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Significance of exterior capsular spread in a clinically negative neck

This is a retrospective paper from Zagreb of 61 patients with a clinically T1-T3 N0 squamous cell carcinoma undergoing primary surgical treatment. All patients had a level I-IIII/IV elective neck dissection. Those who had adverse histological features, including extracapsular spread,...

Mirror image orbital implants in enopthalmus

This is a review from Chile of five patients who underwent surgery utilising customised implants. Two methods to make the titanium implants were used between the five patients. All patients had diplopia in the gaze position prior to implant placement....

Skin grafts vs local flaps in reconstruction of nasal defects

Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...

Wide variation in the volume of the sphenoid trigone

This is a radiological study of the volume of the sphenoid trigone in normal subjects. The authors were interested to see how much volume could be gained by removal of the trigone during an orbital decompression for thyroid eye disease....

Reconstruction after parotid surgery

This is a retrospective study from Naples, Italy. The authors analyse and compare patients that had benign parotid disease that were reconstructed with three different techniques. Between February 2002 and March 2009, 224 patients were included; these patients had either...

Nasolabial flap to reconstruct peri orbital defects

The authors present a series of 25, mainly geriatric, patients that had ablative surgery and had complex defects in the paranasal and orbital regions. The paranasal and periorbital regions are extremely important for facial aesthetics and quality of life. These...

­Immediate planned reconstruction following complex craniofacial reconstruction

The immediate reconstruction of 3-D craniofacial defects is extremely difficult and can be more difficult than the ablation. Perfect shape and symmetry is required. In the past decade this has largely improved with CAD/CAM engineering. The authors report a one-step...

Oncological and functional outcomes of transoral robotic surgery for oropharyngeal cancer

Due to the fact that conventional surgery is technically demanding and involves significant morbidity, transoral procedures are becoming increasingly popular. In this prospective study the authors analysed the oncological and functional results of transoral robotic surgery (TORS) to find out...

Outcomes of transoral robotic surgery for oropharyngeal cancer

Due to the fact that conventional surgery is technically demanding and involves significant morbidity, transoral procedures are becoming increasingly popular. In this prospective study the authors analysed the oncological and functional results of transoral robotic surgery (TORS) to find out...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)

It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).

Cautions, contraindications and complications in aesthetics

All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...

Informed consent and failure to disclose – legal perspectives for aesthetic surgeons

As litigation and legal claims in aesthetic surgery and medicine continue to rise, informed consent is not only a legal imperative but also essential in protecting yourself and your business. Lee Seng Khoo and Francesco Mazzarone, from the world-renowned Ivo...