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Perceptions and Deceptions: a personal blog by the editor 20 December 2016
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part seven) How does anyone decide when to walk away and when to stand and fight? Personal safety? Principles? The cost,...How I Do It - A novel method obviating the need to proceed to second stage autologous skin grafting in selected burned patients resurfaced with Integra™
A survivor of large full thickness skin burns will have suffered for months during repeated grafting surgeries to heal, yet real recovery will take years, if at all, because of the inevitable physical and mental challenges. Time spent on the...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...
Repeated orbital decompression surgery
This is a retrospective review of nine redo orbital decompressions in six patients. All operations were performed for dysthyroid optic neuropathy, both initially and when repeated. The interval between first and redo decompressions varied from one to 15 years and...
Intra-oral implants in posterior maxilla - predictors of failure
Generally current dental implant placement is a successful procedure with predictable outcomes, especially when sited within normal quality and quantity of bone. The posterior maxilla, however, can be challenging. This is especially so with reduced bone volume following loss of...
Reconstructing large heel defects
A description of one method of reconstructing problematic soft tissue defects of the heel. It is always good to have several techniques available in your quiver, so that you can choose the most appropriate arrow for any particular problem. This...
Free flap reconstruction in stage 3 bisphosphonate related osteonecrosis
There is no widely accepted gold standard for the treatments of bisphosphonate-related osteonecrosis (BRONJ). Whereas the lesser stages of this BRONJ seem to respond well to conservative and minimal invasive therapies there is controversy regarding the treatment of the later...
A conservative approach to treat ameloblastoma
Ameloblastoma is a relatively rare odontogenic tumour that is benign but locally aggressive. Additionally they tend to recur locally. These are rare accounting for 1% of oral tumours and occur almost exclusively in the jaws. It is more common in...
Not all faces are alike
The author examined 108 photographs of faces taken in an exact front view, in order to look for different patterns of facial shapes: round, square, heart shaped, oval and long. The author recognised that this was a qualitative analysis and...
The cost of surgery for bedsores
Many plastic surgeons will have experienced a heart-sinking moment when receiving a request to give an opinion on a patient with a bedsore. The surgery is not technically demanding, but the postoperative care and rehabilitation of the patient can be...
Conjunctival mapping biopsies in sebaceous carcinoma
This is a retrospective review of conjunctival mapping biopsies in patients with periocular sebaceous cell carcinoma. The authors reviewed the biopsy technique and outcomes of 45 patients who had mapping biopsies performed over a 25-year period. A total of 429...
