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Drinks in Newcastle, Australia

This paper assesses patients presenting with oral and maxillofacial trauma over a 13-year period spanning January 2003 to December 2015. During this period of time, in March 2008, trading hours and conditions of service were restricted within the Newcastle central...

Basic principles of bioengineering and regeneration

The ability to create de novo tissue to replace that removed from patients during surgery is a relatively recent advance. However, this is a fast-moving field and one which surgeons must be aware of from practical, ethical and scientific viewpoints....

Carnoy’s and the KOT

This is a retrospective review of 105 patients with keratocystic odontogenic tumours treated over a 23-year period with a mean follow-up of 86 months. The recurrence rate was 11.4%. Permanent neuro-sensory deficit of the inferior alveolar nerve was 16%. Younger...

Fingers and toes and how to do it!

The authors provide an excellent historical and current overview of the options for reconstruction of injuries of the thumb and finger tips. This takes you through the reconstructive ladder in its entirety, but also discusses philosophically the different approaches we...

Superiorly based nasolabial flaps

This interesting paper takes the common or garden nasolabial flap to new extremes. The flap is based on the contralateral superior orbital artery and behaves as an axial patterned flap as far as the alar rim, becoming a random patterned...

Raised serum lactate as a marker in the diagnosis of necrotising fasciitis

A 10-year prospective study of cases of suspected necrotising fasciitis was made, involving 53 patients. Of these, 28 had histologically proven necrotising fasciitis, 25 did not. Serum lactate measured at presentation of those who had the condition was 4.1+or-1.62 mmol/l...

Classification of contour deformities after massive weight loss, using the Pittsburgh Rating Scale

While the treatment of patients by skin reduction following massive weight loss is increasing, the conclusions of this study from the Netherlands finds that the Pittsburgh Rating Scale is not entirely suitable for this classification purpose and another system must...

The Accordion Severity Grading System in the assessment of negative outcomes following carpal tunnel release

Classification systems come and go, some more memorable than others. Without such systems it is not possible to compare like with like and so it must be conceded that they are necessary, although I personally find them difficult to commit...

Microtia and Atresia – Combined Approach by Plastic and Otologic Surgery

In this textbook Kaga and Asato, both leading experts in otology and plastic surgery respectively, present over 10 years of their experience in joint reconstructive surgery for microtia and auricular atresia, combining autologous auricular reconstruction with external auricular canaloplasty and...

Post auricular advancement flap for partial helix defect repair

Ear defects can be the result of trauma, burns or ablative surgery. The three dimensional structure of the pinna with its subunits presents a difficult reconstructive challenge as successful reconstruction requires both similar tissue cover and a supporting framework. Partial...