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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...

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...

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...

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,...

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...

Durjoy – the Hong Kong story

1 August 2014 | | PMFA - General Plastic Surgery
I am appending this account to the previous article in order to illustrate how complex the reconstruction can be after an acid assault. Durjoy had acid poured into his mouth by his paternal aunt. It was a matter of inheritance....

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...

Mid-facial augmentation with malar implants

5 June 2020 | | PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
The authors guide us through facial augmentation using implants to restore volume and a youthful appearance. In today’s ‘selfie-obsessed’ culture, there is no other anatomical region which carries greater social prestige and importance, than a well-proportioned ‘youthful’ face. In particular,...