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Serdev Techniques in Rhinoplasty

I have never had the pleasure of meeting Nikolay Serdev but his book exudes the personality of a fascinating free thinking maverick. Each of the six chapters outlines a nuanced minimally invasive technique that challenges modern conceptions and bias towards...

Extracapsular dissection versus parotidectomy

This is a literature review of 16 papers using the PRISMA protocol. In comparing the two techniques, not surprisingly, they found that the extracapsular dissection had a reduced facial nerve paralysis, Frey syndrome and operation time but also a reduced...

Do bicycle helmets prevent facial injuries

This is an analysis from Germany where they reviewed over 7000 bicycle accidents over a 16-year period that met their inclusion criteria. Over 1000 had a facial injury (bone or soft tissue) with helmets being worn in 11.8% of accidents....

Imaging accurately predicting the need for mandibular resection

This is an article from Australia of 109 patients, 83 of which had CT, 72 MRI and the presence of bone invasion on imaging was compared with the histopathology. Bone invasion was present in 44 of 109 resection specimens. Bone...

Long-term quality outcomes of bimaxillary surgery of obstructive sleep apnoea

This is a review of 12 patients initially two years postoperatively and again at least 17 years postop. Successful outcome of a decrease in apnoea-hypopnoea index (AHI) of greater than 50% was thought to be success. Eight of the initial...

A new autologous flap option for breast reconstruction

The authors of this paper present the first meaningful series utilising the lateral thigh perforator flap for breast construction. Eight patients had delayed unilateral reconstruction, each with two stacked flaps. Anastamoses were performed antegrade and retrograde to one internal mammary...

Corneal neurotisation with an allograft

This is the first reported use of an acellular nerve allograft for corneal neurotisation. Seven patients received a 7cm long commercially prepared acellular nerve allograft. This was coapted to a functioning supratrochlear, supraorbital or infraorbital nerve and then tunnelled to...

Soft tissue changes following maxillary osteotomy, comparison of three computer programmes

This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CTs three months preoperatively and one year postoperatively. A clinical comparison between...

Lymph node ratio in tongue cancer

This is an analysis of 88 patients treated in Switzerland between 2003 and 2012. All patients had a selective neck dissection and recurrence occurred in 25 patients. Overall and disease specific survival were 72% and 80%. They specifically looked at...

Mental health status and functional outcomes of rhinoplasty

The authors investigated the impact of mental health on patient satisfaction with rhinoplasty. They responded to the question whether preoperative mental health is associated with satisfaction with functional outcomes of rhinoplasty. They assessed baseline nasal function and postsurgical functional outcomes...

Fixed or variable Muller’s muscle resection

This is a retrospective analysis of 60 patients who underwent posterior approach ptosis surgery utilising a Muller’s muscle resection. The study compares those who underwent a fixed resection length of 7mm of Muller’s muscle with those having a variable resection...