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A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen
Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...
Risk factors for loco regional recurrence for oral SCC
Over a quarter of a million cases of oral squamous cell carcinomas (SCC) are diagnosed annually worldwide with 128,000 registered deaths. In spite of much-improved anaesthetic and surgical techniques, survival rates have not improved much over the past three decades....Maxillo-facial and neck surgery in Iraq and Afghanistan
Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the past...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 8) – Propofol
Propofol played a significant role in the trial of Dr Vanessa Kwan. Vanessa went to South Korea to learn about cosmetic surgery. Cosmetic surgeons in South Korea use a lot of propofol in office-based practice. Ipso facto, Vanessa learned about propofol and its use in cosmetic surgery.
Nanocrystalline silver compared to alternative silver delivery systems in the management of burns
With the rapid pace of new medical products being developed and marketed, it can be difficult to identify which product will provide most benefit to our patients. It is essential to have good evidence to allow us to make the...How I Do It - Skin tightening: NeckTite, FaceTite and AccuTite in combination with Morpheus8
The ‘BodyTite’ system is becoming increasingly popular, initially launched as the radiofrequency assisted liposuction (RFAL). We started using the BodyTite system over four years ago. Now the system has been updated to include the Neck / Face / AccuTite handpieces....An epidemic of lower limb gunshot injuries
As the COVID-19 pandemic continues to impact upon us all, the author, a reconstructive plastic surgeon, provides a thought-provoking account of a different type of epidemic that is having devastating consequences. The Oxford English Dictionary defines an epidemic as “a...
Reconstructive Plastic Surgery: An Atlas of Essential Procedures
Reconstructive Plastic Surgery: An Atlas of Essential Procedures is a great textbook. It covers a wide range of the reconstructive plastic surgery syllabus. It includes many aspects of the plastic surgery curriculum from cleft lip and palate through to vascular...
Skin grafts vs local flaps in reconstruction of nasal defects
Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...
ERAS in microvascular breast reconstruction
Enhanced recovery after surgery (ERAS) is an important concept in today’s accountancy dominated hospitals, effectively decreasing the length of stay (LOS) of postoperative patients. This is something that surgeons will have to consider – or have protocols foisted upon them...
Diced conchal cartilage with perichondrial attachment graft in rhinoplasty
This article shows the experience of a single surgeon with the use of diced conchal cartilage with perichondrial attachment in 37 consecutive patients. The graft was used to camouflage asymmetries on the lateral wall of the nose, for tip contouring...
