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Reconstruction of the Head and Neck - a defect-orientated approach
Head and neck reconstruction following removal of oncological disease or trauma is the most varied and challenging surgery performed in the world. Techniques range from rotational flaps to free tissue transfer and microvascular anastomosis. All are covered in this textbook....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...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 14) – Records of necessary information: Drugs Administered and the physiological response of the patient
It is the system that places the Judge as an interpreter of “truths” and sadly, susceptible to false information.How I Do It - Innovative delivery devices: Juvapen
The administration of botulinum toxin is traditionally performed using a small syringe plus needle. There are a few ways this can be performed. Either an integrated insulin syringe is used of 1ml, 0.5ml or 0.3ml which comes attached to a...How I Do It - Contouring the lower jaw (surgical)
It is essential to clearly understand the patient’s needs so I usually see patients three to four times prior to operating if major changes to appearance are planned. You must also be able to manage expectations and postoperative outcomes; for...How I Do It - Lip augmentation: lip tenting technique
Lips are one of the main features that can make a face attractive; non-surgical augmentation using injectable fillers has been in demand for several decades and is becoming more popular every year. On the other hand, ill-shaped or over filled...How I Do It - The non-surgical rhinoplasty
Non-surgical rhinoplasty, also known as a ‘liquid nose job’ or ‘filler rhinoplasty’, is a minimally invasive cosmetic procedure that reshapes the nose using dermal fillers instead of traditional surgical techniques. It offers advantages such as minimal downtime and no incisions,...‘Split’ earlobe repair
Surgical repair of the earlobe is an increasingly sought-after procedure for patients of all ages. The most common reason for those wanting definitive surgical repair of their earlobe deformity is due to a ‘split’ or elongated earlobe piercing. The resultant...In Conversation with Dr Tristan Mehta
We were pleased to have the opportunity to speak to Dr Tristan Mehta, Founder and CEO of Harley Academy, a leading postgraduate training provider of higher education in aesthetic medicine within the UK. Dr Tristan Mehta. What led you to...Lip lift with bull-horn flap for lip and nasal reconstruction
This 54-year-old female patient had a basal cell carcinoma (BCC) excised from the junction of her right upper lip and nasal sill, with the BCC extending onto the lower rim of her right nasal alar (Figure 1). The patient wanted...How I Do It - Buried integra in the management of temporal cavernous haemangioma
Cavernous haemangiomas are rare, often distressing, and visually conspicuous vascular abnormalities caused by a mass of aberrant tangles of thin walled, easily distended blood vessels. Fourteen percent will present in the head and neck regions and are histologically characterised by...
