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Transnasal endoscopic choanal atresia surgery
Surgery is currently the only definitive treatment for congenital choanal atresia (CCA). There are various surgical approaches including transnasal, transeptal or transpalatal. The authors propose that the preferred option is transnasal endoscopic choanal atresia surgery (TECAS) and set out to...
Selection of full thickness skin graft donor site influences extent of contraction
Full thickness skin grafts (FTSG) remain a standard reconstructive option in burns surgery, resulting in lesser secondary contracture and improved cosmesis compared to split skin grafts. Although the recipient site is known to influence contraction, the role of the donor...
Burns debridement: VersajetTM vs. conventional debridement
A prospective randomised controlled trial was undertaken to compare conventional tangential burn wound debridement against the use of Versajet™ hydrosurgery in the treatment of partial thickness paediatric burns. Seventy-five children under the age of 16 were recruited for the study...
Management of major burns – a role for Oxandrolone
Oxandrolone The authors present a retrospective single centre based study assessing the effect of Oxandrolone (OX) on the length of stay (LOS) following ≥15% of total body surface area (TBSA) burns. One hundred and sixty-seven surviving patients were retrospectively analysed...
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...
Cheek augmentation from A to Z
An outline of facial assessment principles and anatomical considerations regarding augmenting the cheek and mid-face is explored. Background statistics are stated regarding the number of injectable procedures performed, referenced to American Society for Aesthetic Plastic Surgery (ASAPS) data, 2016. Attention...
Retroauricular vs. inguinal donor site for full-thickness skin grafts in syndactyly repair
Most surgeons recommend the use of full thickness skin grafts (FTSGs) for syndactyly repair in order to achieve a tension free reconstruction and prevent web creep. The inguinal region, cubital fossa and wrist are all well recognised donor sites for...What to look for in new exosome products: A guide to the exosome cosmetic market
Exosomes have become increasingly trendy in the cosmeceutical market, not only as the latest buzzword but also in alignment with the growing trend towards natural beauty. By harnessing the regenerative potential of exosomes and incorporating them into daily skincare routines...How I Do It - A global approach to facial volumising
As the demand for natural results in aesthetic medicine increases, both patients and physicians are more educated in the complex ageing process of the face. Instead of chasing lines, a more global facial approach with strategic placement of deep volume,...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 20) - Culpability: The judge opines
The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.The First World War and the Development of Facial Surgery
Facial surgery has a history stretching to antiquity, but its success depended on luck until medical science had advanced enough to deal with three major issues – infection, surgical shock from blood loss and good anaesthesia. It was not until...
