Everything Botox: 1973 Monkey Trials, Best Techniques, Duration & More!
Also: Season 2 of the podcast is coming, a new fellow joins our team, and this week’s Sunday quiz.
Botulinum Toxin: Mechanisms, Clinical Applications, & Injection Techniques
Botulinum toxin is a versatile neurotoxin that inhibits acetylcholine release, causing temporary muscle paralysis. FDA-approved for migraines, hyperhidrosis, and bladder issues, it’s also used off-label for facial aesthetics and pain. Proper technique and anatomy knowledge ensure effective outcomes.
4 Muscle Flaps in Reconstructive Surgery, Textbook Feedback, & new Sunday Quiz
Also: The original LD flap publication from 1908, donor site morbidity for muscle flaps, & 3 recommended articles.
Pigmented Lesions in 2024: Spitz, Melanoma, Breslow (& Tips for a Skin MDT)
Also: Winner of the Sunday quiz, technique tips on Mohs surgery vs standard excision, & giant CMN identification.
6 Traits of Patients Who Sue Surgeons, Trending Nipple Fillers, & Cosmetic Breast Insights
Also: The Sunday quiz, breast reduction technique tip, & 3 recommended reads.
Trigger Finger: Anatomy, Clinical Features, & Management
Trigger finger, or stenosing tenosynovitis, occurs when the flexor tendon is trapped at the A1 pulley, leading to pain during finger movement. Common risk factors include manual labor, older age, and diabetes. Treatment options range from splinting and corticosteroids to surgical A1 pulley release.
Complex Regional Pain Syndrome: Clinical Features, Diagnosis, and Treatment
Complex Regional Pain Syndrome (CRPS) is a chronic neuropathic pain disorder. It involves dysregulation of the nervous system with sensory, motor, and autonomic disturbances. Diagnosis is clinical, and treatment is multidisciplinary, including physical therapy, medications, and surgical options.
Infantile Haemangioma: Classification, Diagnosis, & Management
Infantile haemangiomas (IHs) are caused by dysregulated vasculogenesis and angiogenesis, and can be superficial or deep. Diagnosis is primarily clinical but may include imaging and histology. Treatments include propranolol, laser therapy, and surgery for complications.
Pressure Sores: Causes, Clinical Assessment, & Management
Pressure sores are localized skin and tissue injuries over bony prominences, caused by prolonged pressure, shear, friction, and moisture. Treatment varies by stage, from conservative care to debridement, antibiotics, and reconstruction.
Baseline neutrophil lymphocyte ratio predicts survival in soft-tissue sarcoma: 17-year cohort study
Griffiths, Arango, Smith, Wade JPRAS 2022. PMID: 34955395.
Med Students No Longer Learn Plastic Surgery, 200+ Job Applications, & Everything Nerves!
Also: The Sunday quiz, podcast feedback, & nerve articles.
Penile Reconstruction: Anatomy, Causes, & Management
Penile reconstruction addresses tissue loss from trauma, fibrosis, cancer, and infection. The primary goal is to construct a phallus with a neo-urethra for standing urination and sufficient bulk for a prosthesis. Techniques include glans, shaft, and scrotal reconstruction.
Wound Dressings: Healing, Dressing Types, & How to Choose
Wound dressings vary from non-occlusive to occlusive, with antimicrobial options like silver dressings. Dressing choice depends on wound factors, and adjuncts like NPWT can enhance healing.
Young Doctors Refuse to Burn Out, Flap Tips, & Must Read Articles on Infections
Also: The Sunday quiz, pressure sores illustration, & osteomyelitis article feature.
Osteomyelitis: Clinical Features, Investigations, & Management
Osteomyelitis is a bone infection caused by bacteria or fungi, often due to trauma, surgery, or local soft tissue infection. Acute cases present with pain, fever, and swelling, while chronic cases involve persistent pain and reduced mobility. Management includes antibiotics and surgical debridement.
Pressure Sores - Clinical Scenario
A paraplegic male presents with a chronic, infected Grade 4 pressure ulcer over the right ischial tuberosity, with exposed bone and possible osteomyelitis. Management is multidisciplinary with infection control, pressure relief, nutritional support, debridement, and flap reconstruction.
Halloween Special Edition: Firework Injuries, Pumpkin Carving, & Replants.
Also: New podcast episode, the Sunday quiz, & calculating burn depth.
Osteomyelitis - Clinical Scenario
A patient with a prior tibial fracture plating presents with suspected post-traumatic osteomyelitis. Management includes imaging, bone biopsy, and the orthoplastic approach — early debridement, soft tissue coverage, and antibiotics.
28 Days in Gaza, Journal Partnership & Technique Tips.
Also: Reverse anterolateral thigh flap illustration, bilobed flap design technique, & evidence on the scalp rotation flap.
Apert's Hand - Clinical Scenario
Apert syndrome presents with craniosynostosis, midface hypoplasia, and complex syndactyly affecting the upper limbs. The Upton classification helps guide surgery for hand anomalies, with staged interventions to improve function and appearance.
Wound Dressings - Clinical Scenario
A 97-year-old diabetic woman with a 3-month-old foot wound. History includes wound duration, diabetes control, and treatments. Exam focuses on wound depth, vascular status, and sensation. Chemical debridement, NPWT, and silver-impregnated foam dressing promote healing and infection control.
CRPS - Clinical Scenario
A 51-year-old woman has persistent pain and sweating asymmetry one year after ORIF for a distal radius fracture, suggesting CRPS. The Budapest criteria support the diagnosis. Treatment includes physical therapy, medications, and interventions like sympathetic blocks.
Plastic Surgery in Gaza, Burns, & New Podcast Episode
Also: Sunday quiz winner, inhalation injury illustration, & chemical burns feature.
De Quervians: Presentation, Diagnosis, & Treatment
De Quervain's disease (stenosing tenosynovitis) involves thickening of the APL and EPB tendon sheaths in the first dorsal wrist compartment, causing pain with thumb movements. Diagnosis is clinical, with provocative tests. Treatment begins conservatively, with surgery as a last resort.
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View allST3 Plastic Surgery Interview: Structure, Guides & Tools.
A guide to Plastic Surgery courses, companions, and questions for your upcoming ST3 plastic surgery interview.
6 min read
Key Notes on Plastic Surgery - Book Review
"Key Notes on Plastic Surgery" is a comprehensive guide to the field of plastic surgery, authored by Adrian Richards and Hywel Dafydd.
3 min read
4 Best Resources for Plastic Surgery Residency Interviews.
Online Plastic Surgery interviews resources are the best way to prepare for your residency interview. This article details the best methods and resources to prepare for your ST3 or residency interview.
4 min read