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Application of substance P as an osteogenitor in mandibular distraction osteogenesis

In this well organised study the authors demonstrate the benefit of use of substance P to improve the quality of bone during mandibular distraction. Substance P is a neuropeptide that is distributed in those sensory nerve fibres that innervate the...

Harvesting the flexor hallucis longus what is the increased morbidity

The free fibula flap and its variations are now widely used in various clinical applications for microvascular reconstructions. Occasionally and to add bulk the flexor hallucis longus (FHL) muscle is harvested along with the fibula. Additionally, the postoperative morbidity is...

Malar mounds and festoons

Periorbital rejuvenation and blepharoplasty, in particular, are very common procedures nowadays in aesthetic practice. More than 153,000 blepharoplasty procedures were peformed in the USA during 2012. Blepharoplasty can sometimes be a very challenging surgery, especially if the patient presents with...

Minimal gap interpositional arthroplasty versus aggressive gap arthroplasty in TMJ ankylosis

Arthroplasty in temporomandibular joint (TMJ) ankylosis is managed by three basic techniques; gap arthroplasty, interpositional arthroplasty and joint reconstruction. In this three-year, prospective study of 15 patients, the authors evaluate whether or not aggressive gap arthroplasty is essential in the...

Severe bone resorption in expanded polytetrafluoroethylene chin augmentation

This is a case report describing a 35-year-old woman who had had an expanded polytetrafluoroethylene chin implant inserted 13 years previously through an intraoral incision. She complained of pain in her chin and lower anterior teeth. A cephalogram showed severe...

Avoiding pre-placed recti sutures in enucleation

This is a retrospective review of 40 patients who underwent enucleation using a non-conventional technique in which the recti muscles were detached from the sclera without pre-placing any sutures to secure the cut muscle ends. The surgery was only performed...

Imaging and histological relationship of orbital schwannomas

This is a retrospective review of 15 patients with orbital schwannomas comparing the radiological characteristics, in particular the signal intensity on MRI with the histological sub-types of the tumours. Five patients had MRI imaging alone, three had CT alone and...

Cavernous sinus thrombosis and orbital cellulitis

This is a report of six cases of combined orbital cellulitis and infective cavernous sinus thrombosis, with a literature review. The average age was 39 years, four were male and two were intravenous drug users. All had sinusitis, usually involving...