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Money saving using CAD-CAM in mandibular reconstruction

Computer aided design and computer aided manufacturing (CAD-CAM) are an exciting dimension in the functional and accurate reconstruction of the oral cavity. The fibula is commonly used for mandibular reconstruction as a free flap. This straight bone needs to be...

Form versus function concerning the external nasal valve

External nasal valve dysfunction is known to be a common cause of nasal obstruction. The authors present a prospective case series (n=19) including primary and revision cases of functional rhinoplasties. All patients reported nasal obstruction and were diagnosed with external...

Effects of orbital decompression

This is a retrospective review of 319 orbital decompression operations in 169 patients (73% female) with thyroid eye disease. Three wall decompressions were performed in 92 eyes, 2-wall in 206 (medial and floor), and a single wall (medial) in 18,...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

Transgender breast surgery

Most plastic surgeons working outside specialist centres for gender affirmation surgery will have a number of patients within their population wishing to undergo their breast surgery more locally. Surgery for this small minority is informed largely by experience in the...

Cleft lip and palate care in low resource countries

The author explains why the traditional ‘humanitarian mission’ style of charity work needs to change and how the charity CLEFT is making an impact. It is estimated that between 150,000 and 250,000 babies are born each year worldwide with clefts...

Extensive bilateral fat necrosis of the breast associated with the Covid-19 vaccination

Fat necrosis can occur at any site in the body; the majority of cases are in the breast and are idiopathic. Other aetiologies include trauma, fine needle aspiration cytology (FNAC), both cosmetic and therapeutic surgical procedures, autologous lipofilling of the...

Additional venous anastomoses to safeguard DIEP flaps

That DIEP flaps can be troublesome is not news and many descriptions exist trying to circumvent these problems. The most common problem is venous congestion in the flap and this paper presents an ingenious method of anticipating and forestalling such...

Drinks in Newcastle, Australia

This paper assesses patients presenting with oral and maxillofacial trauma over a 13-year period spanning January 2003 to December 2015. During this period of time, in March 2008, trading hours and conditions of service were restricted within the Newcastle central...

Note from the Editor

In 2005 I wrote a paper with my colleague Linda Huang which looked at keloid and hypertrophic scars from a rather different perspective (Burd A, Huang L. Hypertrophic response and keloid diathesis: two very different forms of scar. Plast Reconstr...

Skin grafts vs local flaps in reconstruction of nasal defects

Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...

Diagnosis and management of orbital vascular malformations

This is an authoritative review of a controversial and difficult clinical area. The authors have experience of over 350 cases and provide a well-structured review of the classification and management of orbital vascular malformations. They emphasise the need to understand...