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The effect of smoking status on burn inhalation injury mortality
It is well recognised that inhalational injury is a major predictor of mortality in burns patients. However, there have not been any studies looking at the effect smoking (and its effects on the lungs) in these patients. Therefore, this is...
Hey look! Smaller arms and no scars...
The author of this chapter presents his experience of arm reduction leaving a scar in the axilla only; minimal incision brachioplasty (MIB). The technique is a modification of the Pollack technique to treat axillary hydradenitis. It is suitable for patients...
Body contouring surgery: Use common sense!
This informative article, which kicks off this excellent edition of Clinics in Plastic Surgery, provides a sensible and balanced review of when, why and what to do with the massive weight loss patient group. The recommended wisdom will be familiar...
Abdominal problems following breast reconstruction using lower abdominal flaps
Abdominal problems following transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric perforators (DIEP) flaps are well recognised in these otherwise excellent methods of breast reconstruction. The authors reviewed 399 patients, of whom 57.7% had surgical complications although most of...
Use of acellular dermal matrices in revisional breast reconstruction
In this study the authors present a review of their experience in using Acellular Dermal Matrix (AlloDerm) in revision breast reconstruction procedures. They retrospectively reviewed all revisional breast reconstruction cases over a five-year period in which AlloDerm had been utilised....
Total nasal tip reconstruction with autologous auricular cartilage
This paper shows an original and effective procedure for total nasal tip framework reconstruction using autologous auricular cartilage. The authors explain how the seagull-wings technique, described some years ago by one of them (Fernando Pedroza) to treat severe nasal tip...
Excisional margins for cutaneous malignancies
The authors present the results of a retrospective study of 495 non melanoma skin cancer (NMSC) lesions of the face treated with Mohs micrographic surgery (MMS) over a six year period. The size of the lesion was calculated as the...
SPECT scans not justified in growth of the mandibular condyle
This is a paper from Hong Kong of 200 patients between January 2011 and July 2013 who underwent SPECT bone scintigraphy for assessment of growth causing condylar hyperplasia and subsequent mandibular asymmetry. Thirty-four patients were found to have active growth...
IgG4-related disease or Graves orbitopathy
This is a retrospective review of patients who had been diagnosed with both IgG4-related ophthalmic disease (IgG4-ROD) and Graves orbitopathy over a four-year period. Eight patients were identified. The diagnosis of IgG4-ROD was based on 10 or more IgG4+ plasma...
Soft tissue changes following maxillary osteotomy, comparison of three computer programmes
This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CTs three months preoperatively and one year postoperatively. A clinical comparison between...
Radiotherapy for orbital apex cavernous haemangiomas
This is a review of six patients with cavernous venous malformations (haemangiomas) involving the orbital apex who were treated with fractionated stereotactic radiotherapy. Patients were diagnosed on MRI imaging with only one having had previous surgery to debulk the lesion....
