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Vitamin D and thyroid eye disease

1 April 2020 | | PMFA - Oculoplastic
This is a retrospective review of vitamin D levels in patients with thyroid eye disease (TED). Vitamin D levels in 89 patients with Grave’s disease and TED were compared against 89 patients with Grave’s disease and no TED. They also...

Perceptions and Deceptions: a personal blog by the editor 7 December 2016

7 December 2016 |
Zoey had two sisters, Leung Lee Michelle and Leung Mei. On 11 June, 2010 one of them made a formal statement to the police. She had questions that needed to be answered. She presented her queries in the form of...

The relevance of rhinoplasty and septorhinoplasty from the commissioner’s point of view

1 February 2019 | | PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
The rising costs of running the National Health Service and its overburdened resources has led to the constant monitoring of the low clinical value treatments. The operations of rhinoplasty and septorhinoplasty inevitably fall into this group and are subject to...

Gross negligence manslaughter in healthcare: The medico-legal dilemma

13 October 2025 | | medico-legal, hypoxia, blog, Andrew Burd, Vanessa Kwan
Three years ago, I concluded a multi-part blog series looking at a case of gross negligence manslaughter in Hong Kong. The specific case related to a doctor who had operated on a patient who tragically died some 40 minutes after...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 13) – Records of necessary information

1 February 2022 |
Today is the first day of the Chinese New Year. This is the year of the Tiger. I am fine, I am a Dragon. This is going to be an interesting year.

Wound moisture sensing in traumatic wounds

1 June 2015 | | PMFA - General Plastic Surgery
Wounds can be small and unpleasant, or may be large and life-threatening. The skin is a physical and an immunological barrier to infection, and any defect in the integrity of the skin may allow bacterial or fungal invasion to occur....

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

Filler complications: is there a way to prevent vascular compromise with 3D-anatomy?

10 October 2017 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Imaging
The use of facial filler injections has increased dramatically over the last 10 years and so has the incidence of complications. The main and most serious adverse event is vascular compromise. The most feared consequences are devastating: blindness, skin necrosis...

Safety and risks of local anaesthesia and regional blocks in plastic surgery

18 February 2021 | | PMFA - General Plastic Surgery
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

Medical racism and the surgical ‘correction’ of the nose in Brazil

3 October 2023 | | PMFA - Facial Plastic Surgery
Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...

Perspectives on: Polyurethane covered breast implants

1 June 2014 | | PMFA - Breast Surgery
The manufacturer’s viewpoint: Myths, failures and the regulation of the modern breast implant. The modern day silicone breast implant industry was created with the Dow Corning prosthesis, first used in the USA in 1962. Since its introduction into the market...

Lymphoedema surgical treatment: myths and facts

1 February 2017 | | PMFA - General Plastic Surgery
Lymphoedema is a common condition that has a major impact on quality of life. Surgical treatment can help affected patients and produce good results, but there is no consensus on which surgical procedure is the most effective. The authors review...