Australasian Journal of Plastic Surgery最新文献_第3页

Intraoperative computed tomography for the management of traumatic complex facial fractures: a narrative review 用于治疗创伤性复杂面部骨折的术中计算机断层扫描：叙述性综述

Australasian Journal of Plastic Surgery Pub Date : 2024-04-09 DOI: 10.34239/ajops.89117

Morgan Haines, Y. Karunaratne, Harith Alani, Quan Ngo, Varun Harish, Marc Langbart

{"title":"Intraoperative computed tomography for the management of traumatic complex facial fractures: a narrative review","authors":"Morgan Haines, Y. Karunaratne, Harith Alani, Quan Ngo, Varun Harish, Marc Langbart","doi":"10.34239/ajops.89117","DOIUrl":"https://doi.org/10.34239/ajops.89117","url":null,"abstract":"Successful facial reconstruction requires accurate restoration of the concealed three-dimensional facial skeleton. The key rationale for intraoperative computed tomography (iCT) is that it facilitates the most comprehensive assessment of fracture reduction. Real-time visual feedback is now considered an essential component in hand, spine and general orthopaedic surgery. Frequently proposed as the new gold standard of care, iCT has been widely adopted in maxillofacial surgery, especially internationally. In contrast, our Australian experience is that access to iCT and therefore uptake is relatively lacking. The craniofacial skeleton is a complex structure owing to its various convexities and concavities, sinonasal elements, biomechanical buttresses, visceral and occlusal components and neurovascular structures. Classic approaches to open reduction internal fixation aim to reduce incisions to prevent complications such as ectropion, salivary leak or nerve damage. However, intraoperative assessment of fractures in minimally-invasive techniques are hindered by the limited extent of exposure, especially in the setting of complex fracture patterns or those that involve dynamic or functional endpoints. With iCT, surgeons may visualise, adjust and revise fixation without wide exposure while the patient is on the operating table. This obviates an additional operation that may be required due to an unsatisfactory fixation. iCT is cost-effective and reduces radiation exposure. Challenges in integrating iCT include competing for availability with other specialties, training staff and lack of awareness about the benefits this technology offers. This narrative review discusses the role of iCT in the modern Australian operating theatre.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"15 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140725410","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

About this issue—vol 7, issue 1 关于本期--第 7 卷第 1 期

Australasian Journal of Plastic Surgery Pub Date : 2024-04-09 DOI: 10.34239/ajops.116697

引用次数: 0

40 years of Interplast Interplast 40 年

Australasian Journal of Plastic Surgery Pub Date : 2024-04-09 DOI: 10.34239/ajops.115365

K. MacGill

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Classification of postoperative complications in plastic and reconstructive surgery: a systematic review 整形外科术后并发症的分类：系统综述

Australasian Journal of Plastic Surgery Pub Date : 2024-04-09 DOI: 10.34239/ajops.87892

Shaani Singhal, V. Tobin, D. Hunter-Smith, W. Rozen

{"title":"Classification of postoperative complications in plastic and reconstructive surgery: a systematic review","authors":"Shaani Singhal, V. Tobin, D. Hunter-Smith, W. Rozen","doi":"10.34239/ajops.87892","DOIUrl":"https://doi.org/10.34239/ajops.87892","url":null,"abstract":"\"Introduction: Postoperative complications are an integral aspect of the surgical audit, being a surrogate marker of surgical quality. Despite demonstrated efficacy in most specialties, there is scarce validation of current systems in plastic and reconstructive surgery, let alone a system unique to the specialty. This review aims to establish the efficacy of current systems in plastic and reconstructive surgery and formulate a classification unique to our specialty. Methods: A PUBMED literature search was performed in January 2023 encompassing all available literature. Search terms included ‘classification’, ‘grading’, ‘postoperative complications’ and ‘adverse events’. Further additions through bibliographic linkage generated a total of 363 articles. Results: Twenty-four papers were related to PRS. Sixteen used current systems to describe postoperative complications, whereas eight papers used a system designed uniquely for PRS. The downfall of conventional systems is the simplicity of return to the operating theatre, constituting a single grade in the Clavien-Dindo Classification. Return to theatre has a broad scope for heterogeneity in plastic and reconstructive surgery, particularly in reconstructive patients. A modification of the Clavien-Dindo Classification is proposed. Conclusion: There is limited efficacy of current classification systems for postoperative complications in plastic and reconstructive surgery nor a well-validated system unique to the specialty. A modified system with a detailed emphasis on return to the theatre will be of value to plastic and reconstructive surgery and ideally correlate with important outcomes. This will be validated in a retrospective review of the complication audit from the developing institution.\"","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140724673","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

Salvage free flap reconstruction of deep sternal wound infections post coronary artery bypass: a case series 冠状动脉搭桥术后胸骨深部伤口感染的救治性游离皮瓣重建：一个病例系列

Australasian Journal of Plastic Surgery Pub Date : 2024-04-09 DOI: 10.34239/ajops.70957

Jenaleen Law, Malcolm Franke, Bishoy Soliman, Rowan Gillies

引用次数: 0

Do you need a tap on the shoulder? 需要我拍拍你的肩膀吗?

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.414

B. Archer

引用次数: 0

This ‘solution’ for cosmetic surgery rogues fails patients 这种针对整形手术骗子的“解决方案”令患者失望

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.418

N. Dean

引用次数: 0

How to do the boutonniere Elastoplast splint technique (BEST) for the management of mallet deformities 如何应用钮扣弹性塑料夹板技术(BEST)治疗槌状畸形

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.400

F. Behan

引用次数: 0

Smartphone goniometer application for reliable and convenient measurement of finger range of motion: a comparative study 智能手机测角仪应用程序可靠和方便的测量手指的运动范围:比较研究

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.335

H. Theile, Sarah Walsh, P. Scougall, D. Ryan, Shivank Chopra

{"title":"Smartphone goniometer application for reliable and convenient measurement of finger range of motion: a comparative study","authors":"H. Theile, Sarah Walsh, P. Scougall, D. Ryan, Shivank Chopra","doi":"10.34239/ajops.v5n2.335","DOIUrl":"https://doi.org/10.34239/ajops.v5n2.335","url":null,"abstract":"ObjectiveGoniometer measurements are commonly used in hand clinics to follow progress or as an outcome measure for acute and chronic conditions. The use of an Apple iPhone goniometer application (smartphone app) may provide a practical alternative for clinicians. This study sought to assess accuracy in range-of-motion measurements obtained by a smartphone app compared to a traditional universal goniometer (UG) in healthy and diseased hands.\u0000MethodsPatients with various hand disease processes were recruited through a tertiary hospital hand clinic, as well as healthy volunteers. Middle and little fingers were assessed at the metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints for flexion and extension. Measurements were taken using a UG and a smartphone app by two independent evaluators using a standardised proforma.\u0000ResultsTwenty patients were recruited (50% male, 50% female; 13 healthy volunteers and seven with hand pathology). There were no significant differences in measurements using the smartphone app. The only significant difference found using the UG was for little finger PIP joint flexion; however, the difference was only 2.5°. Comparison of the average measurements using a UG and smartphone app found significant differences for six joints, with none of these > 5° (largest 4.6°).\u0000ConclusionThe smartphone app is as reliable as traditional UG and would be a practical tool for everyday use in hand clinics. Its uptake may provide broader utility for patient self-measurement and telemedicine.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128679670","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

Cosmetic surgery—why training matters 整容手术——为什么培训很重要

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.413

M. Ashton, Mark Lee

引用次数: 0