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Modified subciliary approach to the orbital floor

Fractures involving the lateral midface and orbital floor are routinely treated by maxillofacial surgeons. The surgical management requires access to the facial skeleton to reposition and free the soft tissues. There are three main approaches to the orbital floor: infraorbital;...

Precautions to be taken in cosmetic facial surgery

In this comprehensive write-up on precautionary measures to be taken when doing cosmetic surgery on our patients, the authors begin by emphasising that facial plastic surgery is no longer limited to celebrities and the privileged. It has extended into everyday...

The BAYAD alar technique – visual landmark guided paradigm in alar base reduction

Alar base reduction can be a technically demanding component in rhinoplasty, especially within the ethnically diverse populations where rigid anthropometric norms may not apply. Mahmood introduces the Balanced Aesthetic Yielding of Alar Design (BAYAD) technique – a rulerless intraoperative visual...

Tonsillitis and tonsillectomies: where do we go from Paradise?

Landmark Paper: Paradise JL, Bluestone CD, Bachman RZ, et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children – results of parallel randomized and nonrandomized clinical trials. N Engl J Med 1984;310(11):674-83. The Paradise paper on tonsillectomy...

Peter McKelvie 1932 – 2026

Peter McKelvie, an outstanding head & neck surgeon and oncologist, died on 6 February aged 93. He suffered a spontaneous subdural haemorrhage. British otolaryngology has lost the most remarkable talent of his generation. He combined a prodigious intellect with effortless...

Body self-image – the ENT perspective

Body dysmorphic disorder is a serious psychiatric condition that we all need to be aware of when contemplating aesthetic surgery. It can present in children as well as adults. Prof Vieira and Dr de Carvalho discuss the tell-tale signs and...

ENT in this issue...Rhinoplasty

Joanne Rimmer, MBBS, MA(Hons)Cantab, FRCS(ORL‑HNS), Consultant Otolaryngologist / Rhinologist, Monash Health, Melbourne, Australia. E: rimmer.joanne@gmail.com Rhinoplasty may be done purely for aesthetic reasons, as an essential part of a functional septorhinoplasty, or for a combination of both cosmetic and functional...

Rhinoplasty: The Expert’s Reference

This is a comprehensive rhinoplasty text book written by over 100 renowned worldwide specialists, edited by Anthony Sclafani. With some 80 chapters and close to 700 pages, it is a sizeable volume. The book aims to cover all aspects of...

Advanced Caucasian and Mediterranean Rhinoplasty

This is a single author text book written by Peter Lohuis from Utrecht, and therefore differs from the majority of multi-author rhinoplasty texts. The book is essentially therefore a comprehensive ‘how I do it’ from first consultation through to patient...

Facial Surgery: Plastic and Reconstructive

Following Professor Cheney’s first popular publication in 1995 on flaps and reconstruction and subsequent second edition, he has now co-edited with Tessa Hadlock a comprehensive two-volume production. They have put together an extensive range of plastic and reconstructive surgery in...

Techniques of Botulinum Toxin Injections in the Head and Neck

The foreword begins with a saying by George Bernard Shaw, “all great truths begin as blasphemies”. This certainly was the case with medical application of Botox initially, however, botulinum toxin now has an accepted role and is widely used in...

Rhinoplasty for the cleft lip and palate patient

The cleft nose is one of the most challenging pathologies for rhinologists and facial plastic surgeons to address. The combination of architectural deformity (related to the extent of lip deformity) and scarring from previous surgery combine to cause the surgical...