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A modification of the crescentic flap for nasal skin reconstruction

Non-melanoma skin cancers are the most frequent skin tumours and in over 25% of cases affect the nose. Following excision, the reconstruction may be challenging. Reconstruction aims to preserve the anatomical units, nasal functions and also an aesthetic final outcome....

Random-pattern skin flaps: part 2 - rhomboid and bilobed flaps

In the second of our series on local skin flaps (see Part 1 here), the authors describe more techniques and examples of various skin flaps that trainees should find very interesting. Rhomboid flap This remains our ‘workhorse’ flap and is...

Random-pattern skin flaps: part 1 – advancement flaps

In the first of a short series covering random pattern skin flaps and their use in clinical practice (see Part 2 here), Christopher Thompson and Miles Bannister describe in some detail their techniques which I hope readers, especially trainees, will...

Is dissection of level IV necessary in patients with negative neck oral cancer?

Supraomohyoid neck dissection (SOHND) refers to the removal of lymph nodes contained in levels I-III and is currently referred to as a selective neck dissection levels I-III. This type of neck dissection has been frequently used in the management of...

Anatomy for Plastic Surgery of the Face, Head, and Neck

This textbook couldn’t have arrived with better timing. As an ENT trainee soon to sit the FRCS(ORL-HNS) with an interest in facial plastics, I can comfortably say this is incredibly useful to have in the library. The book should suit...

The continued evolution of surgical techniques for bone anchored hearing devices

This paper is not the first, and is unlikely to be the last, to look at a variation on the current technique for inserting the percutaneous titanium bone-anchored component of a bone conduction hearing device. In less than a decade,...

When an overnight call got out of hand ... two US ENT residents decided "to regulate"

Otolaryngologists, Matt Hensler and Kareem Tawfik from Cincinnati, USA produced a video about their ENT experiences after completing their residency. Here they share more about their creative forays into the online video world.   

Reconstructing post-resective auricular defects

The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...

Cheek reconstruction following melanoma excision

Malignant melanoma occurs most commonly on the cheek and thus is usually diagnosed early, and rarely needs large reconstructions for advanced disease. This is a retrospective study looking at 26 patients that had undergone treatment for cheek melanomas between 1996...