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Subcutaneous botox
The authors of this paper performed a double blind, randomised, prospective trial on 19 patients receiving intramuscular botulinum toxin injections on one side of the forehead and subcutaneous injections on the other. Objective assessment of brow elevation and subjective self-evaluation...
The many uses of human amnion
Human amnion has been the focus of myth and superstition. To be born with the ‘caul’ intact was considered lucky and this was transferable, including legitimate selling e.g. caul amulets. In 1910 foetal membranes were first used for transplantation and...
Hyposalivation in the oral cavity
This article is a comprehensive but succinct look at the effects of hyposalivation secondary to Sjogren's syndrome in the oral cavity. These publications are divided into dental manifestations, oral mucosal manifestations and other oral manifestations. The authors discuss caries, gingivitis,...
Conchal cartilage to reconstruct nasal septum
The authors discuss a common problem involving the loss or damage to the nasal septum. The most common causes are iatrogenic and previous surgery. The loss of the nasal septum is frequently also seen in repeated trauma and reconstruction using...
Total nasal tip reconstruction with autologous auricular cartilage
This paper shows an original and effective procedure for total nasal tip framework reconstruction using autologous auricular cartilage. The authors explain how the seagull-wings technique, described some years ago by one of them (Fernando Pedroza) to treat severe nasal tip...
VAC therapy and instillation
Vacuum assisted closure (VAC) therapy is now a common sight in plastic surgery departments for the management of difficult wounds, to encourage granulation tissue formation, reduce wound size and facilitate closure or reconstruction. The combined use of VAC dressing with...
The double-half bilobed flap or traditional bilobed flap – which is better?
Reconstruction of the nasal tip following ablative surgery can be taxing. The nasal tip is a very visible area with largely immovable skin and reconstruction needs an appreciation of the various sub-units to achieve best results. The traditional superiorly based...
A new autologous flap option for breast reconstruction
The authors of this paper present the first meaningful series utilising the lateral thigh perforator flap for breast construction. Eight patients had delayed unilateral reconstruction, each with two stacked flaps. Anastamoses were performed antegrade and retrograde to one internal mammary...
Maximising the results of blepharoplasty
The aesthetic anatomy of lower eyelid is detailed leading to discussion of operative technique to achieve the goals of blepharoplasty; for the lower lid these are a youthful lid cheek junction, a positive canthal tilt and no scleral show. The...
Bone thickness and split pattern in mandibular osteotomies
This paper looked at 63 sagittal split ramus osteotomy sites. The type of split was classified according to the Plooij paper and bone measurements were taken at four sites. Of these sites, the thickness of the bone in one point,...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)
I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.
