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Perceptions and Deceptions a personal blog by the editor 15 Apr 2016

15 April 2016 |
This is a personal blog. The theme is ‘perceptions and deceptions’ related to professional practice. There is a lifetime of blogging in this theme, but let me move on. Consider that fabulous bit of TV drama where HBO were setting...

How I Do It - Congenital midline cervical cleft excision and reconstruction

29 June 2023 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...

Durjoy – the Hong Kong story

1 August 2014 | | PMFA - General Plastic Surgery
I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....

Perceptions and deceptions: a personal blog by the editor 21 November 2016

21 November 2016 |
The new international word of the year for 2016 is ‘post-truth’. The term refers to the practice of appealing to emotion and personal beliefs rather than objective and verifiable truth when attempting to influence public opinion. Apparently, the usage of...

From volunteer to Global CEO, Michelle White steps into Mercy Ships leadership

20 October 2025 | international, charity
Award-winning Consultant Anaesthetist at Great Ormond Street Hospital in London, Dr Michelle White MB ChB, PhD, DCH, FRCA, has been appointed as Mercy Ships’ new Global Chief Executive Officer (CEO). Mercy Ships UK is delighted to announce the news as...

Reconstruction of complex wounds in the trunk and pelvis (part 2)

9 October 2017 | | PMFA - General Plastic Surgery
In this second part of this two-part article we begin by looking at component separation which is a technique of reconfiguring anatomical layers to allow intrinsic reconstruction of the integrity of the anterior abdominal wall. We then move into the...

A review of reconstruction of the burned ear

5 June 2017 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
The exposed location of the ear, combined with its thin skin and subcutaneous tissue makes it prone to full thickness burn injuries. As a result, deformity and disfigurement of the ear is a common sequelae of burns. This is a...

We need to talk about amputation – a difficult conversation in the developing world

21 July 2020 | | PMFA - General Plastic Surgery
What do you do when a patient refuses amputation? The author shares various cases and outlines her team’s approach to this scenario in Gaza. What to do when a patient refuses amputation for a severely damaged lower limb that will...

Topical phenytoin effect on pressure ulcers healing: A literature review of the evidence

1 December 2018 | | PMFA - General
A pressure ulcer (PU) is a localised injury to the skin and / or underlying tissue usually over a bony prominence, because of pressure, or pressure in combination with shear (EPUAP/ NPUAP 2009/PPPPIA 2014). Bennett et al. [1] claimed total...

Facing suffocation: young woman saved from critical neck growth that could have caused death

8 September 2025 | charity, Volunteering, surgical, Mercy Ships, Africa
A young woman whose sore throat became a life-threatening growth in her neck, leaving her struggling to breathe and facing suffocation, has had it removed for free by surgical volunteers from international charity Mercy Ships. “When we first met her,...

How I Do It - The original Blue Peel

1 August 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
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...

An open letter to young plastic surgeons (from an old UK plastic surgeon)

1 October 2015 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery
You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...