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Exploration of more effective neurorrhaphy in facial nerve reconstruction

This study was laboratory based and focused on different types of end-to-side neurorraphy, and their effects on treating partial facial paralysis. The ultimate aim of this study was to determine which end-to-side neurorraphy produced the greatest axonal growth across the...

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...

Why I don’t trust the BMA – and why it matters – 24 January 2017

Editors Note: This is a guest blog from Ankush Dhariwal. It is a personal opinion and posting it on the PMFA News website is not an endorsement of the opinions. However, for those working in the NHS, and in the...

Who is Qualified The debate continues

At the beginning of November the Hong Kong Secretary for Food and Health, Dr Ko reported on the Working Group that was looking at the differentiation between Medical Procedures and Beauty Services. The group had met three times and seven...

Perceptions and deceptions: a personal blog by the editor 21 November 2016

The new international word of the year for 2016 is ‘post-truth’. The term refers to the practice of appealing to emotion and personal beliefs rather than objective and verifiable truth when attempting to influence public opinion. Apparently, the usage of...

A novel integrated practice unit (IPU) approach to periocular skin cancer management

The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...

An anecdotal and historical review of the median forehead flap

The specialty of plastic surgery has roots stretching back centuries. Here HS Adenwalla, renowned cleft surgeon, provides a fascinating account of the development of the median forehead flap. In the early 1970s a young boy of 16-years-old was brought to...

OPINION - Bridging the surgical and non-surgical: balancing dual careers of non-surgical aesthetics with oral & maxillofacial surgery specialist training

- OPINION - Oral & maxillofacial (OMF) surgery (OMFS) is a unique specialty requiring dual qualification in both medicine and dentistry and the scope of practice of an OMF surgeon in the UK is vast [1]. My early exposure to...

The New Doctors Contract NHS England – a brief summary

This is intended to provide a quick summary of recent events, an outline of the current problems, including the contract, and whistle-blowing, and what we can do to address them. BackgroundIn November 2015, after a new contract was proposed, 98%...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 20) - Culpability: The judge opines

The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.

How I Do It - Otoplasty

Otoplasty techniques to correct ear prominence can be broadly divided in two categories. Suturing techniques and scoring or weakening techniques. Suturing is the approach we prefer, due to more predictable results and less occurrence of non-correctable complications. Suturing techniques involve...

Debate: cannulas vs. needles - Cannulas

The question whether a cannula or a needle should be chosen for filler injections does not have a straightforward answer. Injection techniques, as well as filler material, cannulas, needles, injection systems, etc. have to be used in a patient specific...