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The safety of performing elective dermatological procedures under local anaesthetic during the COVID-19 pandemic
During the first wave of the COVID-19 pandemic, guidance advised postponement of elective procedures except for time-critical local anaesthetic (LA) procedures [1-3]; our NHS Trust therefore continued with LA skin malignancy surgery. All patients having possible skin cancer lesions removed...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.
Poor glycaemic control associated with worse outcomes in primary wound closure
This study is the first to specifically investigate the effects of chronic and perioperative glycaemic control in high risk patients undergoing primary closure of wounds. Seventy-nine patients were included – 93% of closures were of the lower limb and only...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)
It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).Is patient masking leading to an increase in post-op infection after eyelid surgery?
Due to the COVID-19 pandemic, the use of facemasks or face coverings in the clinical setting has become necessary. It is important to recognise that facemasks can be a source of infection after eye surgery and consider ways to minimise...Enhancing safety in upper face injections: Anatomical considerations for precision and efficacy
The upper face, including forehead and temples, is often overlooked in non-surgical cosmetic procedures with dermal fillers. While horizontal forehead or glabella lines may be a common complaint amongst patients, seldom do they attend with concerns of loss of volume...
Vitamin D and thyroid eye disease
This is a retrospective review of vitamin D levels in patients with thyroid eye disease (TED). Vitamin D levels in 89 patients with Grave’s disease and TED were compared against 89 patients with Grave’s disease and no TED. They also...
Post-treatment advice following botulinum toxin injections
The author gives a detailed review of the advice that is routinely offered to patients following treatment with botulinum toxin, as well as the available evidence to substantiate current recommendations. There is a detailed description of the mechanism of action...
Skin cleansing in aesthetic practice
A thought-provoking piece in which the author draws the reader’s attention to the importance of adequate skin cleansing. Injectables products and devices are sterile and single-use, it may be assumed that the greatest risk of infection comes from poor and...
Facial nerve injuries in fixing mandibular condylar fractures
The commonest fracture of the mandible is reported in the region of the condyle. Untreated this can lead to shortening of the ramus, facial asymmetry, arthrosis of the temporomandibular joint, impaired mastication and speech. The standard treatment is open reduction...
