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Is columellar strut necessary in primary rhinoplasty
This article debates the role of a columellar strut graft through the retrospective aesthetic analysis of 100 consecutive primary open approach rhinoplasties performed by the same single surgeon. The author performs all of these procedures without the use of a...
Nanocrystalline silver compared to alternative silver delivery systems in the management of burns
With the rapid pace of new medical products being developed and marketed, it can be difficult to identify which product will provide most benefit to our patients. It is essential to have good evidence to allow us to make the...
A single blinded RCT comparing triamcinolone with 5-FU treatment for keloid scars
This single blinded randomised controlled trial (RCT) compared 43 patients with 50 symptomatic keloids were were randomised to two matched groups of 25 scars, receiving either flurouracil (5-FU) or current first-line treatment, triamcinolone (TAC). The surgeon administering the injectable treatments...
Temporary tracheostomies are not always necessary for head and neck free flap reconstruction
Complex head and neck cancer cases with reconstruction can be challenging due to the risk of loss of airway. Temporary tracheostomies are often used to protect the airway following complex oral and maxillofacial ablative surgery and reconstruction. However, while this...Skin antisepsis and the prevention of infection: where tradition, science and guidelines collide
“…the quality of the studies was not good enough for the committee to make a strong recommendation for the choice of antiseptic preparation.” NICE Guidelines NG125 Skin preparation before an invasive procedure is a part of all surgical procedures and...
Clinical outcome of patients with self-inflicted burns
This study examines the link between patients presenting with self-inflicted burns (SIB) and key outcomes including length of stay (LOS) and mortality. The authors describe current ambiguity in the literature relating to this topic in burns care. They highlight similar...Cosmetic labiaplasty – basic relevant anatomy and surgical considerations
Consultant Plastic Surgeon, Ewa Majdak-Paredes, explores the increasing demand for labiaplasty and the surgical techniques to obtain the best outcome for patients. It is recognised that there is an increasing demand for labiaplasty procedures including amongst teenagers. Genital dimensions in...
Outcomes and complications of supramaximal levator resection
This is a report of 35 children with unilateral congenital ptosis who underwent a supramaximal levator resection, involving extensive dissection of levator including cutting Whitnall’s ligament. The average preoperative margin reflex distance to the upper lid (MRD1) was 0.5mm, and...Safety and risks of local anaesthesia and regional blocks in plastic surgery
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...
Facial reconstruction with polyethylene implants
Planning reconstructive surgery for complex craniofacial defects challenges even the most experienced of surgeons. In most cases surgery is undertaken to improve anatomical functioning. However, the anatomical structure of these regions is also critical to facial aesthetics and patient satisfaction...
