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We need to talk about amputation – a difficult conversation in the developing world

What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

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,...

In conversation with Mehmet Manisali

We were delighted to catch up with Mehmet Manisali, President of the RSM Section of Oral & Maxillofacial Surgery, about his background and plans for the Section. Can you tell us a little bit about what led you into the...

Editor’s reaction to acid attacks in London

As I travelled to work to day I heard on the radio that there had been five separate “acid attacks” in London last night. It appears that these were all perpetrated by the same assailants and the motivation for the...

In conversation with Cameron McIntosh

We were delighted to catch up with Cameron McIntosh, ENT and Facial Plastic Surgeon and Founding President of the Society of Rhinoplasty Surgeons of South Africa (SORSSA). Can you tell us a little bit about what led you into the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk

Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!

Stratifying preoperative risk in revision augmentation: the six Cs

Breast augmentation is the most frequently performed cosmetic surgical procedure in the UK [1], and with an increasing number of providers, plastic surgeons are managing revisions without information pertaining to the original procedure. Anticipating the features of successive generations of...

Perceptions and Deceptions a personal blog by the editor 9 June 2016

Distractions! I am getting behind my timetable for the on-going story. So let me press on. I shall only comment at the outset that with regard to the Junior Doctors Contract issue in the UK, I do think the government...

Rhinoplasty for cleft nose deformity

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Modern cleft lip and palate repairs produce excellent functional and aesthetic results...

The fault in our scars

A groundbreaking study recently presented to the British Association of Plastic, Aesthetic and Reconstructive Surgeons (BAPRAS – www.bapras.org.uk), conducted at Great Ormond Street Hospital, in collaboration with the University of Toronto's Hospital for Sick Kids and University College London, has...

Tissue engineered flaps

This article provides a thorough summary of the current techniques available in head and neck reconstruction. It details the challenge of restoration of form and function posed by the shape of the craniofacial skeleton and soft tissue. The introduction on...

Calling all competitive plastic surgeons

Ever thought about combining some medical education with some leisure? Ever thought about flying the flag for your unit to show the rest of Europe how awesome your department is? Ever thought about helping to raise some money to fund...