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Risks of tracheostomy in head and neck cancer
Tracheostomy is an accepted surgical procedure that is one of the oldest ways of securing the airway. It is widely accepted to protect the airway after big cases of head and neck cancer and especially following free flap reconstruction. It...
Diagnosis and management of solitary fibrous tumour
This is a retrospective review of 21 patients diagnosed with solitary fibrous tumour of the orbit between 1996 and 2018 at a single centre. The authors reviewed the clinical presentation, management and course of the disease and reanalysed the histopathology...Editor’s reaction to acid attacks in London
As I travelled to work to day I heard on the radio that there had been five separate “acid attacks” in London last night. It appears that these were all perpetrated by the same assailants and the motivation for the...
The use of intravenous tPA for the treatment of severe frostbite
Frostbite can lead to severe consequences to a patient, including loss of digits and limbs. It causes tissue injury by causing cell membrane damage through the formation of extracellular ice crystals and by causing vascular thrombosis. It is to reverse...
Airway first in patients with facial trauma
Anyone that has ever been on an advanced trauma life support (ATLS) or indeed any other trauma course will be well indoctrinated with the principles of airways, breathing and circulation (ABC). Securing the airway is of paramount importance; but what...
Repeated orbital decompression surgery
This is a retrospective review of nine redo orbital decompressions in six patients. All operations were performed for dysthyroid optic neuropathy, both initially and when repeated. The interval between first and redo decompressions varied from one to 15 years and...
Surgical indications for infantile haemangiomas
Infantile haemangiomas (IHs) are embryonic tumours and represent the most common tumour of infancy, with an estimated incidence of 4-5%. There is a well described natural history, usually becoming apparent in the first few weeks of life and proliferating rapidly,...
