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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...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 6) - Cosmetic surgery in Hong Kong
There is no formally recognised specialty of Cosmetic Surgery (and / or Medicine) in Hong Kong. Unsurprisingly, there are no formal training programs in cosmetic surgery or aesthetic medicine.
Evolution of skin grafting for treatment of burns
This is an interesting review looking at the history of the use of skin grafts and the evolution of grafting, including a paragraph on future concepts. The review is broken down into chronological sections describing different skin grafting techniques that...How I Do It - Facial rejuvenation – treating sun‑damaged skin
It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...
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...The First World War and the Development of Facial Surgery
Facial surgery has a history stretching to antiquity, but its success depended on luck until medical science had advanced enough to deal with three major issues – infection, surgical shock from blood loss and good anaesthesia. It was not until...
A superbly readable review of cleft orthognathics
It is a long time since I had any involvement with cleft surgery, but I do occasionally encounter cleft patients (presenting with other things), and trainees who will soon be asked to give a reasonable account of things that they...
Size does matter
Megasessions in hair restoration, being defined as transplantation of 3,000 or more grafts, have the potential to definitely treat a significant area of scalp in only one procedure, allowing the patient to achieve their desired goals while minimising their overall...
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,...
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....
