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When to treat a fractured mandible?

This is a prospective study from Brisbane of 215 patients with a total of 359 fractures of the mandible. Nine outcome variables were analysed with a further 19 included to adjust for potential confounding. Treatment delay was found not to...

CAPSCO survey

Following the unprecedented COVID-19 pandemic and national lockdown, the NHS capacity has been overwhelmed this year. As a result, all private corporate hospitals were contracted by the government to support the NHS. Aesthetic plastic patients are given ‘low’ priority under...

Part four: Aye, Aye. AI?

“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...

Perceptions and deceptions: a personal blog by the editor 4 July 2016

I would like to take this opportunity to share a blog with Chris Day and the other junior doctors to talk about ‘whistle blowing’ and what it means. Typically, it refers to people who “speak out of turn”, “wash the...

Management of alar retraction

This paper shows the results of a retrospective study on aetiology and treatment of one of the most common issues in rhinoplasty, alar retraction as defined by Jack Gunter’s classification system. The study was made using pre- and postoperative photographs...

Raised serum lactate as a marker in the diagnosis of necrotising fasciitis

A 10-year prospective study of cases of suspected necrotising fasciitis was made, involving 53 patients. Of these, 28 had histologically proven necrotising fasciitis, 25 did not. Serum lactate measured at presentation of those who had the condition was 4.1+or-1.62 mmol/l...

Pedicle calcification an uncommon problem

Bony free flap reconstruction of the facial skeleton following ablative surgery is common. Replacement with like for like tissues to reduce morbidity and facilitate rehabilitation is accepted gold standard. Current microvascular flap transfers have success rates in excess of 90%...

The Art of Body Contouring: After Massive Weight Loss

The Art of Body Contouring: After Massive Weight Loss is an excellent textbook comprising 10 chapters addressing reconstructive surgery in the weight loss patient. The first chapter helpfully describes different techniques involved in bariatric surgery. The author talks about the...

The use of platelet-rich plasma in skin flap grafts

This study was conducted to evaluate the ability of platelet rich plasma (PRP) to stimulate angiogenesis following skin flaps graft surgery, and its effect on flap survival rate. The use of PRP to improve the quality of bone regeneration and...

Systematic review of PUC compared with textured silicone implants

Poly-urethane coated (PUC) implants have recently been back in the spotlight following the halt on Silimed implant use in Europe and this review is timely in assessing the perceived benefits of these prostheses. This review was adherent to the PRISMA...

Guidelines for the management of craniosynostosis

A Dutch national working group developed this guideline with representatives from the societies representing 11 different specialties and the Dutch national patients’ society. Medical, social and psychological aspects of care for both syndromic and non-syndromic craniosynostosis are included, for both...

Measures against female hair loss

The author presents a detailed, well-structured review about female hair transplant surgery. Female hair pattern loss usually differs from male hair pattern loss, resulting in regions of the scalp where hair density falls without complete alopecia. Surgery for female patients...