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To use or not to use: absorbable sutures for facial wounds
This systematic literature review looked at studies comparing facial skin closure with absorable versus non-absorbable sutures. Studies not published in English, or looking at areas other than the head and neck, and studies focused on suture technique rather than material...
Modified subciliary approach to the orbital floor
Fractures involving the lateral midface and orbital floor are routinely treated by maxillofacial surgeons. The surgical management requires access to the facial skeleton to reposition and free the soft tissues. There are three main approaches to the orbital floor the...
Occlusal splint, injections or arthrocentesis in myofascial pain
Facial pain is a fairly common complaint and may present in a myriad of symptoms. These patients present to both dentists and general practitioners and could end up referred to a number of specialists. Temporomandibular disorders (TMD) may originate from...
Bleach peeling for melasma
Identifying and treating melasma is a continued challenge in aesthetic practice and the dermatologist author shares an insightful piece outlining some of the treatment options for topical bleach peel depigmenting approaches. A brief summary of current literature findings are explored...
TRALI following fresh frozen plasma resuscitation from burn shock
This study aims to examine the incidence of transfusion related acute lung injury (TRALI) in burns resuscitation using fresh frozen plasma (FFP). The authors conducted a retrospective chart review of patients who met their requirement of ‘severe burn‘, that being...
Postoperative antibiotics after a free flap surgery – is one dose enough?
Major head and neck surgery with ablation of oral cancer, neck dissection and free flap reconstruction is a well-established part of maxillofacial surgery. These patients however already have significant co-morbidities and together with a long operation, large wounds open for...
Which patients are more likely to have postoperative pulmonary complications after major head and neck?
Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...
Albumin administration for fluid resuscitation in burn patients
The authors propose to investigate the ongoing controversy and debate surrounding the use of albumin in burns resuscitation; specifically they mention that the study is not investigating the use of albumin to correct hypoalbuminaemia. Mention is made of previously conducted...
Non-surgical rhinoplasty: key indications and considerations for nasal augmentation
The author discusses a personal perspective, and preferred treatment techniques of non-surgical rhinoplasty, using dermal fillers and botulinum toxin. Onabotulinum toxin A and incobotulinum A are discussed for off-label use in this advanced indication, and the author suggests using calcium...
Psychosocial impact of otoplasty
This paper examines the impact of otoplasty on quality of life. Eighty-one patients who underwent otoplasty were evaluated using questionnaires. They were divided into three age groups: Youth 1 (Y1) = 8-12 years (n = 17), Youth 2 (Y2) =...
Sialendoscopy assisted excision of parotid stones
This is a retrospective paper from China that looks to assess the efficacy and safety of sialendoscopy with a combined transoral or transcutaneous approach for the removal of parotid stones. Sialolithiasis is known to be a major cause for obstructive...
