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Mandibular asymmetry: Importance of personalised treatment

6 August 2024 | | PMFA - CPD, PMFA - Maxillofacial Surgery, PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Human facial symmetry is a key determinant for assessing facial attractiveness, and...

Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?

4 February 2025 | | PMFA - General Plastic Surgery
Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...

Perceptions and Deceptions a personal blog by the editor 19 May 2016

19 May 2016 |
Should we be astonished to hear that the Right Honourable Jeremy Hunt, the Health Secretary who has created the greatest manpower crisis in the NHS in the past fifty years should now say that he is not actually an academic...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

15 December 2021 |
In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 17) – A mystery

3 March 2022 |
There are things that we just do not know because it is now too late to find out: what were the oxygen saturation levels, for example? But there are other things we do not know although they are known. Where did Dr Kwan go when she left the operating room?

The American Academy of Facial Plastic and Reconstructive Surgery Appoints Virginia Facial Plastic Surgeon Stephen S Park MD As 2014-2015 President

25 September 2014
The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) is pleased to announce that Stephen S. Park, M.D., F.A.C.S. of Charlottesville, Virginia, has been elected President of the organization and will serve the 2014-2015 year term, taking office in...

Temporomandibular disorders – a surgeon’s view

1 August 2016 | | PMFA - Maxillofacial Surgery
The temporomandibular joint is unique, in that it has a fibrocartilaginous intra-articular disc and has a ginglyomo-arthrodial action. The disc is designed to allow for the gliding movement down the posterior slope of the articular eminence with little, if any,...

Further thoughts on hymenoplasty

1 February 2016 | | PMFA - General Plastic Surgery
The interesting and controversial article on hymenoplasty published in the Dec/Jan 16 issue of PMFA News is an example of what can happen when religion and culture clash with modern medicine. In my opinion, medicine and science should be pure...

How I Do It - Surgical skin cancer treatment: non-melanoma skin cancer

1 December 2015 | | PMFA - Dermatology, PMFA - General Plastic Surgery
The surgical management of skin cancer, particularly extensive lesions, may require a specialist surgeon with a reconstructive repertoire. The management of such lesions should be within the remit of a multidisciplinary team (MDT). Surgery should be carried out with good...

In conversation with Professor Goh Chee Leok

1 October 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
You are internationally recognised in the field of dermatology – can you tell us a little bit about your background? I have been interested in medicine since school days. After graduation from medical school of the National University of Singapore,...

Rejuvenation of the forehead: correction of the frontal concavity

1 June 2016 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
During the ageing process, many different anatomical changes contribute to the aged appearance of the face [1]. Focusing on the forehead, typical age-related changes are regression of the hairline, solar damage, skin laxity, dynamic wrinkles, reduction of fat and bone...