Australasian Journal of Plastic Surgery最新文献_第4页

The management of hereditary melanoma, FAMMM syndrome and germline CDKN2A mutations: a narrative review 遗传性黑色素瘤，FAMMM综合征和种系CDKN2A突变的管理:叙述回顾

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.324

I. Yeap, T. Becker, Farhad Azimi, M. Kernohan

{"title":"The management of hereditary melanoma, FAMMM syndrome and germline CDKN2A mutations: a narrative review","authors":"I. Yeap, T. Becker, Farhad Azimi, M. Kernohan","doi":"10.34239/ajops.v5n2.324","DOIUrl":"https://doi.org/10.34239/ajops.v5n2.324","url":null,"abstract":"Familial atypical multiple mole melanoma (FAMMM) syndrome is a rare autosomal dominant disorder, in which patients present with a large number of melanocytic naevi and a strong history of malignant melanoma, usually at a young age. The most common genetic alteration, implicated in 40 per cent of FAMMM syndrome families, is a mutation of cyclin-dependent kinase inhibitor 2A (CDKN2A).1 CDKN2A encodes the tumour suppressor gene p16INK4a, a critical cell cycle inhibitor.2\u0000The diagnosis and management of patients with FAMMM syndrome is relevant to the plastic surgeon who manages melanoma. However, clear guidelines on its diagnostic criteria and its relationship to associated but distinct syndromes, such as hereditary melanoma and B-K mole syndrome, are lacking in the extant literature.\u0000The aim of this review is to clarify the diagnostic criteria and management principles for FAMMM syndrome. We propose a new system of classifying FAMMM syndrome patients as a subset of all patients with hereditary melanoma. We also present a management algorithm for these distinct patient groups (FAMMM syndrome, hereditary melanoma and germline CDKN2A mutations).","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"12 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":"127208093","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

modified tubed anterolateral free flap for reconstruction of total laryngopharyngectomy 改良管状前外侧自由皮瓣在喉咽全切除术重建中的应用

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.304

M. Haines, Phaethon Karagiannis, R. Haddad, J. Southwell-Keely, E. Moisidis

{"title":"modified tubed anterolateral free flap for reconstruction of total laryngopharyngectomy","authors":"M. Haines, Phaethon Karagiannis, R. Haddad, J. Southwell-Keely, E. Moisidis","doi":"10.34239/ajops.v5n2.304","DOIUrl":"https://doi.org/10.34239/ajops.v5n2.304","url":null,"abstract":"Background: A tubed anterolateral thigh (ALT) flap has become a reliable option for laryngopharyngeal defects; however, successful reconstruction remains challenging. Prevention of fistulae, resurfacing of the neck and flap monitoring are key issues that surgeons have sought to address through various flap modifications. Here we describe a chimeric design of the tubed ALT flap which tackles these and other challenges.\u0000Methods: Fourteen cases requiring ALT flaps were harvested for reconstruction of total laryngopharyngectomy defects between 2017 and 2019. Each flap was raised on at least two perforators of the descending branch of the lateral circumflex femoral artery (dbLCFA) or both the dbLCFA and transverse branch of the lateral circumflex femoral artery (tbLCFA) to create a chimeric flap. The primary cutaneous paddle was tubed to reconstruct the oesophagus, and the secondary component was inset to the neck as a skin-monitoring paddle. A strip of vascularised vastus lateralis was harvested in the primary paddle continuing with the flap and sutured along the neopharynx suture line, an additional layer preventing anastomotic leak.\u0000Results: Patients averaged 61.1 years of age. An average of 2.4 perforators were included per flap. All flaps survived. Donor sites were closed primarily in all cases. Barium swallow was performed in 71.4 per cent of cases (10/14). Fistula occurred in 7.1 per cent of patients (1/14). Patients were followed up for an average of 13 months.\u0000Conclusion: Our chimeric ALT free flap design provides a reliable pharyngeal reconstruction, and allows for flap monitoring and neck resurfacing when required, with a low rate of clinically significant leaks or fistula.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"27 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":"128316076","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

Severe abdominal fat necrosis following complications of cryolipolysis: a case report 冷冻脂肪溶解并发症后严重腹部脂肪坏死1例

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.316

A. Arasu, S. Sreedharan, T. Quinn, D. Holden, S. Salerno

引用次数: 0

Suprafascial first dorsal metatarsal artery perforator propeller flap: a case report 第一跖背动脉筋膜上穿支螺旋桨皮瓣1例

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.319

Melissa Wright, Varun Harish, Q. Ngo

引用次数: 0

Mainstream media discourse around top surgery in Aeotearoa New Zealand: a qualitative analysis 主流媒体话语围绕顶端手术在新西兰:定性分析

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.343

Rebecca Duncan, Charlie Eggleton

{"title":"Mainstream media discourse around top surgery in Aeotearoa New Zealand: a qualitative analysis","authors":"Rebecca Duncan, Charlie Eggleton","doi":"10.34239/ajops.v5n2.343","DOIUrl":"https://doi.org/10.34239/ajops.v5n2.343","url":null,"abstract":"Background: Gender-affirming breast surgery (colloquially known as ‘top surgery’) can be an important intervention for transgender individuals. Top surgery is also a key component of care for non-binary and gender non-conforming individuals. Aotearoa New Zealand secondary care physicians are not aware of all available services, and no studies have investigated public perception of availability and funding of top surgery in Aotearoa.\u0000Method: We analysed the text and comments sections of all relevant Aotearoa news articles over a five-year period using a general inductive thematic analysis approach. Articles were included if they were published between 2015 and 2020, available online, text-based (that is, articles solely in video format were not included), and contained the words ‘chest’, ‘breast’, ‘top’, 'implant', 'implants', ‘mastectomy’ or ‘boob’.\u0000Results: The analysis resulted in a model of four themes–public funding, [trans] experiences, [trans] issues amenable to intervention and [trans] issues not amenable to intervention.\u0000Conclusion: The discourse around top surgery in Aotearoa is mixed; some individuals consider top surgery to be an essential medical procedure deserving of public funding, while others describe it as a frivolous cosmetic procedure. The perspectives of transgender individuals clearly communicated a frustration around a lack of funding and transparency in the availability of top surgery in Aotearoa. We recommend the release of clear criteria from the Ministry of Health regarding public funding and availability of top surgery across Aotearoa to address this frustration.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"10 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":"123751500","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

Single-stage kite flap, tendon transfer and arthroplasty in a thumb injury: a case report 单阶段风筝皮瓣，肌腱转移和关节置换术治疗拇指损伤1例报告

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.333

D. Loi, Ella Darveniza, Frank Hsieh

引用次数: 0

impact of the COVID-19 pandemic on the management of cutaneous malignancies in Australia 2019冠状病毒病大流行对澳大利亚皮肤恶性肿瘤管理的影响

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.306

S. Sreedharan, Subhashaan Sreedharan, M. Mian

{"title":"impact of the COVID-19 pandemic on the management of cutaneous malignancies in Australia","authors":"S. Sreedharan, Subhashaan Sreedharan, M. Mian","doi":"10.34239/ajops.v5n2.306","DOIUrl":"https://doi.org/10.34239/ajops.v5n2.306","url":null,"abstract":"Introduction: The Australian healthcare system, including its management of cutaneous malignancies, has faced unprecedented challenges due to the COVID-19 pandemic. This study aimed to quantify the impact of the first wave of the pandemic on the diagnosis and management of cutaneous malignancies in Australia.\u0000Methods: Monthly service data was extracted from the Australian Medicare Benefits Schedule database for all cutaneous biopsies, non-melanotic skin cancer (NMSC) excisions and melanoma excisions performed between January 2017 and December 2019. Holt-Winters exponential smoothing forecasting models were developed for total biopsies, NMSC excisions and melanoma excisions. These models were used to predict monthly data between January 2020 and June 2020 with a 95 per cent confidence interval (p < 0.05). Absolute and percentage residual differences (RDs) between actual and predicted excisions for this time period were calculated.\u0000Results: There were statistically significant reductions in total NMSC excisions in March 2020 (RD: −6,943, −13.0%), April 2020 (RD: −8,954, −12.2%), May 2020 (RD: −17,667, −20.9%) and June 2020 (RD: −5,152, −6.9%). There were statistically significant reductions in melanoma excisions in April 2020 (RD: –695, –11.1%), May 2020 (RD: −1,982, –28.7%) and June 2020 (RD: –973, –16.0%).\u0000Conclusions: There was a significant reduction in skin cancer excisions in Australia during the COVID-19 pandemic. This observed reduction in skin cancer surgery has significant public health implications, highlighting the need for improved surveillance, diagnosis and treatment capacity of cutaneous malignancies during the recovery phase of the pandemic.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"168 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":"122310285","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 changes for patient safety 整容手术改变了病人的安全

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.417

Sally Langley

引用次数: 0

How to do the Pisces mastectomy for female-to-male top surgery 双鱼座乳房切除术如何做女转男顶手术

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.310

D. Wong, T. K. Lam

引用次数: 0

Effects of COVID-19 lockdown on emergency paediatric plastic surgery admissions COVID-19封锁对急诊儿科整形手术入院的影响

Australasian Journal of Plastic Surgery Pub Date : 2022-09-30 DOI: 10.34239/ajops.v5n2.320

A. Sulaiman, C. Lim, Marcio Brussius Coelho, P. Hayward, S. Nicklin, M. Gianoutsos

{"title":"Effects of COVID-19 lockdown on emergency paediatric plastic surgery admissions","authors":"A. Sulaiman, C. Lim, Marcio Brussius Coelho, P. Hayward, S. Nicklin, M. Gianoutsos","doi":"10.34239/ajops.v5n2.320","DOIUrl":"https://doi.org/10.34239/ajops.v5n2.320","url":null,"abstract":"Objective: On 23rd March 2020, Australia went into a nationwide lockdown that led to school closures. As a result, children spent more time at home, increasing their vulnerability to injuries sustained at home. This study aims to analyse the patterns of emergency paediatric plastic surgery admissions into a tertiary paediatric hospital in Sydney during the COVID-19 lockdown period, and to raise awareness on the impacts of lockdown measures on the vulnerable pediatric population.\u0000Methods: A retrospective analysis was conducted at a tertiary paediatric hospital in Sydney. Admissions into the Plastic and Reconstructive Surgery department during the lockdown period of 23rd March to 15th May 2020, and the same period in 2019 were included in the analysis. Ethics approval for the study was obtained from the Sydney Children’s Hospitals Network Human Research Ethics Committee [HREC Reference 2021/ETH00451]\u0000Results: There were 37 and 91 admissions in 2020 and 2019 respectively. The proportion of injuries sustained at home increased by 24% in 2020, consistent with increased time spent at home. The percentage of injuries due to animal bites and sharp objects increased while number of sports-related injuries and falls decreased during the lockdown. Motor vehicle accidents increased in 2020. More patients also opted for conservative management in 2020.\u0000Conclusion: This study has shown that during a pandemic lockdown, home injuries are more common, children are less likely to present to hospital and more likely to opt for conservative management. With a greater understanding of patterns of paediatric injuries during lockdowns, the relevant authorities can develop targeted advisories for dissemination to the public on how to create a safe home environment for children.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"41 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":"124769445","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