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Surgery for class III malocclusions pharyngeal airway and sleep apnoea effects
Thirty-three patients from Brazil were assessed for obstructive sleep apnoea and hypopnoea syndrome pre- and six months postoperatively. The 33 patients were made up of nine having mandibular set back surgery, six maxillary advancement and 18 bi-maxillary surgery. They identified...
Upper facial rejuvenation
The author provides a comprehensive overview of a variety of considerations for clinicians to consider when assessing the upper third of the face, through discussion of anatomy, the importance of treatment planning, symptoms of complications, as well as treatment strategies....
Impact of lateral crural repositioning on alar rim position
Cephalic orientation of the lower lateral cartilages results in tip fullness, a bulbous tip, and alar instability during inspiration. It has an incidence of approximately 68% in primary and 87% in secondary rhinoplasty patients. Paquet et al. performed the first,...
Systematic review of PUC compared with textured silicone implants
Poly-urethane coated (PUC) implants have recently been back in the spotlight following the halt on Silimed implant use in Europe and this review is timely in assessing the perceived benefits of these prostheses. This review was adherent to the PRISMA...
PIP experience in the United Kingdom
This interesting study had three end-points. The accuracy of operative and radiological findings on explantation of PIP implants following the PIP scandal. The volume between intact and ruptured implants, with the hypothesis larger implants were more likely to rupture, and...
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,...
A new method for free-flap total nasal reconstruction
Total nasal reconstruction is a challenge for facial plastic surgeons. Although most cases can be handled with local flaps, a bad state of the perinasal soft tissues, such as patients with head and neck radiotherapy may preclude its use with...
Long-term follow-up of maxillary advancement in cleft palate cases
Twenty-two consecutive patients with cleft lip and palate, treated with maxillary advancements and distraction osteogenesis, were followed up for between five and 13 years. They were divided into two groups, those who were still growing and those whose growth was...
Is rib cartilage a safe material for rhinoplasty
This is a meta-analysis of complications associated with use of autologus costal cartilage in rhinoplasty involving 10 studies with 491 patients with a mean follow-up of 33 months. The results of the meta-analysis show a very low rate of complications...
Evaluation of lateral crural steal
Many techniques to increase nasal tip projection and rotation have been described. The lateral crural steal (LCS) technique appears to be suitable for patients who have an under-rotation associated with poor projection of the nasal tip. The objective of the...
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...
