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Rediscovering the Lost Art of Endonasal Rhinoplasty

The invention of modern rhinoplasty by Joseph transformed our understanding of nasal anatomy and surgery. His endonasal technique soon spread from Europe to the USA and dominated the surgical culture of the 20th century. The excessive removal nasal support structures...

Mandibular asymmetry: Importance of personalised treatment

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. Human facial symmetry is a key determinant for assessing facial attractiveness, and...

Cleft lip and palate care in low resource countries

The author explains why the traditional ‘humanitarian mission’ style of charity work needs to change and how the charity CLEFT is making an impact. It is estimated that between 150,000 and 250,000 babies are born each year worldwide with clefts...

Exosomes: everything you always wanted to know and questions to ask your exosome provider

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. What are exosomes? Exosomes are just one subset of extracellular vesicles (EVs),...

Perceptions and deceptions: a personal blog by the editor 4 July 2016

I would like to take this opportunity to share a blog with Chris Day and the other junior doctors to talk about ‘whistle blowing’ and what it means. Typically, it refers to people who “speak out of turn”, “wash the...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 6) - Cosmetic surgery in Hong Kong

There is no formally recognised specialty of Cosmetic Surgery (and / or Medicine) in Hong Kong. Unsurprisingly, there are no formal training programs in cosmetic surgery or aesthetic medicine.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 25)

Time out I am taking a time out because I want to go back to 2014. At that time there were no mandatory guidelines regarding the administration of procedural sedation in cosmetic practice in Hong Kong. Because of the call...

How I Do It - Reduction ­thyroplasty

Introduction Male to female transgender patients often undergo reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’, is one of...

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

Lipoedema awareness – the current state of play

Why do we need awareness? Around 40% of women in the UK are overweight or obese. Yet, within that 40% statistic, is a sub-set of women for whom that is not the full story. They suffer from a condition called...

Letter from Hong Kong (1 June 2020)

It will be essential for there to be a full and impartial review of the response of each and every country to the global pandemic. That is the nature of science, accountability and responsibility.

How I Do It - Patient selection in aesthetic surgery

What this article is about I will discuss areas that I consider to be important aspects of the patient consultation with particular regard to how to: ask the right questions, examine the patient, discuss the limitations of surgery, explain the...