You searched for "intervention"

839 results found

Quantity for quality

Although facial paralysis is not uncommon, the number of patients who require free muscle transfer is much smaller. Besides that, the diversity of surgical and non-surgical interventions, the multitude of methods for perioperative assessment, and outcome measurements likewise lead to...

Ablepharon-macrostomia syndrome

The ablepharon-macrostomia syndrome is a very rare condition caused by a dominant mutation in the TWIST2 gene. Congenital defects include rudimentary eyelids, macrostomia, ambiguous genitalia and campodactyly. Neonates are at risk of severe corneal exposure without intervention. Previous reports have...

Radiotherapy for orbital apex cavernous haemangiomas

This is a review of six patients with cavernous venous malformations (haemangiomas) involving the orbital apex who were treated with fractionated stereotactic radiotherapy. Patients were diagnosed on MRI imaging with only one having had previous surgery to debulk the lesion....

Sliding lower lid tarsal flap

This is a retrospective review of a lower lid reconstructive technique utilising a sliding tarsal flap. Thirty-two patients who had undergone Mohs surgery were included and each had a shallow marginal defect with at least one remaining tarsal edge having...

Assessing acne vulgaris

The author reviews the evidence surrounding acne development, prevalence and assessment, discussing the importance of capturing a detailed patient history, with reference to aspects of the author’s own assessment tool. The crucial role of the pilosebaceous unit in relation to...

The initial management of nasal trauma

Nasal trauma and fractures are some of the most prevalent clinical problems in a facial surgery practice. Fractures of the nose are the most common facial fractures and reported to be the third most common fracture of the human skeleton....

Successful nose replantation

This case report describes a superb result following the delayed replantation (after eight hours) of the distal right nostril following a dog bite. The patient was a heavy smoker. Two arteries and two veins were anastomosed, one measuring 0.6mm and...

The supraclavicular artery flap for head and neck reconstruction

Free tissue transfer has been manifested to be the primary reconstructive tool for major ablative defects of the head and neck. However, many patients are not good candidates for free tissue transfer because of their medical comorbidities or lack of...

The dynamic nature of orbital cavernous haemangiomas

This paper seeks to address the question of how much do orbital cavernous haemangiomas actually change over time, and if there are any identifiable factors which can predict which lesions will grow and which will remain stable. In particular, if...

Pinpoint technique: a safe procedure for skin resection in correction of ptotic breasts in revision augmentation plasty

The authors introduce us to the ‘pinpoint technique’ a variation in skin excision to eliminate the notorious T-junction in mammary revision augmentation. The Wise-pattern skin excision is widely used to correct ptotic breasts, or in breast implant revision surgery when...

New recombinant human BMP for augmentation of the floor of the maxillary sinus

There has been a recent interest in the use of bone morphogenetic protein-7 (rhBMP-7) to augment the floor of the maxillary sinus. Loss of teeth in the posterior maxilla results in rapid horizontal and vertical reabsortion of alveolar bone because...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).