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Significance of exterior capsular spread in a clinically negative neck
This is a retrospective paper from Zagreb of 61 patients with a clinically T1-T3 N0 squamous cell carcinoma undergoing primary surgical treatment. All patients had a level I-IIII/IV elective neck dissection. Those who had adverse histological features, including extracapsular spread,...
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 results of lateral brow suspension
The authors of this paper report their results of lateral brow suspension using a modified Fogli technique. The technique was done under local anaesthesia and most times in combination with other facial rejuvenation procedures. A horizontal incision in the temporal...
Reconstruction after parotid surgery
This is a retrospective study from Naples, Italy. The authors analyse and compare patients that had benign parotid disease that were reconstructed with three different techniques. Between February 2002 and March 2009, 224 patients were included; these patients had either...
Distal edge necrosis in cervicofacial rotation-advancement flaps
Mohs facial reconstructive surgery can be a difficult process for a patient to undergo. The goal of facial reconstruction is to restore contour, function and aesthetics while minimising morbidity. The authors conducted a review of 88 patients who underwent cervicofacial...
Sentinel node biopsy in oral cancer
Sentinel node biopsy (SLNB) is not new and is well established in the management of early breast cancer and melanoma. New trials such as the European Sentinel Node (SENT) trial and others sought to address the question of the clinical...
Stability of lateral canthal position following endoscopic forehead-midface-lift
The paper is a retrospective study of the changes on the lateral canthal area following endoscopic forehead-midface-lift in a series of 40 patients operated by the same surgeon. Four different parameters (horizontal width, vertical height, palpebral fissure width and angle...A challenging new year
2016 arrived with enthusiastic celebrations although these were more muted in some parts of the world due to local and regional difficulties. As we started to look towards the inevitable return to work in the UK, we heard of the...Converse scalping flap for nasal reconstruction procedures
Case report This 78-year-old gentleman underwent excision of basal cell carcinoma overlying the left alar, nasal tip and nasal dorsum. The Converse scalping flap was raised and used to cover the defect. Non-adherent dressing was applied to provide temporary cover...Safety and risks of local anaesthesia and regional blocks in plastic surgery
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...
Outcomes and complications of supramaximal levator resection
This is a report of 35 children with unilateral congenital ptosis who underwent a supramaximal levator resection, involving extensive dissection of levator including cutting Whitnall’s ligament. The average preoperative margin reflex distance to the upper lid (MRD1) was 0.5mm, and...
