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Old age and postoperative complications of head and neck free flaps

This review examined the relationship between free flap survival in older patients and whether this correlated with specific co-morbid conditions and a ‘cut off’ age.The authors did exclude some papers that specifically focused on one co-morbid condition, such as diabetes,...

Contralateral breast symmetrisation in unilateral DIEP flap breast reconstruction

This paper is focused on whether an immediate breast symmetrisation procedure is beneficial when a patient undergoes contralateral breast resection plus an immediate free flap reconstruction for breast cancer. Free abdominal perforator flaps (DIEP) generally offer the highest postoperative satisfaction...

Outcomes and complications of supramaximal levator resection

This is a report of 35 children with unilateral congenital ptosis who underwent a supramaximal levator resection, involving extensive dissection of levator including cutting Whitnall’s ligament. The average preoperative margin reflex distance to the upper lid (MRD1) was 0.5mm, and...

Surgical management of subungal melanoma

The authors present the findings of a retrospective, single-institution review of all patients with biopsy confirmed subungal melanomas over a period of 96 years in Mayo Clinic. Parameters examined were general demographics, level of digit amputation, disease recurrence, overall survival,...

Poor glycaemic control associated with worse outcomes in primary wound closure

This study is the first to specifically investigate the effects of chronic and perioperative glycaemic control in high risk patients undergoing primary closure of wounds. Seventy-nine patients were included – 93% of closures were of the lower limb and only...

Focus on Cosmeceuticals: Definitions, regulations and a review of the market

In the previous section of this special focus, the structure and function of the skin has been reviewed as well as the cutaneous changes induced by UV exposure. This section will define the term cosmeceutical and discuss the current market...

Thermal injury and false eyelashes

Please Click here for the CPD Feedback form on this article The authors provide a case of cyanoacrylate glue causing a thermal burn on the eyelid and explain how this type of burn should be managed. The use of false...

How I Do It - Using Nd:Yag laser for correction of vascular anomalies

Vascular anomalies are the most common lesions that can often lead to disfigurement of a child's appearance. Due to the complexity of diagnosis and individual specialists’ understanding of their pathological process, these young patients often undergo many unnecessary tests and...

Perceptions and deceptions: a personal blog by the editor 18 August 2016

I am back in the UK for a sabbatical and taking stock of all the changes since I left in 1999. An HK versus UK comparison becomes even more fascinating when looking at information sources ‘on the ground’. Social networking...

The scandal of NHS contracts with the independent healthcare sector

Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.

COVID-19: plastic surgeons on the front line

riting, I am now halfway through my second set of 12-hour shifts on our COVID admitting ward. As this crisis loomed, our hospital shut down elective services and drafted in all staff to support the expected surge of ill patients....

Merz Aesthetics® launches the new indication for RADIESSE® as an aesthetic injectable

In the EU, Merz Aesthetics® has announced the approval for Radiesse® to treat the décolleté area. Radiesse® is a regenerative biostimulator with calcium hydroxylapatite capable of regenerating multiple components of the skin tissue, resulting in...