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Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?
Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...COVID-19: thoughts from an Edinburgh plastic surgeon
The COVID-19 pandemic has affected almost every aspect of life. Ken Stewart, Consultant Plastic Surgeon and Special Advisor for The PMFA Journal, outlines for us how his own plastic surgery department has adapted to the crisis. What did you do...Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?
To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...
Reconstructing the keystone area
This manuscript describes two different ways to stabilise the keystone area during extracorporeal septoplasty. The authors performed a retrospective study on 110 patients who were operated for extracorporeal septoplasty by multiple surgeons. The patients were divided into two groups; in...
Classification and assessment of midfacial fractures: no more Le Fort facial fractures
There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...
Use of acellular dermal matrices in revisional breast reconstruction
In this study the authors present a review of their experience in using Acellular Dermal Matrix (AlloDerm) in revision breast reconstruction procedures. They retrospectively reviewed all revisional breast reconstruction cases over a five-year period in which AlloDerm had been utilised....Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 3)
14 June 2021 is the day in the Chinese calendar to celebrate the Dragon Boat Festival. These local holidays are a reminder of the deep cultural heritage enjoyed by the Chinese people.
REARRANGED: An Opera Singer’s Facial Cancer And Life Transposed
Rearranged is a wonderfully positive memoir telling of Kathleen Watt’s ordeal through maxillary osteosarcoma. As an early career opera singer in the New York Metropolitan Opera’s chorus, her dreams are derailed and life transformed when this most rare diagnosis hits....
Chemical peels
Chemical peels are methods of skin resurfacing, and date back to ancient Egypt. Chemicals are applied and induce injury at specific depths in skin; the wound promotes collagen remodelling and improved surface appearance. There are three types: superficial, medium and...
Case-based illustration and discussion of surgical modalities to manage traumatic hand defects
The authors present four clinical cases of soft tissue defects affecting the hand and discuss various surgical management options available. These cases include a dorsal hand wound, thumb pulp defect, first webspace defect and a volar finger defect. For each...
