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Perceptions and Deceptions: a personal blog by the editor 26 September 2016

As I write this blog the noble few, the bold and brave few, are in the High Court in London presenting arguments to Judge. There is strong legal evidence to support a finding that the Right Honourable Jeremy Hunt has...

Dental implant rehabilitation in fibula free flaps

The fibula free flap was first described in 1975 and since then has gone on to become the gold standard technique for reconstruction of longer spans in the mandible or maxilla. It is a reliable flap that affords good quality...

A suggested management pathway for rhinophyma and benign superficial skin lesions that includes the use of plasma

Rhinophyma is an aesthetic embarrassment to many people. It is the result of sebaceous gland hyperplasia within the skin over the alar cartilages of the nose. It has a familial tendency and in addition to being unsightly it can commonly...

Multidisciplinary approach to breast cancer conservation – therapeutic mammoplasty

Edinburgh-based plastic surgeon Ewa Majdak-Paredes provides us with a comprehensive review of therapeutic mammoplasty, a multidisciplinary approach to breast-conserving surgery with an emphasis on oncological safety and good aesthetic outcomes. Breast cancer Each year over 55,000 women in the UK...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23b) – Timelines

Timelines are very important but how reliable are they? Of course, it depends on the source(s) of the data on which they are based.

How I Do It - Congenital midline cervical cleft excision and reconstruction

Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...

Perceptions and deceptions a personal blog by the editor 27 June 2016

I left the last blog with the statement that Zoey had been unlawfully killed. That is a pretty bold statement to make when the legal verdict is death by misadventure. But that was not a verdict based on validated evidence....

Measures against female hair loss

The author presents a detailed, well-structured review about female hair transplant surgery. Female hair pattern loss usually differs from male hair pattern loss, resulting in regions of the scalp where hair density falls without complete alopecia. Surgery for female patients...

Oral minoxidil: innovations in hair loss

Causes With a wide range of causes, it’s often the uncertainty of why hair loss has happened which leaves people feeling that there isn’t a route out of the problem. On average we shed between 50-100 hairs a day and...

Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?

To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...

Polydioxanone thread-lifting

A poignant medical liability piece for aesthetic nurses undertaking polydioxanone (PDO) thread lifting. The author provides the clinical background, as well as the anatomical areas which may benefit from rejuvenation with PDO threads. There is some discussion surrounding comparison with...

Intravenous paracetamol in orbital surgery

This is a large prospective study of the effect of intravenous acetaminophen (paracetamol) in orbital surgery. The study included three groups of 50 patients. One group had no i.v. paracetamol, the second 1g of i.v. paracetamol within 30 minutes of...