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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

The confidence killer: 97% of young adults believe they would be more confident if it weren’t for their skin condition

New research by Typharm, an innovative UK life sciences company producing a range of prescription-only skin therapies including evidence-backed medicated...

Botulinum toxin (BoNT) for depression: A review of the mechanism of action and its potential place as an adjuvant treatment

BoNT is becoming a recognised efficient treatment for depression, endorsed by several disciplines including psychiatry. Clare Amrani examines the potential mechanism of action and explores the appropriate place of BoNT in the therapeutic armamentarium for depression. How did BoNT become...

Temporomandibular disorders – a surgeon’s view

The temporomandibular joint is unique, in that it has a fibrocartilaginous intra-articular disc and has a ginglyomo-arthrodial action. The disc is designed to allow for the gliding movement down the posterior slope of the articular eminence with little, if any,...

How I Do It - Vaginal rejuvenation - Er:YAG laser therapy

I began doing research in 2010 on vaginal laser tissue induction to achieve vaginal tightening and sexual enhancement. I started noticing an improvement of continence in patients who were leaking. I was very excited about the results and more than...

NHS must accept its responsibility for facial palsy patients

Patients with facial palsy report huge social and psychological impacts of living with the condition which is poorly understood by many health professionals. This is compounded by the struggle to get an appropriate specialist referral when recovery from facial palsy...

Management of masseter hypertrophy and bruxism with Botulinum Toxin A

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. The squaring of the lower third of the face can be an...

Facial nerve palsy and Facial Palsy UK

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...

The role of maxillomandibular advancement surgery in obstructive sleep apnoea

Facial surgery for the correction of acquired or developmental skeletal and occlusal abnormalities has been practised within the scope of oral and maxillofacial surgery (OMFS) for several decades. OMFS surgeons have an understanding of the influence of skeletal movements on...

Hydroquinone-induced hyperpigmentation: a case of exogenous ochronosis in a Hispanic patient

Achieving flawless skin as part of the desire to be perceived as ‘beautiful’ is a common sentiment shared by many cultures [1]. Of the many treatment options and products available on the market, the most common chemical agent to achieve...

Letter from Hong Kong (3 November 2020)

It is seven months since I wrote the first ‘Letter from Hong Kong’. The message then was simple: “Fear is okay, panic is not and wear masks”. It is one month since I wrote the last letter and that message? “Life goes on and will go on no matter what.”

Prednisolone and/or acyclovir for Bell’s palsy

Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long‑term effects on a patient’s appearance. What is the best medical treatment for this condition? Stuart Burrows provides his appraisal of this landmark paper from the New...