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Which patients are more likely to have postoperative pulmonary complications after major head and neck?

1 August 2017 | | PMFA - Maxillofacial Surgery
Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...

Total lower lip reconstruction: a review

1 October 2018 | | PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Total or near total defects of the lower lip may result from trauma, cancer ablation or congenital causes. Defects usually involve the full thickness and include skin, muscle and mucosa. There are a number of techniques for the one stage...

Modified subciliary approach to the orbital floor

1 December 2018 | | PMFA - Maxillofacial Surgery, PMFA - Oculoplastic
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 17) – A mystery

3 March 2022 |
There are things that we just do not know because it is now too late to find out: what were the oxygen saturation levels, for example? But there are other things we do not know although they are known. Where did Dr Kwan go when she left the operating room?

In conversation with Derek Mendonca

3 November 2021 | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
Can you tell us a bit about your background and what made you decide on a career as a paediatric plastic surgeon? I was born and raised in Bahrain, in the Middle East. My parents, both from Managlore in India,...

An epidemic of lower limb gunshot injuries

18 June 2020 | | PMFA - General Plastic Surgery
As the COVID-19 pandemic continues to impact upon us all, the author, a reconstructive plastic surgeon, provides a thought-provoking account of a different type of epidemic that is having devastating consequences. The Oxford English Dictionary defines an epidemic as “a...

Temple restoration

1 October 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
The complex biological process of facial ageing engenders many structural changes that are influenced by the combined effects of gravity, bone resorption, soft tissue atrophy, displacement of fat and a complex synergy of textural skin changes [1]. One of the...

The Bottom Line: buttock augmentation

1 February 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
The first use of silicone implants for buttock augmentation was by Bartels et al. in 1969 [1]. We must acknowledge the innovative and imaginative brilliance of the Brazilians and the descriptive detail of other surgeons, but especially Mendietta for the...

Medical racism and the surgical ‘correction’ of the nose in Brazil

3 October 2023 | | PMFA - Facial Plastic Surgery
Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...

Focus on Plasma: The application of plasma devices in aesthetic medicine

1 June 2017 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
AESTHETIC FOCUS Plasma: An ionised gas consisting of positive ions and free electrons in proportions resulting in more or less no overall electric charge, typically at low pressures (as in the upper atmosphere and in fluorescent lamps) or at very...

Medicinal leech therapy in plastic surgery

1 August 2017 | | PMFA - General Plastic Surgery
The medicinal leech (Hirudo medicinalis) has played a role in treating illness for over 3500 years [1]. It has survived rapid paradigm shifts in medical sciences and knowledge. In Ancient Rome, the use of leeches for bloodletting was propagated by...

How I Do It - Neck rejuvenation utilising Silhouette Soft sutures

1 October 2016 | | PMFA - Aesthetic Medicine
The mainstay of neck rejuvenation has relied on conventional surgical procedures. In recent years, other non-invasive options have replaced these techniques. One of these developments is the use of suspension threads, starting around 15 years ago utilising barbed sutures, then...