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Bruxism: a practical guide to treatment with botulinum toxin type A

The aetiology of bruxism is outlined and referenced, giving a clear context to the reader. Recommended treatment options are listed, with a brief summary of the evidence concerning pharmaceutical options, oral appliances, splints, psychology and physiotherapy. The author discusses a...

Post-cancer prosthodontic reconstruction

A functional outcome after head and neck cancer resection is aimed at restoring speech and swallow. Dental reconstruction greatly facilitates this, particularly by enabling the patient to chew food. The authors reinforce the need for careful presurgical planning with treatment...

Cheek reconstruction following melanoma excision

Malignant melanoma occurs most commonly on the cheek and thus are usually diagnosed early, rarely needing large reconstructions following advanced disease. This is a retrospective looking at 26 patients identified that had undergone treatment for cheek melanomas between 1996 and...

Reversing signs of skin ageing with topical retinoids

The reversal of the signs of ageing / aged skin is an important component of any form of facial surgery. The authors here have written a comprehensive paper detailing the biological process in skin ageing and role of topical retinoid...

Loosen up

Lower eyelid retraction is a complex eyelid malposition with varied causes and anatomic features that make correction of eyelid position challenging. This original study presents a new surgical concept for correction of lower eyelid retraction in a particular patient population:...

Carnoy’s and the KOT

This is a retrospective review of 105 patients with keratocystic odontogenic tumours treated over a 23-year period with a mean follow-up of 86 months. The recurrence rate was 11.4%. Permanent neuro-sensory deficit of the inferior alveolar nerve was 16%. Younger...

Systematic review of PUC compared with textured silicone implants

Poly-urethane coated (PUC) implants have recently been back in the spotlight following the halt on Silimed implant use in Europe and this review is timely in assessing the perceived benefits of these prostheses. This review was adherent to the PRISMA...

Is rib cartilage a safe material for rhinoplasty

This is a meta-analysis of complications associated with use of autologus costal cartilage in rhinoplasty involving 10 studies with 491 patients with a mean follow-up of 33 months. The results of the meta-analysis show a very low rate of complications...

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...

Perceptions and deceptions: a personal blog by the editor 5 September 2016

The junior doctors are without doubt the very backbone of the NHS. They span from the newly graduated medical students to the most senior postgraduate trainees who are about to embark on a definitive post as a hospital consultant or...

Response to the Keogh Review

On 13 February 2014 the UK Government published its response to the Keogh Review of the regulation of cosmetic interventions (https://www.gov.uk/government/publications/regulation-of-cosmetic-interventions-government-response). This response has been much anticipated by the fields of plastic surgery and aesthetic medicine and inevitably has provoked...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.