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Reconstruction with scapular tip

1 February 2017 | | PMFA - Maxillofacial Surgery
Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and result in significant morbidity. Rehabilitation is fraught with difficulties, and a number of options are available, including an obturator or surgical reconstruction with a free...

Reconstruction with scapular tip following hemi-maxillectomy and rehabilitation with dental implants

5 June 2017 | | PMFA - Dentistry, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and result in significant morbidity. Rehabilitation is fraught with difficulties, and a number of options are available, such as an obturator or surgical reconstruction with a...

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,...

Total lower lip reconstruction: a review

1 October 2018 | | 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...

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...

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...

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...

Napoleon, Ghandi or Jobs: Who would lead today’s healthcare best?

6 August 2025 | | PMFA - General Plastic Surgery
Some leaders build empires. Others build people. And some tear the whole thing down to rebuild it better. The archetypes of power Leadership in healthcare is evolving. Traditional command-and-control structures are evolving into team-based, emotionally intelligent and adaptive approaches. Yet...

Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

1 December 2018 | | PMFA - General Plastic Surgery
A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...