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Jawline augmentation: restoring balance in the ageing face

The context of the popularity of injectable treatments is outlined with the American Society of Plastic Surgeons (ASPS) 2018 stats describing the 3% rise in the number of injectable dermal fillers being performed. The author gives a detailed description of...

Risk factors for loco regional recurrence for oral SCC

Over a quarter of a million cases of oral squamous cell carcinomas (SCC) are diagnosed annually worldwide with 128,000 registered deaths. In spite of much-improved anaesthetic and surgical techniques, survival rates have not improved much over the past three decades....

Approach to the orbital floor, which is better?

During skeletal surgery sufficient exposure is key, often a direct approach through the overlying tissues is the easiest route. In the face, however, as the scar would be readily visible so approaches are designed to hide this. Surgical access to...

Postoperative antibiotics after a free flap surgery – is one dose enough?

Major head and neck surgery with ablation of oral cancer, neck dissection and free flap reconstruction is a well-established part of maxillofacial surgery. These patients however already have significant co-morbidities and together with a long operation, large wounds open for...

Lymph node ratio – another predictor of outcomes in tongue SCC

Oral squamous cell carcinoma (SCC) is an increasing disease with over 263,000 diagnosed new cases and 128,000 deaths annually worldwide. Although there have been significant advances in diagnostics, surgery and anaesthetics there has been no increase in the survival rates...

Which patients are more likely to have postoperative pulmonary complications after major head and neck?

Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...

Reconstruction with scapular tip following hemi-maxillectomy and rehabilitation with dental implants

Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and result in significant morbidity. Rehabilitation is fraught with difficulties, and a number of options are available, such as an obturator or surgical reconstruction with a...

Reconstruction with scapular tip

Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and result in significant morbidity. Rehabilitation is fraught with difficulties, and a number of options are available, including an obturator or surgical reconstruction with a free...

Natural regression of brow heaviness in thyroid eye disease

This is a retrospective review of the change over time in the sub-brow fat volume in 104 patients with thyroid eye disease. Standardised photographs taken at diagnosis were compared with those taken after an average period of 10 years (+/-...

Revision of orbital fracture repairs

This is a retrospective review of 13 patients with sub-optimal outcomes following primary orbital fracture repairs who underwent revision surgery. All had fractures of the orbital floor, with four involving other orbital walls, and six also involving other facial bones....

Money saving using CAD-CAM in mandibular reconstruction

Computer aided design and computer aided manufacturing (CAD-CAM) are an exciting dimension in the functional and accurate reconstruction of the oral cavity. The fibula is commonly used for mandibular reconstruction as a free flap. This straight bone needs to be...

CAD/CAM assisted mandibular reconstruction free hand: is there a difference?

The gold standard for the reconstruction of the mandible is a free bony flap, the fibula is commonly used. The fibula is a straight bone and indeed all the other donor sites present various other considerations and difficulties, to allow...