Australasian Journal of Plastic Surgery最新文献_第5页

Advances in perforator imaging through holographic CTA and augmented reality: a systematic review 通过全息CTA和增强现实的穿孔成像进展:系统回顾

Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.263

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

{"title":"Advances in perforator imaging through holographic CTA and augmented reality: a systematic review","authors":"Robert Phan, Michael P. Chae, D. Hunter-Smith, W. Rozen","doi":"10.34239/ajops.v5n1.263","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.263","url":null,"abstract":"Introduction: Free tissue transfer has become a mainstay in reconstructive plastic surgery, and techniques to plan such surgery continue to evolve. Novel technologies and increases in computational power have enabled computed tomographic angiography (CTA)data augmentation onto patients to assist in pedicle identification and dissection. Given the rapidly evolving field and research in this domain, a systematic re-view was undertaken to establish the evidence for its usefulness in pedicle identification and dissection.\u0000Methods: An extensive search using keywords in EMBASE and PubMed with bibliographic linkage following PRISMA guidelines was performed. 107 articles were identified. Duplicate articles were removed prior to review. Two reviewers independently screened the titles for appropriate topic relevance. Full articles were then screened for review. \u0000Results: Eleven articles were appropriate for review. Two articles analysed the time taken to identify perfo-rators using augmented reality (AR) compared to Doppler ultrasound. The remainder of the articles ana-lysed time to perforator identification, differences between projected location and dissected perforator location, qualitative feedback from surgeons on the use of AR systems for perforator identification and proof of concept and the usefulness of AR in perforator flap surgery.\u0000Conclusion: This review demonstrates that while established methods of data rendering and projection can achieve holographic projection and AR, there is a lack of objective outcome data to demonstrate its usefulness. This, combined with a cost analysis, are the main obstructions to this technology being more widely adopted.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129333724","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

Toolkit for the management of breast implants and the importance of Informed educated consent. 乳房植入物管理工具包和知情、教育同意的重要性。

Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.385

A. Deva, M. Ashton

引用次数: 0

Margin of error: accuracy of estimated excision margins by surgical experience 误差范围:根据手术经验估计切除边缘的准确性

Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.257

Harriet K Semple, Marc J Langbart

引用次数: 0

Heterotopic ossification in a soft tissue free flap vascular pedicle: a case report 软组织游离瓣血管蒂异位骨化1例

Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.295

J. Janzekovic, Noah Betar, A. Heald, Robert Calvisi, Admire Matsika, Yun Phua

引用次数: 0

PET positive tattoo lymphadenopathy: a case report and review of the literature PET阳性纹身淋巴结病1例报告及文献复习

Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.272

S. Lonie, Alisha Fong, Peter Gregory, M. Jain, G. Pratt

引用次数: 0

Unexpected diagnosis of a pilomatrixoma in an infant: a case report 意外诊断的一名婴儿骨髓瘤:1例报告

Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.280

D. Wong, Timothy Chew, E. Gibson, B. Carney

引用次数: 0

Impact of elective surgery restrictions on training, service to the community and public 择期手术限制对培训、服务社区及公众的影响

Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.382

W. Blake, David Morgan

引用次数: 0

Vascularised periosteal free flap reconstruction for medication-related osteonecrosis of the jaw: a case series 带血管的骨膜游离皮瓣重建治疗药物相关性颌骨骨坏死:一个病例系列

Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.251

I. Reid, Ian Loh, F. Bruscino‐Raiola

{"title":"Vascularised periosteal free flap reconstruction for medication-related osteonecrosis of the jaw: a case series","authors":"I. Reid, Ian Loh, F. Bruscino‐Raiola","doi":"10.34239/ajops.v5n1.251","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.251","url":null,"abstract":"Introduction: The standard of care for medication-related osteonecrosis of the jaw (MRONJ) involves anti-biotics and local debridement to promote tissue healing over exposed bone. We compare outcomes for patients with advanced MRONJ managed with vascularised periosteal radial forearm free flap (RFFF) ver-sus local nasolabial flap and conservative dental measures.\u0000Methods: A retrospective case series of patients presenting to the Alfred Hospital for evaluation and man-agement of stage II or above MRONJ between 1 January 2014 and 30 June 2018. The hospital database was searched And a medical record review performed. Results of pre- and post-treatment imaging were ana-lysed bya single senior radiologist blinded to treatment modality . Asymptomatic wound closure, radio-logical evidence of disease cessation and patient satisfaction at six months post-treatment according to treatment type were assessed.\u0000Results: Of the ten patients included in the study, four received dental measures, three received local na-solabial flap and three received RFFF flap. All flap reconstruction (6/6) showed asymptomatic wound clo-sure and patient satisfaction at six months follow-up compared to patients managed with dental measures (1/4). All RFFF patients (3/3) showed increased bone deposition radiologically at six months compared to the dental group who showed a mixed (3/4) picture or worsened (1/4) picture. Nasolabial flap patients showed a mixed (2/3) or improved radiological picture (1/3).\u0000Conclusion: MRONJ is a relapsing disease. Preliminary evidence suggests that radical debridement with local nasolabial flap or RFFF reconstruction for advanced MRONJ is more effective at halting the disease and alleviating morbidity than conservative dental measures alone.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134620209","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

Inaugural roundtable on breast reconstruction practice in Australia: background, process and recommendations 首届澳大利亚乳房再造实践圆桌会议:背景、过程和建议

Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.287

K. Dempsey, M. Brennan, A. Spillane

引用次数: 0

Enhanced risk of multiple sentinel lymph node basins in truncal and head and neck melanoma 增加的风险多前哨淋巴结盆地在躯干和头颈部黑色素瘤

Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.267

Harmeet Bhullar, L. Shukla, R. Shayan, F. Bruscino‐Raiola

{"title":"Enhanced risk of multiple sentinel lymph node basins in truncal and head and neck melanoma","authors":"Harmeet Bhullar, L. Shukla, R. Shayan, F. Bruscino‐Raiola","doi":"10.34239/ajops.v5n1.267","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.267","url":null,"abstract":"Introduction: Truncal and head and neck melanomas have a greater propensity to drain to multiple lymph node basins (MLNB) compared to extremity melanomas, which drain predominantly to a single lymph node basin (SLNB). The objective of this study was to compare the lymphatic drainage patterns and characteristics of truncal and head and neck melanoma, to assess their clinical usefulness in areas of unpredictable drainage. \u0000Methods: A retrospective review of 143 patients with head and neck or truncal melanoma from 2014–2018 treated at a tertiary referral hospital in Melbourne, Australia. Patients scheduled for a wide local excision (WLE) and SeNBx, and those whose initial biopsy results stated melanoma type, cell type and BT, were included. Patients were excluded if they underwent nodal biopsy alone.\u0000Results: We identified 95 patients with truncal and 48 with head and neck melanoma. Drainage to MLNB was significantly higher in the truncal melanoma group (36.8%) compared to the head and neck group (10.4%) (P = 0.001). Patients with drainage to MLNB had a higher positive sentinel node biopsy (SeNBx) rate compared to those with SLNB (40.0% verus. 12.6%, P <0.0001). Truncal melanomas that drained to MLNB were associated with a significantly higher Breslow thickness (2.1 versus. 1.5, P = 0.02), ulceration (40.6% vs. 20.7%, P = 0.043) and mitotic rate (3.0 versus. 2.0, P = 0.045) compared to equivalent melanomas that drained to SLNB. \u0000Conclusion: Patients with melanomas occurring in the trunk exhibit higher rates of drainage to MLNB compared to melanomas arising in the head and neck. Patients with drainage to MLNB also demonstrate a higher rate of positive SeNBx than those with SLNB drainage. This may represent more aggressive disease pathology or later diagnosis of lesions within these locations, or a lymphatic system that is more facilitatory of spread.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"213 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117332925","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