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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...
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...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.
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...
Infection and sepsis in burns: potential clinical predictors
In this retrospective study, the authors attempt to identify the most reliable predictors of early infection (within 10 days) in acute burns patients to try to reduce unnecessary antibiotic therapy. They recognise that infections and sepsis represent the leading cause...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...
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...
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...
