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Poor glycaemic control associated with worse outcomes in primary wound closure
This study is the first to specifically investigate the effects of chronic and perioperative glycaemic control in high risk patients undergoing primary closure of wounds. Seventy-nine patients were included – 93% of closures were of the lower limb and only...Correction of skin hyperpigmentation by chemical exfoliation
The patient, a 46-year-old female, arrived at the clinic reporting a hyperpigmentation issue and actinic ageing of the skin of the entire body, but with greater discomfort in the skin on her back. The patient asked for a consultation and...
Sun protection is essential to prevent skin cancer and premature ageing
The author gives a brief outline of the key functions of skin with a rationale for why sun care and protection is so important, which is referenced with current guidelines relating to sun exposure and vitamin D. The risks of...
Immediate planned reconstruction following complex craniofacial reconstruction
The immediate reconstruction of 3-D craniofacial defects is extremely difficult and can be more difficult than the ablation. Perfect shape and symmetry is required. In the past decade this has largely improved with CAD/CAM engineering. The authors report a one-step...
Objective measurement of the available excursion of temporalis muscle-tendon unit for the paralysed face
The transfer of functional muscle tendon units offers the potential for restoration of some facial tone, symmetry and motion after a single-stage procedure in reanimating the paralysed face. Apart from selecting the right donor muscle of adequate strength and excursion,...Focus on Plasma: Total rejuvenation of the face with plasma device
The use of plasma energy is a new concept in anti-ageing and aesthetic medicine. Since it has been introduced in the aesthetic field, many studies have been conducted to try and understand the effects on collagen synthesis which may explain...
Lacrimal gland carcinoma outcomes
This is retrospective review of outcomes of lacrimal gland epithelial tumours treated between 1972 and 2014 at Moorfields Eye Hospital. Seventy-nine patients were reported, comprising 53 adenoid cystic carcinomas, 15 primary adenocarcinomas and 11 carcinomas ex-pleomorphic adenoma. The authors compare...
Facelifting after radiotherapy for head and neck tumours
This paper sought to determine whether facelifting in patients with prior radiotherapy for head and neck cancer was safe. This study focuses on a small sample of 16 patients matched to controls who were retrospectively assessed for major surgical morbidity....
Comparing the rates of fat necrosis in irradiated muscle-sparing tram versus diep flap breast reconstruction
The authors performed a retrospective cohort study of patients undergoing immediate autologous breast reconstruction with an abdominal free flap. Over a 17-month period, 625 flaps were included in 518 patients, with 40 flaps receiving irradiation. Mean patient age and BMI...
Endoscopic brow lift in the course of time
The authors present a systematic review on the advantages and disadvantages of various brow-lifting techniques. They present their decision algorithm for closed versus opened approach, including potential complications and their management in general. After a detailed description of the endoscopic...
Treatment of established facial palsy with botulinum toxin followed by half mirror exercises
Seventeen patients with unilateral facial palsy for more than a year were treated with botulinum toxin injections to relieve symptoms of facial synkinesis or hyperkinetic movements. Three injections were given at six to eight month intervals, followed by daily half...
