Plastic Surgery International最新文献_第8页

Open reduction internal fixation poststernotomy mediastinitis. 胸骨切开后纵隔炎切开复位内固定。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-07-17 DOI: 10.1155/2013/571685

Hani Sinno, Tassos Dionisopoulos

{"title":"Open reduction internal fixation poststernotomy mediastinitis.","authors":"Hani Sinno, Tassos Dionisopoulos","doi":"10.1155/2013/571685","DOIUrl":"https://doi.org/10.1155/2013/571685","url":null,"abstract":"Introduction. Mediastinitis has been reported to complicate 5% of sternotomy surgery. We have adopted an open reduction and rigid internal fixation (ORIF) approach during the conventional rescue surgery in the treatment of mediastinitis. Methods. A retrospective review was performed to compare the outcomes of patients that had an ORIF to correct postoperative mediastinitis following median sternotomy. These were compared with the outcome of the patients that did not undergo ORIF. Results. In the 5-year study period, we reviewed 35 mediastinitis patient charts. Postoperatively, the ORIF patient group remained in the Intensive Care Unit (ICU) and on a ventilator for a mean of 1.5 and 0.75 days, respectively. Patients treated without ORIF spent significantly more days in the ICU (mean of 7.5 days, P < 0.05) and on a ventilator (mean of 2.15 days, P = 0.1). Furthermore, it was found that none of the patients (0%) who underwent ORIF complained of any postoperative sternal instability or pain. Preoperatively, however, these rates were as high as 72%. Conclusions. In the select patient, ORIF can be a safe option in the management of mediastinitis, which we have shown to significantly decrease morbidity and mortality by providing anatomic reduction as well as physiologic stabilization. We have shown that ORIF will improve the quality of life of the patient by minimizing abnormal sternal mobility and pain and will also decrease inpatient costs by decreasing days spent in the ICU and ventilator dependence. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"571685"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/571685","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31678750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Cleft lip and palate treatment. 唇腭裂治疗。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-05-25 DOI: 10.1155/2013/372751

Nivaldo Alonso, David M Fisher, Luiz Bermudez, Renato da Silva Freitas

引用次数: 0

Surgical Treatment of 55 Patients with Pressure Ulcers at the Department of Plastic and Reconstructive Surgery Kosovo during the Period 2000-2010: A Retrospective Study. 2000-2010年科索沃整形重建外科手术治疗55例压疮患者的回顾性研究

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-02-20 DOI: 10.1155/2013/129692

Shkelzen B Duci, Hysni M Arifi, Mimoza E Selmani, Agon Y Mekaj, Musli M Gashi, Zejn A Buja, Vildane H Ismajli, Adem N Kllokoqi, Enver T Hoxha

{"title":"Surgical Treatment of 55 Patients with Pressure Ulcers at the Department of Plastic and Reconstructive Surgery Kosovo during the Period 2000-2010: A Retrospective Study.","authors":"Shkelzen B Duci, Hysni M Arifi, Mimoza E Selmani, Agon Y Mekaj, Musli M Gashi, Zejn A Buja, Vildane H Ismajli, Adem N Kllokoqi, Enver T Hoxha","doi":"10.1155/2013/129692","DOIUrl":"https://doi.org/10.1155/2013/129692","url":null,"abstract":"Objective. The objective of this study is to determine the incidence of PUs, the distribution of PUs, common injuries contributing to the occurrence of PUs in patients admitted to the Department of Plastic and Reconstructive Surgery Kosovo for surgical interventions of PUs, localization of PUs in body, the topical treatment of pressure ulcers before surgical intervention, the methods of surgical interventions, number of surgical interventions, duration of treatment, complications, and mortality. Materials and Methods. This study includes 55 patients with PUs treated surgically in 2000-2010 period in the Department of Plastic and Reconstructive Surgery Kosovo. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Data processing was done with the statistical package In Stat 3. From statistical parameters arithmetic median and standard deviation were calculated. Data testing is done with χ (2)-test and the difference is significant if P < 0.05. Conclusion. Despite preventive measures against PUs, the incidence of Pus remains high.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"129692"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/129692","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31319065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Implementing the brazilian database on orofacial clefts. 实施巴西面部唇腭裂数据库。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-03-12 DOI: 10.1155/2013/641570

Isabella Lopes Monlleó, Marshall Ítalo Barros Fontes, Erlane Marques Ribeiro, Josiane de Souza, Gabriela Ferraz Leal, Têmis Maria Félix, Agnes Cristina Fett-Conte, Bruna Henrique Bueno, Luis Alberto Magna, Peter Anthony Mossey, Vera Gil-da Silva-Lopes

{"title":"Implementing the brazilian database on orofacial clefts.","authors":"Isabella Lopes Monlleó, Marshall Ítalo Barros Fontes, Erlane Marques Ribeiro, Josiane de Souza, Gabriela Ferraz Leal, Têmis Maria Félix, Agnes Cristina Fett-Conte, Bruna Henrique Bueno, Luis Alberto Magna, Peter Anthony Mossey, Vera Gil-da Silva-Lopes","doi":"10.1155/2013/641570","DOIUrl":"https://doi.org/10.1155/2013/641570","url":null,"abstract":"Background. High-quality clinical and genetic descriptions are crucial to improve knowledge of orofacial clefts and support specific healthcare polices. The objective of this study is to discuss the potential and perspectives of the Brazilian Database on Orofacial Clefts. Methods. From 2008 to 2010, clinical and familial information on 370 subjects was collected by geneticists in eight different services. Data was centrally processed using an international system for case classification and coding. Results. Cleft lip with cleft palate amounted to 198 (53.5%), cleft palate to 99 (26.8%), and cleft lip to 73 (19.7%) cases. Parental consanguinity was present in 5.7% and familial history of cleft was present in 26.3% subjects. Rate of associated major plus minor defects was 48% and syndromic cases amounted to 25% of the samples. Conclusions. Overall results corroborate the literature. Adopted tools are user friendly and could be incorporated into routine patient care. The BDOC exemplifies a network for clinical and genetic research. The data may be useful to develop and improve personalized treatment, family planning, and healthcare policies. This experience should be of interest for geneticists, laboratory-based researchers, and clinicians entrusted with OC worldwide.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"641570"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/641570","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31350866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Prevalence of oral habits in children with cleft lip and palate. 唇腭裂儿童口腔习惯的患病率。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-02-27 DOI: 10.1155/2013/247908

Paula Caroline Barsi, Thaieny Ribeiro da Silva, Beatriz Costa, Gisele da Silva Dalben

{"title":"Prevalence of oral habits in children with cleft lip and palate.","authors":"Paula Caroline Barsi, Thaieny Ribeiro da Silva, Beatriz Costa, Gisele da Silva Dalben","doi":"10.1155/2013/247908","DOIUrl":"https://doi.org/10.1155/2013/247908","url":null,"abstract":"This study investigated the prevalence of oral habits in children with clefts aged three to six years, compared to a control group of children without clefts in the same age range, and compared the oral habits between children with clefts with and without palatal fistulae. The sample was composed of 110 children aged 3 to 6 years with complete unilateral cleft lip and palate and 110 children without alterations. The prevalence of oral habits and the correlation between habits and presence of fistulae (for children with clefts) were analyzed by questionnaires applied to the children caretakers. The cleft influenced the prevalence of oral habits, with lower prevalence of pacifier sucking for children with cleft lip and palate and higher prevalence for all other habits, with significant association (P < 0.05). There was no significant association between oral habits and presence of fistulae (P > 0.05). The lower prevalence of pacifier sucking and higher prevalence of other oral habits agreed with the postoperative counseling to remove the pacifier sucking habit when the child is submitted to palatoplasty, possibly representing a substitution of habits. There was no causal relationship between habits and presence of palatal fistulae.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":" ","pages":"247908"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/247908","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40228966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Investing in a surgical outcomes auditing system. 投资于手术结果审计系统。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-01-16 DOI: 10.1155/2013/671786

Luis Bermudez, Kristen Trost, Ruben Ayala

{"title":"Investing in a surgical outcomes auditing system.","authors":"Luis Bermudez, Kristen Trost, Ruben Ayala","doi":"10.1155/2013/671786","DOIUrl":"https://doi.org/10.1155/2013/671786","url":null,"abstract":"Background. Humanitarian surgical organizations consider both quantity of patients receiving care and quality of the care provided as a measure of success. However, organizational efficacy is often judged by the percent of resources spent towards direct intervention/surgery, which may discourage investment in an outcomes monitoring system. Operation Smile's established Global Standards of Care mandate minimum patient followup and quality of care. Purpose. To determine whether investment of resources in an outcomes monitoring system is necessary and effectively measures success. Methods. This paper analyzes the quantity and completeness of data collected over the past four years and compares it against changes in personnel and resources assigned to the program. Operation Smile began investing in multiple resources to obtain the missing data necessary to potentially implement a global Surgical Outcomes Auditing System. Existing personnel resources were restructured to focus on postoperative program implementation, data acquisition and compilation, and training materials used to educate local foundation and international employees. Results. An increase in the number of postoperative forms and amount of data being submitted to headquarters occurred. Conclusions. Humanitarian surgical organizations would benefit from investment in a surgical outcomes monitoring system in order to demonstrate success and to ameliorate quality of care.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"671786"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/671786","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31231462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Complements c3 and c5 individually and in combination increase early wound strength in a rat model of experimental wound healing. 补体c3和c5单独或联合使用可增加实验性伤口愈合大鼠模型的早期伤口强度。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-05-23 DOI: 10.1155/2013/243853

Hani Sinno, Meenakshi Malhotra, Justyn Lutfy, Barbara Jardin, Sebastian Winocour, Fadi Brimo, Lorne Beckman, Kevin Watters, Anie Philip, Bruce Williams, Satya Prakash

{"title":"Complements c3 and c5 individually and in combination increase early wound strength in a rat model of experimental wound healing.","authors":"Hani Sinno, Meenakshi Malhotra, Justyn Lutfy, Barbara Jardin, Sebastian Winocour, Fadi Brimo, Lorne Beckman, Kevin Watters, Anie Philip, Bruce Williams, Satya Prakash","doi":"10.1155/2013/243853","DOIUrl":"https://doi.org/10.1155/2013/243853","url":null,"abstract":"Background. Complements C3 and C5 have independently been shown to augment and increase wound healing and strength. Our goal was to investigate the combinatorial effect of complements C3 and C5 on wound healing. Methods. Each rat served as its own control where topical collagen was applied to one incision and 100 nM of C3 and C5 in collagen vehicle was applied to the other incision (n = 6). To compare between systemic effects, a sham group of rats (n = 6) was treated with collagen alone on one wound and saline on the other. At day 3, the tissue was examined for maximal breaking strength (MBS) and sectioned for histological examination. Results. There was a statistically significant 88% increase in MBS with the topical application of C3C5 when compared to sham wounds (n < 0.05). This was correlated with increased fibroblast and collagen deposition in the treated wounds. Furthermore, there appeared to be an additive hemostatic effect with the C3C5 combination. Conclusions. The combination of complements C3 and C5 as a topical application drug to skin wounds significantly increased wound healing maximum breaking strength as early as 3 days.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"243853"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/243853","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31599192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Sensory recovery outcome after digital nerve repair in relation to different reconstructive techniques: meta-analysis and systematic review. 不同重建技术对指神经修复后感觉恢复效果的影响:meta分析和系统评价。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-07-30 DOI: 10.1155/2013/704589

Felix J Paprottka, Petra Wolf, Yves Harder, Yasmin Kern, Philipp M Paprottka, Hans-Günther Machens, Jörn A Lohmeyer

{"title":"Sensory recovery outcome after digital nerve repair in relation to different reconstructive techniques: meta-analysis and systematic review.","authors":"Felix J Paprottka, Petra Wolf, Yves Harder, Yasmin Kern, Philipp M Paprottka, Hans-Günther Machens, Jörn A Lohmeyer","doi":"10.1155/2013/704589","DOIUrl":"https://doi.org/10.1155/2013/704589","url":null,"abstract":"Good clinical outcome after digital nerve repair is highly relevant for proper hand function and has a significant socioeconomic impact. However, level of evidence for competing surgical techniques is low. The aim is to summarize and compare the outcomes of digital nerve repair with different methods (end-to-end and end-to-side coaptations, nerve grafts, artificial conduit-, vein-, muscle, and muscle-in-vein reconstructions, and replantations) to provide an aid for choosing an individual technique of nerve reconstruction and to create reference values of standard repair for nonrandomized clinical studies. 87 publications including 2,997 nerve repairs were suitable for a precise evaluation. For digital nerve repairs there was practically no particular technique superior to another. Only end-to-side coaptation had an inferior two-point discrimination in comparison to end-to-end coaptation or nerve grafting. Furthermore, this meta-analysis showed that youth was associated with an improved sensory recovery outcome in patients who underwent digital replantation. For end-to-end coaptations, recent publications had significantly better sensory recovery outcomes than older ones. Given minor differences in outcome, the main criteria in choosing an adequate surgical technique should be gap length and donor site morbidity caused by graft material harvesting. Our clinical experience was used to provide a decision tree for digital nerve repair. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"704589"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/704589","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 78

Sensory recovery with innervated and noninnervated flaps after total lower lip reconstruction: a comparative study. 全下唇重建后神经支配皮瓣与非神经支配皮瓣感觉恢复的比较研究。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-12-05 DOI: 10.1155/2013/643061

Meltem Ayhan Oral, Kamuran Zeynep Sevim, Metin Görgü, Hasan Yücel Öztan

{"title":"Sensory recovery with innervated and noninnervated flaps after total lower lip reconstruction: a comparative study.","authors":"Meltem Ayhan Oral, Kamuran Zeynep Sevim, Metin Görgü, Hasan Yücel Öztan","doi":"10.1155/2013/643061","DOIUrl":"10.1155/2013/643061","url":null,"abstract":"This study compares sensory recovery after total lower lip reconstruction in a wide variety of flaps including bilateral depressor anguli oris flap, submental island flap, bilateral fan flaps, radial forearm flap, and pectoralis major myocutaneous flaps in a large number of patients. Spontaneous return of flap sensation was documented by clinical testing in the majority (3%) of patients who underwent total lower lip reconstruction. Sensory recovery occurred more often in patients with fasciocutaneous free flaps than in those with musculocutaneous flaps. Flap sensation to touch, two-point discrimination, and temperature perception was correlated with age, smoking, and radiation treated patients. We conclude that reasonable sensory recovery may be expected in noninnervated flaps, provided that the major regional sensorial nerve has not been sacrificed, and also provided that the patients age is relatively young and that enough surface contact area of the recipient bed is present without marked scarring. This trial was regestered with Chinese Clinical Trial Registry (Chi CTR) with ChiCTR-ONC-13003656. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"643061"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/643061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31992432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Philtral columns and nostril shapes in nigerian children: a morphometric and aesthetic analysis. 尼日利亚儿童的中耳柱和鼻孔形状:形态计量学和美学分析。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-06-11 DOI: 10.1155/2013/382754

Ibrahim Abdulrasheed, Asuku Malachy Eneye

{"title":"Philtral columns and nostril shapes in nigerian children: a morphometric and aesthetic analysis.","authors":"Ibrahim Abdulrasheed, Asuku Malachy Eneye","doi":"10.1155/2013/382754","DOIUrl":"https://doi.org/10.1155/2013/382754","url":null,"abstract":"Background. The upper lip-nose complex contributes significantly to the concept of symmetry and proportion of the face. A study of the morphology and aesthetic preferences of the lip-nose complex will provide a database that will serve as a guide for reconstruction. Subjects and Methods. Hundred Nigerian children participated in this study. Demographic data and standard photographs of the philtral column and nostrils were obtained. Sixty volunteers were recruited to evaluate the photographs. Each volunteer was asked to rank the photographs based on their aesthetic preference. Results. The morphology of the philtral columns was classified into four groups: (1) triangular, (2) concave, (3) flat, and (4) parallel. The nostril shape was also classified into four groups: (1) triangular, (2) round, (3) teardrop, and (4) rectangular. In both genders, the triangular shape of philtral column was the most common. There are significant age differences in the aesthetic rankings of philtral columns and nostril shapes. Conclusion. Our study establishes the basal values for the morphometric and aesthetic parameters of the lip-nose complex of 5- and 6-year-old children in Nigeria. We hope our results and reconstructive surgery will intersect at a point to treat disfigurements of the philtrum and nostrils successfully. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"382754"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/382754","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31569504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14