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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...Start slowly, stay grounded: The vital role of education in aesthetic medicine
Jude Dunican. Elaine Williams: I still remember the day we first met, with you coming into the clinic on behalf of Health Xchange back in 2018. We quite quickly got into developing ourselves professionally from that very first meeting, and...The medial gastrocnemius flap
This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...Thread veins and varicose veins: medical or aesthetic?
I was recently attending a national aesthetics conference when I got talking to a very well-known opinion leader in the aesthetics world. During the conversation, I was astounded to be asked: “What do you think now that NICE has agreed...What to look for in new exosome products: A guide to the exosome cosmetic market
Exosomes have become increasingly trendy in the cosmeceutical market, not only as the latest buzzword but also in alignment with the growing trend towards natural beauty. By harnessing the regenerative potential of exosomes and incorporating them into daily skincare routines...The Challenge of Renaissance, not Reconstruction: the aftermath of an acid attack
What madness makes a human being perpetrate a crime that is so horrible, so evil that makes it a capital offense (in Bangladesh) even though the death involved is of a person who remains alive? The motivation behind an interpersonal...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments
Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?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,...The patient journey in DIEP flap breast reconstruction
In the UK approximately 40,000 women are diagnosed with breast cancer every year. About 40% of these need, or choose, to undergo mastectomy, where all of the breast tissue is removed. Currently around a third of these patients choose to...The flora of Culloden Field: Healing plants of a wounded land
The Battle of Culloden, fought on 16 April 1746, marked the end of the Jacobite uprising in Scotland. It was a devastating clash between the Jacobite forces led by Charles Edward Stuart (‘Bonnie Prince Charlie’) and the British army under...
Body dysmorphic disorder and addiction to medical aesthetic procedures
This article by two expert authors within the field of anxiety disorders covers a highly poignant subject of growing interest within aesthetic medicine. It covers the definition and manifestation of body dysmorphic disorder (BDD), underpinned by robust and current references,...
