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Vascularised composite allotransplantation: an update

Vascularised composite allotransplantation (VCA) includes transplantation of multiple tissues in a single vascularised unit, such as the upper limb, or most dramatically the face. Truly remarkable results have been achieved, such as the one illustrated in this article. More than...

Facial aesthetics and orthognathic surgery

Most maxillofacial procedures have an aesthetic element. Reconstructive procedures and surgery to correct congenital abnormalities such as cleft lip have an obvious aesthetic impact. When making surgical incisions for access to the underlying facial skeleton consideration will be made to...

Safety and risks of local anaesthesia and regional blocks in plastic surgery

The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

Photoshopping the face: simulated outcomes of orthofacial surgery

Corrective facial surgeries are highly elective procedures. Outcomes depend largely on the nature of the surgery performed (requiring an in-depth knowledge of surgical techniques and anticipated soft tissue changes) and should be predictable in terms of risk and outcomes, in...

Fundamental Topics in Plastic Surgery

The format of the book is sectioned into topics not too dissimilar to most commonplace recommended plastic surgery textbooks, including principles (wound healing, negative pressure therapy, local anesthetics, fat grafting) and techniques (suturing, flaps, tissue expansion, microsurgery, facial trauma and...

Facial Plastic and Reconstructive Surgery: Clinical Reference Guide

Plastic surgery and otolarynology are an example of two surgical specialties which intersect, allowing for clinical and research collaboration. Facial Plastic and Reconstructive Surgery: Clinical Reference Guide gives reference to a number of different principles which have been combined in...

Essentials of Plastic Surgery: Q&A Companion

This excellent second edition of Q&A Companion of the very well-established Essentials of Plastic Surgery by Dr Jeffrey Janis provides a complete and detailed overview of the entire plastic surgery syllabus. All material is up-to-date and has been written as...

Plastic Surgery Volume 4: Lower Extremely Trunk and Burns

This volume begins with a good description of lower limb anatomy followed by several chapters covering the principles and management of lower limb trauma; sarcoma diagnosis, investigation and treatment; lymphoedema and lymphatic reconstruction; neuroma management and nerve compression; skeletal and...

Surgical management of refractory osteoradionecrosis

This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. Thity-six segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used with soft tissue...

Do bicycle helmets prevent facial injuries

This is an analysis from Germany where they reviewed over 7000 bicycle accidents over a 16-year period that met their inclusion criteria. Over 1000 had a facial injury (bone or soft tissue) with helmets being worn in 11.8% of accidents....

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...

IgG4-related disease or Graves orbitopathy

This is a retrospective review of patients who had been diagnosed with both IgG4-related ophthalmic disease (IgG4-ROD) and Graves orbitopathy over a four-year period. Eight patients were identified. The diagnosis of IgG4-ROD was based on 10 or more IgG4+ plasma...