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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...

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,...

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...

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.

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...

Face to Face – facial reconstructive surgery mission in Ukraine

Photo featuring Ivanna Nebor, MD, Vitaliy Panchenko, MD, Manoj Abraham, MD, John Frodel, MD, Augustine Moscatello, MD, Gregoriy Mashkevich, MD, Bruce Moskowitz, MD, Ryan Winters, MD, Boris Chernobilski, MD, Mykola Syniuk, MD, Serhiy Spivak, MD. In April 2023, a group...

Maxillo-facial and neck surgery in Iraq and Afghanistan

Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the past...

Plastic surgery trainees’ exposure to cosmetic surgery during training

Cosmetic surgery is an essential component of plastic surgery training and is required in order to CCT. However, the training opportunities in UK are limited. The current operative requirements for plastic surgery trainees are 100 procedures during specialist training, either...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 24) - Prescribing Habits

How do doctors learn to prescribe/use drugs in a safe and effective manner? This is no simple question and when the issue of a prescribing habit being regarded as lethal it becomes highly relevant.