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Comment from Brian Newman – the ethical dilemma
Plastic Surgeon Brian Newman asks whether aesthetic procedures should go ahead while there is no coronavirus vaccine.Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 11) – Misinformed assent
I wonder how fast time goes in prison? 2022.This was Vanessa’s first New Year in prison. Dr Mak’s second. Two female doctors, both in their thirties. Dr Mak graduated from the Chinese University of Hong Kong (CUHK) and Dr Kwan, Vanessa, from Hong Kong University (HKU). Both are now incarcerated on the basis of myths. It is a disgrace.
Blepharoplasty and orbital fat repositioning
The authors present their personal technique on lower blepharoplasty with preserving a strong orbicularis oculi sling and maintaining lower eyelid position with periosteal fixation of the lateral canthus and skin- muscle flap. In their technique, after elevation of skin flap,...
Otologic concerns for cleft lip and palate
The management of patients with cleft lip and palate includes a focus on effective speech and language function. Poor eustachian tube function and middle ear dysfunction mean over 90% of children suffer from otitis media with effusion. This article provides...
Diagnosis of osteonecrosis of the jaw
Although the management of medical relation osteonecrosis of the jaw is usually provided by colleagues in maxillofacial surgery, it is essential for ENT surgeons to effectively diagnose the various presentations of this condition. Affected bone that is exposed and necrotic...
A simplified method for advancement genioplasty
Lower facial aesthetics can be improved with either bony advancement osteotomy or alloplastic implant augmentation. The choice of these options frequently depends on the experience of the surgeon. In their retrospective study on 126 patients, Chan and Ducic, describe and...
Righting the paralysed lip
Many surgical procedures that otolaryngologists perform put the facial nerve at risk of injury, a complication that the surgeon and patient fear alike. Unfortunately, injuries to the nerve can and do happen despite adequate precautions, and facial paralysis may be...
Controlled trauma technique when injecting HA dermal fillers
The author presents an interesting discussion regarding the potential for enhanced neocollagenesis through a patented ArqueDerma® dermal filler technique. A thorough overview is conveyed of the dermal collagen matrix, including the characteristics of type I and type III collagen. The...
Ointment related granulomas post-blepharoplasty
This is a retrospective review of eight patients who developed granulomatous masses after lower lid blepharoplasty. All patients had sutureless bilateral trans-conjunctival surgery, and lubricating ointment was instilled into the inferior fornix postoperatively for two days. Painless lower lid masses...
Dermal filler complications
The author presents a useful overview of some of the contributory factors for impending necrosis. It is important to note that compression may not always be due to excessive placement of product or placement within a vessel; the viscosity and...
Intra-oral implants in posterior maxilla - predictors of failure
Generally current dental implant placement is a successful procedure with predictable outcomes, especially when sited within normal quality and quantity of bone. The posterior maxilla, however, can be challenging. This is especially so with reduced bone volume following loss of...
