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Longevity of lip augmentation with SMAS

Lip augmentation is an extremely popular cosmetic procedure. Various surgical techniques have been described. However, only a few studies have specifically addressed lip augmentation with superficial musculoaponeurotic system (SMAS). Postoperative analysis never extended beyond one year so far. The authors...

Blepharoplasty and orbital fat repositioning

The authors present their personal technique on lower blepharoplasty with preserving a strong orbicularis oculi sling and maintaining lower eyelid position with periosteal fixation of the lateral canthus and skin- muscle flap. In their technique, after elevation of skin flap,...

Another paper advocating resection templates

Resection in the head and neck region leads to complex defects with significant impairment in function. Reconstruction is even more difficult and to improve the accuracy of both resection and reconstruction a number of aids are used. With the improved...

All about velopharyngeal dysfunction

The velopharynx functionally separates the oral from the nasal cavities. Inadequate or abnormal function of this muscular valve affects speech and swallow. Velopharyngeal dysfunction can be subdivided into insufficiency, incompetence and mislearning. This is a review paper and indeed a...

Diagnosis of osteonecrosis of the jaw

Although the management of medical relation osteonecrosis of the jaw is usually provided by colleagues in maxillofacial surgery, it is essential for ENT surgeons to effectively diagnose the various presentations of this condition. Affected bone that is exposed and necrotic...

Intravenous paracetamol in orbital surgery

This is a large prospective study of the effect of intravenous acetaminophen (paracetamol) in orbital surgery. The study included three groups of 50 patients. One group had no i.v. paracetamol, the second 1g of i.v. paracetamol within 30 minutes of...

Proprioception and ptosis

This is a small prospective study investigating the effect of proprioceptive factors on upper lid height. Eight unilaterally anophthalmic patients with ocular prostheses and normal lid heights had standardised photographic measurements taken of their eyelid and brow positions. Three sets...

Effects of ultraviolet radiation on the skin

A comprehensive paper concerning the dermal effects of sun exposure, including strategies which aesthetic nurses can adopt to guide patients in making evidence-based choices in selecting suitable sun protection. The key principles of ultraviolet radiation (UVR), including the immediate and...

Management of post traumatic pseudo-telecanthus

Injuries to the nasal and peri-nasal region are common. Indeed the nasal bones are reported to be the most commonly fractured facial bone. While nasal trauma and deformity are commonly recognised and treated, injuries to adjacent structures are easily missed...

Skin grafts vs local flaps in reconstruction of nasal defects

Nasal defects commonly are a result of removal of skin lesions. Cosmetic outcomes of local flap reconstructions are commonly accepted to be superior in comparison to skin grafts. However, local flap reconstructions require more adjunctive procedures than single-stage operations based...

Maximising treatment outcomes with skin peels

The author provides a comprehensive overview of skin peels as one of the main treatment options for the improvement of photodamage, hyperpigmentation and mild acne, whilst reinforcing that aesthetic practitioners have a responsibility to inform patients of all the available...

Facial nerve injuries in fixing mandibular condylar fractures

The commonest fracture of the mandible is reported in the region of the condyle. Untreated this can lead to shortening of the ramus, facial asymmetry, arthrosis of the temporomandibular joint, impaired mastication and speech. The standard treatment is open reduction...