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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...
Post-cancer prosthodontic reconstruction
A functional outcome after head and neck cancer resection is aimed at restoring speech and swallow. Dental reconstruction greatly facilitates this, particularly by enabling the patient to chew food. The authors reinforce the need for careful presurgical planning with treatment...
A review on contemporary options for facial reanimation
This paper is an up-to-date review on surgical and non-surgical options for the treatment of facial paralysis. The authors thoroughly describe recent techniques, like the masseter-to-facial nerve transfer, explaining the advantages over other more popular transfer techniques like the hypoglossal-to-facial...
Intensed pulsed light for skin rejuvenation
A detailed article exploring many aspects of IPL; the mode of action, the role in photorejuvenation, as well as a useful comparison as to how the scope of IPL compares to laser for similar purposes, with analogies as to how...
Older people and skin challenging perceptions of the ageing process
This is an interesting account of the dermatological senescent changes with a strong focus on the pivotal role nurses can provide in promoting good skin health practices. A comprehensive description of underlying physiological changes and the physical manifestations is presented...
A place for nerve transfers in your hand surgery service
The author summarises the application of nerve transfers in upper limb trauma. This is a review article and covers the principles of transfer; the indications, preoperative assessment and the whole patient journey, stressing the need for rehabilitation. The technical factors...The life cycles and biological end pathways of dermal fillers
This is an extremely comprehensive and well-designed study of short-term and long-term degradable fillers as well as permanent fillers. Having identified and reviewed 109 relevant manuscripts between 2001 and 2013, Ahn and Rao have produced an excellent paper on this...
Three-dimensional imaging of the supratip after lower lateral cartilage repositioning
Cephalically positioned lower lateral cartilages (LLCs) contribute to the bulbous-appearing nasal tip. Repositioning of the LLCs removes volume created in the nasal sidewall / supratip regions leading to better tip refinement. This reshaping of the tip is ameliorated by application...
Chemical peels
Chemical peels are methods of skin resurfacing, and date back to ancient Egypt. Chemicals are applied and induce injury at specific depths in skin; the wound promotes collagen remodelling and improved surface appearance. There are three types: superficial, medium and...
Reconstruction after maxillectomy
Maxillectomy for tumours of the paranasal sinuses creates large, complex defects. Whilst free flaps appear to be the preferred method of reconstruction, the best type is unclear. This article discusses a single unit’s experience using different free flaps for reconstruction....
Conchal cartilage to reconstruct nasal septum
The authors discuss a common problem involving the loss or damage to the nasal septum. The most common causes are iatrogenic and previous surgery. The loss of the nasal septum is frequently also seen in repeated trauma and reconstruction using...
