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Tutoplast fascia lata (TFL) has been used as an onlay graft for nasal dorsal augmentation in open approach rhinoplasty; however, insertion of layers of moist TFL in the closed approach is technically challenging. We have presented a 'sandwich' technique which facilitates graft insertion in a closed approach rhinoplasty. The available autologous graft (cartilage or perpendicular plate of ethmoid) is sandwiched and secured between layers of TFL (sandwich technique) prior to insertion of the graft for nasal dorsal augmentation in a closed rhinoplasty approach. All our cases of nasal dorsal augmentation were reviewed in a 2 year period. Eight cases of nasal dorsal augmentation in secondary rhinoplasty through a closed approach were reviewed. The ease of insertion and the subsequent manipulation of the graft were noted in all the cases. Good aesthetic results have been noticed in all the cases after an average of 14 months follow-up. The sandwich technique ensures ease of the graft insertion and the subsequent manipulation in a closed approach secondary rhinoplasty for dorsal augmentation. [ABSTRACT FROM AUTHOR]

There have been conflicting recommendations in the literature with regards to the screening of infectious mononucleosis (IM) in quinsy patients. Our aim was to ascertain an accurate rate of IM in quinsy patients and find any criterion by which we can decide which quinsy patient to screen for IM. We conducted a retrospective study on all quinsy patients admitted to our hospital in a 2-year period (374 patients) and detected the rate of IM to be at 4%. There were no IM-positive quinsy patients above the age of 30 in our study. Monocytosis was detected in 85% of the cases. This is the largest study evaluating the rate of IM in quinsy patients. Our study shows that a small minority of quinsy patients (4%) are IM positive. Routine screening of IM in quinsy patients might not be financially justifiable; however, we recommend screening for IM in patients under the age of 30 years especially when monocytosis is present. [ABSTRACT FROM AUTHOR]