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Application of substance P as an osteogenitor in mandibular distraction osteogenesis

In this well organised study the authors demonstrate the benefit of use of substance P to improve the quality of bone during mandibular distraction. Substance P is a neuropeptide that is distributed in those sensory nerve fibres that innervate the...

Is it time for cone-beam CTs to replace the traditional orthopantomogram in the primary diagnosis of temporomandibular joint disorders?

Cone-beam computed tomographic (CT) requires a lower dose of radiation compared to the multidetector CT and provides much more detailed information in 3D about the bony structures of the temporomandibular joint (TMJ) when compared to the traditional OPG. In this...

Propranolol as diagnostic tool for infantile haemangiomas

Infantile haemangiomas are common, benign vascular tumours. Other vascular lesions, which can mimic infantile haemangiomas, include myofibroma, vascular malformations, rhabdomyosarcoma or dermatofibrosarcoma protuberans. The diagnosis of a haemangioma can usually be made based on clinical presentation and medical examination. This...

VITASPARK - a career counselling service with a difference!

Focusing on the needs of today’s surgical trainees, Vitaspark has been created and curated by Aishan Patil, a Scottish surgical SpR, and colleagues.

In conversation with Mehmet Manisali

We were delighted to catch up with Mehmet Manisali, President of the RSM Section of Oral & Maxillofacial Surgery, about his background and plans for the Section. Can you tell us a little bit about what led you into the...

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.

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...

SMAS facelift plication technique to close large skin defects

Resection of skin lesions from the facial region is typically a straightforward procedure, yet the challenge arises in effectively closing the resulting deformity [1]. Surgeons frequently face hurdles, especially when the lesion occupies a restricted anatomical region with limited skin...

Emmanuel, 3, has life transformed after Mercy Ships removes painful head growth

The parents of a three-year-old boy are rejoicing after volunteers on board a charity hospital ship removed a large, painful growth from the side of his head – a condition that had been developing since before he was born. Emmanuel’s...

Plastic surgery and aesthetic medicine: specialties and specialists

Dr Nikolaos Metatoxos has written an excellent article ‘How to establish a successful practice in aesthetic medicine’, which looks at the business of aesthetic medicine and underlines some very important ethical issues. When comparing hospital doctors and aesthetic medicine practitioners...

The Art of Aesthetic Surgery, Principles and Techniques, Third Edition

General review Immediately you sense a class act as the transparent cellophane membrane surrounding the book, beautifully adorned by the ‘Three Graces’ painting, is removed and the non-slip textured feel of the hard cover is exposed. This surface prevents the...

The need for resilience as an aesthetic practitioner

Resilience has been generally described as “the process of negotiating, managing and adapting to significant sources of stress or trauma” [1]. However, it may also be described as a personality trait, indicating that the individual has the human ability to...