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Publications (9)
Objective
Temporal bone dissection is a difficult skill to acquire, and the challenge has recently been further compounded by a reduction in conventional surgical training opportunities during the coronavirus disease 2019 pandemic. Consequently, there has been renewed interest in ear simulation as an adjunct to surgical training for trainees. We re...
Background
Keratinocyte or non-melanoma skin cancer (NMSC) is the commonest cancer worldwide. Plastic surgeons often excise the highest-risk tumours. A recent systematic review found plastic surgeons incompletely excise 9·4% of basal cell carcinomas (BCCs) and 8·2% of cutaneous squamous cell carcinomas (cSCCs). Using this systematic review as a sta...
Background
One approach to reanimating both upper and lower lips following facial palsy is through staged surgery: cross-face nerve grafting at stage I, free gracilis muscle transfer to levators at stage II and pedicled anterior belly of digastric muscle transfer (ABDMT) to depressors at stage III. The results of this approach were hitherto unquant...
Background
The authors previously published positive peer-reviewed (21 raters using the Terzis scale) and photogrammetric (Emotrics) outcomes in patients who had undergone two-stage lower lip reanimations up to 2018. Other series have published surgeon and peer-rated results but only two series (n=12) assessed patient’s views using patient satisfa...
Objectives
Guidance set out by Scottish Intercollegiate Guidelines Network (SIGN) sought to restrict the frequency of elective tonsillectomy in reaction to the recognised and substantial risks of the procedure, namely pain and bleeding. With stricter criteria in place before a patient can undergo tonsillectomy, patients must endure more episodes of...
Alcohol misuse in older adults is often overlooked. We present two cases of older patients whose hospital presentations were contributed to by alcohol dependence and complicated by cognitive impairment. We discuss the importance of an age-sensitive approach to the assessment and management of problem drinking in older adults. Case Histories Case 1...
Background:
There is currently conflicting evidence surrounding the effects of obesity on postoperative outcomes. Previous studies have found obesity to be associated with adverse events, but others have found no association. The aim of this study was to determine whether increasing body mass index (BMI) is an independent risk factor for developme...
The application of a plaster cast is known to affect driving ability, but patients continue to drive. The individuals and authorities involved in assessing driving safely include doctors, the Driver and Vehicle Licensing Agency (DVLA), police, insurance companies, and patients, but it is unclear who should take responsibility for the advice given,...
