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Risks of tracheostomy in head and neck cancer

19 September 2019 | | PMFA - Maxillofacial Surgery
Tracheostomy is an accepted surgical procedure that is one of the oldest ways of securing the airway. It is widely accepted to protect the airway after big cases of head and neck cancer and especially following free flap reconstruction. It...

Facial nerve palsy and Facial Palsy UK

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery
The term facial palsy is most commonly used to describe a paralytic lower motor neurone (LMN) dysfunction of the facial nerve. Upper motor neurone facial palsy, for example due to strokes and intra-cranial tumours, spares the forehead muscles and will...

Facial veins – diagnosis and treatment options

1 December 2018 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
Facial veins can be treated with a wide range of aesthetic and surgical procedures. Victoria Smith and Professor Mark Whiteley, both experts in the area, provide a comprehensive overview of diagnosis and the different treatment options available. Patients with unwanted...

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

1 October 2013 | | PMFA - Breast Surgery, PMFA - General Plastic Surgery
Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

The creation of PlayDoh® models as an educational tool for teaching anatomy of the lips and peri-oral musculature

4 February 2021 | | PMFA - Aesthetic Medicine, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
As lip procedures continue to be popular it is essential that all practitioners have a detailed knowledge of the anatomy of the area. The authors outline an innovative and engaging method of teaching. Detailed knowledge of the soft tissue anatomy...

Safety and risks of local anaesthesia and regional blocks in plastic surgery

18 February 2021 | | ONLINE EXCLUSIVE ARTICLES, PMFA - General Plastic Surgery
The current COVID-19 pandemic has introduced unprecedented risks associated with intubation and general anaesthesia with the potential transmission of a novel and potentially fatal airborne disease. Local anaesthesia, when used appropriately, can provide safe and effective analgesia without the risks...

A practical guide to the most commonly used dressings in wound care

1 October 2018 | | PMFA - CPD, PMFA - Aesthetic Medicine, PMFA - Breast Surgery, PMFA - Dentistry, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Hand & Wrist Surgery, PMFA - Imaging, PMFA - Maxillofacial Surgery, PMFA - Oculoplastic, PMFA - Rhinoplasty
The author explores and reviews the most popular classes of dressings used for acute, chronic and problem wounds, their properties and indications based on direct observation and research studies. With an ever-increasing armamentarium of wound care tools, different brands and...

Using erythema-directed digital photography in patients with rosacea

1 August 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Imaging
The authors, from the University of Catania in Italy, discuss the promise that erythema-directed digital photography is showing in the clinical evaluation and targeted treatment of rosacea. Rosacea is a common chronic inflammatory facial condition that can lead to significant...

How I Do It - Treatment of lower eyelid bulging: transconjunctival laser approach

3 August 2021 | | PMFA - Aesthetic Medicine, PMFA - Oculoplastic, PMFA - Dermatology
Ageing related weakening of the inferior orbital septum and increase of orbital fat volume is considered to result in lower lid prominence. Attenuation of the septum allows the gradual herniation of one or more of the three intraorbital fat pads....

How I Do It - Aesthetic reconstruction of the nasal radix-rhinion complex

1 February 2016 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty
The radix-rhinion complex forms one of the most important pillars of nasal aesthetics. Due to its complex anatomical nature and distance from the point of access, this region can be commonly involved in suboptimal results. Tailor-made operative planning Most of...

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

1 June 2015 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...

How I Do It - Treatment of rheumatoid arthritis in the hand: addressing the cosmetic and functional deficit using joint replacements

1 December 2016 | | PMFA - Hand & Wrist Surgery
In his work Orthopaedia Nicholas Andry was one of the first to define the ideal hand, in terms of ideal proportions and appearance [1]. Rheumatoid arthritis (RA) is a chronic, erosive inflammatory arthritis thought to affect approximately 1% of the...