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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)
I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.Living confidently with a distinctive face or body
The visual impact of having a face which has scars from an accident or burns like mine or a birthmark, a cleft lip and palate, a Bell’s palsy or a skin condition is arguably not taken seriously enough by clinical...The First World War and the Development of Facial Surgery
Facial surgery has a history stretching to antiquity, but its success depended on luck until medical science had advanced enough to deal with three major issues – infection, surgical shock from blood loss and good anaesthesia. It was not until...
Autologous vs. irradiated costal cartilage in rhinoplasty
The authors present the findings of a retrospective study included 63 patients had rhino-septoplasty using autologous costal cartilage (ACC) and 20 had rhino-septoplasty using irradiated homologous costal cartilage (IHCC) to compare the clinical results of major augmentation rhinoplasty using ACC...
Postoperative antibiotics after a free flap surgery – is one dose enough?
Major head and neck surgery with ablation of oral cancer, neck dissection and free flap reconstruction is a well-established part of maxillofacial surgery. These patients however already have significant co-morbidities and together with a long operation, large wounds open for...
Transnasal endoscopic choanal atresia surgery
Surgery is currently the only definitive treatment for congenital choanal atresia (CCA). There are various surgical approaches including transnasal, transeptal or transpalatal. The authors propose that the preferred option is transnasal endoscopic choanal atresia surgery (TECAS) and set out to...
Treatment of vertical alar discrepancy
This article explains the way to treat vertical alar discrepancy through alar crease and alar sulcus full-thickness incisions and advancement-rotation of the alar flaps. The authors divide the group of patients into three main categories depending on the vertical movement...
Prostaglandin-associated periorbitopathy
This is a masked study of 33 patients who had been taking a prostaglandin analogue in one eye only for at least a year, to look for signs of prostaglandin-associated periorbitopathy (PAP). The investigators devised a new grading system to...
Facial asymmetry and nasal septal deviation
The authors’ aim was to evaluate the relationship between nasal septal deviation and facial asymmetry. They performed a study of 60 patients who had facial 3D CT scans from April 2011 to March 2014 and confirmed facial asymmetry, who were...
Better outcomes from early repair of type B blow-out fractures
This paper examines whether early, rather than late, surgical repair results in better motility outcomes for a particular subgroup of orbital floor blowout fractures. The authors divide floor fractures into types A and B, depending on whether or not the...
Platelet-rich plasma from androgenetic alopecia: a pilot study
The authors demonstrate some encouraging results in this pilot study, exploring the benefit of injecting platelet rich plasma (PRP) into the scalp on patients with androgenetic alopecia. This suggests the need to now proceed with a randomised control study to...
