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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments
Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?
Otologic concerns for cleft lip and palate
The management of patients with cleft lip and palate includes a focus on effective speech and language function. Poor eustachian tube function and middle ear dysfunction mean over 90% of children suffer from otitis media with effusion. This article provides...Sushruta and Indian rhinoplasty
Vijay Pothula explains rhinoplasty’s roots in ancient Indian Ayurvedic medicine, and how it was introduced to the Western world. In 1794 The Gentleman’s Magazine published a surgical operation which was long established in India but unknown in Europe [1]. A...How I Do It - Otoplasty: Anterior scoring technique
Standard intraoperative preparation and draping is carried out. The ear is folded back and the intended antihelix (antihelical fold) is marked (Figure 1). Tattooing of the new antihelix, using a blue needle and ink, is done. It is inserted through...Perceptions and Deceptions a personal blog by the editor 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...UKAAPS 5th Annual Meeting
UKAAPS surges on into 2020 BY PROFESSOR JAMES FRAME, THE SCHOOL OF MEDICINE, ANGLIA RUSKIN UNIVERSITY From its conception at The Reform Club, St James Place, London in 2010, UKAAPS has steadily progressed from a small cohort of NHS and...
Non invasive simple reshaping of pinnae
The authors of this paper show the results of a prospective controlled in vivo animal model study where the pinnae of 18 New Zealand white rabbits were subjected to electromechanical reshaping (EMR) and three months postoperative splinting. Six voltage and...Practising surgery in a war zone: an interview with Dr Volodymyr Melnyk
It is now nine months since the full-scale Russian invasion of Ukraine commenced in late February 2022, with Putin announcing a “special military operation” to “denazify and demilitarise” Ukraine. The rest of the world, however, saw it for what it...
Traumatic split earlobe repair using double triangular skin flaps
Split earlobes are a common secondary deformity of the ear. Numerous techniques have been described to repair a traumatic split earlobe and break the linear scar. However, most of the techniques require elevation of additional flaps from normal surrounding tissue...
