Journal Reviews
Reconstruction paediatric lower facial defects with an expanded flap from the submental region
Lower facial and perioral scars from burns or defects following treatment of vascular lesions can lead to serious facial deformity with lip ectropion and asymmetry. Conventional reconstructive methods like skin grafts or free flaps do not always give a satisfactory...
Total lower lip reconstruction
Total or near total defects of the lower lip may result from trauma, cancer ablation or congenital causes. Defects usually involve the full thickness and include skin, muscle and mucosa. There are a number of techniques for the one stage...
Long-term follow-up of maxillary advancement in cleft palate cases
Twenty-two consecutive patients with cleft lip and palate, treated with maxillary advancements and distraction osteogenesis, were followed up for between five and 13 years. They were divided into two groups, those who were still growing and those whose growth was...
Multiple free flaps for head and neck cancer
Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However, despite this,...
Wide en bloc resection of lacrimal sac tumours
This is a retrospective review of the management and outcomes of 14 malignant tumours of the lacrimal sac. All patients were operated on jointly by an orbital surgeon and a head and neck surgeon. There is a detailed description of...
Z-plasty release of congenital muscular torticollis
Congenital muscular torticollis (CMT) is common in neonates, with a frequency of 0.3% to 2%, and usually responds to passive stretching below the age of one year. This study evaluated the results of performing an inferior Z-plasty release of the...
Orthognathic surgery for OSAS
Orthognathic surgery is developing as a viable and long-lasting treatment option for obstructive sleep apnoea syndrome (OSAS). There have been a growing number of publications that report the benefit of using conventional orthognathic techniques for OSAS. In the present retrospective...
Application of substance P as an osteogenitor in mandibular distraction osteogenesis
In this well organised study the authors demonstrate the benefit of use of substance P to improve the quality of bone during mandibular distraction. Substance P is a neuropeptide that is distributed in those sensory nerve fibres that innervate the...
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...
Free flap reconstruction in stage 3 bisphosphonate related osteonecrosis
There is no widely accepted gold standard for the treatments of bisphosphonate-related osteonecrosis (BRONJ). Whereas the lesser stages of this BRONJ seem to respond well to conservative and minimal invasive therapies there is controversy regarding the treatment of the later...
Changing trends in the management of osteoradionecrosis (ORN)
In the wake of new drugs that have been introduced for ORN like pentoxifylline, tocopherol, clodronate etc, traditional ‘conservative’ management of osteoradionecrosis (ORN) including minimal surgical debridement and hyperbaric oxygen therapy (HBOT) is under review. This study is a retrospective...
Is it time for cone-beam CTs to replace the traditional orthopantomogram in the primary diagnosis of temporomandibular joint disorders?
Cone-beam computed tomographic (CT) requires a lower dose of radiation compared to the multidetector CT and provides much more detailed information in 3D about the bony structures of the temporomandibular joint (TMJ) when compared to the traditional OPG. In this...
