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Nigerian Journal of Plastic Surgery最新文献

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Propranolol for infantile hemangioma: Review of literature 心得安治疗婴幼儿血管瘤:文献回顾
Nigerian Journal of Plastic Surgery Pub Date : 2017-01-01 DOI: 10.4103/njps.njps_18_16
A. Singh, A. Shukla, Pramila Sharma, Aayush Kumar
{"title":"Propranolol for infantile hemangioma: Review of literature","authors":"A. Singh, A. Shukla, Pramila Sharma, Aayush Kumar","doi":"10.4103/njps.njps_18_16","DOIUrl":"https://doi.org/10.4103/njps.njps_18_16","url":null,"abstract":"Objective: Hemangioma is the most common benign cutaneous vascular tumor in infants and children. Oral propranolol hydrochloride is a safe and effective medication for treating infantile hemangioma (IH), with decreases in IH volume, color, and elevation. This study reviews propranolol use in IH. Materials and Methods: We conducted a prospective study of IHs treated with oral propranolol between January 2009 and June 2015. We included 300 children between the ages of 3 months and 5 years with fast-growing IHs in the proliferative phase, ulcerated IHs, and IHs that could cause functional or esthetic problems after the proliferative phase. They received propranolol 2 mg/kg/day, divided 3–4 times daily for 6–12 months and monitored in an outpatient basis. Response to treatment, time of initial, and peak response as well as side effects and sequelae were recorded. Results: We analyzed 300 IH cases. All the IHs responded to treatment; response was excellent in 45% of the cases, good in 30%, minimal in 15%, and none in 10%. No serious side effects were observed. Conclusion: In our study, we concluded that oral propranolol is efficacious and safe, with a careful dosing and monitoring regimen for IH.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125302153","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
Two-stage reconstruction of composite soft tissue and bone defects in open fracture of the calcaneus: Case report and literature review 跟骨开放性骨折复合软组织及骨缺损两期重建1例并文献复习
Nigerian Journal of Plastic Surgery Pub Date : 2017-01-01 DOI: 10.4103/njps.njps_9_17
A. Ajani, Hsiang-Shun Shih, Koji Takashashi, Taiwo O. Omosebi, A. Ibrahim, B. Solagberu
{"title":"Two-stage reconstruction of composite soft tissue and bone defects in open fracture of the calcaneus: Case report and literature review","authors":"A. Ajani, Hsiang-Shun Shih, Koji Takashashi, Taiwo O. Omosebi, A. Ibrahim, B. Solagberu","doi":"10.4103/njps.njps_9_17","DOIUrl":"https://doi.org/10.4103/njps.njps_9_17","url":null,"abstract":"The calcaneus has a fundamental role in weight bearing and gait. Open fractures of the calcaneus with complex soft tissue and bone defects represent a reconstructive challenge. Such fractures require specialized care and demand attention despite its low incidence. We report our experience in the management of a 50-year-old man with a Gustilo-Anderson type IIIB fracture of the right calcaneus complicated with extensive soft tissue defect and chronic osteomyelitis. He had a two-stage reconstruction. The soft tissue defect was reconstructed with an anterolateral thigh flap and the bone defect with a vascularized fibula osteocutaneous flap.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128792978","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
Implant-based breast reconstruction in resource-constrained settings 在资源有限的情况下，基于植入物的乳房重建
Nigerian Journal of Plastic Surgery Pub Date : 2017-01-01 DOI: 10.4103/njps.njps_7_17
O. Olawoye
{"title":"Implant-based breast reconstruction in resource-constrained settings","authors":"O. Olawoye","doi":"10.4103/njps.njps_7_17","DOIUrl":"https://doi.org/10.4103/njps.njps_7_17","url":null,"abstract":"","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132927039","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
Determinants of hospital length of stay among skin cancer patients in a teaching hospital in north-central, Nigeria 尼日利亚中北部某教学医院皮肤癌患者住院时间长短的决定因素
Nigerian Journal of Plastic Surgery Pub Date : 2017-01-01 DOI: 10.4103/NJPS.NJPS_8_17
C. Ahachi, P. Akaa, O. Audu, Itodo Elachi, Jideofor Omeh, C. Okpara
{"title":"Determinants of hospital length of stay among skin cancer patients in a teaching hospital in north-central, Nigeria","authors":"C. Ahachi, P. Akaa, O. Audu, Itodo Elachi, Jideofor Omeh, C. Okpara","doi":"10.4103/NJPS.NJPS_8_17","DOIUrl":"https://doi.org/10.4103/NJPS.NJPS_8_17","url":null,"abstract":"Objective: To study the determinants of hospital length of stay among skin cancer patients in a teaching hospital in North-Central, Nigeria. Patients and Methods: A 3-year retrospective study of patients with histologically confirmed skin cancers presenting to our institution from April 1, 2012 to March 31, 2015 was conducted. Relevant data were extracted from the patients’ records and subjected to statistical analysis (frequencies, cross tabulation and χ2 tests). Results: Records were available for 43 patients with a mean age of 46 ± 18 years. There were 21 males and 22 females with a M:F ratio of approximately 1:1. The length of hospital stay (LOS) ranged from 0 to 63 days with a mean of 14 ± 15 days. Most (51.2%) patients spent <8 days in hospital with the 20–29 years age group spending the least time. Married patients had longer LOS than unmarried patients. Patients who are human immunodeficiency virus (HIV)-positive, artisans and students along with patients with facial and multifocal lesions had shorter LOS. Patients who delayed their presentation, underwent major surgery, had complications and had melanomas had longer LOS. Conclusion: The study found the patients’ marital status, occupation, location of the lesion, type of surgery performed, histologic diagnosis and complications were significant factors in determining the patients’ LOS.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128250889","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
Reconstruction of lower limb traumatic soft tissue defects in Togo 多哥地区下肢创伤性软组织缺损的重建
Nigerian Journal of Plastic Surgery Pub Date : 2017-01-01 DOI: 10.4103/njps.njps_23_16
K. Amouzou, B. Bakriga, T. Kouevi-Koko, Kofi Amegble, A. Abalo, A. Dossim
{"title":"Reconstruction of lower limb traumatic soft tissue defects in Togo","authors":"K. Amouzou, B. Bakriga, T. Kouevi-Koko, Kofi Amegble, A. Abalo, A. Dossim","doi":"10.4103/njps.njps_23_16","DOIUrl":"https://doi.org/10.4103/njps.njps_23_16","url":null,"abstract":"Background: The management of lower limb soft tissue defects is still a challenge in our setting. Aims: This study aimed to review the clinical and socio-demographic characteristics of the patients with traumatic lower limbs defect and evaluate the results of surgical management in our setting. Settings and Design: Retrospective descriptive study. Materials and Methods: The charts of 30 adults patients treated surgically for lower limb soft tissue defects in the period from 1 January to 31 December 2014 were reviewed. Socio-demographic, clinical and therapeutic characteristics were documented. Statistical Analysis Used: The results were as general descriptive statistics, presented as medians, percentages and ranges. Results: The mean age was 34 years (range 18–60 years). The sex ratio was 3.28 for men. In 83% of the cases (20/30), injuries were due to collision between motorcycle and other vehicles. Soft tissue defects were type III B (50%, 15/30) and III A (47%, 14/30) of Gustilo-Anderson classification. The mean time between injury and reconstructive surgery was 48 days (range 14–118 days). Reconstruction techniques were mostly split skin graft (53%, 16/30) and neuro-sural distal pedicled flaps (20%, 6/30). Five cases of persistent osteomyelitis were observed. Conclusion: The non-availability of microsurgery limited our practice to regional and local flaps that gave good results and protected bone fractures that mainly healed in acceptable time.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123923192","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
Complete lower lip reconstruction with in-folded extended pedicled deltopectoral flap: Case report and review of the literature 折叠延伸带蒂三角瓣重建全下唇:个案报告及文献复习
Nigerian Journal of Plastic Surgery Pub Date : 2017-01-01 DOI: 10.4103/njps.njps_1_17
O. Olawoye, O. Fatungase
{"title":"Complete lower lip reconstruction with in-folded extended pedicled deltopectoral flap: Case report and review of the literature","authors":"O. Olawoye, O. Fatungase","doi":"10.4103/njps.njps_1_17","DOIUrl":"https://doi.org/10.4103/njps.njps_1_17","url":null,"abstract":"The reconstruction of extensive lower lip defects is challenging. Various options have been described for reconstructing limited extent of full thickness defects of the lower lip; however, the reconstructive options get narrower as the defect approaches 100%. Local flaps play the prominent roles in smaller defects but regional and distant flaps become the preferred choices in total and near total defects. We present the use of an in-folded extended pedicled deltopectoral flap for the reconstruction of complete lower lip defect. A 58-year-old woman presented with complete lower lip defect following failed local flaps previously employed to reconstruct the lower lip after excision of squamous cell carcinoma at another facility. She had extensive perioral scaring with complete exposure of the lower dentition. She had scar excision and two staged lower lip reconstruction with in-folded extended deltopectoral flap with satisfactory outcome. We report the successful restoration of oral competence and satisfactory esthetic outcome with the use of a simple deltopectoral flap for complete lower lip defect.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132135387","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
Cleft hands and monodactylous feet: A rare variant of ectrodactyly 手裂和单指足:指外畸形的一种罕见变异
Nigerian Journal of Plastic Surgery Pub Date : 2016-07-01 DOI: 10.4103/0794-9316.202439
E. Adu, P. Konadu
{"title":"Cleft hands and monodactylous feet: A rare variant of ectrodactyly","authors":"E. Adu, P. Konadu","doi":"10.4103/0794-9316.202439","DOIUrl":"https://doi.org/10.4103/0794-9316.202439","url":null,"abstract":"A 2-year-old male child presented with bilateral asymmetric cleft hands, a right monodactylous foot (diastatic type), posteriorly dislocated at the ankle joint, and a left monodactylous foot (Type VI, Blauth and Borisch) posteriorly dislocated at the ankle joint. Surgical management has enabled weight bearing and walking. Psychological problems, especially with the hands, are anticipated. Further multidisciplinary management by surgeons, physical therapists, clinical psychologists, child psychologists, and occupational therapists is advocated.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"161 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116637477","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
Ulnar nerve compression by accessory abductor digiti minimi muscle 指小副外展肌压迫尺神经
Nigerian Journal of Plastic Surgery Pub Date : 2016-07-01 DOI: 10.4103/0794-9316.202440
J. Mohan, B. Ramesh
{"title":"Ulnar nerve compression by accessory abductor digiti minimi muscle","authors":"J. Mohan, B. Ramesh","doi":"10.4103/0794-9316.202440","DOIUrl":"https://doi.org/10.4103/0794-9316.202440","url":null,"abstract":"We report two cases of accessory abductor digiti minimi muscle causing ulnar nerve compression at the Guyon’s canal. One case had venous malformations on the palm with gangrenous left little finger terminal phalanx. Excision of the abnormal muscle relieved patient symptoms. Though the abnormal muscle is reported in literature, the number of symptomatic clinical cases due to muscle compression is rare. The diagnosis itself might be missed because of lack of awareness.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125185031","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
Florid pseudoepitheliomatous transformation in a chronic pressure ulcer 慢性压疮的浮肿性假上皮瘤化
Nigerian Journal of Plastic Surgery Pub Date : 2016-07-01 DOI: 10.4103/0794-9316.202441
Dafiewhare Rex
{"title":"Florid pseudoepitheliomatous transformation in a chronic pressure ulcer","authors":"Dafiewhare Rex","doi":"10.4103/0794-9316.202441","DOIUrl":"https://doi.org/10.4103/0794-9316.202441","url":null,"abstract":"The case is reported of a florid manifestation of pseudoepitheliomatous hyperplasia in a chronic recurrent right ischial pressure ulcer of 26 years duration in a 60-year-old man with post-traumatic parapereisis. The peculiar characteristics seen were an incidental finding at surgery. Associated left ischial and sacral ulcers did not have these changes. Histological diagnosis of a benign lesion was at variance with a high clinical suspicion of malignant transformation based on the morphological appearance and chronicity. He had ulcer excision and primary flap cover. He was carefully followed up for 4 years and has been without recurrence or disease progression after excision and primary flap cover.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115891839","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
Initial experience in breast reconstruction with implants by general surgeons: A report of five cases 普通外科医生用假体重建乳房的初步经验:附五例报告
Nigerian Journal of Plastic Surgery Pub Date : 2016-07-01 DOI: 10.4103/0794-9316.202464
O. Afuwape, O. Ayandipo, Abdussemee Abdurrazzaaq
{"title":"Initial experience in breast reconstruction with implants by general surgeons: A report of five cases","authors":"O. Afuwape, O. Ayandipo, Abdussemee Abdurrazzaaq","doi":"10.4103/0794-9316.202464","DOIUrl":"https://doi.org/10.4103/0794-9316.202464","url":null,"abstract":"Context: This article presents a preliminary experience on implant breast reconstruction undertaken by the general surgeons in a tertiary hospital in Nigeria. Aim: This article presents a preliminary experience on the implant breast reconstruction undertaken by the general surgeons in a tertiary hospital in Nigeria. It also discusses our challenges and limitations. Patients and Methods: Five patients who consented to implant surgery in 5 years were reviewed retrospectively. Results: Four of the five patients were satisfied with the outcome in the early postoperative period. There was one flap necrosis and one capsular contracture which developed a year after the procedure. Conclusion: The practice of breast reconstruction in Nigeria is evolving, and demands will be made on general surgeons, especially in centers without reconstructive surgeons.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132315072","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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