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Pose in imaging the breast

Inconsistency in breast imaging is remarkably frequent. Even a simple photograph can mislead, depending upon whether or not the arms are held by the sides, are raised above the head or are akimbo. However, the real gold standard in three...

Modifying the DIEP flap in autologous breast reconstruction, introducing a fifth ‘Fleur-de-lis’ zone

With current consumer disquiet about silicone implants, more patients may request autologous reconstruction. This can cause difficulties in patients who have undergone massive weight loss. The authors describe an ingenious solution, modifying the deep inferior epigastric perforators (DIEP) flap to...

Classification of contour deformities after massive weight loss, using the Pittsburgh Rating Scale

While the treatment of patients by skin reduction following massive weight loss is increasing, the conclusions of this study from the Netherlands finds that the Pittsburgh Rating Scale is not entirely suitable for this classification purpose and another system must...

A review of treatment options for acute flexor tendon injuries in zone one

This review reports the techniques that have been and are still used to repair acute injuries in this difficult area. The review does not end with a ‘best buy’ in the tradition of a consumer magazine, concluding that there is...

Platysma muscle use for oral sphincter substitution or countering excessive pull of a free muscle, following facial palsy

The use of the platysma muscle as a pedicled ‘apron’ flap in order to minimise the overactivity of a free muscle transfer, used in the treatment of facial palsy, is described in admirable detail. The successful results are carefully assessed...

The Accordion Severity Grading System in the assessment of negative outcomes following carpal tunnel release

Classification systems come and go, some more memorable than others. Without such systems it is not possible to compare like with like and so it must be conceded that they are necessary, although I personally find them difficult to commit...

Video Atlas of Oculofacial Plastic and Reconstructive Surgery

This second edition textbook is an accompaniment for the extensive video atlas that is available online through Expert Consult (access included with the book). In it, there are over 70 high definition videos – a total of five hours of...

Lymphedema – Complete Medical and Surgical Review

This single 600-page volume is one of relatively few books that draws together all of the current knowledge and understanding of lymphoedema, its pathogenesis, investigation, staging and management. The book’s authors are well known for their expertise in the field...

Facial Surgery - Plastic and Reconstructive

This two-volume textbook is presented well both outside and in. The editors and the contributors represent a collection of various specialties involved in aesthetic and reconstructive facial surgery. The focus of the book is stated clearly – to promote the...