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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 7) – South Korea
South Korea is a truly amazing country and has, over the last thirty years, transformed into one of the most dynamic and innovative economies in the world.Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk
Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!Medicinal leech therapy in plastic surgery
The medicinal leech (Hirudo medicinalis) has played a role in treating illness for over 3500 years [1]. It has survived rapid paradigm shifts in medical sciences and knowledge. In Ancient Rome, the use of leeches for bloodletting was propagated by...Auricular reconstruction: star-pattern reconstruction
We describe our approach to straightforward reconstruction of the peripheral auricle using the established star-pattern design. Skin malignancies developing on the auricle continue to be regarded as high-risk lesions due to their propensity to recur and for lymphatic spread. Greater...
Treatment of established facial palsy with botulinum toxin followed by half mirror exercises
Seventeen patients with unilateral facial palsy for more than a year were treated with botulinum toxin injections to relieve symptoms of facial synkinesis or hyperkinetic movements. Three injections were given at six to eight month intervals, followed by daily half...
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,...How I Do It - NSR with dermal fillers
Year on year non-surgical rhinoplasty (NSR) has become increasingly popular and after first learning the technique with a needle, I was taught the cannula technique. Currently, I practise both techniques regularly and often use threads on bulky noses. Indications The...How I Do It - Performing a mastopexy or reduction using Breform™ mesh
Gravity defying breast surgery – the Holy Grail for breast surgeons. Repeat ptosis and pseudoptosis are significant problems facing patients and surgeons after breast reduction and mastopexy. Further surgery to correct this can be challenging, with increased complications, and the...
Changing trends in the management of osteoradionecrosis (ORN)
In the wake of new drugs that have been introduced for ORN like pentoxifylline, tocopherol, clodronate etc, traditional ‘conservative’ management of osteoradionecrosis (ORN) including minimal surgical debridement and hyperbaric oxygen therapy (HBOT) is under review. This study is a retrospective...
History of fat grafting
Fat grafting was first described in 1893 by Gustav Neuber, who transplanted adipose tissue from the arm to the orbit to correct depressed scars resulting from osteomyelitis. In 1895, Czerny reported excising a lipoma and grafting it into a breast...
Quality of life in patients with titanium implant retained auricular prostheses
This is a retrospective study of 10 patients with titanium implant retained auricular prostheses. Quality of life was evaluated using three questionnaires: the Glasgow Benefit Inventory (GBI), the Rosenberg Self-Esteem scale, and the standard Medical Outcome Study Short-Form 12. Peri-implant...
