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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,...

Medical illnesses and their affects on anaesthesia for oral surgery

This is a comprehensive article, which provides a good summary of the common co-morbidities affecting patients presenting for oral surgery. It focuses on their management issues as well as precautions required when administering anaesthesia. For each illness listed the authors...

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...

Caring for our patients: postoperative nausea and vomiting

This review article cites as its basis ‘The Consensus Guidelines for Managing Postoperative Nausea and Vomiting’, an international panel of experts’ evidence-based opinions, and the IMPACT Study. The pathophysiology, risk factors, and strategies for reducing postoperative nausea and vomiting (POVN)...

Measures against female hair loss

The author presents a detailed, well-structured review about female hair transplant surgery. Female hair pattern loss usually differs from male hair pattern loss, resulting in regions of the scalp where hair density falls without complete alopecia. Surgery for female patients...

Alar retraction – background and handling

The authors present a comprehensive analysis of alar retraction malformation in rhinoplasty patients. For this retrospective review they analysed 45 patients with alar-columellar disproportion. Various aetiologies were identified. Treatment of these has to be determined on an individual case-to-case basis....

Fixed or variable Muller’s muscle resection

This is a retrospective analysis of 60 patients who underwent posterior approach ptosis surgery utilising a Muller’s muscle resection. The study compares those who underwent a fixed resection length of 7mm of Muller’s muscle with those having a variable resection...

The relevance of rhinoplasty and septorhinoplasty from the commissioner’s point of view

The rising costs of running the National Health Service and its overburdened resources has led to the constant monitoring of the low clinical value treatments. The operations of rhinoplasty and septorhinoplasty inevitably fall into this group and are subject to...