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Which patients are more likely to have postoperative pulmonary complications after major head and neck?
Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...
A systematic review of silver sulphadiazine in the conservative management of burns
Silver sulphadiazine (SSD) has been used in conservative management of partial thickness burns (PTB), for over 50 years. Concerns have been raised over potential disadvantages of SSD including need for daily dressing changes, impairment of wound healing and expense. The...
Is columellar strut necessary in primary rhinoplasty
This article debates the role of a columellar strut graft through the retrospective aesthetic analysis of 100 consecutive primary open approach rhinoplasties performed by the same single surgeon. The author performs all of these procedures without the use of a...How I Do It - Contouring the lower jaw (surgical)
It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...A practical guide to the most commonly used dressings in wound care
The author explores and reviews the most popular classes of dressings used for acute, chronic and problem wounds, their properties and indications based on direct observation and research studies. With an ever-increasing armamentarium of wound care tools, different brands and...Dermoscopy: an update and personal view
With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...OPINION - Impact of the Paterson Inquiry on the cosmetic and aesthetics sector
On 15 December 2022, The Department of Health and Social Care published the ‘Government response to the independent inquiry report into the issues raised by former surgeon Ian Paterson: 12-month implementation progress update’. The reference documents (which apply to England)...
The Business of Plastic Surgery, 2nd Edition
This is a valuable insight into running a successful business, provided by American experts in plastic surgery. The book is aimed at an audience from across the pond so much of it is directly targeted to their medical school and...
Plastic surgery trainees’ exposure to cosmetic surgery during training
Cosmetic surgery is an essential component of plastic surgery training and is required in order to CCT. However, the training opportunities in UK are limited. The current operative requirements for plastic surgery trainees are 100 procedures during specialist training, either...
FNA in the diagnosis of malignant salivary gland tumours
Salivary gland tumours are relatively rare and occur with an incidence of 2.5-3% per 100,000 people. Histologically they are extremely diverse with several patterns; some of which overlap and exact diagnosis can be difficult. Indeed it can be difficult to...
Treating laryngeal and hypopharyngeal cancers with pharyngolaryngectomy
The debate amongst head and neck surgeons, as to whether a skin flap or enteric flap offers superior outcomes in pharyngeal reconstruction, still rumbles on. The evidence pool is very shallow, even accounting for the so-called ‘landmark’ papers that swung...
