Search

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,...

Beta blockers in the treatment of infantile haemangiomas

Following the work of Léauté-Labrèze et al. in 2008, describing the successful use of beta blockers in the treatment of infantile haemangiomas, the medical treatment of these troublesome malformations has almost completely replaced surgical treatment, which has been relegated to...

VAC therapy and instillation

Vacuum assisted closure (VAC) therapy is now a common sight in plastic surgery departments for the management of difficult wounds, to encourage granulation tissue formation, reduce wound size and facilitate closure or reconstruction. The combined use of VAC dressing with...

Sentinel node biopsy in oral cancer

Sentinel node biopsy (SLNB) is not new and is well established in the management of early breast cancer and melanoma. New trials such as the European Sentinel Node (SENT) trial and others sought to address the question of the clinical...

Allogenic submandibular gland transplantation

The authors discuss and report success with an elegant but difficult solution to a difficult problem. Dry eyes are a difficult problem and incidence increases with age. It can lead to severe reduction in the quality of life of patients....

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...

Anteromedial thigh perforator free flaps

Forty-one consecutive anterior anteromedial thigh (AMT) free flaps are reported, with a success rate of 95%. This flap is being used as an alternative to the preferred anterolateral thigh flap (ALT), which is described as the ‘real workhorse’, when this...

Choosing anaesthesia for oral surgery

This article offers guidance in choosing the most appropriate modality of anaesthesia for oral surgery and the setting in which it is delivered. It attempts to classify the different types of anaesthesia into local anaesthesia, sedation, which it further sub...

Complications of otoplasty

Otoplasty has a long history. Currently, two schools of thought predominate, which can be summarised as cartilage cutting and cartilage sparing techniques. The former includes removal of cartilage and the scoring of cartilage, whereas the latter involves contouring by placement...

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...

Nasal reconstruction – short and sweet

This brief article by Stephen S Park presents his modified technique for nasal reconstruction, based on a single-stage forehead flap. The author presents this method as an alternative to a multiple staged interpolated forehead flap and discusses its advantages and...

Cheek and lip reconstruction

The authors present a well-structured review of the reconstruction of cutaneous defects of the cheek and lip. They present new findings that have an impact on the planning and understanding of local flaps for the reconstruction of both areas. Integrated...