Nigerian Journal of Plastic Surgery最新文献_第7页

University students and cosmetic surgery in Nigeria: A survey of perception, attitudes, and experiences 尼日利亚的大学生和整容手术:一项关于认知、态度和经历的调查

Nigerian Journal of Plastic Surgery Pub Date : 2016-01-01 DOI: 10.4103/0794-9316.193733

A. Abubakar, M. Jamda, A. Ibrahim, A. Ajani, K. Iyun, K. Opara

{"title":"University students and cosmetic surgery in Nigeria: A survey of perception, attitudes, and experiences","authors":"A. Abubakar, M. Jamda, A. Ibrahim, A. Ajani, K. Iyun, K. Opara","doi":"10.4103/0794-9316.193733","DOIUrl":"https://doi.org/10.4103/0794-9316.193733","url":null,"abstract":"Introduction: A global trend to improve appearance has been observed with the advent of technological civilization and contemporary culture. This is related to social customs that places high premium on appearance, and the increased accessibility of cosmetic surgery. This article explores the perception of cosmetic surgery among university students in Nigeria. Materials and Methods: Self-administered questionnaires were used to collect data. It was divided into four sections; demographic, knowledge, attitude, and experience with cosmetic surgery. The association between knowledge, attitude, practice, and sociodemographic characteristics was sought using Chi-square statistical test. Statistical significance was set at P ≤ 0.05. Results: The respondents perceptions of what cosmetic surgery means include surgery for beauty 673 (52%), surgery on the face 84 (7%), use of chemicals for beautification 35 (3%), correction of deformity 37 (2.8%), and 116 (9%) were not sure. A significant association was found in attitude in the 15-25 age group, when asked about willingness to undergo cosmetic surgery. (P = 0.014) and recommending cosmetic surgery (P = 0.024). There was no statistically significant difference in gender when comparing the knowledge, attitude, and practice of cosmetic surgery. There was a significant difference in knowledge of cosmetic surgery among 3 rd and 4 th year students related to having heard about cosmetic surgery (P = 0.048) and knowledge of difference between cosmetic surgery and plastic surgery (P = 0.001). Participants that were single were more aware of cosmetic surgery (P = 0.013) and knew someone who had cosmetic surgery (P = 0.000). Conclusion: Attitudes toward cosmetic surgery are positively related to age, level of study, and marital status. However, there was no statistically significant difference based on gender. Our study also suggests that respondents are aware of the existence of cosmetic procedures, but they do not know what it actually means.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129002362","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

Single cephalic vein as the only draining vein of radial forearm free flap: A comparative study of 154 cases 单头静脉作为前臂桡骨游离皮瓣唯一引流静脉154例的比较研究

Nigerian Journal of Plastic Surgery Pub Date : 2015-07-01 DOI: 10.4103/0794-9316.178454

Nilamani Mohanty, B. Nayak

{"title":"Single cephalic vein as the only draining vein of radial forearm free flap: A comparative study of 154 cases","authors":"Nilamani Mohanty, B. Nayak","doi":"10.4103/0794-9316.178454","DOIUrl":"https://doi.org/10.4103/0794-9316.178454","url":null,"abstract":"Background: Radial forearm free flap is the work horse in head and neck reconstruction. The venous drainage of the flap is by both superficial and deep group of veins. Aim of the Study: To compare the efficacy of venous drainage by single superficial vein (cephalic vein) with dual vein (cephalic vein & venae comitantes) in radial forearm free flaps and its impact on flap survival. Patient and methods- A total of 154 patients undergoing radial forearm free flap for reconstruction following resections of head and neck cancer were studied prospectively . In group 1 (75 cases) only cephalic vein was used as the draining vein and in Group 2 (79 cases) both cephalic vein & one venaecomitantes were used as the draining vein. Patients with non availability of cephalic vein as a result of chemotherapy or injury were excluded from the study. Data were retrieved frompatients' files and analyzed using SPSS computer software version 15.0. Observation and Results: The flap survival rate was 97.33% (73/75) in Group 1 versus 98.73% (78/79) in Group 2. The result is analysed statistically by using SPSS computer software version 15.0. and the P value > 0.50 (c2 with Yates' correction=0.00206555, df=1) stastically not significant. Conclusion: Though two vein anastomosis may provide a more fail safe theoretical advantage, single superficial vein (Cephalic) provides effective and adequate drainage with less operative time and no additional morbidity.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115057556","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: 3

Lower limb reconstruction using propeller flaps 用螺旋桨襟翼重建下肢

Nigerian Journal of Plastic Surgery Pub Date : 2015-07-01 DOI: 10.4103/0794-9316.178450

Sridhar Rajagopal, Santhanaraman Rajagopal, S. Murugesan

{"title":"Lower limb reconstruction using propeller flaps","authors":"Sridhar Rajagopal, Santhanaraman Rajagopal, S. Murugesan","doi":"10.4103/0794-9316.178450","DOIUrl":"https://doi.org/10.4103/0794-9316.178450","url":null,"abstract":"Background: The islanded pedicled perforator-based propeller design flap is a versatile local flap for reconstruction of defects of lower limbs from knee to leg to ankle to foot. Patients and Methods: All patients with small-and moderate-sized defects in lower limbs which required a flap cover are included in the study. Between October 2014 and September 2015, prospective study of patients undergoing perforator-based propeller flap procedure was performed. Patients were evaluated for defect size, defect location, procedure done, and donor site cover. Results and complications of the propeller flap were also analyzed. Atotal of eight flaps were done to cover defects of lower limbs. Results: Out of the eight flaps, seven were islanded on posterior tibial artery, one on the lateral geniculate artery perforator. Four flaps were used to cover lower one-third leg, three for middle one-third leg, and one for knee. The flap dimensions ranged from 3 cm×7 cm to 7 cm×19 cm. The median angle of rotation was 160°(ranging from 60° to 180°). Sixty-three percent of patients had associated fractures. Seven flaps survived completely and one flap had partial necrosis, which was managed with secondary split skin grafting. Conclusion: The islanded propeller design pedicled perforator flaps provides reliable coverage for small-to medium-sized defects for lower limbs, particularly lower one-third leg defects. This flap can provide an esthetically acceptable result as well.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126800443","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 rare case: Avulsion amputation of the hand with degloving of the soft tissues from the level of the arm 一例罕见病例:手部撕脱截肢伴手臂水平软组织脱套

Nigerian Journal of Plastic Surgery Pub Date : 2015-07-01 DOI: 10.4103/0794-9316.178451

Rahul Krishnarao Patil, Gopal Malhotra, S. Venugopal, M. Cherian, A. Harthy

引用次数: 1

Reverse vastus lateralis musculocutaneous flap for Marjolin's ulcer over the knee joint 反向股外侧肌皮瓣治疗膝关节马卓林溃疡

Nigerian Journal of Plastic Surgery Pub Date : 2015-07-01 DOI: 10.4103/0794-9316.178457

Nilamani Mohanty, B. Nayak

{"title":"Reverse vastus lateralis musculocutaneous flap for Marjolin's ulcer over the knee joint","authors":"Nilamani Mohanty, B. Nayak","doi":"10.4103/0794-9316.178457","DOIUrl":"https://doi.org/10.4103/0794-9316.178457","url":null,"abstract":"Marjolin's ulcer is a rare and often aggressive cutaneous malignancy that arises in previously traumatized or chronically inflamed skin, particularly after burns. Treatment modalities of Marjolin's ulcers include wide local excision, block dissection of the regional nodes, amputation in advanced lesions of limbs, radiotherapy, and chemotherapy. Wide local excision, together with skin grafting, is usually considered appropriate in the treatment of Marjolin's ulcers. For lesions that are located at critical places skin grafting cannot be done because either the excised bed will not take the graft or skin grafting can be done but due to the unstable nature is often avoided preferring a flap cover. Defects over the knee is challenging especially when the defect is quiet large and the surrounding skin is scarred and unhealthy. In such situations neither any local fasciocutaneous flap nor muscle flap is possible, the only option left are in the form of free tissue transfer. But if this type of situation can be managed by transferring tissue from the upper part of the thigh in the form of pedicled flap then other complex reconstructions can be avoided. We describe a case of a 45-year-old male with Marjolin's ulcer over the post burn scar of right knee for 5 years duration with no regional or distant metastasis managed with wide local excision and cover with reverse vastus lateralis musculocutaneous flap. The post op outcome is uneventful with better patient satisfaction.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130111658","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

Malignant melanoma in a Nigerian oculocutaneous albino 尼日利亚眼皮肤白化患者恶性黑色素瘤

Nigerian Journal of Plastic Surgery Pub Date : 2015-07-01 DOI: 10.4103/0794-9316.178453

O. Awe, Emmanuel Esezobor, Quincy Aigbonorga, C. Owobu

引用次数: 2

Management of Achilles tendon injuries: Current trends 跟腱损伤的处理:当前趋势

Nigerian Journal of Plastic Surgery Pub Date : 2015-07-01 DOI: 10.4103/0794-9316.178455

O. Awe, E. Esezobor, John Enekele Oniminya

{"title":"Management of Achilles tendon injuries: Current trends","authors":"O. Awe, E. Esezobor, John Enekele Oniminya","doi":"10.4103/0794-9316.178455","DOIUrl":"https://doi.org/10.4103/0794-9316.178455","url":null,"abstract":"Introduction: Achilles tendon injuries have been on the increase worldwide, especially in the last two decades. The classification of the injury has not been explicit and the management protocols are confusing, especially with respect to specific injuries. There is a need to have a look at the current trends in the management of this common injury in order to create awareness and stimulate the need for standardization of the treatment protocols, possibly reaching a consensus. Materials and Methods: Information on the types of the injury, classification, and treatment modalities were obtained by searching the Pubmed, Medknow, Google Scholar, and other publications. These were collated and analyzed. Results: In most of the information on Achilles tendon injuries, these were inappropriately equated with Achilles tendon ruptures, which are actually supposed to be a subset. In the same vein, the diverse treatment options available were mainly those extensively used in ruptures. These procedures range from open surgery and minimal access surgery to close or conservative management followed closely with physiotherapy. Conclusion: There is a subtle misconception in the literature that we reviewed where Achilles tendon injuries were considered the same as Achilles tendon ruptures but this is not so. There are other injuries with different pathomechanisms and therefore, different managements. There is a need to include these other injuries and also broaden the management options. Minimal access surgery is preferred in ruptures.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130390781","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

Recalcitrant finger ulcer in HIV patient; think herpetic whitlow, save the finger HIV患者难治性手指溃疡的研究想想疱疹whitlow，拯救手指

Nigerian Journal of Plastic Surgery Pub Date : 2015-07-01 DOI: 10.4103/0794-9316.178452

Z. Y. Kaltungo, Emeka Nwakire

引用次数: 0

Moving forward 前进

Nigerian Journal of Plastic Surgery Pub Date : 2015-07-01 DOI: 10.4103/0794-9316.178456

P. Olaitan

引用次数: 0

Post burn digital contracture our way: The pains, The gains 烧伤后数字挛缩我们的方式:痛苦，收获

Nigerian Journal of Plastic Surgery Pub Date : 2015-01-01 DOI: 10.4103/0794-9316.166848

Z. Y. Kaltungo, A. Bojude, O. Olajide

{"title":"Post burn digital contracture our way: The pains, The gains","authors":"Z. Y. Kaltungo, A. Bojude, O. Olajide","doi":"10.4103/0794-9316.166848","DOIUrl":"https://doi.org/10.4103/0794-9316.166848","url":null,"abstract":"Background: Post burn digital contractures account for 30% of new outpatient clinic visits but 25% of elective surgery load in our practice. There is a lot of backlog and pressure to operate particularly in the pediatric age group. We were able to demonstrate in this series that irrespective of the duration, uncomplicated post burn contractures are usually not complicated by ankylosis and a single stage complete release is possible. Aims and Objectives: 1. To determine if multiplicity of joint involvement and duration between burn and corrective surgery affect outcome. 2. To determine the range of complications after post burn digital contracture release. 3. To determine if preoperative plain radiographs are necessary in uncomplicated post burn digital contractures. Materials and Methods: Retrospective analysis of the records of 33 patients. Data collected included socio demographic and disease characteristics, etiology of burns, duration of burns before corrective surgery, complications after corrective surgery. Data was analyzed using SPSS version 16.0. All patients with contractures in other joint other than digits and from other causes other than burns, or burns associated with mechanical trauma were excluded. Results: Mean age 8 yrs, nearly equal sex distribution. Scald 48.5%, flame 21.2%, contact burn 9.1%, others 21.2%. Mean duration between burn and contracture release 40months. Overall, 172 joints were involved in 33 patients, 69.7% had incision ,+ FTSG, 3% had incision+ STSG, 6.1% had Z plasty only and 21.2% had Z plasty + FTSG. In 32 patients (97%) complete intra op contracture release was achieved. Twenty patients (60.6%) healed without complications, recorded complications post op were wound infection (30%), graft shift and digital tip gangrence. Conclusion: Prolonged duration between burn and eventual contracture release does not affect achieving complete contracture release, neither does multiplicity of joint involvement.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127643088","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