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Temporary tracheostomies are not always necessary for head and neck free flap reconstruction

Complex head and neck cancer cases with reconstruction can be challenging due to the risk of loss of airway. Temporary tracheostomies are often used to protect the airway following complex oral and maxillofacial ablative surgery and reconstruction. However, while this...

Training in Facial Plastic Surgery in the UK

Following the Keogh report earlier this year into the quality of cosmetic surgery in the UK, surgical training into cosmetic surgery is high on the agenda. A Cosmetic Surgery Interspecialty Committee at the Royal College of Surgeons will be discussing...

New game, new playing field: plastic surgery interviews in COVID-19

COVID-19 has drastically altered social norms. Anyone who dares to shake your hand, step within a two metre radius, or not wear their face mask is awarded disapproving looks. These public health precautions are now impacting plastic surgery residency recruitment,...

Staying in touch

Although I am retired, I still receive the British Medical Journal every week and feel slightly guilty if I do not at least tear off the plastic cover before I throw it into the recycle bin... By taking off the...

Psychosocial dysfunction during nasal reconstruction

Reconstructive surgery following skin cancer malignancy creates important levels of psychosocial distress, especially if it is located in an important aesthetic zone of the face like the nose. The authors present their findings of a prospective study group of patients...

Gross negligence manslaughter in healthcare: The medico-legal dilemma

Three years ago, I concluded a multi-part blog series looking at a case of gross negligence manslaughter in Hong Kong. The specific case related to a doctor who had operated on a patient who tragically died some 40 minutes after...

How I Do It - Vaginal rejuvenation - CO2 laser therapy

Women with menopausal symptoms, as well as postnatally, are looking for additional methods as alternatives to traditional hormone replacement therapy (HRT), local oestrogens or topical creams and lubricants, since only 34% comply with their prescribed therapy. Women report an impairment...

Obituary: Michael Felix Freshwater, MD 1948-2016

Revelation By Robert Frost (my favourite American Poet) WE make ourselves a place apartBehind light words that tease and flout,But oh, the agitated heartTill someone find us really out. ‘Tis pity if the case require(Or so we say) that in...

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

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...

Aesthetic and Reconstructive Breast Surgery: solving complications and avoiding unfavourable results

At just over 200 pages this American textbook features chapters covering aspects of aesthetic breast surgery including developmental asymmetry, mastopexy, gynaecomastia and breast reduction although a chapter on breast augmentation is conspicuous by its absence.The bulk of the text is...

Essentials of Plastic Surgery, Second Edition

One of a few ‘concise’ plastic surgery texts, this recently revised second edition includes over 1300 pages of well written, illustrated and referenced text in 102 core chapters including 13 new chapters covering such topics as perforator flaps, facial and...

Plastic Surgery Volume 5: Breast

This volume covers all aspects of breast surgery from anatomy to aesthetic surgery and then breast reconstruction for oncological and developmental aetiologies. In particular, several well-written chapters discuss the complications of breast surgery and their management with special consideration of...