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Form versus function concerning the external nasal valve

3 June 2015 | | PMFA - Facial Plastic Surgery, PMFA - Rhinoplasty
External nasal valve dysfunction is known to be a common cause of nasal obstruction. The authors present a prospective case series (n=19) including primary and revision cases of functional rhinoplasties. All patients reported nasal obstruction and were diagnosed with external...

Z-plasty release of congenital muscular torticollis

12 February 2015 | | PMFA - Maxillofacial Surgery
Congenital muscular torticollis (CMT) is common in neonates, with a frequency of 0.3% to 2%, and usually responds to passive stretching below the age of one year. This study evaluated the results of performing an inferior Z-plasty release of the...

Application of substance P as an osteogenitor in mandibular distraction osteogenesis

1 December 2014 | | PMFA - Maxillofacial Surgery
In this well organised study the authors demonstrate the benefit of use of substance P to improve the quality of bone during mandibular distraction. Substance P is a neuropeptide that is distributed in those sensory nerve fibres that innervate the...

Autologous fat graft in scar treatment

11 February 2014 | | PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
A retrospective study was performed of 694 patients with contracted and painful scars over a six year period. A total of 376 patients had burn scars, 54 patients had scars due to road trauma, 92 patients had scars from domestic...

Bleb-related changes in upper lid position

1 June 2016 | | PMFA - Oculoplastic
This is a review of five patients with upper lid ptosis or lid retraction secondary to large filtering blebs post-trabeculectomy. The authors review each case and apply a model to analyse the separate forces acting on the upper lid to...

Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

12 October 2021 | | PMFA - Oculoplastic, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...

The patient journey in DIEP flap breast reconstruction

1 August 2016 | | PMFA - Breast Surgery
In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...

The Challenge of Renaissance, not Reconstruction: the aftermath of an acid attack

1 December 2013 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
What madness makes a human being perpetrate a crime that is so horrible, so evil that makes it a capital offense (in Bangladesh) even though the death involved is of a person who remains alive? The motivation behind an interpersonal...

Perceptions and deceptions: a personal blog by the editor 18 August 2016

18 August 2016 |
I am back in the UK for a sabbatical and taking stock of all the changes since I left in 1999. An HK versus UK comparison becomes even more fascinating when looking at information sources ‘on the ground’. Social networking...

Perceptions and Deceptions (A Death in Hong Kong.) 6 December 2016

6 December 2016 |
An evolving essay and insight into Medicine and the Law in contemporary Hong Kong. A girl’s brain was destroyed due to medical negligence. She had entrusted her life to a celebrity cosmetic surgeon who was going to make her breasts...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 20) - Culpability: The judge opines

24 March 2022 |
The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 27) - Time To Sum Up (cont.)

15 June 2022 |
I have made a breakthrough. I have now determined the voice of the book. The target audience will be students of The Law and of Medicine.