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Otologic concerns for cleft lip and palate

The management of patients with cleft lip and palate includes a focus on effective speech and language function. Poor eustachian tube function and middle ear dysfunction mean over 90% of children suffer from otitis media with effusion. This article provides...

A simplified method for advancement genioplasty

Lower facial aesthetics can be improved with either bony advancement osteotomy or alloplastic implant augmentation. The choice of these options frequently depends on the experience of the surgeon. In their retrospective study on 126 patients, Chan and Ducic, describe and...

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...

Controlled trauma technique when injecting HA dermal fillers

The author presents an interesting discussion regarding the potential for enhanced neocollagenesis through a patented ArqueDerma® dermal filler technique. A thorough overview is conveyed of the dermal collagen matrix, including the characteristics of type I and type III collagen. The...

Guidelines for the management of craniosynostosis

A Dutch national working group developed this guideline with representatives from the societies representing 11 different specialties and the Dutch national patients’ society. Medical, social and psychological aspects of care for both syndromic and non-syndromic craniosynostosis are included, for both...

Intra-oral implants in posterior maxilla - predictors of failure

Generally current dental implant placement is a successful procedure with predictable outcomes, especially when sited within normal quality and quantity of bone. The posterior maxilla, however, can be challenging. This is especially so with reduced bone volume following loss of...

Long-term results of lateral brow suspension

The authors of this paper report their results of lateral brow suspension using a modified Fogli technique. The technique was done under local anaesthesia and most times in combination with other facial rejuvenation procedures. A horizontal incision in the temporal...

How accurate are doctors in estimating burn size

This was a retrospective review with data collated from two burns units in Sydney, Australia. The purpose of the study was to compare total body surface area (TBSA) burn size estimation between referring centres and burn units in adult patients....

A retrospective comparison between standard septoplasty and extracorporeal septoplasty

This paper shows the results of a retrospective study made on 169 patients with nasal obstruction due to a deviated nasal septum who were operated using a standard septoplasty technique or performing an extracorporeal septoplasty. Postoperative nasal patency, aesthetic outcome,...

Three-dimensional imaging of the supratip after lower lateral cartilage repositioning

Cephalically positioned lower lateral cartilages (LLCs) contribute to the bulbous-appearing nasal tip. Repositioning of the LLCs removes volume created in the nasal sidewall / supratip regions leading to better tip refinement. This reshaping of the tip is ameliorated by application...

Patient-reported outcomes in oculoplastic surgery

This is an important if somewhat difficult to grasp article which tries to formally address the subject of patient-reported outcomes in oculofacial surgery. The authors have conducted an extensive review of the literature searching for instruments (questionnaires) which have been...