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Non-hormonal treatment options during the menopause
The author gives a comprehensive overview of prescribed treatment alternatives to hormone replacement therapy (HRT), discussing lifestyle, diet, alternative therapies, patient support and nurse education. The author argues that treatments for the symptoms of menopause are complex and that nurse...
Facial sensory rehabilitation
The authors of this paper show the results of their method for facial sensory rehabilitation using cross-face sural nerve grafts in three patients. All three patients had hemifacial anaesthesia after trauma or intracranial tumour resections and their symptoms varied from...
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...
Vaginal dryness and the menopause
An insightful overview of a specialised topic. The author describes survey findings which indicate a lack of available information to menopausal women about the relationship between vaginal dryness and hormones. Obstacles to affected individuals obtaining specialist input appear to be...
Ethnic characteristics of the hair
The authors of this article discuss various aspects of ethnic differences in the field of hair restoration. They categorise three ethnic groups: Asian, White and African. In the article anatomic and hair characteristics are introduced. Understanding the follicle shape, calibre...
Comparing the rates of fat necrosis in irradiated muscle-sparing tram versus diep flap breast reconstruction
The authors performed a retrospective cohort study of patients undergoing immediate autologous breast reconstruction with an abdominal free flap. Over a 17-month period, 625 flaps were included in 518 patients, with 40 flaps receiving irradiation. Mean patient age and BMI...
Distal edge necrosis in cervicofacial rotation-advancement flaps
Mohs facial reconstructive surgery can be a difficult process for a patient to undergo. The goal of facial reconstruction is to restore contour, function and aesthetics while minimising morbidity. The authors conducted a review of 88 patients who underwent cervicofacial...
Delayed intraoral wound healing in patients on bisphosphonates
Since Marx first described bisphosphonate related osteonecrosis of the jaw (BRONJ), the literature is now replete with cases of BRONJ. There are no internationally accepted protocols. A three month cessation of drug treatment, a ‘drug holiday’ has been advocated. The...
Liposuction – changes in contemporary practice
This article charts the progress and evolution of ‘liposculpture’ over an 18-year period, the surgical journey of over 5000 patients included in the paper. The senior author highlights the technical changes made over the period and how these have led...Management of masseter hypertrophy and bruxism with Botulinum Toxin A
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. The squaring of the lower third of the face can be an...
