Plastic Surgery International最新文献_第9页

The lateral port control pharyngeal flap: a thirty-year evolution and followup. 侧口控制咽瓣:30年的发展和随访。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-01-13 DOI: 10.1155/2013/237308

Sean Boutros, Court Cutting

{"title":"The lateral port control pharyngeal flap: a thirty-year evolution and followup.","authors":"Sean Boutros, Court Cutting","doi":"10.1155/2013/237308","DOIUrl":"https://doi.org/10.1155/2013/237308","url":null,"abstract":"In 1971, Micheal Hogan introduced the Lateral Port Control Pharyngeal Flap (LPCPF) which obtained good results with elimination of VPI. However, there was a high incidence of hyponasality and OSA. We hypothesized that preoperative assessment with videofluoroscopy and nasal endoscopy would enable modification and customization of the LPCPF and result in improvement in the result in both hyponasality and obstructive apnea while still maintaining results in VPI. Thirty consecutive patients underwent customized LPCPF. All patients had preoperative diagnosis of VPI resulting from cleft palate. Patient underwent either videofluoroscopy or nasal endoscopy prior to the planning of surgery. Based on preoperative velar and pharyngeal movement, patients were assigned to wide, medium, or narrow port designs. Patients with significant lateral motion were given wide ports while patients with minimal movement were given narrow ports. There was a 96.66% success rate in the treatment of VPI with one patient with persistent VPI (3.33%). Six patients had mild hyponasality (20 %). Two patients had initial OSA (6.67%), one of which had OSA which lasted longer than six months (3.33%). The modifications of the original flap description have allowed for success in treatment of VPI along with an acceptably low rate of hyponasality and OSA.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"237308"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/237308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31200233","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: 12

Complements and the wound healing cascade: an updated review. 补品和伤口愈合级联:最新综述。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-07-24 DOI: 10.1155/2013/146764

Hani Sinno, Satya Prakash

引用次数: 222

Breast developmental anomalies in dormaa municipality of ghana: prevalence and impact on the life of the individual. 加纳多马拉市的乳房发育异常：发病率及对个人生活的影响。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-03-19 DOI: 10.1155/2013/140704

P Agbenorku, E Otupiri, S Fugar

{"title":"Breast developmental anomalies in dormaa municipality of ghana: prevalence and impact on the life of the individual.","authors":"P Agbenorku, E Otupiri, S Fugar","doi":"10.1155/2013/140704","DOIUrl":"10.1155/2013/140704","url":null,"abstract":"Background. Breast developmental anomalies (BDAs) are abnormalities of breast tissue that arise during breast development. Some of the anomalies can have negative impact on the person's life. This study seeks to assess the prevalence of BDA in the Dormaa Municipality in Ghana and its impact on the life of the individual. Materials and Methods. A descriptive study involving 500 female respondents aged between 11 and 25 years from selected schools in the Dormaa Municipality using self-administered questionnaires and interviews. Results. From the study, it was found that the prevalence of BDA in the municipality was 12.8%. The commonest BDA was bilateral hypoplasia which accounted for 31.3% of the BDAs found in the study. Nine (14.1%) complained of the BDA affecting their lives with most being teased in school. Twenty-two (34.4%) girls out of the 64 with BDAs had a family member with a BDA. Conclusion. BDA is a worry; therefore, comprehensive educational programs for health workers and the general public are needed to increase awareness. Also, work should be done to include education on BDA when awareness is being raised about breast cancer and on the importance of breast self-Examination (BSE).","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"140704"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3615620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31350865","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: 0

Assessing Improvement in Quality of Life and Patient Satisfaction following Body Contouring Surgery in Patients with Massive Weight Loss: A Critical Review of Outcome Measures Employed. 评估大量体重减轻患者的身体轮廓手术后生活质量和患者满意度的改善:对所采用的结果测量的重要回顾。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-07-01 DOI: 10.1155/2013/515737

Shehab Jabir

{"title":"Assessing Improvement in Quality of Life and Patient Satisfaction following Body Contouring Surgery in Patients with Massive Weight Loss: A Critical Review of Outcome Measures Employed.","authors":"Shehab Jabir","doi":"10.1155/2013/515737","DOIUrl":"10.1155/2013/515737","url":null,"abstract":"Body contouring following massive weight loss is a rapidly expanding field in plastic surgery. However, healthcare payers are reluctant to fund such procedures, viewing them as purely cosmetic. This has resulted in a flurry of studies assessing quality of life (QoL) and patient satisfaction following body contouring surgery in this cohort of patients to establish an evidence base to support the idea that body contouring is as much (or even more) a functional procedure as it is cosmetic. However, the methods employed in these studies are seldom ideal, and hence the conclusions are unreliable. The gold standard to assess QoL and patient satisfaction is to use patient specific psychometrically validated patient reported outcome (PRO) measures. Developing such measures consists of a three-step process which includes a review of the current literature, qualitative patient interviews to determine what patients consider the most important, and expert opinion. This study aims to appraise the currently available literature on assessment of QoL and patient satisfaction in body contouring surgery patients. This will hopefully provide an understanding of methodological weaknesses in current studies and inform future investigators of the design of ideal instruments for assessing QoL and patient satisfaction in body contouring patients. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"515737"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/515737","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31649640","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: 28

Burn injuries resulting from hot water bottle use: a retrospective review of cases presenting to a regional burns unit in the United kingdom. 使用热水瓶造成的烧伤:对英国地区烧伤单位的病例进行回顾性审查。

Plastic Surgery International Pub Date : 2013-01-01 Epub Date: 2013-12-22 DOI: 10.1155/2013/736368

Shehab Jabir, Quentin Frew, Naguib El-Muttardi, Peter Dziewulski

{"title":"Burn injuries resulting from hot water bottle use: a retrospective review of cases presenting to a regional burns unit in the United kingdom.","authors":"Shehab Jabir, Quentin Frew, Naguib El-Muttardi, Peter Dziewulski","doi":"10.1155/2013/736368","DOIUrl":"https://doi.org/10.1155/2013/736368","url":null,"abstract":"Introduction. Hot water bottles are commonly used to relieve pain and for warmth during the colder months of the year. However, they pose a risk of serious burn injuries. The aim of this study is to retrospectively review all burn injuries caused by hot water bottles presenting to our regional burns unit. Methods. Patients with burns injuries resulting from hot water bottle use were identified from our burns database between the periods of January 2004 and March 2013 and their cases notes reviewed retrospectively. Results. Identified cases involved 39 children (aged 17 years or younger) and 46 adults (aged 18 years or older). The majority of burns were scald injuries. The mean %TBSA was 3.07% (SD ± 3.40). Seven patients (8.24%) required debridement and skin grafting while 3 (3.60%) required debridement and application of Biobrane. One patient (1.18%) required local flap reconstruction. Spontaneous rupture accounted for 48.20% of injuries while accidental spilling and contact accounted for 33% and 18.80% of injuries, respectively. The mean time to heal was 28.87 days (SD ± 21.60). Conclusions. This study highlights the typical distribution of hot water bottle burns and the high rate of spontaneous rupture of hot water bottles, which have the potential for significant burn injuries. ","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2013 ","pages":"736368"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/736368","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32054034","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

Beyond Fifty Years of Millard's Rotation-Advancement Technique in Cleft Lip Closure: Are There Many "Millards"? 米勒德旋转推进技术在唇裂闭合中的应用:“米勒德”还有很多吗?

Plastic Surgery International Pub Date : 2012-01-01 Epub Date: 2012-12-06 DOI: 10.1155/2012/731029

Renato da Silva Freitas, Pedro Bertoco Alves, Gisele Keiko Machado Shimizu, Júlia Fortes Schuchovski, Marlon Augusto Câmara Lopes, Ivan Maluf, Antonio Jorge V Forte, Nivaldo Alonso, Joseph Shin

{"title":"Beyond Fifty Years of Millard's Rotation-Advancement Technique in Cleft Lip Closure: Are There Many \"Millards\"?","authors":"Renato da Silva Freitas, Pedro Bertoco Alves, Gisele Keiko Machado Shimizu, Júlia Fortes Schuchovski, Marlon Augusto Câmara Lopes, Ivan Maluf, Antonio Jorge V Forte, Nivaldo Alonso, Joseph Shin","doi":"10.1155/2012/731029","DOIUrl":"https://doi.org/10.1155/2012/731029","url":null,"abstract":"In 1955, Millard developed the concept of rotation-advancement flap to treat cleft lip. Almost 6 decades later, it remains the most popular technique worldwide. Since the technique evolved and Millard published many technical variations, we decided to ask 10 experienced cleft surgeons how they would mark Millard's 7 points in two unilateral cleft lip patient photos and compared the results. In both pictures, points 1 and 2 were marked identically among surgeons. Points 3 were located adjacent to each other, but not coincident, and the largest distances between points 3 were 4.95 mm and 4.03 mm on pictures 1 and 2, respectively. Similar patterns were obtained for points 4, eight of them were adjacent, and the greatest distance between the points was 4.39 mm. Points 5 had the most divergence between the points among evaluators, which were responsible for the different shapes of the C-flap. Points 6 also had dissimilar markings, and such difference accounts for varying resection areas among evaluators. The largest distances observed were 11.66 mm and 7 mm on pictures 1 and 2, respectively. In summary, much has changed since Millard's initial procedure, but his basic principles have survived the inexorable test of time, proving that his idea has found place among the greatest concepts of modern plastic surgery.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2012 ","pages":"731029"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/731029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31151124","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: 9

An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings. 全球外科斜向发展的机会:资源有限环境下的唇腭裂护理。

Plastic Surgery International Pub Date : 2012-01-01 Epub Date: 2012-12-20 DOI: 10.1155/2012/892437

Pratik B Patel, Marguerite Hoyler, Rebecca Maine, Christopher D Hughes, Lars Hagander, John G Meara

{"title":"An opportunity for diagonal development in global surgery: cleft lip and palate care in resource-limited settings.","authors":"Pratik B Patel, Marguerite Hoyler, Rebecca Maine, Christopher D Hughes, Lars Hagander, John G Meara","doi":"10.1155/2012/892437","DOIUrl":"https://doi.org/10.1155/2012/892437","url":null,"abstract":"Global cleft surgery missions have provided much-needed care to millions of poor patients worldwide. Still, surgical capacity in low- and middle-income countries is generally inadequate. Through surgical missions, global cleft care has largely ascribed to a vertical model of healthcare delivery, which is disease specific, and tends to deliver services parallel to, but not necessarily within, the local healthcare system. The vertical model has been used to address infectious diseases as well as humanitarian emergencies. By contrast, a horizontal model for healthcare delivery tends to focus on long-term investments in public health infrastructure and human capital and has less often been implemented by humanitarian groups for a variety of reasons. As surgical care is an integral component of basic healthcare, the plastic surgery community must challenge itself to address the burden of specific disease entities, such as cleft lip and palate, in a way that sustainably expands and enriches global surgical care as a whole. In this paper, we describe a diagonal care delivery model, whereby cleft missions can enrich surgical capacity through integration into sustainable, local care delivery systems. Furthermore, we examine the applications of diagonal development to cleft care specifically and global surgical care more broadly.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2012 ","pages":"892437"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/892437","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31159736","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: 86

The use of split-thickness skin grafts on diabetic foot ulcerations: a literature review. 糖尿病足溃疡的分层植皮：文献综述。

Plastic Surgery International Pub Date : 2012-01-01 Epub Date: 2012-05-14 DOI: 10.1155/2012/715273

Brant McCartan, Thanh Dinh

{"title":"The use of split-thickness skin grafts on diabetic foot ulcerations: a literature review.","authors":"Brant McCartan, Thanh Dinh","doi":"10.1155/2012/715273","DOIUrl":"10.1155/2012/715273","url":null,"abstract":"Diabetic foot ulcerations are historically difficult to treat despite advanced therapeutic modalities. There are numerous modalities described in the literature ranging from noninvasive topical wound care to more invasive surgical procedures such as primary closure, skin flaps, and skin grafting. While skin grafting provides faster time to closure with a single treatment compared to traditional topical wound treatments, the potential risks of donor site morbidity and poor wound healing unique to the diabetic state have been cited as a contraindication to its widespread use. In order to garner clarity on this issue, a literature review was undertaken on the use of split-thickness skin grafts on diabetic foot ulcers. Search of electronic databases yielded four studies that reported split-thickness skin grafts as definitive means of closure. In addition, several other studies employed split-thickness skin grafts as an adjunct to a treatment that was only partially successful or used to fill in the donor site of another plastic surgery technique. When used as the primary closure on optimized diabetic foot ulcerations, split-thickness skin grafts are 78% successful at closing 90% of the wound by eight weeks.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2012 ","pages":"715273"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3361270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30666011","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: 0

Mobilisation versus Bed Rest after Skin Grafting Pretibial Lacerations: A Meta-Analysis. 胫骨前撕裂伤植皮后的活动与卧床:一项荟萃分析。

Plastic Surgery International Pub Date : 2012-01-01 Epub Date: 2012-03-07 DOI: 10.1155/2012/207452

James Southwell-Keely, John Vandervord

{"title":"Mobilisation versus Bed Rest after Skin Grafting Pretibial Lacerations: A Meta-Analysis.","authors":"James Southwell-Keely, John Vandervord","doi":"10.1155/2012/207452","DOIUrl":"https://doi.org/10.1155/2012/207452","url":null,"abstract":"Pretibial lacerations are problematic and best managed by surgical debridement, then skin grafting. Traditional postoperative care involves bed rest to optimise graft survival. This meta-analysis assesses early mobilisation versus bed rest for skin graft healing of these wounds. Medline, Embase, Cochrane, Cinahl, and Google Scholar databases were searched. Analyses were performed on appropriate clinical trials. Four trials met with the inclusion criteria. No difference was demonstrated in split skin graft healing between patients mobilised early compared to patients admitted to hospital for postoperative bed rest at either 7 (OR 0.86 CI 0.29-2.56) or 14 days (OR 0.74 CI 0.31-1.79). There was a statistically significant delay in healing in patients treated with systemic corticosteroids (OR 8.20 CI 0.99-15.41). There was no difference in postoperative haematoma, bleeding, graft infection, or donor site healing between the comparison groups. In the available literature, there is no difference between early mobilisation and bed rest for the healing of skin grafts to pretibial wounds. Corticosteroids exert a negative effect on skin graft healing unlike early mobilisation, which does not cause increased haematoma, bleeding, infection, or delayed donor site healing. Modality of anaesthesia does not affect skin graft healing.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2012 ","pages":"207452"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/207452","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30601071","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: 12

Deliberate self-harm and the elderly: a volatile combination-an overview from the plastic surgery perspective. 故意自残与老年人:一个不稳定的组合——从整形外科的角度概述。

Plastic Surgery International Pub Date : 2012-01-01 Epub Date: 2012-06-19 DOI: 10.1155/2012/740378

J Packer, M A Hussain, S H A Shah, J R Srinivasan

{"title":"Deliberate self-harm and the elderly: a volatile combination-an overview from the plastic surgery perspective.","authors":"J Packer, M A Hussain, S H A Shah, J R Srinivasan","doi":"10.1155/2012/740378","DOIUrl":"https://doi.org/10.1155/2012/740378","url":null,"abstract":"Aims. To study the factors associated with the DSH in the elderly group of 60 years and above and to recommend changes to be implemented in order to improve the management in this specific group. Materials and Methods. Five-year retrospective study was undertaken from July 2005 to July 2010 in the Plastic Surgery Department of the Royal Preston Hospital, NHS Trust. A Performa was designed to collect data about the inpatient admission and included certain areas of key information. The case notes for all patients were extensively analysed in order to gather adequate information for the devised Performa. Results. DSH is getting more common in the elderly group, and males are more affected than females. 60% of the patients had a previous history of DSH. A large number (80%) of patients had a previous history of mental illness. 60% of those DSH patients were living with family. Almost all patients (90%) were reviewed by the Psychiatry Liaison Team. The timing of patients being assessed was highly variable. Conclusions. Marriage is not a protective factor in the prevention of the DSH in the elderly group. A mental health team referral in the early phases of the management would be of huge benefit and a likely step to prevent possible future admissions. The Department would benefit from the creation of a protocol for the management of these patients. There should be a joint effort of the professionals in the management of DSH in the elderly, and GPs play a very important role in the prevention of DSH in the later life.","PeriodicalId":20105,"journal":{"name":"Plastic Surgery International","volume":"2012 ","pages":"740378"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2012/740378","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30759744","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