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A tarso-conjunctival flap for paralytic ectropion

This is a review of 110 patients with paralytic ectropion who underwent a lateral tarso-conjunctival flap procedure. The technique involves fashioning a 4-8mm wide lateral tarso-conjunctival flap in a similar way to a lateral Hughes flap. This is then sutured...

Changing trends in the management of osteoradionecrosis (ORN)

In the wake of new drugs that have been introduced for ORN like pentoxifylline, tocopherol, clodronate etc, traditional ‘conservative’ management of osteoradionecrosis (ORN) including minimal surgical debridement and hyperbaric oxygen therapy (HBOT) is under review. This study is a retrospective...

Is it time for cone-beam CTs to replace the traditional orthopantomogram in the primary diagnosis of temporomandibular joint disorders?

Cone-beam computed tomographic (CT) requires a lower dose of radiation compared to the multidetector CT and provides much more detailed information in 3D about the bony structures of the temporomandibular joint (TMJ) when compared to the traditional OPG. In this...

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...

Loosen up

Lower eyelid retraction is a complex eyelid malposition with varied causes and anatomic features that make correction of eyelid position challenging. This original study presents a new surgical concept for correction of lower eyelid retraction in a particular patient population:...

Simplification measure for costal cartilage grafting

The scalpel is currently the instrument used by most surgeons for carving costal cartilage grafts. However, this method is time consuming, requires a high degree of skill, and is far from ideal for reproducibly attaining uniform slices, even in expert...

Stretch mark treatment comparison

This article shows a comparison between two simple methods of treatment which are currently widely used in the aesthetics industry to treat early striae distensae. With the increasing demand from patients to achieve an improvement in stretch marks, the drive...

The benefits of intense pulsed light

The authors of this paper have conducted a systematic review of the treatment of intense pulsed light (IPL) to treat a number of dermatological conditions. By reviewing existing literature, they intended to establish evidence to support physicians so IPL could...

Lateral crura-alar ring

Lateral crura incision or excision are common procedures for most rhinoplasty surgeons despite the fact that they have potential complications such as nostril rim retraction, bossa tip formation and alar wall collapse during breathing. Fortunately, nowadays there is a trend...

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...

Facial changes caused by smoking

Smoking is a well known factor in facial ageing. In this interesting evidence level II article, the authors have decided to evaluate the effect of smoking in monozygotic twins with different smoking histories using standarised photography. Seventy-nine pairs of twins...

Malar mounds and festoons

Periorbital rejuvenation and blepharoplasty, in particular, are very common procedures nowadays in aesthetic practice. More than 153,000 blepharoplasty procedures were peformed in the USA during 2012. Blepharoplasty can sometimes be a very challenging surgery, especially if the patient presents with...