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An overview of microsurgical reconstruction of the head and neck worldwide
Microsurgical reconstruction is an integral part of the treatment following ablation for malignancy or trauma. Currently there are no clear treatment guidelines following tumour resection. This was recognised a few years ago and in 2008 various collaborative groups were founded...
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....
Immediate planned reconstruction following complex craniofacial reconstruction
The immediate reconstruction of 3-D craniofacial defects is extremely difficult and can be more difficult than the ablation. Perfect shape and symmetry is required. In the past decade this has largely improved with CAD/CAM engineering. The authors report a one-step...
Nasal reconstruction – short and sweet
This brief article by Stephen S Park presents his modified technique for nasal reconstruction, based on a single-stage forehead flap. The author presents this method as an alternative to a multiple staged interpolated forehead flap and discusses its advantages and...
Is columellar strut necessary in primary rhinoplasty
This article debates the role of a columellar strut graft through the retrospective aesthetic analysis of 100 consecutive primary open approach rhinoplasties performed by the same single surgeon. The author performs all of these procedures without the use of a...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 22) – The prone position
How much does the position of a patient add to the risk of a surgical procedure? This is an extremely important question, and the answer is far from simple.Reconstruction of complex wounds in the trunk and pelvis (part 2)
In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...
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...Rhinoplasty for cleft nose deformity
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Modern cleft lip and palate repairs produce excellent functional and aesthetic results...
Temporary tracheostomies are not always necessary for head and neck free flap reconstruction
Complex head and neck cancer cases with reconstruction can be challenging due to the risk of loss of airway. Temporary tracheostomies are often used to protect the airway following complex oral and maxillofacial ablative surgery and reconstruction. However, while this...
