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Temporomandibular disorders – a surgeon’s view
The temporomandibular joint is unique, in that it has a fibrocartilaginous intra-articular disc and has a ginglyomo-arthrodial action. The disc is designed to allow for the gliding movement down the posterior slope of the articular eminence with little, if any,...How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements
In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...Should Plastic Surgeons 'De-skill'?
For some time now I have been thinking about when a surgeon actually deskills through not doing a particular operation. In particular, this applies to plastic surgeons after completion of NHS type training with no previous exposure to cosmetic patients...CANCELLED 45th Annual Meeting of the European Academy of Facial Plastic Surgery (EAFPS)
EAFPS London 2022 will take place at Queen Elizabeth II Centre, a very popular location just opposite Big Ben clock tower and Westminster Abbey. Organised by Alwyn D’Souza, President of the EAFPS and Conference Director, and Anil Joshi, Chairman of...
Association of skin thickness with alar base reduction
The authors present the findings of a retrospective study including 621 patients who had septorhinoplasty using lateral crural repositioning (LCrep) with lateral crural strut grafting (LCSG) and with or without alar base resection. Study participants’ skin types were determined intraoperatively...
Impact of lateral crural repositioning on alar rim position
Cephalic orientation of the lower lateral cartilages results in tip fullness, a bulbous tip, and alar instability during inspiration. It has an incidence of approximately 68% in primary and 87% in secondary rhinoplasty patients. Paquet et al. performed the first,...
Stairsteps to breathing
Surgery of the nasal valve is a particularly challenging aspect of functional rhinoplasty surgery. The nasal valve area represents the segment with the smallest cross-sectional diameter of the entire airway. The authors of this article present a novel method to...
