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First signs of late nodal metastases

This is a retrospective review of 65 patients who had late metastases during follow-up after initial curative treatment. They analyse the detection methods of palpation, ultrasound, CT and subjective symptoms. Palpation detected the nodes in 31 patients, ultrasound in 17,...

Role of copper ions in drinking water in the pathogenesis of oral submucous fibrosis: the missing link in the aetiopathology?

Often a breakthrough link in the understanding of the aetiopathogenesis of a hitherto common pathology that has been evading the medical community may not come from the hi-tech labs of the developed world but from the intelligent investigations from a...

Complications of plates in fibula free flaps

Good functional reconstruction of the mandible remains challenging for the maxillofacial surgeon. The fibula osteocutaneous flap is widely used as a method of mandibular reconstruction and it can withstand multiple osteotomies and a thus requires hardware to adapt and hold...

Occlusal splint, injections or arthrocentesis in myofascial pain

Facial pain is a fairly common complaint and may present in a myriad of symptoms. These patients present to both dentists and general practitioners and could end up referred to a number of specialists. Temporomandibular disorders (TMD) may originate from...

Botulinum toxin and dermal filler treatment for facial deformity: an analysis of patient satisfaction

Dermal fillers and botulinum toxin are being increasingly used to treat facial deformities but are patients satisfied with the results? Facial deformity can result in low confidence and self-esteem amongst patients due to cosmetic and functional difficulties [1]. There is...

Looking unusual: what it’s like and how skin camouflage can help

Appearance matters, nowadays more than ever. We live in a global culture where a smooth, blemish-free and consistent complexion, symmetrical features and perfect teeth are highly prized and believed to be the passport to happiness and success. If you are...

Facial asymmetry in patients with deviated noses

Rhinoplasty of a deviated nose is known to be a challenge of its own kind, especially when patients presenting with a deviated nose are unaware of their underlying facial asymmetry. Patients with a successfully straightened nose, continue to perceive their...

Real-world use of telemedicine – a picture is worth a thousand words

Recent advances in mobile phone camera technology and app software design have allowed photos of patients and their wounds to be sent from any smartphone to a secure NHS database, which can then be accessed by the relevant clinician with...

How I Do It - Body contouring: a combined, non-invasive protocol

Non-invasive body contouring has become one of the fastest-growing areas of aesthetic medicine today. There are many approaches to reducing body fat tissue and improving skin laxity, such as cryolipolysis, high-intensity focused ultrasound, radiofrequency, and a variety of laser therapies....

Dubai Derma 2025: The Premier Dermatology & Aesthetic Event Returns to Dubai

The highly anticipated Dubai Derma 2025 is set to take place at the Dubai World Trade Centre from 14 – 16 April, 2025 bringing together the world's leading dermatologists, skincare professionals, industry experts, and top-tier brands.

Body dysmorphia disorder in the cosmetic clinic: a novel encrypted screening approach

In the following article and case study, the condition of body dysmorphia disorder (BDD) is examined in the context of its pathogenesis and the role of the cosmetic practitioner. BDD is a problem that affects patients on a deeply personal...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)

I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.