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Evolution of skin grafting for treatment of burns

This is an interesting review looking at the history of the use of skin grafts and the evolution of grafting, including a paragraph on future concepts. The review is broken down into chronological sections describing different skin grafting techniques that...

Association of skin thickness with alar base reduction

The authors present the findings of a retrospective study including 621 patients who had septorhinoplasty using lateral crural repositioning (LCrep) with lateral crural strut grafting (LCSG) and with or without alar base resection. Study participants’ skin types were determined intraoperatively...

Marcus-Gunn jaw winking without ptosis

This is a review of 72 cases of Marcus-Gunn jaw winking syndrome. The authors reviewed all their congenital ptoses seen over a 16-year period and found 72 Marcus-Gunn cases out of a total of 848 patients. Within the 72 they...

Significance of exterior capsular spread in a clinically negative neck

This is a retrospective paper from Zagreb of 61 patients with a clinically T1-T3 N0 squamous cell carcinoma undergoing primary surgical treatment. All patients had a level I-IIII/IV elective neck dissection. Those who had adverse histological features, including extracapsular spread,...

Longevity of lip augmentation with SMAS

Lip augmentation is an extremely popular cosmetic procedure. Various surgical techniques have been described. However, only a few studies have specifically addressed lip augmentation with superficial musculoaponeurotic system (SMAS). Postoperative analysis never extended beyond one year so far. The authors...

Blepharoplasty and orbital fat repositioning

The authors present their personal technique on lower blepharoplasty with preserving a strong orbicularis oculi sling and maintaining lower eyelid position with periosteal fixation of the lateral canthus and skin- muscle flap. In their technique, after elevation of skin flap,...

All about velopharyngeal dysfunction

The velopharynx functionally separates the oral from the nasal cavities. Inadequate or abnormal function of this muscular valve affects speech and swallow. Velopharyngeal dysfunction can be subdivided into insufficiency, incompetence and mislearning. This is a review paper and indeed a...

Submental island flap to reconstruct the lower lip

The lips are necessary for oral competence, cosmesis, speech and feeding. Non melanoma cancers can affect the lips, and the lower lips are about 80% more likely to be affected. A large number of these cancers are squamous cell carcinomas....

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...

Upper facial rejuvenation

The author provides a comprehensive overview of a variety of considerations for clinicians to consider when assessing the upper third of the face, through discussion of anatomy, the importance of treatment planning, symptoms of complications, as well as treatment strategies....

PIP experience in the United Kingdom

This interesting study had three end-points. The accuracy of operative and radiological findings on explantation of PIP implants following the PIP scandal. The volume between intact and ruptured implants, with the hypothesis larger implants were more likely to rupture, and...

Classification and assessment of midfacial fractures: no more Le Fort facial fractures

There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...