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How I Do It - Auricular reconstruction: Helical advancement flap

As the incidence of cutaneous malignancy increases further due to both the ageing population and greater disease awareness, the demand for surgical resection within the high-risk regions of the face, including the pinna, is rising [1,2]. Approximately 50% of all...

Reversing signs of skin ageing with topical retinoids

The reversal of the signs of ageing / aged skin is an important component of any form of facial surgery. The authors here have written a comprehensive paper detailing the biological process in skin ageing and role of topical retinoid...

Delayed intraoral wound healing in patients on bisphosphonates

Since Marx first described bisphosphonate related osteonecrosis of the jaw (BRONJ), the literature is now replete with cases of BRONJ. There are no internationally accepted protocols. A three month cessation of drug treatment, a ‘drug holiday’ has been advocated. The...

Flaps and Reconstructive Surgery 2nd Edition

This second edition of the popular Flaps and Reconstructive Surgery builds impressively on the first. Whilst the editors need little introduction, their expertise is supplemented by contributions from over 180 authors and world-renowned experts, providing a thoroughly comprehensive text. Part...

VITASPARK - a career counselling service with a difference!

Focusing on the needs of today’s surgical trainees, Vitaspark has been created and curated by Aishan Patil, a Scottish surgical SpR, and colleagues.

CO2 laser treatment of rhinophyma

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. The authors describe their technique and experience of treating rhinophymas with a...

The Accordion Severity Grading System in the assessment of negative outcomes following carpal tunnel release

Classification systems come and go, some more memorable than others. Without such systems it is not possible to compare like with like and so it must be conceded that they are necessary, although I personally find them difficult to commit...

First signs of late nodal metastases

This is a retrospective review of 65 patients who had late metastases during follow-up after initial curative treatment. They analyse the detection methods of palpation, ultrasound, CT and subjective symptoms. Palpation detected the nodes in 31 patients, ultrasound in 17,...

Role of copper ions in drinking water in the pathogenesis of oral submucous fibrosis: the missing link in the aetiopathology?

Often a breakthrough link in the understanding of the aetiopathogenesis of a hitherto common pathology that has been evading the medical community may not come from the hi-tech labs of the developed world but from the intelligent investigations from a...

Complications of plates in fibula free flaps

Good functional reconstruction of the mandible remains challenging for the maxillofacial surgeon. The fibula osteocutaneous flap is widely used as a method of mandibular reconstruction and it can withstand multiple osteotomies and a thus requires hardware to adapt and hold...

Occlusal splint, injections or arthrocentesis in myofascial pain

Facial pain is a fairly common complaint and may present in a myriad of symptoms. These patients present to both dentists and general practitioners and could end up referred to a number of specialists. Temporomandibular disorders (TMD) may originate from...

Botulinum toxin and dermal filler treatment for facial deformity: an analysis of patient satisfaction

Dermal fillers and botulinum toxin are being increasingly used to treat facial deformities but are patients satisfied with the results? Facial deformity can result in low confidence and self-esteem amongst patients due to cosmetic and functional difficulties [1]. There is...