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Long-term quality outcomes of bimaxillary surgery of obstructive sleep apnoea
This is a review of 12 patients initially two years postoperatively and again at least 17 years postop. Successful outcome of a decrease in apnoea-hypopnoea index (AHI) of greater than 50% was thought to be success. Eight of the initial...
Inferior alveolar nerve (IAN) recovery after ORIF fractured mandible
Mandibular fractures are quite common facial injuries, but aetiology varies with country and age. Common treatment options are open reduction and internal fixation via an intra oral or extra oral incision. Nerve injury or dysfunction is often seen preoperatively and...
The psychological impact of living with Russell-Silver syndrome
The authors present an insightful overview of the rare condition, Russell-Silver syndrome (RSS), with focus upon the psychological impact and required support for affected individuals. The challenge of ascertaining the prevalence of RSS is argued to be due to ill-defined...
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...
Beautification or distortion? Tackling the lip augmentation phenomenon
The number of lip augmentation procedures performed continues to rise exponentially. The author provides a detailed discussion of the rise of this popular treatment with an overview of how injectable materials have evolved; from paraffin, liquid silicone and bovine collagen....
Classification and assessment of midfacial fractures: no more Le Fort facial fractures
There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...
Airway first in patients with facial trauma
Anyone that has ever been on an advanced trauma life support (ATLS) or indeed any other trauma course will be well indoctrinated with the principles of airways, breathing and circulation (ABC). Securing the airway is of paramount importance; but what...
Assessing acne vulgaris
The author reviews the evidence surrounding acne development, prevalence and assessment, discussing the importance of capturing a detailed patient history, with reference to aspects of the author’s own assessment tool. The crucial role of the pilosebaceous unit in relation to...
Management of post traumatic pseudo-telecanthus
Injuries to the nasal and peri-nasal region are common. Indeed the nasal bones are reported to be the most commonly fractured facial bone. While nasal trauma and deformity are commonly recognised and treated, injuries to adjacent structures are easily missed...
Surgical indications for infantile haemangiomas
Infantile haemangiomas (IHs) are embryonic tumours and represent the most common tumour of infancy, with an estimated incidence of 4-5%. There is a well described natural history, usually becoming apparent in the first few weeks of life and proliferating rapidly,...
Nasolabial flap to reconstruct peri orbital defects
The authors present a series of 25, mainly geriatric, patients that had ablative surgery and had complex defects in the paranasal and orbital regions. The paranasal and periorbital regions are extremely important for facial aesthetics and quality of life. These...
