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1391 results found

Nanocrystalline silver compared to alternative silver delivery systems in the management of burns

With the rapid pace of new medical products being developed and marketed, it can be difficult to identify which product will provide most benefit to our patients. It is essential to have good evidence to allow us to make the...

Approach to the orbital floor, which is better?

During skeletal surgery sufficient exposure is key, often a direct approach through the overlying tissues is the easiest route. In the face, however, as the scar would be readily visible so approaches are designed to hide this. Surgical access to...

Modified reversed superficial peroneal artery flap in reconstruction of ankle and foot defects following severe burns

Deep burns involving the foot and ankle represent a significant reconstructive challenge. This paper serves as a clinical review of the modified reversed superficial artery flap. The authors describe key anatomy, surgical steps and clinical outcomes in a small series....

Outcomes of heavily pre-treated oral squamous cell carcinomas

Oral squamous cell carcinoma is one of the more common cancers worldwide. Surgery is the mainstay of treatment and often these patients have had adjuvant therapies. In spite of improving five year survival rates, local recurrent progressive disease is still...

TRALI following fresh frozen plasma resuscitation from burn shock

This study aims to examine the incidence of transfusion related acute lung injury (TRALI) in burns resuscitation using fresh frozen plasma (FFP). The authors conducted a retrospective chart review of patients who met their requirement of ‘severe burn‘, that being...

Autologous vs. irradiated costal cartilage in rhinoplasty

The authors present the findings of a retrospective study included 63 patients had rhino-septoplasty using autologous costal cartilage (ACC) and 20 had rhino-septoplasty using irradiated homologous costal cartilage (IHCC) to compare the clinical results of major augmentation rhinoplasty using ACC...

Postoperative antibiotics after a free flap surgery – is one dose enough?

Major head and neck surgery with ablation of oral cancer, neck dissection and free flap reconstruction is a well-established part of maxillofacial surgery. These patients however already have significant co-morbidities and together with a long operation, large wounds open for...

Lymph node ratio – another predictor of outcomes in tongue SCC

Oral squamous cell carcinoma (SCC) is an increasing disease with over 263,000 diagnosed new cases and 128,000 deaths annually worldwide. Although there have been significant advances in diagnostics, surgery and anaesthetics there has been no increase in the survival rates...

Transnasal endoscopic choanal atresia surgery

Surgery is currently the only definitive treatment for congenital choanal atresia (CCA). There are various surgical approaches including transnasal, transeptal or transpalatal. The authors propose that the preferred option is transnasal endoscopic choanal atresia surgery (TECAS) and set out to...

Albumin administration for fluid resuscitation in burn patients

The authors propose to investigate the ongoing controversy and debate surrounding the use of albumin in burns resuscitation; specifically they mention that the study is not investigating the use of albumin to correct hypoalbuminaemia. Mention is made of previously conducted...

Intralesional laser treatment for fillers complications

The authors of this paper present their experience in dealing with fillers complications. With an astonishing group of 219 patients over a seven-year period this may be one of the largest series of treated fillers complications in the literature.The authors...

Hypertrophic burn scar-associated pruritus treated with a cooling nanoemulsion-enhanced novel hydrogel

Intractable pruritus is a challenging symptom of burn-induced hypertrophic scars. The exact pathogenesis of itch is unknown and conventional management with anti-histamines is often insufficient. Proposed treatments for pruritus include exposure to a cooling surface and maintenance of a well-hydrated...