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Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...Augmentation rhinoplasty
Rhinoplasty refers to a procedure in plastic surgery in which the structure of the nose is changed by adding or removing bone or cartilage, grafting tissue from another part of the body, or implanting synthetic material to alter the shape...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...Perfecting the pout
From Hollywood lips to Essex lips, non-surgical lip augmentation has gained popularity in recent years with aesthetic patients. A 2019 article in the Journal of Cosmetic Dermatology concluded that the non-surgical correction of the projection of the forehead profile and...OPINION - Raising awareness of the dangers of local anaesthetic misuse in aesthetic procedures
This article will explore local anaesthesia (LA) and how its misuse can have severe negative consequences. We will also look into how we can address this important issue and help make the industry safer for patients. In the last few...In conversation with Dr Peter Shumaker
“The views expressed in this interview are those of the member and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States government.” Dr Peter Shumaker, Chairman of...How I Do It - A guide to anterior neck lift aesthetic surgery
The difficult neck, particularly an obtuse cervico-mental angle, and the fatty neck are areas that have been concerning plastic surgeons for decades. This article will be chiefly limited to the anterior neck. The neck cannot be improved by anterior neck...The use of neuromodulators in the management of TMJ disorders
The temporomandibular joint (TMJ) articulates the mandible to the base of the skull. Temporomandibular joint disorders (TMD) are a group of musculoskeletal syndromes affecting the TMJ and the supporting musculature. The muscles, bony articular surfaces and disc may all be...Temporomandibular disorders – a surgeon’s view
The temporomandibular joint is unique, in that it has a fibrocartilaginous intra-articular disc and has a ginglyomo-arthrodial action. The disc is designed to allow for the gliding movement down the posterior slope of the articular eminence with little, if any,...Cosmetic work on the NHS
We now have official confirmation that cosmetic work should not be undertaken on the NHS, according to Health Secretary Jeremy Hunt. This appears to be based on figures that in the last six years 8000 people had abdominoplasties on the...
Righting the paralysed lip
Many surgical procedures that otolaryngologists perform put the facial nerve at risk of injury, a complication that the surgeon and patient fear alike. Unfortunately, injuries to the nerve can and do happen despite adequate precautions, and facial paralysis may be...
