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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...
A conservative approach to treat ameloblastoma
Ameloblastoma is a relatively rare odontogenic tumour that is benign but locally aggressive. Additionally they tend to recur locally. These are rare accounting for 1% of oral tumours and occur almost exclusively in the jaws. It is more common in...
Beta blockers in the treatment of infantile haemangiomas
Following the work of Léauté-Labrèze et al. in 2008, describing the successful use of beta blockers in the treatment of infantile haemangiomas, the medical treatment of these troublesome malformations has almost completely replaced surgical treatment, which has been relegated to...
Anteromedial thigh perforator free flaps
Forty-one consecutive anterior anteromedial thigh (AMT) free flaps are reported, with a success rate of 95%. This flap is being used as an alternative to the preferred anterolateral thigh flap (ALT), which is described as the ‘real workhorse’, when this...
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...
Approach to the orbital floor, which is better?
During skeletal surgery sufficient exposure is key, often a direct approach through the overlying tissues is the easiest route. In the face, however, as the scar would be readily visible so approaches are designed to hide this. Surgical access to...
Do implants assist rehabilitation following mandibular reconstruction?
The gold standard for the reconstruction of the mandible is a free bony flap, the fibula being commonly used. Following reconstruction optimal function and aesthetic rehabilitation is the goal. There is no doubt that patients consider chewing, swallowing and speech...
CAD/CAM assisted mandibular reconstruction free hand: is there a difference?
The gold standard for the reconstruction of the mandible is a free bony flap, the fibula is commonly used. The fibula is a straight bone and indeed all the other donor sites present various other considerations and difficulties, to allow...
Prostaglandin-associated periorbitopathy
This is a masked study of 33 patients who had been taking a prostaglandin analogue in one eye only for at least a year, to look for signs of prostaglandin-associated periorbitopathy (PAP). The investigators devised a new grading system to...
Reconstruction paediatric lower facial defects with an expanded flap from the submental region
Lower facial and perioral scars from burns or defects following treatment of vascular lesions can lead to serious facial deformity with lip ectropion and asymmetry. Conventional reconstructive methods like skin grafts or free flaps do not always give a satisfactory...
Platelet-rich plasma from androgenetic alopecia: a pilot study
The authors demonstrate some encouraging results in this pilot study, exploring the benefit of injecting platelet rich plasma (PRP) into the scalp on patients with androgenetic alopecia. This suggests the need to now proceed with a randomised control study to...
