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How long should you wait for your adrenaline to work?
The authors present a prospective, randomised, triple-blind study to see how long it really takes to obtain the lowest cutaneous haemoglobin concentration after lignocaine with adrenaline injection. Twelve healthy volunteers were injected simultaneously in each arm with either plain 1%...
Modified anterior septal transplant
The authors describe an anterior septal graft technique, which consists of complete resection of the caudal septum and reconstruction with extended spreader grafts and a columellar strut, without a separate caudal septal replacement graft. This study was a retrospective case...Could epidermal grafting be the solution to vitiligo?
Dr Foutsizoglou shares his thoughts on a recent innovation based on epidermal grafting that could be used on vitiligo patients. I attended the ‘Make Better Summit Meeting’, an international surgical congress organised by Acelity™ and chaired by Professor Dr med....
Exploration of more effective neurorrhaphy in facial nerve reconstruction
This study was laboratory based and focused on different types of end-to-side neurorraphy, and their effects on treating partial facial paralysis. The ultimate aim of this study was to determine which end-to-side neurorraphy produced the greatest axonal growth across the...How I Do It - Primary rejuvenation upper blepharoplasty – tips from an oculoplastic surgeon
Preoperative For me the preoperative stage is actually the most important part in the patient’s journey and can take much longer than the actual operation itself. It takes me about 45-60 minutes to assess, counsel and consent for a primary...New guidance marks a fundamental shift in clarifying requirements for providers of cosmetic interventions
Following the Keogh Report there has been a shift to bring a more consistent approach to the practice of cosmetics in the UK. On 12 April 2016 the GMC (General Medical Council) released the guidance for doctors who offer cosmetic...CQC regulators and private hospitals need more common sense
There is a fundamental flaw in the way regulatory bodies are allowed to pressure and scare perfectly functioning private hospitals. Invariably the regulators themselves are of ordinary stock and have to justify their salaries by increasing administrative workloads on others....Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?
To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...
Effect of skin expansion on acellular dermis
Acellular dermis is widely used in prosthesis based breast reconstruction, however, there is a lack of data concerning its expandability and related skin changes. This experimental study in rats aimed to determine whether acellular dermis could be expanded and whether...
The use of platelet-rich plasma in skin flap grafts
This study was conducted to evaluate the ability of platelet rich plasma (PRP) to stimulate angiogenesis following skin flaps graft surgery, and its effect on flap survival rate. The use of PRP to improve the quality of bone regeneration and...
Patient-related outcomes in rhinoplasty surgery
This paper centres on defining and providing a patient-related outcome tool in rhinoplasty surgery. There are currently no validated tools specifically for cosmetic alteration of the nose alone. The authors devised specific scales within the FACE-Q framework to specifically assess...
