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Lymph node ratio – another predictor of outcomes in tongue SCC

Oral squamous cell carcinoma (SCC) is an increasing disease with over 263,000 diagnosed new cases and 128,000 deaths annually worldwide. Although there have been significant advances in diagnostics, surgery and anaesthetics there has been no increase in the survival rates...

2nd International Medical Symposium Aesthetic Dialogue

Experience the forefront of aesthetic medicine at the Prague Lab Aesthetic Dialogue International Symposium, taking place on 8–9 November 2024, within the historic walls of Prague Castle. Attendees will engage in a groundbreaking approach, witnessing four simultaneous perspectives on facial...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 5) - Who is the Judge?

I wonder what Vanessa is thinking right now. If she can even think. A torrent of images, regrets, what ifs. The onslaught must be so great, no wonder the normal response is for the mind and the body to shut down? Depression.

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”!

Perceptions and Deceptions a personal blog by the editor 19 May 2016

Should we be astonished to hear that the Right Honourable Jeremy Hunt, the Health Secretary who has created the greatest manpower crisis in the NHS in the past fifty years should now say that he is not actually an academic...

Two for the price of one multiple parotid neoplasms

With advancing years come many benefits, but one drawback is the acquisition of parotid (or thyroid) neoplasms. Conventional teaching is that most are benign and slowly enlarge, and not infrequently are found bilaterally as in Warthin’s. Pleomorphic adenomas are also...

Lymph node ratio in tongue cancer

This is an analysis of 88 patients treated in Switzerland between 2003 and 2012. All patients had a selective neck dissection and recurrence occurred in 25 patients. Overall and disease specific survival were 72% and 80%. They specifically looked at...

2nd Liverpool Nasolacrimal and Orbital Dissection Course

This course is aimed at Otorhinolaryngology (ENT) and Ophthalmology higher surgical trainees (ST5-ST8), senior fellows and consultants looking to improve their understanding and surgical skills in joint ENT/ophthalmology nasolacrimal and orbital surgeries. The aim of this course is to provide...

Risks of tracheostomy in head and neck cancer

Tracheostomy is an accepted surgical procedure that is one of the oldest ways of securing the airway. It is widely accepted to protect the airway after big cases of head and neck cancer and especially following free flap reconstruction. It...

A practical guide to the most commonly used dressings in wound care

The author explores and reviews the most popular classes of dressings used for acute, chronic and problem wounds, their properties and indications based on direct observation and research studies. With an ever-increasing armamentarium of wound care tools, different brands and...

Analysis and outcome of explanted hydroxyapatite orbital implants

This is a retrospective case series over 11 years of 25 patients with exposed synthetic hydroxyapatite orbital implants who underwent explantation and simultaneous replacement with a dermis fat graft. All patients had signs of infection and had been treated with...

Sensitive cilia – eyelashes in health and disease

In health our eyelashes protect the eyes, but in disease they can disfigure, impair quality of life and threaten vision. In this review the authors discuss aspects of lashes that are relevant to all professionals working near the eyes and...