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The lateral neck cystic mass – diagnostic dilemma
Solitary cystic masses in the lateral neck can present a significant diagnostic dilemma. These cystic masses often develop in young adults distinguishing a branchial cleft cyst from a cystic lymph node with imaging and even high-quality fine needle aspiration cytology...
A place for nerve transfers in your hand surgery service
The author summarises the application of nerve transfers in upper limb trauma. This is a review article and covers the principles of transfer; the indications, preoperative assessment and the whole patient journey, stressing the need for rehabilitation. The technical factors...
Management of post traumatic pseudo-telecanthus
Injuries to the nasal and peri-nasal region are common. Indeed the nasal bones are reported to be the most commonly fractured facial bone. While nasal trauma and deformity are commonly recognised and treated, injuries to adjacent structures are easily missed...Treatment of striae utilising the Frax 1550™ on the Nordlys™ System
Striae distensae, or stretch marks, are a common dermatologic condition caused by excessive mechanical stretching of the skin with damage to dermal elastic fibres [1]. The lesions are arranged perpendicular to the direction of skin tension. Striae are often associated...Case Study: Combination therapy with energy-based devices for improvement of facial photodamage, skin laxity and textural irregularities
Renowned dermatologist Michael Gold takes us through why combination therapies are becoming increasingly popular in facial rejuvenation. Combination therapies with energy-based devices (EBDs) have become very popular in cosmetic and aesthetic surgical circles. This applies to both the more invasive...Adapting to change in clinical practice: a post-inflammatory hyperpigmentation case
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Post-inflammatory hyperpigmentation (PIH) secondary to any inflammatory cause or cutaneous injury is...
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,...
Retroauricular vs. inguinal donor site for full-thickness skin grafts in syndactyly repair
Most surgeons recommend the use of full thickness skin grafts (FTSGs) for syndactyly repair in order to achieve a tension free reconstruction and prevent web creep. The inguinal region, cubital fossa and wrist are all well recognised donor sites for...How I Do It - Combination treatment after nose trauma
At Rhinoplasty London we see many sports related nasal injuries. Straight after the injury, patients may require immediate attention if the nose is bleeding heavily and won’t stop, if they have difficulty breathing through the nose, if there is a...
