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In conversation with Cameron McIntosh

We were delighted to catch up with Cameron McIntosh, ENT and Facial Plastic Surgeon and Founding President of the Society of Rhinoplasty Surgeons of South Africa (SORSSA). Can you tell us a little bit about what led you into the...

Do the benefits of scaphoidectomy and four-corner fusion for SLAC last?

The paper concisely covers the history and definition of scapholunate advanced collapse (SLAC) wrist. The treatments options are described in broad terms and referenced. Forty patients’ records are assessed retrospectively; their data having been collected prospectively in a structured and...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

The uses of BTX-A in maxillofacial surgery

Botulinum toxin type A has many uses in maxillofacial surgery. This article will cover its uses in the treatment of Frey’s syndrome, myofascial pain, masseteric muscle hypertrophy and sialorrhoea. Other uses relevant to maxillofacial practice but not covered in this...

Acid attacks: part 2

The PMFA Journal Editor Andrew Burd continues with his exploration of the optimum treatment protocol for managing the devastating injuries wrought by acid attacks (see Part 1 here). In part one of this series I outlined the evolution of my...

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

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...

EAFPS 2023: 46th Annual Meeting

Dario Bertossi presenting the conference bell to Alwyn D’Souza, starting a new tradition. Riccardo Nocini, EAFPS Fellow. The 46th annual meeting of the European Academy of Facial Plastic Surgery (EAFPS) was held at the iconic Palazzo della Gran Guardia in...

A picture is worth a thousand words… communicating with your patients more effectively

Communicating information effectively with patients is essential yet often challenging. Plastic Surgeon Gavin Miller takes us through his approach to using online resources to make the process as effective as possible. Getting ideas across to other people isn’t always easy,...

Extensive bilateral fat necrosis of the breast associated with the Covid-19 vaccination

Fat necrosis can occur at any site in the body; the majority of cases are in the breast and are idiopathic. Other aetiologies include trauma, fine needle aspiration cytology (FNAC), both cosmetic and therapeutic surgical procedures, autologous lipofilling of the...

How I Do It - Healing difficult wounds non-surgically with focused extracorporeal shockwave therapy

A pre-tibial laceration is a common and serious wound, particularly in the elderly where co-morbidity from smoking, peripheral vascular disease, diabetes, malnutrition and tissue-paper-thin skin are major influencers of outcome. Degloving injuries may be seen as preterminal events in the...

Xanthelasma

Although the lesion known as Xanthelasma was first described by Addison and Gall in 1851 [1] it was recorded some 300 years previously in the famous painting of the Mona Lisa by Leonardo da Vinci. In this painting, Leonardo da...

Filler complications: is there a way to prevent vascular compromise with 3D-anatomy?

The use of facial filler injections has increased dramatically over the last 10 years and so has the incidence of complications. The main and most serious adverse event is vascular compromise. The most feared consequences are devastating: blindness, skin necrosis...