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Semi dynamic reconstruction of the lower lip
The main goal of reconstructive surgery for facial paralysis is the restoration of smiling and function of eye closure. The deformity of the lower lip in paralysis is ptosis of the corner of the mouth, eversion of the vermillion and...
Post auricular advancement flap for partial helix defect repair
Ear defects can be the result of trauma, burns or ablative surgery. The three dimensional structure of the pinna with its subunits presents a difficult reconstructive challenge as successful reconstruction requires both similar tissue cover and a supporting framework. Partial...
Review of free flap use in burns
The authors looked at 346 studies of the use of free flaps in burns and undertook a systematic review of 30 of these studies after applying inclusion and exclusion criteria. They found that the use of free flaps could be...
A place for nerve transfers in your hand surgery service
The author summarises the application of nerve transfers in upper limb trauma. This is a review article and covers the principles of transfer; the indications, preoperative assessment and the whole patient journey, stressing the need for rehabilitation. The technical factors...
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...
Free style facial artery perforator flaps for nasal reconstruction
This is an update from the team of authors that originally described the free style facial artery perforator flap, for one stage nasal reconstruction, in 2009. They now update after 10 years of experience with these freestyle facial artery perforator...
Free flap reconstruction in stage 3 bisphosphonate related osteonecrosis
There is no widely accepted gold standard for the treatments of bisphosphonate-related osteonecrosis (BRONJ). Whereas the lesser stages of this BRONJ seem to respond well to conservative and minimal invasive therapies there is controversy regarding the treatment of the later...
Coupler microvascular anastomoses: how good?
This is a paper written by a group of reconstructive surgeons and school of computing. This study used computational fluid dynamics to model blood flow through ‘idealised sutured and coupled’ vessels. They investigate if the anastomotic technique affects intra vascular...
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...
Diagnosis and management of orbital vascular malformations
This is an authoritative review of a controversial and difficult clinical area. The authors have experience of over 350 cases and provide a well-structured review of the classification and management of orbital vascular malformations. They emphasise the need to understand...
Analysis and outcome of explanted hydroxyapatite orbital implants
This is a retrospective case series over 11 years of 25 patients with exposed synthetic hydroxyapatite orbital implants who underwent explantation and simultaneous replacement with a dermis fat graft. All patients had signs of infection and had been treated with...
