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Malignant lesions and reconstruction of the pinna

2 August 2022 | | PMFA - General Plastic Surgery
External ear reconstruction can be challenging. Baskaran Ranganathan and Amr Abdelhamid describe how careful assessment, planning and surgery following the subunit principles and reconstructive ladder will ultimately lead to good aesthetic outcomes with restored form and function. The external ear,...

Using erythema-directed digital photography in patients with rosacea

1 August 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Imaging
The authors, from the University of Catania in Italy, discuss the promise that erythema-directed digital photography is showing in the clinical evaluation and targeted treatment of rosacea. Rosacea is a common chronic inflammatory facial condition that can lead to significant...

Non invasive simple reshaping of pinnae

8 October 2014 | | PMFA - Facial Plastic Surgery
The authors of this paper show the results of a prospective controlled in vivo animal model study where the pinnae of 18 New Zealand white rabbits were subjected to electromechanical reshaping (EMR) and three months postoperative splinting. Six voltage and...

Otologic concerns for cleft lip and palate

1 October 2016 | | PMFA - Maxillofacial Surgery
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...

Sushruta and Indian rhinoplasty

25 August 2021 | | PMFA - Rhinoplasty
Vijay Pothula explains rhinoplasty’s roots in ancient Indian Ayurvedic medicine, and how it was introduced to the Western world. In 1794 The Gentleman’s Magazine published a surgical operation which was long established in India but unknown in Europe [1]. A...

Emmanuel, 3, has life transformed after Mercy Ships removes painful head growth

10 February 2025 | Maxillofacial, Volunteer, Charity, Africa, Patient Stories
The parents of a three-year-old boy are rejoicing after volunteers on board a charity hospital ship removed a large, painful growth from the side of his head – a condition that had been developing since before he was born. Emmanuel’s...

Perceptions and Deceptions a personal blog by the editor 19 May 2016

19 May 2016 |
Should we be astonished to hear that the Right Honourable Jeremy Hunt, the Health Secretary who has created the greatest manpower crisis in the NHS in the past fifty years should now say that he is not actually an academic...

How I Do It - Otoplasty: Anterior scoring technique

1 February 2017 | | PMFA - Facial Plastic Surgery
Standard intraoperative preparation and draping is carried out. The ear is folded back and the intended antihelix (antihelical fold) is marked (Figure 1). Tattooing of the new antihelix, using a blue needle and ink, is done. It is inserted through...

Practising surgery in a war zone: an interview with Dr Volodymyr Melnyk

8 December 2022 |
It is now nine months since the full-scale Russian invasion of Ukraine commenced in late February 2022, with Putin announcing a “special military operation” to “denazify and demilitarise” Ukraine. The rest of the world, however, saw it for what it...

Botulinum toxin type A for the treatment of allergic & idiopathic rhinitis: The Aller-Tox™ method

17 April 2025 | | PMFA - Maxillofacial Surgery, PMFA - Aesthetic Medicine
Hay fever provides a significant burden on the NHS, according to NHS data, approximately 20% of UK residents are hay fever sufferers. Around one fifth of these patients with allergies struggle with the fear of a possible asthma attack [1]....

Perceptions and Deceptions a personal blog by the editor 22 Apr 2016

22 April 2016 |
The junior doctors in the UK are facing the reality that if they hold steady there is the very real prospect that ‘an elite group of professional people’ can topple a corrupt and dishonest Government and restore the balance of...

Obituary: Michael Felix Freshwater, MD 1948-2016

17 October 2016 |
Revelation By Robert Frost (my favourite American Poet) WE make ourselves a place apartBehind light words that tease and flout,But oh, the agitated heartTill someone find us really out. ‘Tis pity if the case require(Or so we say) that in...