You Now Operate 10% Less Than 4 Years Ago, Z-Plasty Technique, & Student Textbook Updates
Also: The Sunday quiz, evidence on LA use, & tissue expansion article.
Lymphoedema - Clinical Scenario
A patient with a history of mastectomy and axillary lymph node dissection presents with progressive swelling in her left arm. Lymphoedema is suspected, classified as Stage II. Treatment includes complete decongestive therapy, and surgical options like Vascularized Lymph Node Transfer (VLNT).
Lymphoedema: Anatomy, Diagnosis, & Management
Lymphedema is a chronic condition caused by impaired lymphatic drainage, leading to swelling, typically in the limbs. It can be primary (congenital) or secondary (from surgery, radiation, or infection). Treatment focuses on complete decongestive therapy, with surgery reserved for severe cases.
The 20% Dilemma: Why Med Students Are Leaving Plastic Surgery (+ Hand Tumour Updates, Illustrations & More)
Also: The Sunday quiz, operating on Enchondromas, & glomus tumours - clinical scenario.
3 New Plastic Surgery Trends, Burn Resuscitation & New Podcast Episode
Also: Macrodactyly, Sunday Quiz and 3 recommended reads.
Meet Threads: The Invite-Only Community for Plastic Surgery Trainees.
Also: The Sunday quiz, cervical lymph nodes of the neck illustration, & mandibular defects feature.
Special 100th Edition: The Best of ThePlasticsPaper (& What You Might Have Missed)
In this week's edition 1. ✍️ Letter from P'Fella How We Hit 100: The Journey of ThePlasticsPaper
4 Tips for the FRCS Plastic Surgery Part 2 (Oral/Viva) Exam
This guide provides four key tips, along with practical examples, to help you approach the FRCS Plastic Surgery Oral Exam with confidence and clarity.
4 Tips for the FRCS Vivas, New Oral Exams, & All Things Paediatric Plastic Surgery.
Also: Anatomy illustration of the week, macrodactyly feature, & 3 recommended articles.
Soft Tissue Sarcoma: Classification, Diagnosis, & Management
Soft tissue sarcomas are rare, malignant tumors of mesenchymal origin. They are classified into over 70 subtypes, with risk factors including environmental exposures and genetic predispositions. Management involves surgery, radiotherapy, and sometimes chemotherapy, tailored to the sarcoma type.
Median Nerve Tendon Transfers: Anatomy, Principles, & Procedure
Median nerve tendon transfers restore thumb opposition, flexion of the index and middle fingers, and thumb flexion. The procedure involves relocating functional tendons to compensate for lost function due to nerve injury.
NAC Reconstruction - Clinical Scenario
A patient seeks NAC reconstruction post-DIEP flap. NAC reconstruction is indicated post-mastectomy, breast reduction, congenital absence, trauma, or gender-affirming surgery.
BiALCL in 2024, This Theory Improves your Knowledge & New Newsletter (Soon!)
Also: Sunday quiz winners, tuberous breast deformity, & nipple flap recon options.
Thoracic Outlet Syndrome (TOS) - Clinical Scenario
A patient with bilateral arm paraesthesia and heaviness, along with a history of sciatic nerve injury and crutch use, is diagnosed with thoracic outlet syndrome (TOS) through clinical examination and imaging. Treatment includes physiotherapy, pain management, and surgical decompression.
Nipple-Areolar Complex (NAC) Reconstruction: Anatomy, Indications, & Techniques
Nipple-Areolar Complex (NAC) reconstruction aims for symmetry, projection, pigmentation, durability, and minimal complications while addressing functional sensation and patient needs. Techniques include tattooing, flaps, and grafts, with careful pre-op marking and post-op care.
Ganglions Are Your Garden Weeds, Technique Review, & Evidence on Ganglion Recurrence
Also: New podcast episode, the Sunday quiz, & ganglion cyst clinical case.
Thoracic Outlet Syndrome (TOS): Aetiology, Presentation, & Management
Thoracic outlet syndrome (TOS) is the compression of neurovascular structures at the brachial plexus. It commonly presents with neurogenic symptoms, such as pain and tingling. Management involves physiotherapy, pain control, and surgery for severe cases.
Capsular Contracture: Aetiology, Classification, & Management
Capsular contracture is the thickening and hardening of the capsule around breast implants, leading to pain and deformity. Classified by Baker's system (I-IV), treatment ranges from conservative management to surgical interventions such as capsulectomy.
Capsular Contracture - Clinical Scenario
A patient with pain and breast shape changes presents with bilateral capsular contracture post-augmentation (Baker III left, IV right). Assessment includes history, exam, & MRI. Treatment options are implant removal, capsulectomy, pocket change, or autologous augmentation.
End of the Reconstructive Ladder, Local Flaps & Tissue Expansion & more.
Also: The Sunday quiz, podcast snippet, & recommended articles on reconstructive surgery.
Designing the Perfect Local Flap, Book Review, & Eyelid Reconstruction.
Also: The Sunday quiz, podcast teaser, & 3 recommended articles.
Full Thickness Grafts: Origin Story, Best Techniques & tips.
Also: Sunday Quiz, Sneak Peak of Podcast upcoming episode.
Congenital and Nasal Dermoid Cysts - Clinical Scenario
A patient presents with a firm, non-compressible swelling at the left eye's outer corner, apparent since birth but worsening.
Giant Cell Tumours of Tendon Sheath - Clinical Scenario
A 40-year-old woman presents with a 2x2 cm mass near her ring finger's DIPJ, painless and unchanged for 3 months.
Blog
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