure is a part of all surgical procedures and...

How I Do It - Multilayer midface rejuvenation

The use of dermal fillers in the midface to create a more harmonious and youthful look has been increasing in recent years. It is important to use the appropriate technique and suitable product to create an aesthetically pleasing malar projection...