Australasian Journal of Plastic Surgery最新文献_第10页

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.153

S. Sreedharan, Hana Menezes, H. Cleland, S. Goldie

{"title":"Petrol-related burn injuries presenting to the Victorian Adult Burns Service","authors":"S. Sreedharan, Hana Menezes, H. Cleland, S. Goldie","doi":"10.34239/ajops.v2n2.153","DOIUrl":"https://doi.org/10.34239/ajops.v2n2.153","url":null,"abstract":"Introduction: Burns fuelled by petrol are a major cause of injury in Australia and New Zealand. The same quality of explosive ignition that makes petrol so valuable as a fuel can cause injuries when handled carelessly or used for a purpose for which it was not intended. \u0000Methods: This was a retrospective cohort study that examined the epidemiology of patients admitted to the Victorian Adult Burns Service (VABS) based at the Alfred Hospital, Melbourne. Data were extracted from the VABS Database on patients presenting over a seven-year period, between 1st July 2009 to 30th June 2016. \u0000Results: During the study period, 378 out of 1927 burns (19.6%) admissions were related to petrol use. Males aged 20 – 29 years were most at risk, contributing to 25.4% of petrol related burn injuries. A large portion of burns, 31.0%, occurred during a leisure activity. The mean total body surface area burnt in this cohort was 19.3% and surgery was required in 70.4% of cases. Petrol related burns injuries is estimated to cost AU$ 5,484,834 annually and had a mortality rate of 7.4%. \u0000Conclusion: Misuse of petrol contributed to a substantial injury burden to Victorians. Raising community awareness through preventive strategies targeted at high-risk groups of at-risk behaviours is warranted to reduce the incidence of petrol related burn injuries.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"330 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128150098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Guidelines and tips for getting your abstract accepted: ASPS PSC 让你的摘要被接受的指南和技巧:asp PSC

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.169

D. Perkins

引用次数: 0

The composite extensor retinaculum cutaneous flap: an anatomical cadaveric study 复合维甲酸伸肌皮瓣:尸体解剖研究

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.101

S. Sreedharan, RJ Ross, J. Froelich, Wa Cuellar

{"title":"The composite extensor retinaculum cutaneous flap: an anatomical cadaveric study","authors":"S. Sreedharan, RJ Ross, J. Froelich, Wa Cuellar","doi":"10.34239/ajops.v2n2.101","DOIUrl":"https://doi.org/10.34239/ajops.v2n2.101","url":null,"abstract":"Background: Complex digital extensor tendon injuries are difficult to manage when adhesion formation and stiffness prevail. Vascularised tissue to reconstruct the skin and extensor defect would be the ideal reconstruction in both the acute and delayed settings. This anatomical study evaluates vascular supply to a suitable composite flap comprising skin, subcutaneous tissue and extensor retinaculum.Methods: An anatomical study of 18 cadaveric upper limbs was conducted to investigate the technical feasibility of a composite flap prior to its clinical application. The anterior (n = 9) or posterior (n = 9) interosseous artery was exposed and selectively injected with a coloured dye. Specimens were then dissected to raise the proposed composite flap of extensor retinaculum and the overlying integument. Specimens were subsequently assessed by digital subtraction angiography to evaluate the corresponding microvascular supply to the composite flap. Results: The anterior and posterior interosseous arteries supplied the extensor retinaculum through a dense network of vessels with choke anastomoses. The skin overlying the extensor retinaculum was predictably supplied by either artery through the perforator vessels between the fourth and fifth extensor tendon compartments.Conclusion: A composite unit of skin and extensor retinaculum can be harvested on either the anterior or posterior interosseous arteries. It can be employed for simultaneous vascularised tendon and skin reconstruction.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121341129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Palmaris profundus causing carpal tunnel syndrome: a rare anatomical variant 引起腕管综合征的掌深肌:一种罕见的解剖变异

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.105

T. Quinn, D. White

引用次数: 1

Epidemiological trends of dermal sarcoma in Australia 澳大利亚皮肤肉瘤的流行病学趋势

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.127

E. Gibson, R. Woods, A. Potter, J. Reid, J. Louise, G. Farshid, Taryn Bessen, S. Neuhaus

{"title":"Epidemiological trends of dermal sarcoma in Australia","authors":"E. Gibson, R. Woods, A. Potter, J. Reid, J. Louise, G. Farshid, Taryn Bessen, S. Neuhaus","doi":"10.34239/ajops.v2n2.127","DOIUrl":"https://doi.org/10.34239/ajops.v2n2.127","url":null,"abstract":"Background: Sarcomas comprise a heterogenous group of malignant tumours of mesenchymal origin and can arise in the skin. Definitive management of skin sarcoma usually entails surgical resection with wide margins, often requiring reconstruction. The incidence and demographics of these neoplasms in Australia are poorly understood. Method: Incidence, gender and age distribution data for skin sarcomas for the period 1982–2009 were obtained from the Australian Cancer Database (ACD). Morphology and topographical region coding via the International Classification of Diseases for Oncology third edition (ICD-O-3)1 were used to identify the data.Results: A total of 5453 cases of skin sarcoma in the Australian population were identified over the 28-year period. Anatomically, 1610 cases (29%) occurred on the limbs, 1416 (26%) on the head and neck area, 957 (18%) on the trunk and 1470 (27%) had an unspecified skin origin. Overall incidence was 2.09 per 100,000 population. Males were more commonly affected (70%), most commonly in the 30–49 years and 70+ years age groups. The most common pathological subtypes were fibromatous sarcoma (including dermatofibrosarcoma protuberans), Kaposi’s sarcoma and pleomorphic dermal sarcoma.Conclusion: The Australian Cancer Database data used to describe the pattern and epidemiological trends for skin sarcoma in Australia demonstrated variation from international trends and highlight the need for further research into the aetiology of these tumours.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128968330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Large-volume liposuction in acquired partial lipodystrophy 获得性部分脂肪营养不良的大容量抽脂治疗

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.14

Y. G. Karunaratne, Marc J Langbart, J. Greenfield, J. Southwell-Keely

引用次数: 0

Holier than thou: are we all biased? 比你更圣洁:我们都有偏见吗?

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.164

M. Ashton, Mark Lee

引用次数: 0

Local anaesthetic-only upper blepharoplasty: a viable alternative? 仅局部麻醉的上睑成形术:一个可行的选择?

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.150

Robert Phan, F. Lin

{"title":"Local anaesthetic-only upper blepharoplasty: a viable alternative?","authors":"Robert Phan, F. Lin","doi":"10.34239/ajops.v2n2.150","DOIUrl":"https://doi.org/10.34239/ajops.v2n2.150","url":null,"abstract":"Introduction: Local anaesthetic-only upper blepharoplasties are not routinely performed in the clinic in Australia. There is a lack of data to demonstrate whether they are any less safe or efficacious compared with upper blepharoplasties performed with sedation or general anaesthesia (GA) in theatre. Perioperative and postoperative antibiotics may also be administered for surgical site infection (SSI) prophylaxis. This paper aims to determine whether local-only upper blepharoplasties are safe and efficacious compared with upper blepharoplasties performed with sedation or GA, and whether prophylactic antibiotic use is indicated. \u0000Method: A retrospective analysis of patients undergoing upper blepharoplasties from a single surgeon’s private clinic was performed from March 2014 to October 2018. The clinic’s database was interrogated and patient age, anaesthetic type, operative site, use of peri- or postoperative antibiotics, and complications were recorded including infection, return to theatre, chemosis and asymmetry noted by the patient and requiring revision surgery. \u0000Results: A total of 97 patients were included for analysis. Complication rates of local-only upper blepharoplasties performed in the clinic were not higher than when performed under sedation or GA in theatre. When analysing antibiotic use, although 32 of the 97 patients (33%) were not prescribed antibiotics preoperatively, postoperatively, or pre- and postoperatively, no patients developed infections. \u0000Conclusion: When performed by a qualified surgeon with appropriate equipment, local-only upper blepharoplasties carried-out in the clinic are as safe and efficacious as those performed with sedation or GA in theatre. Prophylactic antibiotic use demonstrated no advantage in SSI prevention for patients undergoing upper blepharoplasties.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130073171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current evidence for outcomes of free-flap reconstruction in factor V Leiden patients 游离皮瓣重建在V型Leiden患者中的效果

Australasian Journal of Plastic Surgery Pub Date : 2019-09-28 DOI: 10.34239/ajops.v2n2.136

I. Yeap, C. Ahn, Stuart N Hoffman, R. Gillies, J. Vandervord

{"title":"Current evidence for outcomes of free-flap reconstruction in factor V Leiden patients","authors":"I. Yeap, C. Ahn, Stuart N Hoffman, R. Gillies, J. Vandervord","doi":"10.34239/ajops.v2n2.136","DOIUrl":"https://doi.org/10.34239/ajops.v2n2.136","url":null,"abstract":"Background: Factor V Leiden is the most common form of inherited thrombophilic syndrome, affecting five per cent of caucasians. While increased rates of venous thromboembolic complications have been regularly reported in factor V Leiden patients, little is known about their risk of microvascular complications or flap failure rates in free-flap surgery. The aim of this review is to qualitatively review the published literature on outcomes of free-flap surgery in patients with factor V Leiden. \u0000Methods: MEDLINE®, PubMed, EMBASE and Cochrane were searched from their dates of inception to March 2017. Nine studies of level IV evidence were included in this qualitative review. In total, these studies included 22 patients who underwent 24 free-flap operations. \u0000Results: Nine flap failures were reported due to thrombotic complications. Even heterozygous factor V Leiden patients had a relatively high risk of free-flap failure (3/15 free flaps), and patients who were heterozygous for factor V Leiden and had other coexistent thrombophilias had an even higher failure rate (5/6 free flaps). However, the small sample size across the nine studies, as well as the inevitable publication bias, means that definitive conclusions cannot be drawn. \u0000Conclusion: Despite factor V Leiden being a relatively common condition in Australia, current evidence for outcomes of free-flap reconstruction in this patient population is lacking.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130589091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Imaging and printing in plastic and reconstructive surgery part 2: emerging techniques 整形和重建手术中的成像和印刷。第2部分:新兴技术

Australasian Journal of Plastic Surgery Pub Date : 2019-03-15 DOI: 10.34239/AJOPS.V2I1.147

Michael P. Chae, D. Hunter-Smith, W. Rozen

{"title":"Imaging and printing in plastic and reconstructive surgery part 2: emerging techniques","authors":"Michael P. Chae, D. Hunter-Smith, W. Rozen","doi":"10.34239/AJOPS.V2I1.147","DOIUrl":"https://doi.org/10.34239/AJOPS.V2I1.147","url":null,"abstract":"Background: In the second of a two-part series, we evaluate emerging three-dimensional (3D) imaging and printing techniques based on computed tomography angiography (CT) and magnetic resonance angiography (MRA) for use in plastic and reconstructive surgery. \u0000Method: A review of the published English literature dating from 1950 to 2017 was taken using databases such as PubMed, MEDLINE®, Web of Science and EMBASE. \u0000Results: Image-guided navigation systems using fiducial markers have demonstrated utility in numerous surgical disciplines, including perforator-based flap surgery. However, these systems have largely been superseded by augmented reality (AR) and virtual reality (VR) technologies with superior convenience and speed. With the added benefit of tactile feedback, holograms also appear promising but have yet to be developed beyond the prototypic stage. Aided by a growing volume of digitalised clinical data, machine learning (ML) poses significant benefits for future image-based decision-making processes. \u0000Conclusion: Most studies of image-guided navigation systems, AR, VR, holograms and ML have been presented in small case series and they remain to be analysed using outcomes-based validation studies. However, together they illustrate an exciting future where clinicians will be armed with intuitive technologies for surgical planning and guidance.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117177473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0