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Diagnosis and management of solitary fibrous tumour
This is a retrospective review of 21 patients diagnosed with solitary fibrous tumour of the orbit between 1996 and 2018 at a single centre. The authors reviewed the clinical presentation, management and course of the disease and reanalysed the histopathology...The impact of 21st century stressors and lifestyle factors on skin ageing
Skin appearance and health play a significant role in everyone’s life and confidence, particularly in today’s 21st century lifestyle and the associated stressors promoting skin ageing. The skin is a dynamic organ, showing apparent signs of ageing and damage, which...Perceptions and Deceptions: a personal blog by the editor 20 December 2016
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part seven) How does anyone decide when to walk away and when to stand and fight? Personal safety? Principles? The cost,...Perceptions and Deceptions a personal blog by the editor 22 Apr 2016
The junior doctors in the UK are facing the reality that if they hold steady there is the very real prospect that ‘an elite group of professional people’ can topple a corrupt and dishonest Government and restore the balance of...Safety and risks of local anaesthesia and regional blocks in plastic surgery
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...The role of expert witnesses in miscarriages of justice
‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...
Treating laryngeal and hypopharyngeal cancers with pharyngolaryngectomy
The debate amongst head and neck surgeons, as to whether a skin flap or enteric flap offers superior outcomes in pharyngeal reconstruction, still rumbles on. The evidence pool is very shallow, even accounting for the so-called ‘landmark’ papers that swung...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...
Non-surgical vs. surgical labiaplasty
The author suggests that unfavourable post-surgical complications and patient satisfaction are outcomes which are often unmet following more invasive procedures, demonstrated by an increase in demand into non-surgical procedures to correct labial hypertrophy, which is inconsistently defined by a limited...
Skin cleansing in aesthetic practice
A thought-provoking piece in which the author draws the reader’s attention to the importance of adequate skin cleansing. Injectables products and devices are sterile and single-use, it may be assumed that the greatest risk of infection comes from poor and...
