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Hierarchy of orthognathic surgical stability

21 February 2020 | | Maxillofacial Surgery | orthognathic surgery, overview of systematic reviews, recurrence, stability, systematic review
This study was designed as ‘an overview’ of secondary studies and analysed 15 articles. Two procedures were considered highly unstable, a bilateral sagittal split osteotomy for clockwise rotation of the mandible with bi-cortical screw rigid internal fixation, and posterior maxillary...

Clinical histopathology of 250 parotidectomy patients

9 June 2020 | | Maxillofacial Surgery | OMFS, fine needle aspiration cytology (FNAC), oral and maxillofacial surgery, parotid gland tumour, parotidectomy, salivary gland
This is a retrospective study of 250 consecutive parotidectomy patients at units in Belgium and the Netherlands. The sensitivity and specificity of FNAC was 64% and 99% respectively. The sensitivity being slightly lower than the often quoted 80%. MRI and...

Extracapsular dissection versus parotidectomy

9 June 2020 | | Maxillofacial Surgery | benign parotid tumour, extracapsular dissection, literature review, superficial parotidectomy
This is a literature review of 16 papers using the PRISMA protocol. In comparing the two techniques, not surprisingly, they found that the extracapsular dissection had a reduced facial nerve paralysis, Frey syndrome and operation time but also a reduced...

Bone thickness and split pattern in mandibular osteotomies

9 June 2020 | | Maxillofacial Surgery | bilateral sagittal split osteotomy, computed tomography, maxillofacial surgery, orthognathic surgery
This paper looked at 63 sagittal split ramus osteotomy sites. The type of split was classified according to the Plooij paper and bone measurements were taken at four sites. Of these sites, the thickness of the bone in one point,...

Prednisolone and/or acyclovir for Bell’s palsy

1 June 2022 |
Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long‑term effects on a patient’s appearance. What is the best medical treatment for this condition? Stuart Burrows provides his appraisal of this landmark paper from the New...

The uses of BTX-A in maxillofacial surgery

1 February 2016 | | Maxillofacial Surgery
Botulinum toxin type A has many uses in maxillofacial surgery. This article will cover its uses in the treatment of Frey’s syndrome, myofascial pain, masseteric muscle hypertrophy and sialorrhoea. Other uses relevant to maxillofacial practice but not covered in this...

Letter from Hong Kong (2 July 2020)

2 July 2020 |
There is an expression about “living through history”. I am not quite sure what it means but I have the inclination that it conveys a sense of being there, of being alive, when the world changes. Dramatically, irrevocably. We have a before, and we have an after, and we are now in the period of transition.

Genioplasty

1 April 2019 | | Facial Plastic Surgery, Dentistry, Maxillofacial Surgery, CPD - The PMFA Journal
With the chin playing a vital part in facial harmony, genioplasty can have a hugely positive impact on patients’ self-esteem and quality of life. The authors share their expertise in the optimal techniques when performing an osseous genioplasty. The perception...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 11) – Misinformed assent

14 January 2022 |
I wonder how fast time goes in prison? 2022.This was Vanessa’s first New Year in prison. Dr Mak’s second. Two female doctors, both in their thirties. Dr Mak graduated from the Chinese University of Hong Kong (CUHK) and Dr Kwan, Vanessa, from Hong Kong University (HKU). Both are now incarcerated on the basis of myths. It is a disgrace.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk

26 January 2022 |
Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!

The role of maxillomandibular advancement surgery in obstructive sleep apnoea

1 August 2014 | | Maxillofacial Surgery
Facial surgery for the correction of acquired or developmental skeletal and occlusal abnormalities has been practised within the scope of oral and maxillofacial surgery (OMFS) for several decades. OMFS surgeons have an understanding of the influence of skeletal movements on...

How I Do It - Lip augmentation: new rejuvenation with Er:YAG and Nd:YAG laser

5 August 2020 | | Aesthetic Medicine
Lip augmentation has become progressively popular in recent years, reflecting cultural trends in youth and beauty. Research suggests that the ‘ideal lip’ should have the following characteristics: fullness and volume, correct balance between the upper and lower lips, and a...