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The use of intravenous tPA for the treatment of severe frostbite

Frostbite can lead to severe consequences to a patient, including loss of digits and limbs. It causes tissue injury by causing cell membrane damage through the formation of extracellular ice crystals and by causing vascular thrombosis. It is to reverse...

Sunscreens and their properties for skin protection

A highly relevant discussion on the many facets of photoageing, with a sound overview of different UV rays, supported by clear diagrams showing the penetration depth of different light wavelengths. The composition and some of the myths surrounding physical and...

Significance of exterior capsular spread in a clinically negative neck

This is a retrospective paper from Zagreb of 61 patients with a clinically T1-T3 N0 squamous cell carcinoma undergoing primary surgical treatment. All patients had a level I-IIII/IV elective neck dissection. Those who had adverse histological features, including extracapsular spread,...

Non-hormonal treatment options during the menopause

The author gives a comprehensive overview of prescribed treatment alternatives to hormone replacement therapy (HRT), discussing lifestyle, diet, alternative therapies, patient support and nurse education. The author argues that treatments for the symptoms of menopause are complex and that nurse...

Cryolipolysis for non-invasive body sculpting

The author provides a clear explanation on the definition and indications of cryolipolysis, reinforcing that it is not a weight loss treatment as it does not shrink fat cells. Some of the popular devices are listed, including CoolSculpting®, Cristal®, as...

Topical and systemic interventions for the treatment of rosacea

The author provides current statistical information on the incidence of rosacea and ambiguity surrounding the aetiology of the common, yet complex condition. The paper reinforces the importance of providing symptom specific treatments, as well as the key position of aesthetic...

The role of botulinum toxin in vasospastic disorders of the hand

We were interested to read the review article by Dr Neumeister titled, The Role of Botulinum Toxin in Vasospastic Disorders of the Hand. The paper provided a thorough summary of Raynaud phenomenon, including the history of the disorder, associated conditions,...

Treatment of low-risk basal cell carcinoma and actinic

The first paper of this topic explored skin cancer recognition, patient education and sun safety. The second part focused on practical guidance for aesthetic nurses, should a patient present with a suspicious skin lesion. The author maintains that aesthetic nurses...

Righting the paralysed lip

Many surgical procedures that otolaryngologists perform put the facial nerve at risk of injury, a complication that the surgeon and patient fear alike. Unfortunately, injuries to the nerve can and do happen despite adequate precautions, and facial paralysis may be...

The role of bacterial biofilms in aesthetic medicine prioritising prevention

The author provides an overview of literature pertaining to the complex and specialist subject of biofilms that may occur in aesthetic medicine. A brief overview is presented concerning the pathophysiology of biofilms with some discussion concerning differential presentations; early and...

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...

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...