Nasal deformity following CPAP injury

Nasal continuous positive airway pressure (nCPAP) is commonly used as a non-invasive alternative to endotracheal intubation and tracheotomy, to provide respiratory support to very low birth weight (VLBW) (<1500g) neonates. Nasal injury is a well recognised complication and figures quoted...

Semi dynamic reconstruction of the lower lip

The main goal of reconstructive surgery for facial paralysis is the restoration of smiling and function of eye closure. The deformity of the lower lip in paralysis is ptosis of the corner of the mouth, eversion of the vermillion and...

Evaluation of lateral crural steal

Many techniques to increase nasal tip projection and rotation have been described. The lateral crural steal (LCS) technique appears to be suitable for patients who have an under-rotation associated with poor projection of the nasal tip. The objective of the...

Non-surgical periocular aesthetics

The periocular region is the focal point of facial communication. Millimetre increments of change required to achieve bilateral symmetry and harmony can be difficult to achieve by surgical means only. Non-surgical aesthetic modifications offer a number of advantages in selected...

Post auricular advancement flap for partial helix defect repair

Ear defects can be the result of trauma, burns or ablative surgery. The three dimensional structure of the pinna with its subunits presents a difficult reconstructive challenge as successful reconstruction requires both similar tissue cover and a supporting framework. Partial...

Successful nose replantation

This case report describes a superb result following the delayed replantation (after eight hours) of the distal right nostril following a dog bite. The patient was a heavy smoker. Two arteries and two veins were anastomosed, one measuring 0.6mm and...

A retrospective comparison between standard septoplasty and extracorporeal septoplasty

This paper shows the results of a retrospective study made on 169 patients with nasal obstruction due to a deviated nasal septum who were operated using a standard septoplasty technique or performing an extracorporeal septoplasty. Postoperative nasal patency, aesthetic outcome,...

Labbé in children

This is the first report in the literature of orthodromic temporalis tendon transfer or the Labbé technique performed on children. The authors used a modification of the transoral approach to the temporalis tendon, originally described by Byrne and Boahene, which...

Superiorly based nasolabial flaps

This interesting paper takes the common or garden nasolabial flap to new extremes. The flap is based on the contralateral superior orbital artery and behaves as an axial patterned flap as far as the alar rim, becoming a random patterned...

One stage nasal reconstruction with local flaps

This is an excellent and authoritative review of an often difficult and controversial clinical subject. Because of increased education and earlier diagnosis of skin tumours, surgeons are being presented with an increasing number of defects with limited size and depth....

Free style facial artery perforator flaps for nasal reconstruction

This is an update from the team of authors that originally described the free style facial artery perforator flap, for one stage nasal reconstruction, in 2009. They now update after 10 years of experience with these freestyle facial artery perforator...

Three-dimensional imaging of the supratip after lower lateral cartilage repositioning

Cephalically positioned lower lateral cartilages (LLCs) contribute to the bulbous-appearing nasal tip. Repositioning of the LLCs removes volume created in the nasal sidewall / supratip regions leading to better tip refinement. This reshaping of the tip is ameliorated by application...