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25 years of forearm free flaps – 1 vein or 2?
This is a prospective 25-year study from 1998 to 2023 of 368 forearm free flaps, 314 of which were radial and 54 ulnar in 364 patients. Of these, 68 had 1 venous anastomosis whilst 238 had 2. These were assessed...
Frozen sections; a systematic review
This systematic review and meta-analysis looked at 5 studies assessing the impact of intraoperative frozen section analysis on final margin status, locoregional recurrence and survival in patients with an oral squamous cell carcinoma. The analysis showed no significant difference in...
Lip sensory disturbance in osteotomy patients
Neurosensory disturbance resulting from inferior alveolar nerve injury during a sagittal split osteotomy (BSSO) is a well-recognised complication. This paper from Türkiye looked at 20 patients with neurosensory disturbance >12 months after a bimaxillary osteotomy including a BSSO surgery and...
Speech and language therapists have the skills to provide all practisable supports in compliance with Mental Capacity Act guidance
Deciding where to live can be complex. However, people with communication difficulties can find this even more difficult, and they are often completed excluded from the process. In the past, people with complex communication difficulties may have been placed in...
Nodal metastasis from thin tongue tumours
This is a retrospective study over the course of 7 years, in which 240 patients were assessed. All had excision of a T1/T2 tongue primary tumour with an elective neck dissection of level I–IV with or without reconstruction. Radiotherapy was...
Word-finding difficulties in Parkinson’s are as important as speech
Parkinson’s is typically considered to progressively affect speech and voice, with up to 89% of people with the diagnosis experiencing symptoms such as reduced articulatory coordination and a hoarse or breathy voice quality. Despite 80% of people with Parkinson’s experiencing...
