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Filleting the lobule in otoplasty
The correction of lobular deformities continues to represent a challenge during otoplasty, due to its three major anatomic components: the axial angular protrusion, the coronal angular protrusion and the inherent shape. These aspects make controlled lobule repositioning less predictable. The...
Corneal neurotisation with an allograft
This is the first reported use of an acellular nerve allograft for corneal neurotisation. Seven patients received a 7cm long commercially prepared acellular nerve allograft. This was coapted to a functioning supratrochlear, supraorbital or infraorbital nerve and then tunnelled to...
A new autologous flap option for breast reconstruction
The authors of this paper present the first meaningful series utilising the lateral thigh perforator flap for breast construction. Eight patients had delayed unilateral reconstruction, each with two stacked flaps. Anastamoses were performed antegrade and retrograde to one internal mammary...
Nasal appearance evaluations following spreader graft placement
Widening the nasal dorsum has been one of the major aesthetic concerns after using spreader grafts to improve nasal airway obstruction in patients with nasal valve problems. In this study the authors evaluated the association of functional septorhinoplasty using spreader...EAFPS 2023: 46th Annual Meeting
Dario Bertossi presenting the conference bell to Alwyn D’Souza, starting a new tradition. Riccardo Nocini, EAFPS Fellow. The 46th annual meeting of the European Academy of Facial Plastic Surgery (EAFPS) was held at the iconic Palazzo della Gran Guardia in...The importance of nitric oxide in medicine
The harmful effects exerted upon living and injured tissues by free radicals have been explored since the 1980s. Now in 2021 the free radical nitric oxide (NO) is not just a figment of imagination; it is known as one of...Polynucleotides: A scientific explanation
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. Introduction and background This article offers an objective analysis of a new...Hymenoplasty and virginity – an issue of socio-cultural morality and medical ethics
This article reflects the increasing complexity of the modern world, where the rich diversity of culture, morals, the law and religion, can have profound effects on medical practice. Sometimes there is considerable debate which is not in fact appropriate. This...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)
It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)
In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).COVID-19 elective oculoplastic consent proforma
The advent of COVID-19 will continue to impose major adaptations in how we as surgeons practise and offer elective surgery going forward. In addition to how we try to adapt to make our practice as safe for the patient and our teams as...
