Nigerian Journal of Plastic Surgery最新文献_第2页

Plastic surgery in Nigeria: our yesterday, today and tomorrow 尼日利亚的整形手术:我们的昨天，今天和明天

Nigerian Journal of Plastic Surgery Pub Date : 2020-01-01 DOI: 10.4103/njps.njps_10_20

S. Yiltok

{"title":"Plastic surgery in Nigeria: our yesterday, today and tomorrow","authors":"S. Yiltok","doi":"10.4103/njps.njps_10_20","DOIUrl":"https://doi.org/10.4103/njps.njps_10_20","url":null,"abstract":"The Nigerian Association of Plastic, Reconstructive and Aesthetic Surgeons (NAPRAS) instituted a lecture in honor of the doyen of Plastic Surgery in Nigeria, Professor Joseph Olatunde Oluwasanmi. A man who took up the challenge to specialize in plastic surgery thus becoming the first indigenous consultant plastic surgeon in 1967. He rose through the ranks to become a professor in 1973. The 2017 annual conference of the association took place in Sokoto and the lecture focused on the history and practice of plastic surgery in Nigeria. The lecture chronicled those who practice plastic surgery in Nigeria beginning from Mr Michael Norbert Tempest, a British Surgeon who worked in University College Hospital (UCH), Ibadan as a consultant, while Mr J.O. Oluwasanmi (now Prof J.O. Oluwasanmi) worked under him as a Senior Registrar. Oluwasanmi was later appointed as the first indigenous Consultant Plastic Surgeon in1967 after returning from the UK where we went for his specialty training in plastic surgery. Many other centers sprang up providing plastic surgery services. These centers include Lagos University Teaching Hospital, Lagos; National Orthopedic Hospital, Igbobi Lagos; National Orthopedic Hospital, Enugu; Ahmadu Bello University Teaching Hospital, Kaduna; Mangu Rehabilitation Centre, Mangu Plateau State and ECWA Evangel Hospital Jos (now Bingham University Teaching Hospital). Most of these centers have continued to provide plastic surgery services and training while several others have joined the train. Plastic surgery is now well established in Nigeria, however there are still challenges that affect the provision of excellent service. These challenges include; inadequate personnel, lack of awareness of the practice of plastic surgery, limited infrastructure, poverty and lack of universal health coverage, cultural practices and believes, patients’ expectations, complications, complexity of cases and workload.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125397313","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

Post burn perineal contractures: case series and a classification system 烧伤后会阴挛缩:病例系列和分类系统

Nigerian Journal of Plastic Surgery Pub Date : 2020-01-01 DOI: 10.4103/njps.njps_7_19

Rex Dafiewhare, I. Onah

{"title":"Post burn perineal contractures: case series and a classification system","authors":"Rex Dafiewhare, I. Onah","doi":"10.4103/njps.njps_7_19","DOIUrl":"https://doi.org/10.4103/njps.njps_7_19","url":null,"abstract":"Introduction: Perineal burn contractures remain under reported in our region. We have set out to study the pattern of presentation, describe the formation of these contractures and identify any recurring patterns that will form a basis for a classification that will be useful in planning their management. Methods: A retrospective study of the patients seen over a three year period (2009–2011) at the National Orthopaedic hospital Dala is presented. Information was retrieved from case notes in the medical records department. The bio-data, type of care received post injury associated percentage burns, formation of contractures, were all noted. Results: All the seven patients seen were children of which five were females. Flame burn was the main type of burn. All burns occurred at home. Four major types of contractures were identified as transverse bands, hooding, fusion and obliteration. An equal number of patients presented following home versus hospital care. Conclusion: The relative rarity of post burn perineal contractures leaves little experience for the young surgeon to take advantage of when in training. A classification system will help to make it easier to identify what structures are involved and make planning easier. In the absence of specialized care it is doubtful that there is any statistical difference in the likelihood of perineal contracture development of patients managed at home by traditional healers versus those presenting in peripheral centers lacking formal burn management protocols. Most childhood burns still occur at home. There is a need to continually educate the public on the need to make the home a safe place for children.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123000954","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

Parotidectomy with local anesthetics: a viable option in medical outreach in a resource poor setting 局部麻醉腮腺切除术:一个可行的选择，在医疗推广在资源贫乏的设置

Nigerian Journal of Plastic Surgery Pub Date : 2020-01-01 DOI: 10.4103/njps.njps_1_20

C. Maduba, U. Nnadozie, V. Modekwe, I. Onah

{"title":"Parotidectomy with local anesthetics: a viable option in medical outreach in a resource poor setting","authors":"C. Maduba, U. Nnadozie, V. Modekwe, I. Onah","doi":"10.4103/njps.njps_1_20","DOIUrl":"https://doi.org/10.4103/njps.njps_1_20","url":null,"abstract":"Background: Parotidectomy has been traditionally done with general endotracheal anaesthesia mostly in tertiary institutions where there is adequate anaesthetic manpower. A lot of patients with parotid masses presents to other cheaper healthcare providers including medical outreaches where there is paucity of both anaesthetic manpower and gadgets. Aim: To share our experience in parotidectomy using local anaesthetics in medical outreaches where there is inadequate support of anaesthetic personnel and gadgets. Method: Patients counseled for parotidectomy had local anesthetic infiltration and nerve block with 1% ligdocaine in 1:100,000 adrenaline. Lazy-S incision was used starting pre-tragally down to the angle of the mandible. Branches of the facial nerve were gently separated from the mass which is delivered to the wound and shelled out. Wounds were closed in layers without drain. Conclusion: Parotidectomy with local anaesthetic agents is a safe option especially in settings of medical outreaches in resource poor countries with limited anaesthetic manpower and gadgets. The safety of surgery on day case basis and avoidance of use of hardly available nerve stimulator all the more make it an appealing alternative.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125615862","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

Assessment of local wound healing complications after groin surgery: a comparative study between two wound closure techniques 腹股沟手术后局部创面愈合并发症的评估:两种创面闭合技术的比较研究

Nigerian Journal of Plastic Surgery Pub Date : 2020-01-01 DOI: 10.4103/njps.njps_9_20

I. Ulasi, O. Ogundoyin

{"title":"Assessment of local wound healing complications after groin surgery: a comparative study between two wound closure techniques","authors":"I. Ulasi, O. Ogundoyin","doi":"10.4103/njps.njps_9_20","DOIUrl":"https://doi.org/10.4103/njps.njps_9_20","url":null,"abstract":"Background: Scars are inevitable sequelae of any surgical procedure. Wound closure method has been shown to affect the post-operative scar outcome. This study compared the post-operative scar of two wound closure techniques in paediatric groin surgeries. Methods: This was a prospective comparative analytical study involving 60 paediatric surgical patients randomized into two groups. After a groin procedure in patients who met the inclusion criteria, patients in Group A had only the skin layer closed whereas both skin and subcutaneous tissue were closed in Group B. Scar assessment was done using the Patient and Observer Scar Assessment Scale (POSAS) at 1 week, 3 weeks and 6 weeks after surgery. Results: The mean POSAS score was 108.44 ± 20.32 and 113.91 ± 26.18 for groups A & B respectively (P = 0.379) while the overall opinion score for groups A & B were 19 (IQR = 4) and 21(IQR = 10) (P = 0.392) respectively. The average duration of surgery was 35 minutes in each group. There was equal distribution of seroma formation among the two wound closure groups. Among the patients that developed wound dehiscence, 25% were in group A, while 75% were in group B. Ninety-five percent of the wounds healed with fine linear scar. Conclusion: Majority of paediatric groin wounds heal with fine linear scars. Although no statistically significant association exists between wound closure technique and scar assessment scores, patients who had two-layer wound closure recorded worse scar assessment scores compared to those who had one-layer closure.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126965026","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

Morphometric analysis and key dimensions of the female breast: a baseline study of 500 nulliparous Nigerian females 女性乳房的形态计量学分析和关键尺寸:500名未生育的尼日利亚女性的基线研究

Nigerian Journal of Plastic Surgery Pub Date : 2020-01-01 DOI: 10.4103/njps.njps_7_20

E. Isiwele, R. Nnabuko, I. Ogbonnaya

{"title":"Morphometric analysis and key dimensions of the female breast: a baseline study of 500 nulliparous Nigerian females","authors":"E. Isiwele, R. Nnabuko, I. Ogbonnaya","doi":"10.4103/njps.njps_7_20","DOIUrl":"https://doi.org/10.4103/njps.njps_7_20","url":null,"abstract":"Context: The female breast is a symbol of femininity. With recent developments in the surgical management of breast pathology, women now demand better aesthetic outcomes. Data on breast morphometry which should guide Nigerian breast surgeons in decision making is scarce. Aims: This study was aimed at measuring morphometric breast values in nulliparous Nigerian females, thus establishing reference data for the region. Settings and Design: This was a prospective and community-based study in which volunteer female students from the study hospital and 3 secondary schools in the community underwent breast measurements in order to establish reference data. Methods and Material: Physical measurements were carried out using measuring tape and meter rule, in the standing position. Statistical Analysis Used: Data obtained were analyzed using Statistical Package for Social Sciences (SPSS) version 16 and Student’s t-test analysis carried out.Results : Five hundred female volunteers with age range 15–30 years were studied. The average distance from the suprasternal notch to the right and left nipples were 19.76 cm and 20.09 cm respectively. The average distance from right and left nipples respectively to their inframammary folds were 8.13 cm and 8.28 cm. Breast dimensions were symmetrical in >50% of subjects. In the subjects with asymmetry, more were found to have greater left breast dimensions than right. Conclusions: Physical measurements of the Nigerian female breast are comparable with ranges in other parts of the world except for the Inframammary fold to nipple distance which is longer than values in studies on white subjects. This study establishes preliminary morphometric breast reference data for Nigerian females.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130596319","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

The utility of the lateral forehead flap in demanding reconstructive situations: our experience in a tertiary care center 前额外侧皮瓣在要求重建的情况下的效用:我们在三级护理中心的经验

Nigerian Journal of Plastic Surgery Pub Date : 2020-01-01 DOI: 10.4103/njps.njps_10_18

M. Midya, Rajneesh Galwa, P. Goil

引用次数: 0

Eyelash status and eye width among ethnic groups in Nigeria 尼日利亚少数民族的睫毛状况和眼宽

Nigerian Journal of Plastic Surgery Pub Date : 2019-07-01 DOI: 10.4103/njps.njps_4_19

A. Adekanmbi

{"title":"Eyelash status and eye width among ethnic groups in Nigeria","authors":"A. Adekanmbi","doi":"10.4103/njps.njps_4_19","DOIUrl":"https://doi.org/10.4103/njps.njps_4_19","url":null,"abstract":"Objective: As the country becomes increasingly ethnically and racially diverse, it is important for surgeons with an interest in eyelid anatomy to have an appreciation and understanding of eyelash and eye width variations that exist in order to plan for and execute ethnically congruent procedures. The eyelash and eye width analysis is an important aspect of patient assessment for plastic surgeons to identify variations from the normal anatomy. The aim of this study is to inform on anatomical variations that exist between selected ethnic groups as a guide for describing the status of the eyelash and eye width. Enlightenment on these variations will help instruct on important cultural aesthetics, which can be used to plan for blepharoplasty [A1] in a diverse patient population. Materials and Methods: Morphometry of eyelashes and eye width was conducted on 389 healthy volunteers comprising of 193 males and 196 females with no eyelash abnormalities and no eyelash extension participated in the study. The Yoruba tribe consisted of 274, the Igbo tribe were 78 and the Hausa tribe were 37 volunteers respectively. Result: The result showed that the Hausa tribe had the longest lashes with mean values in millimeters of 7.80±1.03, 9.35±1.13 and 8.29±1.19 followed by the Yoruba tribe with mean values of 7.40±3.14, 8.58±1.16 and 7.67±1.12 and then the Igbo tribe with mean values of 7.24±0.93, 8.65±0.89 and 7.72±0.83 on the medial, middle and lateral regions respectively. Further analysis also revealed that males had longer upper eyelid eyelashes in the three regions compared to females. With respect to age, volunteers between the ages of 0–19 years had longer eyelashes than those that were between the ages 20–39 years. The ratio of their mean eye width compared to the mean upper eyelash length was at least 5:1 or more across the three tribes. Conclusion: Morphometric analysis of the eyelashes and eye width provides baseline anatomic data relevant in the performance of cultural background sensitive procedures.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131587072","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

Perforator flap: a useful tool in reconstructive surgery − our experience 穿支皮瓣:重建手术的有效工具-我们的经验

Nigerian Journal of Plastic Surgery Pub Date : 2019-07-01 DOI: 10.4103/njps.njps_3_19

C. Isiguzo, K. Opara, C. Okoye, I. Ogbonnaya

{"title":"Perforator flap: a useful tool in reconstructive surgery − our experience","authors":"C. Isiguzo, K. Opara, C. Okoye, I. Ogbonnaya","doi":"10.4103/njps.njps_3_19","DOIUrl":"https://doi.org/10.4103/njps.njps_3_19","url":null,"abstract":"Context: Perforator flaps is now a very versatile tool for the reconstruction of challenging tissue defects. The beauty of the tool lies in the minimization of morbidity in comparison to conventional pedicled flaps surgery. Also the inherent property of ease of rotation through 180° gives it excellent versatility in repair of defects that would have been difficult with conventional pedicled flaps. Aims: This article discusses our experience and encourages more plastic surgeons to develop the skill and use it in solving complex reconstructive challenges. Methods and Material: This a case series involving 16 cases of complex wounds (chronic and acute) that presented at our unit. Results: A total of 16 cases were selected for surgical treatment. It involved 12 males and four females. The average age of the patients was 42.4 years. The most common site of reconstruction was in the lower limb with the left being more frequent. Posterior tibia artery was the most common axial vessel that the perforators were based. The most common complication in our series was superficial epidermolysis. There was no flap loss. Conclusions: Perforator flaps are indispensable tools in managing complex defects. This is the next available option to free flap transfer as long a perforator vessel can be identified in a skin tissue just large enough to cover a defect. Due to poor development of free flap surgery, we are encouraging surgeons − old and new − to pick up the skill. We have opened opportunities for training in our institution.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133640095","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

A novel method of suctioning irrigating fluids in abdominal surgeries 腹部手术中吸洗液的一种新方法

Nigerian Journal of Plastic Surgery Pub Date : 2019-07-01 DOI: 10.4103/njps.njps_11_19

S. Wani, M. Wani, D. Alcala, Marry Untalan

引用次数: 0

Liposuction: a veritable option in management of gynecomastia case report 吸脂术:治疗男性乳房发育症的一种可靠方法

Nigerian Journal of Plastic Surgery Pub Date : 2019-07-01 DOI: 10.4103/njps.njps_6_19

U. Nnadozie, E. Enyanwuma, G. Okorie, C. Maduba, Lawrence Ewah

引用次数: 0