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Total lower lip reconstruction

3 June 2015 | | PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Total or near total defects of the lower lip may result from trauma, cancer ablation or congenital causes. Defects usually involve the full thickness and include skin, muscle and mucosa. There are a number of techniques for the one stage...

Multiple free flaps for head and neck cancer

2 April 2015 | PMFA - Maxillofacial Surgery
Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However, despite this,...

The importance of nitric oxide in medicine

6 April 2021 | | PMFA - General Plastic Surgery
The harmful effects exerted upon living and injured tissues by free radicals have been explored since the 1980s. Now in 2021 the free radical nitric oxide (NO) is not just a figment of imagination; it is known as one of...

Acid attacks: part 1

1 August 2019 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
In the first of a two-part series, Andrew Burd takes us through the background to the development of his protocol for the acute management of chemical assault burns (see Part 2 here). I have maintained a long-term interest in how...

Letter from Hong Kong (6 January 2022)

6 January 2022 |
So now we are entering the third year of this global pandemic. It is changing, evolving and is bringing out the very best and the very worst in humanity. Science and scientists have had a real bashing, but then who by? Quacks, aardvarks and gobbeldygooks. Looking back is looking forward.

Durjoy – the Hong Kong story

1 August 2014 | | PMFA - General Plastic Surgery
I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....

Submandibular haematoma with airway obstruction following a warfarin overdose

1 June 2017 | | PMFA - Maxillofacial Surgery
Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...

Recent developments in hyaluronic acid research

5 February 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - General Plastic Surgery
Hyaluronic acid has a role in many medical specialties, not just aesthetics. Anna Baker takes us through the latest evidence and therapeutic indications. The evidence and demand for hyaluronic acid (HA) based technologies continues to expand and evolve across a...

In conversation with Uliana Gout

11 January 2021 | PMFA - Aesthetic Medicine
We were delighted to catch up with Dr Uliana Gout, President of the British College of Aesthetic Medicine (BCAM), about her career and plans for the College. Can you tell us a little bit about why you initially chose to...

Raising the bar for safer cosmetic surgery in the UK – part 1

1 August 2018 | | PMFA - General Plastic Surgery
In part one of a two-series article Professor James Frame, from the Anglia Ruskin University, gives us his opinion on what needs to be done to improve cosmetic surgery and patient safety in the UK. Cosmetic surgery is most easily...

Dermoscopy: an update and personal view

1 April 2018 | | PMFA - Dermatology
With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 7) – South Korea

22 November 2021 |
South Korea is a truly amazing country and has, over the last thirty years, transformed into one of the most dynamic and innovative economies in the world.