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Reconstructing post-resective auricular defects

The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...

Maxillo-facial and neck surgery in Iraq and Afghanistan

Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the past...

Devoted couple celebrate wife’s life-threatening tumour removal by UK surgeon

A 45-year-old woman has had a debilitating, orange-sized tumour surgically removed from her jaw for free after she was spotted on the side of the road by volunteers from international charity Mercy Ships, passing through her village in Madagascar. Unable...

Plastic surgery trainees’ exposure to cosmetic surgery during training

Cosmetic surgery is an essential component of plastic surgery training and is required in order to CCT. However, the training opportunities in UK are limited. The current operative requirements for plastic surgery trainees are 100 procedures during specialist training, either...

How I Do It - Tear trough rejuvenation

A smooth convexity from the lower eyelid to the upper cheek with flawless skin is considered a desirable feature and a sign of youth. The opposite leads to ‘shadows’ around the eyes and a tired appearance or sunken eyes. Patient...

Restoring youth to the upper midface by blending the lid-cheek junction

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. Rejuvenation of the eyes has a very high impact on the overall...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 24) - Prescribing Habits

How do doctors learn to prescribe/use drugs in a safe and effective manner? This is no simple question and when the issue of a prescribing habit being regarded as lethal it becomes highly relevant.

Reconstructive Surgery in Post Colonial Africa

Both plastic and maxillo-facial surgery developed out of armed combat. Initially, general surgeons attached to the military might perform reconstructive attempts, but more realistically and pragmatically, destructive surgery was more suited to their situation. Amputation of limbs undoubtedly saved lives...

Training in Facial Plastic Surgery in the UK

Following the Keogh report earlier this year into the quality of cosmetic surgery in the UK, surgical training into cosmetic surgery is high on the agenda. A Cosmetic Surgery Interspecialty Committee at the Royal College of Surgeons will be discussing...

Mercy Mission: all aboard with Mercy Ships off the coast of West Africa

Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...

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...

Letter from Hong Kong (8 May 2020)

The latest 'letter' from our man in Hong Kong, The PMFA Journal Co-editor Andrew Burd.