Nigerian Journal of Plastic Surgery最新文献_第3页

A free gracilis muscle flap for foot resurfacing, the first microsurgical case in a Sub-Saharan African country, Togo 自由股薄肌瓣足表面重塑，第一个显微外科病例在撒哈拉以南非洲国家，多哥

Nigerian Journal of Plastic Surgery Pub Date : 2019-07-01 DOI: 10.4103/njps.njps_5_19

K. Amouzou, T. Kouevi-Koko, G. Ayouba, B. Bakriga, A. Abalo

{"title":"A free gracilis muscle flap for foot resurfacing, the first microsurgical case in a Sub-Saharan African country, Togo","authors":"K. Amouzou, T. Kouevi-Koko, G. Ayouba, B. Bakriga, A. Abalo","doi":"10.4103/njps.njps_5_19","DOIUrl":"https://doi.org/10.4103/njps.njps_5_19","url":null,"abstract":"In Togo, reconstructive management has been based on local and regional flaps. In some severe cases and in cases of failure, only a cross leg flap (if possible) or an amputation would save the patient. It has become vital to move forward in the reconstructive ladder in our setting. We report our first case of free gracilis muscle flap for the reconstruction of a foot defect in a 21-year-old male patient who was presented with a foot laceration due to a road traffic accident. The plastic surgeon had training in microsurgery. For other members of the operative team, this was the first microsurgery procedure. The gracilis muscle was harvested from the contralateral thigh and inset in the defect by microsurgical vascular anastomosis. The flap’s monitoring was done clinically. The post-operative course was uneventful. The muscle flap was resurfaced on day 5 using a split thickness skin graft. The patient was discharged on day 12. Total healing was seen on day 21. The patient was very satisfied with the procedure. The success of this first case represents an optimal motivation to build up a microsurgery team and the debut of microsurgery procedures for patients with difficult defects in Togo.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"123 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":"127059049","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

Cenani–Lenz syndrome: A case report Cenani-Lenz综合征1例报告

Nigerian Journal of Plastic Surgery Pub Date : 2018-07-01 DOI: 10.4103/NJPS.NJPS_1_18

Hayat Al-Nougidan, S. Wani, A. Wafa

引用次数: 0

Experience with management of nasal defects 有处理鼻部缺损的经验

Nigerian Journal of Plastic Surgery Pub Date : 2018-07-01 DOI: 10.4103/NJPS.NJPS_8_18

A. Oladele, J. Olabanji, A. Olekwu, O. Awe

{"title":"Experience with management of nasal defects","authors":"A. Oladele, J. Olabanji, A. Olekwu, O. Awe","doi":"10.4103/NJPS.NJPS_8_18","DOIUrl":"https://doi.org/10.4103/NJPS.NJPS_8_18","url":null,"abstract":"INTRODUCTION: Nasal reconstruction is a challenging undertaking for the reconstructive surgeon. Clinical patterns and outcomes in nasal reconstruction in blacks are relatively less well reported. The purpose of this article is to document a review of patients who had nasal reconstruction in our practice, a black African setting. PATIENTS AND METHODS: Clinical records of patients with nasal deformities requiring reconstruction were retrieved. Patient’s biodata as well as type and extent of nasal deformities, etiology of deformities, and outcomes of treatment were documented. RESULTS: Twenty-nine patients were managed over a 15-year period. There were more males than females. The average age was 27 years. Trauma accounted for 62% of cases with road traffic injuries, human bites leading the pack. Defects from resection of skin malignancies were few. The parts of the nose most commonly affected were the alar, tip, and columella. Forehead flap and nasolabial flaps with or without cartilaginous grafts were most commonly employed means of repair. CONCLUSION: Nasal defects were more commonly due to trauma, rather than excision of skin malignancies. Primary suturing of avulsed nasal tissue in human bites should be avoided as necrosis results. Delayed presentation may complicate outcomes.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121599918","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 cost of burn wound care in low-income nations could be reduced with the use of palm kernel oil: A preliminary study 一项初步研究表明，使用棕榈仁油可以降低低收入国家烧伤伤口护理的成本

Nigerian Journal of Plastic Surgery Pub Date : 2018-07-01 DOI: 10.4103/njps.njps_5_18

M. H. Ibrahim, H. Aminu, M. Yakubu, A. Muhammad, Rilwan O Maleeq

{"title":"The cost of burn wound care in low-income nations could be reduced with the use of palm kernel oil: A preliminary study","authors":"M. H. Ibrahim, H. Aminu, M. Yakubu, A. Muhammad, Rilwan O Maleeq","doi":"10.4103/njps.njps_5_18","DOIUrl":"https://doi.org/10.4103/njps.njps_5_18","url":null,"abstract":"INTRODUCTION: Palm kernel oil, Shea butter and honey are used traditionally for the treatment of variety of ailments in West Africa, but there are no scientific report on burn wound healing activity of Shea butter and palm kernel oil, although honey has been in use for the treatment of burn wound. This study aim to compare the wound healing effect of these organic compounds (palm kernel oil, Shea butter and honey) in the treatment of deep dermal or full thickness burn wound to the conventional Silver sulfadiazine and povidone iodine creams in laboratory albino rats. MATERIALS AND METHODS: 25 rats weighing from 250–300 grams were randomly divided into five groups. About 225 mm2 deep dermal burn/or full thickness burn wound was created on the dorsum of the rats. The burn wound were dressed every alternate day with group (1) treated with honey; group (2) Shea butter; group (3) palm kernel oil; group (4) 1% silver sulfadiazine and group (5) 5% povidone iodine cream. Epithelialization observed and contraction was measured at the time of the dressing. FINDINGS: There was rapid reduction in the wound size by day 6 (P≤0.05) in the palm kernel and povidone iodine cream treated group and by day 8 the wound in both group were completely closed, the Shea butter treated group wound shows significant contraction by day 10 and the wound were closed only from day 14 on ward. CONCLUSION: Palm kernel oil is an affordable and readily available topical agent that holds potential for rapid burn wound healing.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130966132","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 effectiveness of saline washout in the management of exytravasation of cytotoxics 生理盐水冲洗治疗细胞毒素外溢的有效性

Nigerian Journal of Plastic Surgery Pub Date : 2018-07-01 DOI: 10.4103/NJPS.NJPS_12_18

K. Amouzou, E. L. Malonga-Loukoula, Tiemoko Moulaye Haidara, M. Diouri, Mohamed Ezzoubi

引用次数: 1

Epidemiology of hand burns among children in Zaria, Northwestern Nigeria 尼日利亚西北部扎里亚地区儿童手部烧伤的流行病学

Nigerian Journal of Plastic Surgery Pub Date : 2018-07-01 DOI: 10.4103/NJPS.NJPS_7_18

M. Abubakar, D. Maina, W. Adebayo, M. Kabir, A. Ibrahim, I. Abdulkadir

{"title":"Epidemiology of hand burns among children in Zaria, Northwestern Nigeria","authors":"M. Abubakar, D. Maina, W. Adebayo, M. Kabir, A. Ibrahim, I. Abdulkadir","doi":"10.4103/NJPS.NJPS_7_18","DOIUrl":"https://doi.org/10.4103/NJPS.NJPS_7_18","url":null,"abstract":"BACKGROUND: The events leading to hand burns injuries in a child are a complex relationship between the child, heat source, mechanism, and the environment where the event occurs. Preventing hand burns in children needs an understanding of its epidemiology. OBJECTIVES: To describe the etiology, pattern, mechanism, and the environmental setting in childhood hand burn injuries. MATERIALS AND METHODS: The study was a retrospective study of all children who sustained burns injury to the hand over a 5-year period (January 2011–December 2015). The study was conducted at the Plastic Surgery Unit of the Department of Surgery, Ahmadu Bello University Teaching Hospital, Shika, Zaria. Recorded information included age, gender, agent of burns, pattern of injury, mechanism of injury, and the setting at the time of injury. A descriptive analysis of the data was performed using SPSS version 21. RESULTS: A total of 47 children sustained burn injuries to the hand. The mean age was 2.17 years, a standard deviation of ±2.15, and age range of 0 to 13 years. There were 26 children <2 years old (55.32%), whereas 18 (38.30%) were of 2 to <4 years of age. Twenty-six (55.32%) were male, and the male-to-female ratio was 1.23:1. Most of the children suffered scald injury [29 (61.7%)] followed by contact burns in 12 (25.53%). Dipping hands into hot water was the most common cause of injury. Holding hot charcoal was the most common type of contact burns. The hands only were affected in 37 (78.72%) of the children. The burns mostly [45 (97.87%)] occurred at home. Mothers were the custodians of the children in 42 (93.33%). CONCLUSION: Targeted preventive approach for mothers, especially through maternal education using ante natal, immunization, and pediatric clinics are suggested.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124957811","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

To evaluate effectiveness of flap surgery in patients of grades 3 and 4 pressure ulcers 目的评价皮瓣手术治疗3级和4级压疮的疗效

Nigerian Journal of Plastic Surgery Pub Date : 2018-07-01 DOI: 10.4103/NJPS.NJPS_9_18

Sudhanshu Punia, R. Singh, Roop Singh

{"title":"To evaluate effectiveness of flap surgery in patients of grades 3 and 4 pressure ulcers","authors":"Sudhanshu Punia, R. Singh, Roop Singh","doi":"10.4103/NJPS.NJPS_9_18","DOIUrl":"https://doi.org/10.4103/NJPS.NJPS_9_18","url":null,"abstract":"OBJECTIVE: To evaluate the effectiveness of flap surgery for grades 3 and 4 pressure ulcers. DESIGN AND SETTING: Patients were included in this prospective study conducted in the Department of Burns and Plastic Surgery, Post Graduate Institute of Medical Sciences, Rohtak, along with the institute’s Paraplegia Unit. The outcome of flap surgery was assessed. PARTICIPANTS: The sample size was of 25 spinal cord injury patients with grades 3 and 4 pressure ulcers. INTERVENTION: After wound preparation, flaps were used to cover the resultant defect. OUTCOME MEASURES: The outcome was assessed on the parameters of wound dehiscence, flap necrosis, and recurrence. RESULTS: Points were allotted for the overall outcome assessed over the said parameters, 92% of the patients had excellent outcome and the remaining 8% had a good outcome, proving that flap surgery is extremely effective in management of patients with pressure ulcers. CONCLUSION: Pressure ulcers are a common sequalae of spinal cord injury. Irrespective of the cause, a patient of spinal cord injury would develop a pressure injury at some point of time. Pressure ulcers were best treated with flap surgery, after thorough debridement including dead or necrotic bone, along the special care to positioning.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132260248","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

V–Y advancement gluteus maximus fasciocutaneous flap—A useful flap for sacral defects 臀大肌筋膜皮瓣-一种治疗骶骨缺损的有效皮瓣

Nigerian Journal of Plastic Surgery Pub Date : 2018-01-01 DOI: 10.4103/NJPS.NJPS_4_17

C. Satish

引用次数: 1

Leg ulcer in postgastrocnemius flap patient: A case report 腓肠肌后皮瓣下肢溃疡1例

Nigerian Journal of Plastic Surgery Pub Date : 2018-01-01 DOI: 10.4103/NJPS.NJPS_10_17

Y. Abdullahi, I. Onah

引用次数: 0

Clinical photography and video recordings in plastic surgery: Beyond patient autonomy and informed consent 整形手术中的临床摄影和录像:超越病人自主和知情同意

Nigerian Journal of Plastic Surgery Pub Date : 2018-01-01 DOI: 10.4103/NJPS.NJPS_4_18

O. Olawoye

引用次数: 0