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A conservative approach to treat ameloblastoma

Ameloblastoma is a relatively rare odontogenic tumour that is benign but locally aggressive. Additionally they tend to recur locally. These are rare accounting for 1% of oral tumours and occur almost exclusively in the jaws. It is more common in...

A comparison between the American European Consensus Group and the American College of Rheumatology classification criteria for Sjogren's syndrome

This article highlights the challenges in diagnosing Sjogren's syndrome. As is pointed out in the introduction, there is no one gold standard for diagnosis and since 1965, there have been 11 sets of classification criteria for Sjogren's syndrome. The authors...

The cost of surgery for bedsores

Many plastic surgeons will have experienced a heart-sinking moment when receiving a request to give an opinion on a patient with a bedsore. The surgery is not technically demanding, but the postoperative care and rehabilitation of the patient can be...

Descending branch peroneal artery perforator flap

Reconstruction of distal third defects in the lower limb is a challenge that often requires microsurgical free tissue transfer. The authors introduce a peroneal artery perforator flap based on the deep descending branch for reconstruction of lateral malleolar defects. They...

A plea for reconstructive plastic surgery in the routine care of sarcoma patients

The authors from the Mayo Clinic demonstrate the advantage of early intervention by plastic surgeons in the care of patients with sarcoma. A retrospective case study review looks at the wound complication rate of surgery for those patients who have...

Fat grafting within the focus of facial ageing

Volume restoration has become a cornerstone in the current model of understanding and approaching the aging face. Sam Lam offers a review in order to place fat grafting in its proper place, with all of its attendant risks, benefits and...

Proprioception and ptosis

This is a small prospective study investigating the effect of proprioceptive factors on upper lid height. Eight unilaterally anophthalmic patients with ocular prostheses and normal lid heights had standardised photographic measurements taken of their eyelid and brow positions. Three sets...

Surgery for class III malocclusions pharyngeal airway and sleep apnoea effects

Thirty-three patients from Brazil were assessed for obstructive sleep apnoea and hypopnoea syndrome pre- and six months postoperatively. The 33 patients were made up of nine having mandibular set back surgery, six maxillary advancement and 18 bi-maxillary surgery. They identified...

Another paper advocating resection templates

Resection in the head and neck region leads to complex defects with significant impairment in function. Reconstruction is even more difficult and to improve the accuracy of both resection and reconstruction a number of aids are used. With the improved...

Intravenous paracetamol in orbital surgery

This is a large prospective study of the effect of intravenous acetaminophen (paracetamol) in orbital surgery. The study included three groups of 50 patients. One group had no i.v. paracetamol, the second 1g of i.v. paracetamol within 30 minutes of...

Sliding lower lid tarsal flap

This is a retrospective review of a lower lid reconstructive technique utilising a sliding tarsal flap. Thirty-two patients who had undergone Mohs surgery were included and each had a shallow marginal defect with at least one remaining tarsal edge having...

Combined Vismodegib and Mohs surgery

This is a report of eight patients with locally advanced periocular basal cell carcinoma who were treated with Vismodegib prior to Mohs micrographic surgery. The rationale for the combined treatment plan was that long-term Vismodegib is poorly tolerated due to...