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Modified subciliary approach to the orbital floor
Fractures involving the lateral midface and orbital floor are routinely treated by maxillofacial surgeons. The surgical management requires access to the facial skeleton to reposition and free the soft tissues. There are three main approaches to the orbital floor the...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?In conversation with Loredana Cavalieri
We were delighted to catch up with Dr Loredana Cavalieri, Councillor for Società Italiana di Medicina Estetica (SIME), about her background and plans for this year’s SIME Congress. Can you tell us a little bit about what led you into...
Comparison of intralesional verapamil versus intralesional corticosteroids in treatment of keloids and hypertrophic scars
This paper by Abedini et al., is a randomised observer blinded controlled trial comparing the efficacy, safety profile, and recurrence rates of intralesional verapamil versus intralesional triamcinolone acetonide in the treatment of keloid and hypertrophic scars. Whilst corticosteroids represent the...
A single blinded RCT comparing triamcinolone with 5-FU treatment for keloid scars
This single blinded randomised controlled trial (RCT) compared 43 patients with 50 symptomatic keloids were were randomised to two matched groups of 25 scars, receiving either flurouracil (5-FU) or current first-line treatment, triamcinolone (TAC). The surgeon administering the injectable treatments...
Botulinum Toxins in Clinical Aesthetic Practice
This comprehensive guide comes in two volumes. Volume one considers the clinical adaptations of the various toxins and how they can be used with other injectables such as dermal fillers, light and energy base devices. It explores the use of...How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements
In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...UK allergy crisis: deploy the ‘LIMED’ mnemonic
In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.
