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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.

How to measure functional outcome after nose surgery

The authors of this paper perform a systematic review of the literature on two of the most popular patient-reported measures for nasal obstruction, the Nasal Obstruction Symptom Evaluation (NOSE) and the visual analog scale (VAS). They compare pre and postoperative...

Video Atlas of Oculofacial Plastic and Reconstructive Surgery

This second edition textbook is an accompaniment for the extensive video atlas that is available online through Expert Consult (access included with the book). In it, there are over 70 high definition videos – a total of five hours of...

Pediatric Plastic and Reconstructive Surgery

Pediatric Plastic and Reconstructive Surgery is an extensive, in-depth textbook dedicated to surgical problems in children that require the attention of a plastic surgeon. Most of the authors are consultant plastic surgeons practising in the United States and the United...

Mid cheek lift

Middle third rejuvenation is a hot topic in facial plastic surgery nowadays. Surgical versus non-surgical treatments, lifting procedures versus volumising procedures, transtemporal, transblepharoplasy, deep plane, percutaneou. The number of choices clearly points out the lack of a standard procedures to...

Cautions, contraindications and complications in aesthetics

All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...

Perceptions and deceptions: a personal blog by the editor 21 July 2016

It must be bloggers block! The information incoming is just too great to handle. I have cross-posted about this blog in an editorial I have just written for our magazine. I am revisiting the inquest of a girl that died...

2nd Chance: reconstructive surgery for life reconstruction

Many populations throughout the developing world have no access to the specialist healthcare needed by patients who have suffered severe burns, war injuries or congenital disorders. The specialties of plastic and maxillofacial surgery can make a vital contribution and PMFA...

Thread lifting – the fundamentals

"Thread lifting” is a minimally invasive outpatient procedure that is becoming increasingly popular internationally [1-3]. Threads are surgical sutures that can be utilised for facial and body contouring and rejuvenation. These sutures can be used for skin rejuvenation as bio-stimulators...

Repeated orbital decompression surgery

This is a retrospective review of nine redo orbital decompressions in six patients. All operations were performed for dysthyroid optic neuropathy, both initially and when repeated. The interval between first and redo decompressions varied from one to 15 years and...

Intravenous paracetamol in orbital surgery

This is a large prospective study of the effect of intravenous acetaminophen (paracetamol) in orbital surgery. The study included three groups of 50 patients. One group had no i.v. paracetamol, the second 1g of i.v. paracetamol within 30 minutes of...

Occlusal splint, injections or arthrocentesis in myofascial pain

Facial pain is a fairly common complaint and may present in a myriad of symptoms. These patients present to both dentists and general practitioners and could end up referred to a number of specialists. Temporomandibular disorders (TMD) may originate from...