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Approach to the orbital floor, which is better?

1 December 2017 | | PMFA - Maxillofacial Surgery, PMFA - Oculoplastic
During skeletal surgery sufficient exposure is key, often a direct approach through the overlying tissues is the easiest route. In the face, however, as the scar would be readily visible so approaches are designed to hide this. Surgical access to...

Postoperative antibiotics after a free flap surgery – is one dose enough?

1 August 2017 | | PMFA - Maxillofacial Surgery
Major head and neck surgery with ablation of oral cancer, neck dissection and free flap reconstruction is a well-established part of maxillofacial surgery. These patients however already have significant co-morbidities and together with a long operation, large wounds open for...

OPINION - Impact of the Paterson Inquiry on the cosmetic and aesthetics sector

2 August 2023 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
On 15 December 2022, The Department of Health and Social Care published the ‘Government response to the independent inquiry report into the issues raised by former surgeon Ian Paterson: 12-month implementation progress update’. The reference documents (which apply to England)...

Burns care in India: unique and continuing challenges

1 August 2018 | | PMFA - General Plastic Surgery
The author interviews Dr Shobha Chamania, Chief of Choithram Hospital Burn Unit, to obtain an insight into the unique challenges burns care practitioners face in India. Choithram Hospital Burn Unit is an Interburns accredited training centre located in Indore City,...

The use of neuromodulators in the management of TMJ disorders

1 April 2016 | | PMFA - Aesthetic Medicine, PMFA - Maxillofacial Surgery
The temporomandibular joint (TMJ) articulates the mandible to the base of the skull. Temporomandibular joint disorders (TMD) are a group of musculoskeletal syndromes affecting the TMJ and the supporting musculature. The muscles, bony articular surfaces and disc may all be...

Progressive peri-orbital swelling over three years: a rare complication of HA dermal filler injection treated successfully by hyaluronidase

1 June 2022 | | PMFA - Oculoplastic, PMFA - Aesthetic Medicine
The term ‘tear trough’ was first introduced by Flowers in 1969 to describe the deformity that leads to lower eyelid depression. It was proposed that the defect was due to a muscular defect between the angular head of the quadrates...

Soft tissue augmentation – a review

5 February 2020 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
The author explains how treating the face as a 3D structure is key to a good result with invasive or non-invasive procedures. History Rejuvenation of the face and trying to reverse the effects of ageing dates back centuries. Facial volume...

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

19 August 2020 | | ONLINE EXCLUSIVE ARTICLES, PMFA - General Plastic Surgery
Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

The role of the maxillo-facial surgeon in the management of skull base malignancy

1 June 2014 | | PMFA - Maxillofacial Surgery
Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 13) – Records of necessary information

1 February 2022 |
Today is the first day of the Chinese New Year. This is the year of the Tiger. I am fine, I am a Dragon. This is going to be an interesting year.

Melanoma skin cancer: how can we improve early detection in the UK?

1 April 2020 | | PMFA - Dermatology
With melanoma rates increasing globally, should there be screening of high-risk groups? Stephen Hayes takes a look at how Australia has reduced its melanoma mortality and asks whether a similar model should be adopted elsewhere. In Britain, some 16,000 new...

Xanthelasma

1 April 2014 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Although the lesion known as Xanthelasma was first described by Addison and Gall in 1851 [1] it was recorded some 300 years previously in the famous painting of the Mona Lisa by Leonardo da Vinci. In this painting, Leonardo da...