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Poor glycaemic control associated with worse outcomes in primary wound closure

This study is the first to specifically investigate the effects of chronic and perioperative glycaemic control in high risk patients undergoing primary closure of wounds. Seventy-nine patients were included – 93% of closures were of the lower limb and only...

Significance of exterior capsular spread in a clinically negative neck

This is a retrospective paper from Zagreb of 61 patients with a clinically T1-T3 N0 squamous cell carcinoma undergoing primary surgical treatment. All patients had a level I-IIII/IV elective neck dissection. Those who had adverse histological features, including extracapsular spread,...

A new method for free-flap total nasal reconstruction

Total nasal reconstruction is a challenge for facial plastic surgeons. Although most cases can be handled with local flaps, a bad state of the perinasal soft tissues, such as patients with head and neck radiotherapy may preclude its use with...

Long-term results of lateral brow suspension

The authors of this paper report their results of lateral brow suspension using a modified Fogli technique. The technique was done under local anaesthesia and most times in combination with other facial rejuvenation procedures. A horizontal incision in the temporal...

Reconstruction after parotid surgery

This is a retrospective study from Naples, Italy. The authors analyse and compare patients that had benign parotid disease that were reconstructed with three different techniques. Between February 2002 and March 2009, 224 patients were included; these patients had either...

­Distal edge necrosis in cervicofacial rotation-advancement flaps

Mohs facial reconstructive surgery can be a difficult process for a patient to undergo. The goal of facial reconstruction is to restore contour, function and aesthetics while minimising morbidity. The authors conducted a review of 88 patients who underwent cervicofacial...

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...

Stability of lateral canthal position following endoscopic forehead-midface-lift

The paper is a retrospective study of the changes on the lateral canthal area following endoscopic forehead-midface-lift in a series of 40 patients operated by the same surgeon. Four different parameters (horizontal width, vertical height, palpebral fissure width and angle...

Reached a ‘tipping point’ with weak forceps? – Try our Sterile Single-use Fine Tip Adson Forceps

Our Fine Tip Adson Forceps provide a strong and effective hold when used for grasping, blunt dissection and manipulating delicate tissue.

A challenging new year

2016 arrived with enthusiastic celebrations although these were more muted in some parts of the world due to local and regional difficulties. As we started to look towards the inevitable return to work in the UK, we heard of the...

Converse scalping flap for nasal reconstruction procedures

Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...

How I Do It - Congenital midline cervical cleft excision and reconstruction

Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...