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Mohs and Cutaneous Surgery - Maximizing Aesthetic Outcomes

This text is a well written review of the techniques available to maximise postoperative outcomes after Mohs and cutaneous surgery. Topics include intraoperative surgical techniques with tips and tricks to try to achieve optimal postoperative scars, complications in Mohs surgery,...

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...

Utility and outcomes of hydroxocobalamin use in smoke inhalation patients

The authors propose to investigate the usefulness of the routine administration of hydroxocobalamin in burns patients who are suspected to have an inhalational component to their injury. Mention is made of the important fact that no previous published literature has...

Reconstructing the keystone area

This manuscript describes two different ways to stabilise the keystone area during extracorporeal septoplasty. The authors performed a retrospective study on 110 patients who were operated for extracorporeal septoplasty by multiple surgeons. The patients were divided into two groups; in...

How to decrease postoperative swelling in rhinoplasty

Postoperative bruising and facial swelling is one of the main concerns of rhinoplasty patients. There is sustained controversy on the surgical manoeuvres, medication and postoperative measures to reduce it, and many published papers address this topic. The authors of this...

A new method for free-flap total nasal reconstruction

Total nasal reconstruction is a challenge for facial plastic surgeons. Although most cases can be handled with local flaps, a bad state of the perinasal soft tissues, such as patients with head and neck radiotherapy may preclude its use with...

Crushed cartilage and fibrin sealant graft for radix augmentation

This paper shows a new technique for radix augmentation on Asian patients using crushed cartilage layers stacked on the nasal dorsum and stabilised with fibrin sealant. The study was made on 51 patients operated by the same surgeon in two...

Analysis and outcome of explanted hydroxyapatite orbital implants

This is a retrospective case series over 11 years of 25 patients with exposed synthetic hydroxyapatite orbital implants who underwent explantation and simultaneous replacement with a dermis fat graft. All patients had signs of infection and had been treated with...

Size does matter

Megasessions in hair restoration, being defined as transplantation of 3,000 or more grafts, have the potential to definitely treat a significant area of scalp in only one procedure, allowing the patient to achieve their desired goals while minimising their overall...

Excisional margins for cutaneous malignancies

The authors present the results of a retrospective study of 495 non melanoma skin cancer (NMSC) lesions of the face treated with Mohs micrographic surgery (MMS) over a six year period. The size of the lesion was calculated as the...

Medial conjunctivoplasty for epiphora associated with conjunctivochalasis

The authors describe a retrospective review of 18 patients (25 eyes) who underwent medial conjunctivoplasty for epiphora between 2000 and 2012. In all cases, the epiphora was felt to be predominantly due to the mechanical disruption of normal tear flow...

Cheek reconstruction following melanoma excision

Malignant melanoma occurs most commonly on the cheek and thus are usually diagnosed early, rarely needing large reconstructions following advanced disease. This is a retrospective looking at 26 patients identified that had undergone treatment for cheek melanomas between 1996 and...