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Diagnosis of osteonecrosis of the jaw
Although the management of medical relation osteonecrosis of the jaw is usually provided by colleagues in maxillofacial surgery, it is essential for ENT surgeons to effectively diagnose the various presentations of this condition. Affected bone that is exposed and necrotic...
Advanced botulinum toxin injection techniques for lower facial correction
The author discusses practical guidance for treating the lower face with botulinum toxin. Whilst Abobotulinumtoxin A and Onabotulinumtoxin A are discussed in relation to treating the lower face, Incobotulinum toxin A is not acknowledged, despite the available literature on the...
Guidelines for the management of craniosynostosis
A Dutch national working group developed this guideline with representatives from the societies representing 11 different specialties and the Dutch national patients’ society. Medical, social and psychological aspects of care for both syndromic and non-syndromic craniosynostosis are included, for both...
Skin grafts vs local flaps in reconstruction of nasal defects
Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...
ERAS in microvascular breast reconstruction
Enhanced recovery after surgery (ERAS) is an important concept in today’s accountancy dominated hospitals, effectively decreasing the length of stay (LOS) of postoperative patients. This is something that surgeons will have to consider – or have protocols foisted upon them...
Dermal filler complications
The author presents a useful overview of some of the contributory factors for impending necrosis. It is important to note that compression may not always be due to excessive placement of product or placement within a vessel; the viscosity and...
Older people and skin challenging perceptions of the ageing process
This is an interesting account of the dermatological senescent changes with a strong focus on the pivotal role nurses can provide in promoting good skin health practices. A comprehensive description of underlying physiological changes and the physical manifestations is presented...
Surgical indications for infantile haemangiomas
Infantile haemangiomas (IHs) are embryonic tumours and represent the most common tumour of infancy, with an estimated incidence of 4-5%. There is a well described natural history, usually becoming apparent in the first few weeks of life and proliferating rapidly,...
Body contouring surgery: Use common sense!
This informative article, which kicks off this excellent edition of Clinics in Plastic Surgery, provides a sensible and balanced review of when, why and what to do with the massive weight loss patient group. The recommended wisdom will be familiar...
The pitfalls of having cosmetic procedures abroad
The author presents an interesting and thought-provoking case study, describing the risks of undergoing non-surgical procedures overseas. The account describes the journey of an individual who sought treatment with a dermal filler on the basis of a ‘weekend experience’ in...
Abdominal problems following breast reconstruction using lower abdominal flaps
Abdominal problems following transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric perforators (DIEP) flaps are well recognised in these otherwise excellent methods of breast reconstruction. The authors reviewed 399 patients, of whom 57.7% had surgical complications although most of...
