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Should Plastic Surgeons 'De-skill'?
For some time now I have been thinking about when a surgeon actually deskills through not doing a particular operation. In particular, this applies to plastic surgeons after completion of NHS type training with no previous exposure to cosmetic patients...
The effect of smoking status on burn inhalation injury mortality
It is well recognised that inhalational injury is a major predictor of mortality in burns patients. However, there have not been any studies looking at the effect smoking (and its effects on the lungs) in these patients. Therefore, this is...
A modification of the crescentic flap for nasal skin reconstruction
Non melanoma skin cancers are the most frequent malignant skin tumours and in over 25% of cases affect the nose. Following excision, the reconstruction can be challenging. The nasal complex has adjacent concave and convex surfaces, minimal laxity and nasal...
Two for the price of one multiple parotid neoplasms
With advancing years come many benefits, but one drawback is the acquisition of parotid (or thyroid) neoplasms. Conventional teaching is that most are benign and slowly enlarge, and not infrequently are found bilaterally as in Warthin’s. Pleomorphic adenomas are also...
The effect of skin graft contracture when using artificial dermis
This is a report of a prospective clinical trial performed in a single centre in Seoul, South Korea. The group attempted to observe the change in size of skin grafts applied to an artificial dermal substitute (matriderm). Two groups of...
Semi dynamic reconstruction of the lower lip
The main goal of reconstructive surgery for facial paralysis is the restoration of smiling and function of eye closure. The deformity of the lower lip in paralysis is ptosis of the corner of the mouth, eversion of the vermillion and...
Analysis and outcome of explanted hydroxyapatite orbital implants
This is a retrospective case series over 11 years of 25 patients with exposed synthetic hydroxyapatite orbital implants who underwent explantation and simultaneous replacement with a dermis fat graft. All patients had signs of infection and had been treated with...
The original suture suspension necklift before the i-guide
In this excellent issue of the Clinics in Plastic Surgery the topic of neck lifting is discussed. This covers the assessment, non-surgical management, minimally invasive techniques and open techniques. This invited paper looks into the authors’ experience of suture suspension...
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...
SPECT scans not justified in growth of the mandibular condyle
This is a paper from Hong Kong of 200 patients between January 2011 and July 2013 who underwent SPECT bone scintigraphy for assessment of growth causing condylar hyperplasia and subsequent mandibular asymmetry. Thirty-four patients were found to have active growth...
Maxillomandibular advancement for sleep apnoea
This is a meta-analysis compiled from India. Of the initial 103 publications 20 were analysed. Surgical cure was defined as postsurgical AHI of fewer than five events per hour. Of the 251 patients assessed for AHI, 12 where considered normal,...
