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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...

USA resident working patterns and on-call

As debate rages at home regarding the uneasy relationship between the restriction on trainees’ working hours, on-call patterns and the goals and outcomes of plastic surgery training programmes, it is interesting to read of similar concerns across the Atlantic. This...

The many uses of human amnion

Human amnion has been the focus of myth and superstition. To be born with the ‘caul’ intact was considered lucky and this was transferable, including legitimate selling e.g. caul amulets. In 1910 foetal membranes were first used for transplantation and...

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...

A clinical update on the management of giant congenital melanocytic naevi

The senior author (RM Zuker) presents a discussion with evidence, on the controversies and shift in the treatment paradigm for giant congenital melanocytic naevi (GCMN). On review of the current literature the overall incidence of melanoma in GCMN is 0.7...

Outcomes of transoral robotic surgery for oropharyngeal cancer

Due to the fact that conventional surgery is technically demanding and involves significant morbidity, transoral procedures are becoming increasingly popular. In this prospective study the authors analysed the oncological and functional results of transoral robotic surgery (TORS) to find out...

Focus on: Cosmeceuticals (part 2 - continued)

The previous sections in this special focus (see Cosmeceuticals (part 2) and Skin anatomy and photoageing and Definitions, regulations and a review of the market) have covered skin anatomy, photoageing and cosmeceutical ingredients in detail. In this section I will...

Auricular reconstruction: star-pattern reconstruction

We describe our approach to straightforward reconstruction of the peripheral auricle using the established star-pattern design. Skin malignancies developing on the auricle continue to be regarded as high-risk lesions due to their propensity to recur and for lymphatic spread. Greater...

Appearance in children with and without single-suture craniosynostosis

A retrospective study was performed of 196 children with single suture craniosynostosis (SSC) and 186 children without. Infants were excluded if premature, major medical or neurological problems, if they had three or more extracranial minor malformations, or major malformations. Control...

Want to do exciting entrepreneurial research? – ask the space scientists

Advances in medical technology have improved the quality of life for people around the globe and contributed towards a general increase in life expectancy. Much of this can be attributed to a synthesis between the experience of medical professionals and...

Threads in rhinoplasty: to thread or not to thread?

Polydioxanone (PDO) and poly-L-lactic / poly-caprolactone (PLL / PCL) threads are presently accessible for facial rejuvenation, and they enjoy significant popularity within aesthetic clinics worldwide, especially in Southeast Asia [1–3]. Often proposed as risk-free with minimal downtime, these threads now...

Burnout: is this just a pandemic phenomenon?

The phrase ‘burnout’ is often heard, but what is it, and what are the early warning signs? Importantly, how can it be prevented or managed? Over the last few years, health professional wellbeing, mental health, and burnout have come to...