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Biodegradable plates in lateral orbitotomy surgery

This is a description of a new method for fixating the bone flap during a lateral orbitotomy. The technique involves the use of an absorbable lactide plate. This is warmed in a water bath to allow trimming and moulding to...

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...

History of fat grafting

Fat grafting was first described in 1893 by Gustav Neuber, who transplanted adipose tissue from the arm to the orbit to correct depressed scars resulting from osteomyelitis. In 1895, Czerny reported excising a lipoma and grafting it into a breast...

Modified subciliary approach to the orbital floor

Fractures involving the lateral midface and orbital floor are routinely treated by maxillofacial surgeons. The surgical management requires access to the facial skeleton to reposition and free the soft tissues. There are three main approaches to the orbital floor the...

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...

Rib grafts for mandibular reconstruction

The mandible provides support for the function of the lips, floor of mouth and tongue, and provision of oral competence and function such as swallowing, chewing and speech. Reconstruction of the mandible following ablation thus requires good bone stock to...

Perceptions and deceptions: a personal blog by the editor 4 July 2016

I would like to take this opportunity to share a blog with Chris Day and the other junior doctors to talk about ‘whistle blowing’ and what it means. Typically, it refers to people who “speak out of turn”, “wash the...

Perceptions and deceptions: a personal blog by the editor 18 August 2016

I am back in the UK for a sabbatical and taking stock of all the changes since I left in 1999. An HK versus UK comparison becomes even more fascinating when looking at information sources ‘on the ground’. Social networking...

Facing suffocation: young woman saved from critical neck growth that could have caused death

A young woman whose sore throat became a life-threatening growth in her neck, leaving her struggling to breathe and facing suffocation, has had it removed for free by surgical volunteers from international charity Mercy Ships. “When we first met her,...

In conversation with Naveen Cavale

We were delighted to catch up with Naveen Cavale, Consultant Plastic Surgeon and President of the RSM Section of Plastic Surgery. Can you tell us a little bit about what led you into the field of plastic surgery? A bit...

EURAPS 2015

As plastic surgery becomes increasingly sub specialised, academic meetings covering specific niches multiply like the proverbial lapine model. Whilst such meetings satisfy the educational requirements of the supraspecialist within us all they arguably detract from our alter ego the generalist....

CUT AND RUN: The European Society of Plastic, Reconstructive and Aesthetic Surgeons (ESPRAS) highlights Gen Z's worrying exodus to private practice

A new study has highlighted the impact of Gen Z on the surgical workforce, who are driving a worrying change as they move away from reconstructive surgery in favour of lucrative opportunities in the aesthetics sector. Gen Z are those...