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

Experience in the management of axillary post-burn scar contractures 处理腋窝烧伤后疤痕挛缩的经验

Nigerian Journal of Plastic Surgery Pub Date : 2011-02-14 DOI: 10.4314/NJPSUR.V6I2.63646

P. Agbenorku, M. Agbenorku

{"title":"Experience in the management of axillary post-burn scar contractures","authors":"P. Agbenorku, M. Agbenorku","doi":"10.4314/NJPSUR.V6I2.63646","DOIUrl":"https://doi.org/10.4314/NJPSUR.V6I2.63646","url":null,"abstract":"Background: Axillary post-burn scar contracture is a challenging problem to the reconstructive surgeon owing to the wide range of abduction that should be achieved. The aim of this paper is to highlight the various management options used in managing axillary contractures in our hospitals and to itemize the complications commonly encountered. Method: This is a retrospective study of cases of axillary contractures managed at the Komfo Anokye Teaching Hospital, Global Evangelical Mission Hospital and South Tongu District Hospital all in Ghana, from 2003 – 2007. Result: Sixteen patients made up of 10 males and 6 females presented with axillary contractures that involved 25 axillae. The mean age of the study was 25.2 years. Injuries involved the anterior axillary fold in seven (28%), posterior fold in nine (36%), both folds in five (20%) and both folds plus axillary dome in four (16%) axillae. Surgical treatment included split-thickness skin graft in seven (28%), random pattern local skin flaps in five (36%) including z-plasties, parascapular flaps in six (24%), while scapular flaps and posterior trunk skin flap were used in two (8%) and one (4%) axillae respectively. Conclusion: The choice of surgical procedure for reconstruction of post-burn axillary contractures can be made according to the pattern of scar contracture and the state of surrounding skin. The choice of a flap should have priority over skin graft because of the superior functional and cosmetic results of flaps. Keywords: Axillary contracture; Skin grafting; Parascapular flap; Z-plasty; Physiotherapy.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128261973","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

Extensive calvarial exposure and full thickness sequestration following electrical burn injury presenting after one year: case report. 一年后出现电烧伤后广泛的颅骨暴露和全层隔离:病例报告。

Nigerian Journal of Plastic Surgery Pub Date : 2011-02-14 DOI: 10.4314/NJPSUR.V6I2.63585

I. Onah, Oo Onumaegbu

引用次数: 2

Cleft lip repair with subcuticular closure at National Orthopaedic Hospital, Enugu: Is there any advantage? 埃努古国家骨科医院的唇裂修补术:有什么优势吗?

Nigerian Journal of Plastic Surgery Pub Date : 2010-04-13 DOI: 10.4314/NJPSUR.V6I1.53590

I. Onah, U. Ogbonna, I. Ogbonnaya

{"title":"Cleft lip repair with subcuticular closure at National Orthopaedic Hospital, Enugu: Is there any advantage?","authors":"I. Onah, U. Ogbonna, I. Ogbonnaya","doi":"10.4314/NJPSUR.V6I1.53590","DOIUrl":"https://doi.org/10.4314/NJPSUR.V6I1.53590","url":null,"abstract":"Background : Skin closure in unilateral cheiloplasty with non absorbable sutures is commonly practiced, resulting in longer hospitalisation and another anaesthetic session for suture removal in children; increasing costs and risks. Subcuticular suturing obviates crosshatching and may also result in a finer scar, an advantage in patients with oily pigmented skins. Subcuticular closure became routine in the hospital in 2004. This five year study was undertaken to verify if subcuticular closure in unilateral cleft lip surgery reduced the burden of care. Patients and methods : Consecutive patients with unilateral cleft lip repaired at the National Orthopaedic Hospital, Enugu from January 2004 to December 2008 were studied retrospectively. There were 33 patients with subcuticular sutures and 84 with skin sutures. The follow up was a month to four years. Result : Patients with skin suture had 124 surgical sessions and a mean of 7.11 days after surgery before discharge; and those with subcuticular sutures spent a mean of 2.43 days after surgery before discharge. Complications were similar in both groups. Subcuticular closure was associated with reduced hospitalisation time and anaesthetic sessions; reduced risks, costs, and burden of care. Conclusion : The technique of subcuticular suturing may be considered as a viable alternative to non absorbable skin sutures.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133380805","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

Aesthetic surgery indications at the National Orthopaedic Hospital, Enugu 埃努古国立骨科医院的整形手术适应症

Nigerian Journal of Plastic Surgery Pub Date : 2010-04-13 DOI: 10.4314/NJPSUR.V6I1.53588

I. Onah, U. Nnadozie, I. Ogbonnaya

{"title":"Aesthetic surgery indications at the National Orthopaedic Hospital, Enugu","authors":"I. Onah, U. Nnadozie, I. Ogbonnaya","doi":"10.4314/NJPSUR.V6I1.53588","DOIUrl":"https://doi.org/10.4314/NJPSUR.V6I1.53588","url":null,"abstract":"Background : Aesthetic surgery is not well developed in Nigeria. It forms a small part of plastic surgery service at the National Orthopaedic Hospital Enugu. Few reports of the scope of aesthetic surgery are available from the sub region. We report our experience of aesthetic surgery in our centre, a Nigerian sub regional apex hospital specializing in plastic, orthopaedic and trauma surgery, and make pertinent recommendations. Patients and methods : Retrospective analysis records of consecutive patients attended to between January 2000 and December 2005. Results : Elective plastic surgical procedures performed were 3,759, of which 68 (1.81%) were for aesthetic indications. Fifteen of the clients (22.06%) were male and 53 (77.94%) female. Fifty procedures (73.53%) were performed on the face, nine on the limbs, six on the trunk, two on the skull and one on the neck. Fifty four of these (79.41%) were scar revisions, six mammoplasties, and three were otoplasties, two cranioplasties, and one lip augmentation, one abdominoplasty and one rhinoplasty. Forty nine were carried out by consultants and nineteen by senior residents; seventeen of those procedures being scar revision. Specialized instruments such as lasers and cannulae for liposuction or liposculpture were not available. Conclusion : Aesthetic surgery is still underdeveloped in our practice.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"284 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114010838","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: 4

The burden of open fractures of the tibia in a developing economy 发展中国家开放性胫骨骨折的负担

Nigerian Journal of Plastic Surgery Pub Date : 2010-04-13 DOI: 10.4314/NJPSUR.V6I1.53593

A. Ifesanya, A. Omololu, S. Ogunlade, T. Alonge

{"title":"The burden of open fractures of the tibia in a developing economy","authors":"A. Ifesanya, A. Omololu, S. Ogunlade, T. Alonge","doi":"10.4314/NJPSUR.V6I1.53593","DOIUrl":"https://doi.org/10.4314/NJPSUR.V6I1.53593","url":null,"abstract":"Background and purpose of study : Open fractures are difficult to treat particularly because of the risk of infective complications. The rudimentary emergency rescue services in a developing country like ours with attendant delays in presentation of patients amongst other factors would suggest a dismal outcome for open tibial fractures in Nigeria. Patients and methods : Ninety two patients with 98 open tibial fractures who presented to the University College Hospital (UCH), Ibadan over a 12-month period were reviewed. The aetiology and severity of these fractures were explored as well as the treatment outcomes. Result : The mean age was 33.3 years (peak 21-40 years) with men being 2.4 times at risk. Eighty three percent were from road traffic injuries; pedestrian crashes led other traffic injuries with 32% of cases. A quarter of the patients presented after 8 hours of injury. Three quarters of the fractures occurred in the shaft. Gustilo type IIIb injuries was the commonest (36.7%). The methods of treatment included plaster cast (71.5%), external fixation (15.7%), plating and primary amputation (5.7% each), and intramedullary nailing (1.4%). Average time to union was 26.2 ± 12.7 weeks. Forty six late complications occurred in 32 fractures (there were 6 cases of chronic osteomyelitis). Conclusion : The incidence and severity of open fractures in our environment calls for urgent steps geared towards reducing the incidence of road crashes. The provision of standard, prompt and affordable emergency as well as definitive health care facilities for the victims should be a priority.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124281303","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: 9

Incidence of breast developmental anomalies: A study at Sogakope, Ghana 乳房发育异常的发生率:加纳Sogakope的一项研究

Nigerian Journal of Plastic Surgery Pub Date : 2010-04-13 DOI: 10.4314/NJPSUR.V6I1.53586

P. Agbenorku, M. Agbenorku, A. Iddi, E. Amevor, R. Sepenu, D. Osei, I. Kyei

{"title":"Incidence of breast developmental anomalies: A study at Sogakope, Ghana","authors":"P. Agbenorku, M. Agbenorku, A. Iddi, E. Amevor, R. Sepenu, D. Osei, I. Kyei","doi":"10.4314/NJPSUR.V6I1.53586","DOIUrl":"https://doi.org/10.4314/NJPSUR.V6I1.53586","url":null,"abstract":"Background : Issues of breast developmental anomalies (BDA) among young females in Sogakope have not been given proper attention due to their ignorance of available treatments. The objective of this study was to identify the most common forms and incidence of BDA among female Junior High School (JHS) students. Method : It was a prospective descriptive study at six selected JHS at Sogakope, South Tongu District Assembly of the Volta Region, Ghana. Clinical Breast Examination (CBE) was performed on both breasts of female JHS students and anonymous pretested questionnaires were administered to those found to have BDA. Demographic and BDA data were recorded and correlated from March 30 – 31, 2006. Result : A total of 550 female students were surveyed, with age between 10 and 22 years. Seventy of them (12.7%) had BDA. Among these, 98.6% had not sought medical attention for their BDA while 80.0% would seek medical treatment for their conditions if it were readily available. Also, 37.1% of the respondents noticed BDA one year prior to the survey. The three most common form of BDA identified were macromastia (40.0%), hypomastia (17.1%) and nipple anomalies (14.3%). Conclusion : The incidence of BDA among the junior high school females in Sogakope is high. Macromastia is the most common form of BDA identified. Prompt education on availability of treatment should be encouraged with emphasis on aesthetic plastic surgery.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122448705","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: 5

Vacuum assisted closure of wounds – A review 真空辅助伤口闭合-综述

Nigerian Journal of Plastic Surgery Pub Date : 2010-04-13 DOI: 10.4314/NJPSUR.V6I1.53587

Sao Salati, Sm Rabah

引用次数: 2

Orbital surgery – a two year audit of practice in a craniofacial centre 眼眶手术-在颅面中心实习的两年审计

Nigerian Journal of Plastic Surgery Pub Date : 2010-04-13 DOI: 10.4314/NJPSUR.V6I1.53595

O. Akadiri, It Jackson

{"title":"Orbital surgery – a two year audit of practice in a craniofacial centre","authors":"O. Akadiri, It Jackson","doi":"10.4314/NJPSUR.V6I1.53595","DOIUrl":"https://doi.org/10.4314/NJPSUR.V6I1.53595","url":null,"abstract":"Background : The surgical techniques and materials used in orbital reconstructive surgery vary widely. The choice of method and material for a given case often depend on the preferences and experience of the surgeon. Periodic audit of practice is desirable to evaluate the successes and failure in a center and to compare experiences with other centers. Objective : This study was undertaken to review the indications, surgical approaches, methods and materials used for orbital reconstruction/recontouring and the incidence and type of complications of the surgery at our centre. Materials and method : The clinic database was explored to retrieve the records of patients who had orbital surgery between May 1, 2005 and April 30, 2007. The required information were retrieved and tabulated to review the current indications, techniques and outcome of orbital surgery at the center. Result : There were 11 patients involved in the audit including 9 males and 2 females within the age range of 10-60 years, mean age of 25.6 + SD 13.1 years. Trauma was the most frequent indication for surgery, the coronal and transconjunctiva approach to the orbits were favoured and cranial bone graft and Goretex were the preferred materials for reconstruction. Ocular and non ocular postoperative complications were observed. Many of the patients involved had delayed primary or secondary intervention in which case the quality of treatment outcome was affected and further operations were required to correct residual symptoms and complications Conclusion : Although, there are many complex techniques and esoteric materials being employed worldwide, the approach in this center is a simplistic one with preference for autogeneous calvarial bone graft and use of Gore-Tex where alloplastic material was considered adequate. These principles have been adopted with considerable success.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126542470","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

Nutritional and haematological parameters of cleft lip and/or palate patients in Lagos, Nigeria. 尼日利亚拉各斯唇裂和/或腭裂患者的营养和血液学参数。

Nigerian Journal of Plastic Surgery Pub Date : 2010-04-13 DOI: 10.4314/NJPSUR.V6I1.53589

I. Fadeyibi, A. Fasawe, P. Jewo, A. Adeniyi, B. Ogunbanjo, C. Saalu, O. Ogunbanjo, S. Ademiluyi

{"title":"Nutritional and haematological parameters of cleft lip and/or palate patients in Lagos, Nigeria.","authors":"I. Fadeyibi, A. Fasawe, P. Jewo, A. Adeniyi, B. Ogunbanjo, C. Saalu, O. Ogunbanjo, S. Ademiluyi","doi":"10.4314/NJPSUR.V6I1.53589","DOIUrl":"https://doi.org/10.4314/NJPSUR.V6I1.53589","url":null,"abstract":"Introduction : Cleft Lip and Palate (CLP) deformities are the most common congenital abnormalities of the orofacial structures. The deformity is associated with certain peculiar problems including feeding disorders and recurrent infections. These may combine to affect the nutritional status of the patients. This study was carried out to assess the prevalence of malnutrition among patients with CLP deformities in Lagos, review the prevalence of anaemia and the burden of bacterial infections. Materials/methods : Serum albumin levels of patients with CLP invited for surgical intervention in Lagos between 2006 and 2008 were assessed to determine the nutritional status, the Packed Cell Volume for the presence of anaemia and total White Cell Count (WBC) to screen for the possibility of bacterial infection. Results : Two hundred and twenty five patients were studied comprising of 112 males and 113 females. Mean age was 5.05 ± 7.73 years. One hundred and one (44.89%) patients had complete cleft of the lip and palate, 27.22% had cleft lip, 13.78% had cleft of the lip and hard palate, while 7.11% had cleft of the soft palate alone. Various types of rare cleft deformities occurred in 8.88% patients out of which macrostomia or lateral cleft constituted 6.67%. Forty-eight (21.3%) patients had malnutrition. The type of CLP deformities was found to have no significant effect on the serum albumin level (p = 0. 089). Sixty-eight (30.2%) patients had anaemia. There was an association between the types of CLP deformities and the PCV levels (P=0.001). Twenty-two (9.8%) patients showed haematologic evidences of on-going bacterial infections with raised total WBC count. Conclusion : The prevalence of anaemia in patients with CLP is however higher than that of the general population. Patients with CLP require nutrition support and continuous medical monitoring.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124723488","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: 5

Antimicrobial spectrum of honey for aerobic organisms as seen at the National Orthopaedic Hospital, Enugu 在埃努古国家骨科医院看到的蜂蜜对有氧生物的抗菌光谱

Nigerian Journal of Plastic Surgery Pub Date : 2009-10-29 DOI: 10.4314/NJPSUR.V5I2.47336

I. Onah, C. Nwaekpe, M. Unachukwu

{"title":"Antimicrobial spectrum of honey for aerobic organisms as seen at the National Orthopaedic Hospital, Enugu","authors":"I. Onah, C. Nwaekpe, M. Unachukwu","doi":"10.4314/NJPSUR.V5I2.47336","DOIUrl":"https://doi.org/10.4314/NJPSUR.V5I2.47336","url":null,"abstract":"Background: Honey is an ancient topical wound dressing that has evoked international interest. The widespread use of honey on wounds is being encouraged but differences in its antimicrobial spectrum exist. There are few local laboratory studies available to guide clinicians in this environment, hence this study. Materials and methods: A sample of commercially prepared honey from the tropical bee species was obtained and used in this prospective study. The initial medium was a 1-in-3 dilution of pure honey-agar mixture. Against this was smeared isolates from aerobic cultures of wounds in the microbiology laboratory of the National Orthopaedic Hospital, and incubated at 370 C for 72 hours. Seventy-five samples are presented in this on going study, of which 67 are consecutive samples. The rest are specific isolates of pathogenic organisms grown from patients’ wounds and cultured against the honey sample and incubated for 24hours. Eight such samples were further incubated up to 72 hours and checked. A crude flammability test for purity was applied to the honey sample before use. Results: Honey was found to inhibit the growth of common gram positive and negative organisms including multi-resistant Staphylococcus aureus. When the pure cultures were treated with honey for 72 hours and then streaked on agar plates, no aerobic organism grew thereafter, including those that had previously grown on the 1-in-3 honey-agar mixture. Conclusion: Routine laboratory honey antimicrobial spectrum provided by use of honey-agar mixture is recommended as a guide to its clinical use. Key words: honey, antimicrobial sensitivity, laboratory test.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129609245","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