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Skin grafts vs local flaps in reconstruction of nasal defects
Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...
Maximising treatment outcomes with skin peels
The author provides a comprehensive overview of skin peels as one of the main treatment options for the improvement of photodamage, hyperpigmentation and mild acne, whilst reinforcing that aesthetic practitioners have a responsibility to inform patients of all the available...
Facial nerve injuries in fixing mandibular condylar fractures
The commonest fracture of the mandible is reported in the region of the condyle. Untreated this can lead to shortening of the ramus, facial asymmetry, arthrosis of the temporomandibular joint, impaired mastication and speech. The standard treatment is open reduction...
Intra-oral implants in posterior maxilla - predictors of failure
Generally current dental implant placement is a successful procedure with predictable outcomes, especially when sited within normal quality and quantity of bone. The posterior maxilla, however, can be challenging. This is especially so with reduced bone volume following loss of...
Reconstructing large heel defects
A description of one method of reconstructing problematic soft tissue defects of the heel. It is always good to have several techniques available in your quiver, so that you can choose the most appropriate arrow for any particular problem. This...
Sleep side preference affecting lid laxity in normal subjects
This is an interesting, masked, prospective study examining the hypothesis that increased upper eyelid laxity in normal patients may be related to the side on which they usually sleep. Two hundred and sixty-two normal subjects, over 55 years old, had...
Treatments for hyperpigmentation
Hyperpigmentation is a challenging, multifactorial and complex skin disorder affecting many individuals. The techniques and products described are based upon the author’s own clinical experience in treating hyperpigmentation and emphasises the importance of seeking specialist advice during a face to...
Free style facial artery perforator flaps for nasal reconstruction
This is an update from the team of authors that originally described the free style facial artery perforator flap, for one stage nasal reconstruction, in 2009. They now update after 10 years of experience with these freestyle facial artery perforator...
Subcutaneous botox
The authors of this paper performed a double blind, randomised, prospective trial on 19 patients receiving intramuscular botulinum toxin injections on one side of the forehead and subcutaneous injections on the other. Objective assessment of brow elevation and subjective self-evaluation...
The supraclavicular artery flap for head and neck reconstruction
Free tissue transfer has been manifested to be the primary reconstructive tool for major ablative defects of the head and neck. However, many patients are not good candidates for free tissue transfer because of their medical comorbidities or lack of...
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...
