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The role of expert witnesses in miscarriages of justice
‘Expert’ witnesses sometimes make mistakes. Great weight is often placed on expert evidence. The more esoteric the area of expertise, the greater the possibility of error. It follows that expert evidence sometimes leads to miscarriages of justice. Plastic surgery is...Perceptions and deceptions: a personal blog by the editor 15 December 2016
A Death in Hong Kong: an evolving essay and insight into medicine and the law in contemporary Hong Kong (part six) I presented my ‘sanitized’ statement to the Hospital Investigation Panel. They had already interviewed Dr David Wong. I discovered...First UK doctor dies due to Covid-19
An ear, nose and throat consultant has become the first UK doctor confirmed to have died of coronavirus.
Quantity for quality
Although facial paralysis is not uncommon, the number of patients who require free muscle transfer is much smaller. Besides that, the diversity of surgical and non-surgical interventions, the multitude of methods for perioperative assessment, and outcome measurements likewise lead to...
Delayed intraoral wound healing in patients on bisphosphonates
Since Marx first described bisphosphonate related osteonecrosis of the jaw (BRONJ), the literature is now replete with cases of BRONJ. There are no internationally accepted protocols. A three month cessation of drug treatment, a ‘drug holiday’ has been advocated. The...
Reconstructing post-resective auricular defects
The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...Recurrent corneal erosions secondary to isotretinoin use
This article originally appeared in Eye News Dec/Jan 2021 Isotretinoin (13–cis-retinoic acid) is the first line treatment for moderate to severe nodulocystic or papulopustular acne [1,2]. Although it is a safe medication, it has several adverse side-effects, including ophthalmic manifestations,...
Treating laryngeal and hypopharyngeal cancers with pharyngolaryngectomy
The debate amongst head and neck surgeons, as to whether a skin flap or enteric flap offers superior outcomes in pharyngeal reconstruction, still rumbles on. The evidence pool is very shallow, even accounting for the so-called ‘landmark’ papers that swung...Letter from Hong Kong (17 December 2020)
This will be the last ‘Letter from Hong Kong’. I began back in April with a simple message, wear masks.Medico-legal forum (VASEP liposuction)
The PMFA Journal and Hamilton Fraser Cosmetic Insurance have teamed up to provide a series of articles that will give examples of claims that occur from different procedures. The case in question The patient underwent VASER to the abdomen and...The Scottish Aesthetic Conference 2023
The Scottish Aesthetic Conference, organised by Inspired Cosmetic Training, was one of the biggest medical aesthetic meetings Scotland has seen for a long time. It allowed for medical aesthetic professionals from throughout Scotland to meet face to face to update...
