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Non-surgical management of actinic keratosis, Bowen’s disease and non-melanoma skin cancer
Non-melanoma skin cancers (NMSCs) are primary cutaneous neoplasms comprising mainly of basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). In 2011, 102,628 cases of NMSCs (74% BCC and 23% SCC) were recorded in England, making NMSC the most common...
Evidence based review of management for common head and neck cancers
As part of the PRS evidence based review series, this well written review summarises the up-to-date knowledge regarding the surgical and non-surgical management of the common facial skin cancers. The review is limited to BCC, SCC, MM and Merkel Cell...How I Do It - Anti-ageing focus: Combination therapy for treating the ageing neck
The neck, decolletage and hands used to be the forgotten areas but with advancements in technology and homecare we can now treat these areas with little downtime and efficacious results. Most patients who visit me for a neck consultation will...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...Hormones, ageing and skinspan
Skinspan refers to the years of life during which skin remains healthy, youthful and attractive and is influenced by genetic, metabolic and lifestyle factors. While ultraviolet (UV) exposure is a potent environmental driver of skin ageing, our hormones play a...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...
Bone thickness and split pattern in mandibular osteotomies
This paper looked at 63 sagittal split ramus osteotomy sites. The type of split was classified according to the Plooij paper and bone measurements were taken at four sites. Of these sites, the thickness of the bone in one point,...Cautions, contraindications and complications in aesthetics
All aesthetic practitioners will face complications during their career. It is therefore vital to be prepared. Dr Nestor Demosthenous provides a comprehensive guide to potential complications when treating patients with fillers. A complication during or following a treatment carried out...The future of aesthetics: Why self-regulation and ethics must lead the way
As the aesthetics industry in the UK approaches a new era of regulation, the importance of patient safety, ethical practice and continuous professional development (CPD) has never been greater. For healthcare professionals, the challenge is clear: how to stand out...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)
On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.How I Do It - The original Blue Peel
The original Blue Peel is a highly controlled, trichloroacetic acid (TCA)-based device procedure, which was created to augment the results achieved with the Obagi Nu-Derm® skin health transformation system. The peel process, including the preparation of skin, application, as well...
