During my hand fellowship I once asked my program director Al Hess MD why he had become a hand surgeon after completing his training in orthopaedic surgery. His answer was
PIP Implants – Removal or Exchange after Breast Augmentation
So Pandora’s box was finally opened. The eventual worldwide recall of French Polyimplant Prothese (PIP) silicone breast implants puts a final exclamation mark behind what everybody knows but hates to
Continue readingPIP Implants – Removal or Exchange after Breast Augmentation
A Cleft Pastiche
Cleft Lip and Palate – Yardsticks for Perfection
Cleft lip and palate implies an often 20+ years rehabilitation process for the affected individual starting a few days after birth. The reward of this multistage, interdisciplinary process can be
Continue readingCleft Lip and Palate – Yardsticks for Perfection
Writing for the gallery
It has been said that it is the secret dream of any surgeon to leave this world with his or her name attached to at least one instrument. This is
Fronto-orbital advancement for correction of craniosynostosis
Numerous craniofacial deformities are characterized by orbital dystopia and anterior skull base deformities. Examples are Crouzon’s syndrome, Apert’s syndrome, coronal and metopic craniosynostosis. Two concepts developed by Paul Tessier (the
Continue readingFronto-orbital advancement for correction of craniosynostosis
Aesthetic Craniomaxillofacial Surgery of the Midface
The techniques of skeletal surgery of the midface were originally developed to treat problems related to congenital and posttraumatic deformities affecting the occlusion. Occlusion – the way the upper and
Continue readingAesthetic Craniomaxillofacial Surgery of the Midface
Specialist Treatment of Burn Injuries
The special expertise and training necessary to treat burn injuries is not widely available. Completion of a one year fellowship training in this area, as the lead surgeon of Trinidad
Electrical Injuries – The “Great Masquerader” in Burn Surgery
Electrical injuries comprise only a small fraction of burn injuries admitted to specialized centers. High voltage injuries may not be survivable. The flow of current through the body interferes with
Continue readingElectrical Injuries – The “Great Masquerader” in Burn Surgery