Australasian Journal of Plastic Surgery最新文献

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Facial artery myomucosal flap reconstruction of a hemilaryngectomy defect: a case report 面动脉肌粘膜瓣重建半喉切除缺损1例
Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.294
S. Adamson, B. Lyons, D. Grinsell
{"title":"Facial artery myomucosal flap reconstruction of a hemilaryngectomy defect: a case report","authors":"S. Adamson, B. Lyons, D. Grinsell","doi":"10.34239/ajops.v5n1.294","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.294","url":null,"abstract":"Background: A multitude of flaps have been used in post-laryngectomy reconstruction, involving different operative sites and histologically different donor tissue types.\u0000Methods: Plastic surgeons have used the pedicled facial artery myomucosal (FAMM) flap to reconstruct a perilaryngeal defect following resection of a low-grade thyroid chondrosarcoma.\u0000Results: On six-week postoperative review, the patient was eating and swallowing well, and speech was intelligible. On five-year review, the flap looked like normal mucosa and a patent airway was maintained.\u0000Conclusion: The FAMM flap provided a novel solution with excellent functional results and no donor site morbidity, warranting its consideration for perilaryngeal defects.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"34 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":"121433967","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
Future development of plastic and reconstructive surgery in Australasia 大洋洲整形重建外科的未来发展
Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.381
Christopher Adams
{"title":"Future development of plastic and reconstructive surgery in Australasia","authors":"Christopher Adams","doi":"10.34239/ajops.v5n1.381","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.381","url":null,"abstract":"<jats:p>N/a</jats:p>","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":"131308756","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
Digital flexor tendon rupture due to gout: a case report and literature review 痛风致指屈肌腱断裂1例报告及文献复习
Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.302
S. Leow, R. Knight
{"title":"Digital flexor tendon rupture due to gout: a case report and literature review","authors":"S. Leow, R. Knight","doi":"10.34239/ajops.v5n1.302","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.302","url":null,"abstract":"N/A - Case Report","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"3 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":"133683315","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
Experiences of women undergoing abdominoplasty in the public sector: a qualitative study 妇女在公共部门接受腹部成形术的经验:一项定性研究
Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.309
N. Dean, K. Foley, Randall Long, P. Ward
{"title":"Experiences of women undergoing abdominoplasty in the public sector: a qualitative study","authors":"N. Dean, K. Foley, Randall Long, P. Ward","doi":"10.34239/ajops.v5n1.309","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.309","url":null,"abstract":"Introduction: This study was designed to improve understanding of the experiences of women un-dergoing abdominoplasty in a public hospital setting, including their experience of processes of care, surgical treatment and outcomes of surgery.\u0000Methods: This was a prospective, qualitative study, with one-to-one interviews with women, tran-scription of interviews and development of themes.\u0000Results: Twenty interviews were carried out with 16 women, with four women being interviewed before and after surgery and the remaining 12 being interviewed one time only. Messages emerging from the interviews included gratitude for treatment in the public sector, uncertainty associated with waiting times and surgeon allocation, and varied satisfaction with outcomes. This article also explores the evidence for the association between physical symptoms and rectus diastasis (separa-tion of the rectus abdominis muscles) as well as mental health improvement.\u0000Conclusion: Women undergoing abdominoplasty in the public sector are not a homogenous group, either in their motivations for surgery or their reported outcomes. This qualitative study found evidence for improvement in physical symptoms and psychological wellbeing in women undergoing abdominoplasty, which supports existing quantitative studies, but also highlights a need for clear information for public sector patients, especially relating to scars, and for liaison psy-chiatry. Criteria-based assessment contributes an additional burden for these patients.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"96 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":"123714398","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
Categories 类别
Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.380
Mark Lee, M. Ashton
{"title":"Categories","authors":"Mark Lee, M. Ashton","doi":"10.34239/ajops.v5n1.380","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.380","url":null,"abstract":"Editors-in-Chief Mark Lee and Mark Ashton propose a holistic categorisation system that is more reflective of urgency and less prone to manipulation or ‘turning off’ in times of pressure.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"32 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":"121264281","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
Prevention of thermal injury from lighted retractors in breast surgery: a comparative study of optical cable calibre 乳房手术中轻牵开器热损伤的预防:光缆口径的比较研究
Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.289
Danielle Nizzero, Roland Deek, N. Dean
{"title":"Prevention of thermal injury from lighted retractors in breast surgery: a comparative study of optical cable calibre","authors":"Danielle Nizzero, Roland Deek, N. Dean","doi":"10.34239/ajops.v5n1.289","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.289","url":null,"abstract":"Objective: Iatrogenic thermal injury can result from the use of lighted retractors during breast surgery due to the generation of heat at the connection between the optical cable and the lighted retractor. This study aims to determine whether a smaller calibre optical cable generates less heat at its connection with a Teb-betts lighted retractor.\u0000Methods: We measured the heat generated at the connection between an optical cable and a Tebbetts lighted retractor for a 3.0 mm optical cable and a 5.5 mm optical cable.\u0000Results: Both optical cables showed temperature rises. The 3.0 mm optical cable reached a peak temper-ature of 33.29 °C after 44 minutes and 47 seconds. The 5.5 mm optical cable reached a peak temperature of 49.23 °C after 53 minutes and 19 seconds. Light intensity was similar between the two cable types.\u0000Conclusion: A 3.0 mm optical cable generates less heat than a 5.5 mm cable at the connection between the cable and the retractor. We recommend using the smaller calibre optical cable to reduce the risk of thermal injury to patients from the use of Tebbetts lighted retractors during breast surgery.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"47 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":"129670365","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
The role of tranexamic acid in breast and body contouring surgery: a review of the literature 氨甲环酸在乳房和身体整形手术中的作用:文献综述
Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.277
D. Wong, T. K. Lam
{"title":"The role of tranexamic acid in breast and body contouring surgery: a review of the literature","authors":"D. Wong, T. K. Lam","doi":"10.34239/ajops.v5n1.277","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.277","url":null,"abstract":"Background: Postoperative seroma and haematoma are two of the most common complications follow-ing large surface area surgeries. A review of the literature was performed to evaluate evidence for the use of tranexamic acid in reducing postoperative seroma and haematoma formation in breast surgery and body contouring surgery.\u0000Methods A literature search was performed using MEDLINE, the Cochrane Database of Systematic Review, the Cochrane Central Register of Controlled Trials (CENTRAL), the Database of Abstracts of Reviews of Ef-fect (DARE) and PubMed in English from 1 Jan 1990–30 Mar 2020. The search terms ‘TXA’, ‘breast reduction’, ‘mammaplasty’, ‘breast implants’, ‘breast implantation’, ‘breast reconstruction’, ‘mastectomy’, ‘tissue ex-pansion’, ‘body contouring’, ‘breast’ and ‘abdominoplasty’ were used alone and in combination.\u0000Results: A total of six articles were found including three randomised controlled trials, two cohort studies and one retrospective study. Two ongoing trials were found on The Cochrane Central Register of Con-trolled Trials (CENTRAL). No systematic reviews were found.\u0000Conclusion: Literature surrounding the use of TXA in breast and body contouring surgery is sparse com-pared to what is available in other surgical sub-specialties. The literature available shows promising results with the use of TXA in controlling haematoma, drain output and seroma formation in breast surgery and body contouring surgery with minimal morbidity in these patient groups.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"83 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":"130462183","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
Traction splinting (EAVAST protocol) versus operative fixation of proximal phalanx fractures: a comparative study of patient outcomes 牵引夹板(EAVAST方案)与手术固定近端指骨骨折:患者结果的比较研究
Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.265
Al Hopkins, Nicky Barry, S. Bowman, S. Sathasivam, Rohit Kumar, A. Preketes, M. Dowd
{"title":"Traction splinting (EAVAST protocol) versus operative fixation of proximal phalanx fractures: a comparative study of patient outcomes","authors":"Al Hopkins, Nicky Barry, S. Bowman, S. Sathasivam, Rohit Kumar, A. Preketes, M. Dowd","doi":"10.34239/ajops.v5n1.265","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.265","url":null,"abstract":"Introduction: Phalangeal fractures are common, frequently deformed and unstable, and are regularly managed operatively. However, closed methods of reduction are increasing. This study aimed to compare functional outcomes for a non-operative cohort using a skin traction method developed by the Nepean Hospital, Sydney, Australia, termed ‘early active vector adjustable skin traction’ or EAVAST, compared to operatively managed patients as a potential alternative for the management proximal phalanx fractures.\u0000Methods: A prospective cohort study of patients who underwent operative fixation or traction using the EAVAST protocol between January 2018 and January 2020. Patients were managed on a case-by-case basis by fracture type and mechanism of injury. Functional outcomes were assessed at three months post intervention using total active motion, mean strength and QuickDASH scores. Measurements were conducted by independent clinicians with patients wearing gloves to blind the assessor to signs of intervention.\u0000Results: Of 38 patients identified for inclusion in the study, 15 underwent operative fixation and 23 underwent traction. There were no significant differences found between the two groups for all outcome measures. The mean total active motion, mean strength and QuickDASH scores for the traction and operative groups were 90.8 per cent versus 90.7 per cent (P = 0.97), 84 per cent versus 79 per cent (P = 0.58) and 1.48 versus 2.5 (P = 0.54), respectively. \u0000Conclusions: We found no clinically or statistically significant difference between EAVAST protocol and operative management of proximal phalanx fractures. Future study is now warranted, ideally a multi-centre prospective randomised controlled trial with blinded assessment of outcomes in-cluding a cost–benefit analysis comparing standardised operative and traction techniques.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"34 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":"129696846","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
Skin lesion assessment and management model: optimising existing resources in the management of non-melanoma skin cancer 皮肤病变评估和管理模式:优化非黑色素瘤皮肤癌管理的现有资源
Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.252
Caitlin O'Hare, Michael R McKeough, M. Hickson, Rebekah Ferris, J. Wiper, M. Wagels
{"title":"Skin lesion assessment and management model: optimising existing resources in the management of non-melanoma skin cancer","authors":"Caitlin O'Hare, Michael R McKeough, M. Hickson, Rebekah Ferris, J. Wiper, M. Wagels","doi":"10.34239/ajops.v5n1.252","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.252","url":null,"abstract":"Abstract \u0000Background \u0000Skin cancer is a relatively common cancer in Australia, with early, simple treatment conferring a high likelihood of cure. Early diagnosis and treatment are important to reduce morbidity and mortality. A see-and-treat clinic seeks to offer earlier diagnosis and treatment as compared with a traditional model of care. The aim was to implement this model using pre-existing infrastructure with a hypothesis that this service will reduce wait times with reduced costs and high levels of patient satisfaction  \u0000  \u0000Methods \u0000Referrals were screened and those suitable underwent consultation with a Plastic and Reconstructive Surgeon and same-day operative management with their choice of anaesthesia. Patients were reviewed 1 week and 4 weeks postoperatively. \u0000  \u0000Results \u0000206 patients had 286 skin lesions removed over 23 operating lists. Over 75% of excisions were on the face. Local anaesthetic with sedation was the most popular anaesthetic technique There were 22 complications and the incomplete excision rate was 4.2%. Average wait time for SLAM-suitable patients reduced by 76%, and category 1 outpatient waitlists were reduced by 100%. An estimated gross saving of $1,339 per patient was calculated. A survey of patients post-operatively showed all patients would recommend this model. \u0000  \u0000Conclusion \u0000This see-and-treat model was shown to reduce wait times and cost, along with high levels of patient satisfaction. It was also easily implemented using pre-existing infrastructure. It is a service that continues to be offered and expanded, with ongoing patient satisfaction.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"2016 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":"127437253","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
The financial burden of complications of overseas breast implants at the Royal Brisbane and Women’s Hospital 布里斯班皇家妇女医院海外隆胸并发症的经济负担
Australasian Journal of Plastic Surgery Pub Date : 2022-03-31 DOI: 10.34239/ajops.v5n1.254
Isabel Gonzalez Matheus, Matthew S Peters, M. Edmunds
{"title":"The financial burden of complications of overseas breast implants at the Royal Brisbane and Women’s Hospital","authors":"Isabel Gonzalez Matheus, Matthew S Peters, M. Edmunds","doi":"10.34239/ajops.v5n1.254","DOIUrl":"https://doi.org/10.34239/ajops.v5n1.254","url":null,"abstract":"Background: An increasing number of Australians are travelling overseas for aesthetic surgery. This study aims to establish the financial costs of complications arising from overseas inserted implants. \u0000Method: Data from the Australian Breast Device Registry (ABDR) on patients who have undergone remov-al of overseas inserted implants at the Royal Brisbane and Women’s Hospital from October 2014 to Octo-ber 2019 was analysed. Financial costs were calculated using electronic medical records and discharge codes.\u0000Results: Of the 331 cases of implant removals recorded, only eight (2.4%) were from overseas inserted de-vices. Seven of these were performed as emergency procedures. Two patients required more than one op-eration. Length of stay (LOS) ranged from two to 28 days with a median LOS of 8.6 days. Most patients had multidisciplinary team involvement with infectious diseases being the most consulted specialty. All pa-tients required in hospital IV antibiotic therapy and dressing changes. All were offered more than one out patient follow-up appointment. The total cost to our department surpassed AU$110 000 which represents four per cent of the total hospital spending on breast device explantations. \u0000Conclusion: Surgical complications from overseas implant procedures cost a small percentage of the hos-pital budget for breast procedures. However, with the increasing popularity of cosmetic tourism, this fig-ure could increase in the following years. We can use this information to educate individuals on making better choices while potentially reducing the financial burden to public hospitals in Queensland.","PeriodicalId":264055,"journal":{"name":"Australasian Journal of Plastic Surgery","volume":"21 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":"121835593","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
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