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Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...

Barbed threads for philthral shortening and vermilion eversion

Ageing of the perioral region is a multifactorial process that stems from underlying skeletal resorption, descent of soft tissues, dermal thinning and cumulative muscular activity [1]. These changes translate into several hallmark features: the philtral column elongates, the vermilion loses...

Ultrasound-guided gluteal augmentation with hyaluronic acid (Variofill®)

Buttock augmentation has gained increasing popularity, driven by the demand for improved body contour and projection. Traditional surgical methods, such as autologous fat grafting or implants, can provide substantial volume but are associated with significant risks, including fat embolism, infection,...

Perceptions and Deceptions: a personal blog by the editor 5 October 2016

And there was me thinking Hong Kong is in a bit of a political mess! What an extraordinary few weeks in the UK as far as medicine is concerned. After months of insisting that he, The Right Honorable Jeremy Hunt,...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 13) – Records of necessary information

Today is the first day of the Chinese New Year. This is the year of the Tiger. I am fine, I am a Dragon. This is going to be an interesting year.

Acid attacks: part 2

The PMFA Journal Editor Andrew Burd continues with his exploration of the optimum treatment protocol for managing the devastating injuries wrought by acid attacks (see Part 1 here). In part one of this series I outlined the evolution of my...

Using autologous blood to reduce post-operative infections

The removal of impacted wisdom teeth is a commonly carried out surgical procedure in maxillofacial surgery. Apart from the usual complications of postoperative bleeding and wound infection, the most painful one is alveolar osteitis. This is mainly dependent on retaining...

LED pioneers Dermalux announces new expert faculty

Market leading LED pioneer Dermalux has announced its new UK faculty, comprised of industry leading experts who are dedicated to the advancement of phototherapy.

Recurrent corneal erosions secondary to isotretinoin use

This article originally appeared in Eye News Dec/Jan 2021 Isotretinoin (13–cis-retinoic acid) is the first line treatment for moderate to severe nodulocystic or papulopustular acne [1,2]. Although it is a safe medication, it has several adverse side-effects, including ophthalmic manifestations,...

Skull bone reconstruction using 3D-printed titanium implant

ENT surgeons’ role in advanced skull base resection and reconstruction continues to grow; this article explores how 3D printing aids planning and repair of complex defects. The integrity of the craniofacial skeleton is essential for both functional and aesthetic reasons....

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...

How I Do It - Congenital midline cervical cleft excision and reconstruction

Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...