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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,...

An analysis of 60 treated cystic lesions in children

This is a retrospective single centre study of 60 consecutive cases in children. Ages are from four months to 14 years and cover the period 2000-2012. All patients were treated under a general anaesthetic. As expected most of the cysts...

Allogenic submandibular gland transplantation

The authors discuss and report success with an elegant but difficult solution to a difficult problem. Dry eyes are a difficult problem and incidence increases with age. It can lead to severe reduction in the quality of life of patients....

Lymphatic microsurgery to treat lymphoedema

The authors discuss the role of surgery to manage primary and secondary lymphoedema in patients whose lymphoedema has not been controlled by standard conservative measures and whose symptoms are worsening. There is a brief discussion of the relevant investigations and...

Cycle helmets protective against facial injuries?

This is a meta-analysis completed by a maxillofacial unit on the South Coast of England. Nine studies from an initial literature review of 102 were included in the analysis. Cycling has been reported as the cause of 3-20% of facial...

Perioperative management of the head and neck cancer patient

The perioperative care of patients with head and neck cancer is complex and requires significant preoperative planning and patient education. The issues include analgesia, antibiotics, stoma and wound care, general and chest physiotherapy, thromboprophylaxis and nutrition. This article provides a...

Update on Topical Photodynamic Therapy

As a nurse involved in providing a specialist dermatology service I was invited to attend a continuing professional development (CPD) accredited study day at The University of Hertfordshire on an update for topical photodynamic therapy (PDT). The agenda was comprehensive...

Treating the male patient with dermal fillers

Concepts of beauty and attractiveness have always been associated with the appreciation of symmetry, balance and harmony of various facial features. An attractive face creates mystique and power. Its effects are undeniable, and for centuries, we have been trying to...

Serving face

(Note: Serving face / giving face is a term used commonly by drag performers. It refers to the face you make as you pose for a photograph.) Dr Vincent Wong showcases the art and science of transforming drag queens into...

The patient journey in DIEP flap breast reconstruction

In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

How I Do It - Treatment of pigmentation and melasma

Uneven tone and pigmentation disorders are frequent problems that motivate patients to seek help. The gold standard for treating the majority of these hyperpigmentation changes is the use of a picosecond laser, as the effect is predominantly photomechanical and photochemical,...

Combination therapy for PIH in skin of colour

Postinflammatory hyperpigmentation (PIH) is very common in skin of colour with up to 65% of African, Hispanic, and Asian populations experiencing symptoms from acne and up to 90% of patients experiencing symptoms from pseudofolliculitis barbae (PFB) [1,2]. PIH can be...