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Traumatic split earlobe repair using double triangular skin flaps

Split earlobes are a common secondary deformity of the ear. Numerous techniques have been described to repair a traumatic split earlobe and break the linear scar. However, most of the techniques require elevation of additional flaps from normal surrounding tissue...

Success rates of primary and revision transcanalicular DCR surgery

Transcanalicular laser dacro cysto rhinostomy (DCR) is a relatively rare procedure compared to more conventional external or endonasal techniques. In this article the authors examine the outcomes of revision surgery following failed transcanalicular diode laser DCR (TCDL DCR), comparing a...

Reconstruction after maxillectomy

Maxillectomy for tumours of the paranasal sinuses creates large, complex defects. Whilst free flaps appear to be the preferred method of reconstruction, the best type is unclear. This article discusses a single unit’s experience using different free flaps for reconstruction....

VAC therapy and instillation

Vacuum assisted closure (VAC) therapy is now a common sight in plastic surgery departments for the management of difficult wounds, to encourage granulation tissue formation, reduce wound size and facilitate closure or reconstruction. The combined use of VAC dressing with...

Cheek and lip reconstruction

The authors present a well-structured review of the reconstruction of cutaneous defects of the cheek and lip. They present new findings that have an impact on the planning and understanding of local flaps for the reconstruction of both areas. Integrated...

MedLED CHROME MC6 (Sapphire) the truly portable surgical headlight

Ream Surgical Ltd is delighted to be able to add the new MedLED Chrome MC8 (New Sapphire) portable surgical headlight to its range of products.

Treatment of rosacea using pulsed dye laser

Rosacea is a common chronic cutaneous inflammatory condition estimated to affect 415 million people worldwide [1]. It characteristically affects the central face and its primary features include flushing, non-transient erythema, telangiectasia and in progressive stages papules and pustules. Secondarily, it...

How I Do It - Treating acne and acne scarring in all skin types

I use the Aerolase Neo Elite, which is a 650 microsecond, 1064 NdYag laser, to treat inflammatory acne, post-inflammatory hyperpigmentation, post-inflammatory erythema, and rolling acne scars in skin types I-VI. This laser has revolutionised the way I treat acne in...

Online connections in a post-COVID world

Looking back at the pandemic, it has brought us unexpected friendships. The lack of direct interpersonal communication, meetings, parties and hugs increased the role of digital sources of contact which used to play a less important role in our lives....

Perceptions and Deceptions (A Death in Hong Kong.) 6 December 2016

An evolving essay and insight into Medicine and the Law in contemporary Hong Kong. A girl’s brain was destroyed due to medical negligence. She had entrusted her life to a celebrity cosmetic surgeon who was going to make her breasts...

Melanoma skin cancer: how can we improve early detection in the UK?

With melanoma rates increasing globally, should there be screening of high-risk groups? Stephen Hayes takes a look at how Australia has reduced its melanoma mortality and asks whether a similar model should be adopted elsewhere. In Britain, some 16,000 new...

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.