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A modification of the crescentic flap for nasal skin reconstruction
Non melanoma skin cancers are the most frequent malignant skin tumours and in over 25% of cases affect the nose. Following excision, the reconstruction can be challenging. The nasal complex has adjacent concave and convex surfaces, minimal laxity and nasal...
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...
PIP experience in the United Kingdom
This interesting study had three end-points. The accuracy of operative and radiological findings on explantation of PIP implants following the PIP scandal. The volume between intact and ruptured implants, with the hypothesis larger implants were more likely to rupture, and...
Classification and assessment of midfacial fractures: no more Le Fort facial fractures
There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...
A simplified method for advancement genioplasty
Lower facial aesthetics can be improved with either bony advancement osteotomy or alloplastic implant augmentation. The choice of these options frequently depends on the experience of the surgeon. In their retrospective study on 126 patients, Chan and Ducic, describe 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...
Addressing eyelid ptosis in upper lid blepharoplasty
The authors of this article thoroughly explain the anatomical basis of upper eyelid asymmetry and the impact it may have on blepharoplasty. The eyelid is divided into three different areas (brow fat span, tarsal plate show and margin reflex distance)...
Facial asymmetry in patients with deviated noses
Rhinoplasty of a deviated nose is known to be a challenge of its own kind, especially when patients presenting with a deviated nose are unaware of their underlying facial asymmetry. Patients with a successfully straightened nose, continue to perceive their...
Facial nerve injuries in fixing mandibular condylar fractures
The commonest fracture of the mandible is reported in the region of the condyle. Untreated this can lead to shortening of the ramus, facial asymmetry, arthrosis of the temporomandibular joint, impaired mastication and speech. The standard treatment is open reduction...
Satisfaction and complications of body contouring surgery
Fifty-five patients undergoing body contouring surgery over three years is an experience worth sharing and the photographs show excellent results, with which most patients were delighted. One of the postoperative photographs shows that a patient had a decorative tattoo performed...
