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The uses of BTX-A in maxillofacial surgery

Botulinum toxin type A has many uses in maxillofacial surgery. This article will cover its uses in the treatment of Frey’s syndrome, myofascial pain, masseteric muscle hypertrophy and sialorrhoea. Other uses relevant to maxillofacial practice but not covered in this...

Acid Survivors Trust International

The shocking acid attack on two British nationals in Zanzibar in August 2013 drew attention to a little known and under-reported form of interpersonal violence. Acid attack is a particularly vicious form of a premeditated assault, where acid is thrown,...

When does a non-surgical procedure fall within the scope of CQC registration? An update on cogged PDO thread lifts

In December 2018 the CQC ruled that any healthcare professional performing thread lifting now has to meet its full requirements for surgical procedures. Dr Bea Brookes takes a look at the decision. Non-surgical thread lift with dissolving threads has been...

Rosacea: approaches to a complex and chronic skin condition

The complexity surrounding the causes of rosacea are briefly outlined, such as organism colonisation, susceptible skin types, and the challenge of misdiagnosis. The author classifies the condition into the following sub-types: erythematotelangiectatic rosacea, papulopustular rosacea, phymatous rosacea and ocular rosacea....

Delays in oral cancer

This is a review from Canada where they attempt to relate the delays in oral cancer presentation to treatment and the impact on stage, diagnosis and survival. They recognise that potentially the most significant delay is between the patient first...

Plastic surgery and aesthetic medicine: specialties and specialists

Dr Nikolaos Metatoxos has written an excellent article ‘How to establish a successful practice in aesthetic medicine’, which looks at the business of aesthetic medicine and underlines some very important ethical issues. When comparing hospital doctors and aesthetic medicine practitioners...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23b) – Timelines

Timelines are very important but how reliable are they? Of course, it depends on the source(s) of the data on which they are based.

HA dermal filler with lidocaine: initial clinical outcomes

Hyaluronic acid (HA) is a natural occurring body polysaccharide essential for various body functions, present in connective tissues, skin, vitreous humour of eye, extracellular matrix, synovial fluid, etc [1]. It was first isolated in bovine vitreous by Mayer and Palmer...

Acid attacks: part 1

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...

Cutaneous Malignancies: A Surgical Perspective

This is a very informative reference text. Twelve chapters have been written specifically for those involved with dermatological surgery. In the UK several specialties may be involved in the surgical management of cutaneous malignancies from dermatologists to plastic and maxillofacial...

The Essential Burn Unit Handbook (Second Edition)

For some time, trainees have been searching for a worthy alternative to the long outdated and out of print Burns: The First Five Days, which used to be supplied free by Smith and Nephew. This pocket sized, reference manual, seems...

A useful guide for performing non-surgical rhinoplasty

This study details a single-centre, nonrandomised, prospective trial of 150 consecutive patients undergoing non-surgical rhinoplasty using hyaluronic acid fillers. The study’s aim was to develop an injecting protocol for different anatomical anomalies to achieve consistent results. Virgin noses and previously...