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695 results found

Stairsteps to breathing

Surgery of the nasal valve is a particularly challenging aspect of functional rhinoplasty surgery. The nasal valve area represents the segment with the smallest cross-sectional diameter of the entire airway. The authors of this article present a novel method to...

Older people and skin challenging perceptions of the ageing process

This is an interesting account of the dermatological senescent changes with a strong focus on the pivotal role nurses can provide in promoting good skin health practices. A comprehensive description of underlying physiological changes and the physical manifestations is presented...

Treatments for hyperpigmentation

Hyperpigmentation is a challenging, multifactorial and complex skin disorder affecting many individuals. The techniques and products described are based upon the author’s own clinical experience in treating hyperpigmentation and emphasises the importance of seeking specialist advice during a face to...

Cognitive behavioural therapy (CBT) and appearance anxiety

An interesting overview of the impact which appearance anxiety can create upon an individual’s wellbeing. Studies estimate one third of individuals with a visible difference are thought to develop anxiety and stress as a consequence. Whilst the discussion surrounding this...

Lipofilling for scar improvement

Since Coleman et al. in 1991 reported on lipofilling, numerous applications have been reported; these include but are not limited to contour restoration, lip augmentation and wrinkle therapy. There have also been some one-off reports of improvements in scars following...

One stage nasal reconstruction with local flaps

This is an excellent and authoritative review of an often difficult and controversial clinical subject. Because of increased education and earlier diagnosis of skin tumours, surgeons are being presented with an increasing number of defects with limited size and depth....

Subcutaneous botox

The authors of this paper performed a double blind, randomised, prospective trial on 19 patients receiving intramuscular botulinum toxin injections on one side of the forehead and subcutaneous injections on the other. Objective assessment of brow elevation and subjective self-evaluation...

Case-based illustration and discussion of surgical modalities to manage traumatic hand defects

The authors present four clinical cases of soft tissue defects affecting the hand and discuss various surgical management options available. These cases include a dorsal hand wound, thumb pulp defect, first webspace defect and a volar finger defect. For each...

Conchal cartilage to reconstruct nasal septum

The authors discuss a common problem involving the loss or damage to the nasal septum. The most common causes are iatrogenic and previous surgery. The loss of the nasal septum is frequently also seen in repeated trauma and reconstruction using...

Filleting the lobule in otoplasty

The correction of lobular deformities continues to represent a challenge during otoplasty, due to its three major anatomic components: the axial angular protrusion, the coronal angular protrusion and the inherent shape. These aspects make controlled lobule repositioning less predictable. The...

Sentinel node biopsy in oral cancer

Sentinel node biopsy (SLNB) is not new and is well established in the management of early breast cancer and melanoma. New trials such as the European Sentinel Node (SENT) trial and others sought to address the question of the clinical...

Prophylactic postoperative antibiotics for enucleation or evisceration

The authors report on a retrospective, multicentre, comparative case series looking at prophylactic antibiotics and the incidence of orbital cellulitis following enucleation or evisceration. Of the 644 cases included in the analysis, all received a single perioperative intravenous dose of...