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Differences between compounded BHRT and conventional HRT

Can BHRT offer hope to women suffering from debilitating menopausal symptoms? Ruth Crofford, ‘the menopause nurse’, explores the evidence, safety issues and misconceptions around the therapy. Life expectancy for women in the UK is currently 80.96 years [1]. Females in...

Postoperative follow-up of oral squamous cell carcinoma: a new protocol

Oral and oropharyngeal cancers together are the sixth most common malignancy in the world, with an increasing incidence of oral squamous cell carcinoma (OSCC). The recurrence rate of OSCC is reported to be approximately 10-26%. About two-thirds of all recurrent...

How I Do It - Approaches to lip augmentation: Perioral rejuvenation – a multi-product approach

A video of the authors demonstrating the procedure is available at the bottom of this article When approaching the lip and perioral area it is important to be aware that many non-surgical interventions may be used to treat this area....

Reconstructive Surgery in Post Colonial Africa

Both plastic and maxillo-facial surgery developed out of armed combat. Initially, general surgeons attached to the military might perform reconstructive attempts, but more realistically and pragmatically, destructive surgery was more suited to their situation. Amputation of limbs undoubtedly saved lives...

Biostimulation and aesthetic regeneration: a unified perspective on the future of facial rejuvenation

This article presents an exploration of two major philosophies in modern aesthetic medicine: biostimulation and aesthetic regeneration. The article examines how each approach contributes to tissue vitality, how they differ in mechanism and depth of action, and how their strategic...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 3)

14 June 2021 is the day in the Chinese calendar to celebrate the Dragon Boat Festival. These local holidays are a reminder of the deep cultural heritage enjoyed by the Chinese people.

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...

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,...

SPECT scans not justified in growth of the mandibular condyle

This is a paper from Hong Kong of 200 patients between January 2011 and July 2013 who underwent SPECT bone scintigraphy for assessment of growth causing condylar hyperplasia and subsequent mandibular asymmetry. Thirty-four patients were found to have active growth...

Management of post traumatic pseudo-telecanthus

Injuries to the nasal and peri-nasal region are common. Indeed the nasal bones are reported to be the most commonly fractured facial bone. While nasal trauma and deformity are commonly recognised and treated, injuries to adjacent structures are easily missed...

Surgical indications for infantile haemangiomas

Infantile haemangiomas (IHs) are embryonic tumours and represent the most common tumour of infancy, with an estimated incidence of 4-5%. There is a well described natural history, usually becoming apparent in the first few weeks of life and proliferating rapidly,...

Oncological and functional outcomes of transoral robotic surgery for oropharyngeal cancer

Due to the fact that conventional surgery is technically demanding and involves significant morbidity, transoral procedures are becoming increasingly popular. In this prospective study the authors analysed the oncological and functional results of transoral robotic surgery (TORS) to find out...