Nigerian Journal of Plastic Surgery最新文献

{"title":"An analysis of skin cancer in albinos in Ibadan","authors":"S. Ademola","doi":"10.4103/0794-9316.166852","DOIUrl":"https://doi.org/10.4103/0794-9316.166852","url":null,"abstract":"Context: Skin cancers are common among albinos living in Africa. Deleterious effect of ultraviolet rays from sunlight and nearness to the equator places the African Albinos at risk for skin cancer. Aims: This study aims to present skin cancers in albinos as seen by a plastic surgeon, sensitize the public to the magnitude of dangers that albinos are exposed to, highlight the challenges faced in their management and suggest strategies for improved outcomes. Settings and Design: A retrospective review of skin cancers among albinos was conducted at the University College Hospital, Ibadan, Nigeria. Methods and Material: The charts, operation and cancer registry records of all albinos referred to a plastic surgery division over a ten year period was reviewed. Demographic data and relevant information relating to skin lesions were extracted. Statistical Analysis: Descriptive analysis was done with the aid of statistical package for social sciences (SPSS) version 20. Results: Nineteen patients with fifty nine skin lesions comprising 13 males and 6 females were reviewed. Mean age of the patients was 33.6 (SD 12.8) years, 50% were unmarried, over 90% were Christians and 44% were not employed. The lesions were on the face in 84.6% while scalp and neck lesions were present in 36.8 and 31.6% of patients respectively. In 73.7% of the patients, the lesions were advanced. Basal cell carcinoma and squamous cell carcinoma were of equal proportion. Conclusions: Albinos in Nigeria should be exposed to public health intervention to reduce the incidence of skin cancers through targeted public health educational programmes; structured multicenter and population based research, surveillance, and improved access to healthcare.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"11 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":"130428124","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}

{"title":"Pattern of hand injuries seen in the accident and emergency unit of an urban orthopedic hospital","authors":"O. R. Dafiewhare, A. Ajibade","doi":"10.4103/0794-9316.166853","DOIUrl":"https://doi.org/10.4103/0794-9316.166853","url":null,"abstract":"Background: The development of hand surgery in our subregion is still very much in its infancy. At the national level, very little documentation exists on the patterns of hand injuries. This study was aimed at determining the patterns of hand injuries seen in an urban orthopedic hospital in Kano, Kano State, Nigeria. Patients and Methods: A retrospective study of 101 cases of hand injuries presenting between April 2009 and April 2010 in the accident and emergency unit was carried out. Results: There were 86 (85.1%) and 15 (14.9%) males and females, respectively. The mean age of the patients was 25.69 ± 14.04 years. Out of all the patients, 55.4% were presented within 6 h of injury. Traumatic amputations and fractures were the commonest types of injury. There was no significant difference between left and right hand involvement in injuries. The triad of occupational injuries, injuries from road accidents, and domestic accidents was the most common. Traditional bone setters played very little role in the prehospital management of injuries. Conclusion: Occupational hand injuries are most common among young working males. Early presentation of the patients and low involvement of traditional bone setters reflect the severity of hand injuries to victims.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"129 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":"116091845","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}

{"title":"Final functional outcome in a case of wrist drop","authors":"Prasanta Bhattacharyya, Subhasish Ghosh, Arijit Roy, M. Nandy","doi":"10.4103/0794-9316.166849","DOIUrl":"https://doi.org/10.4103/0794-9316.166849","url":null,"abstract":"Tendon transfers are used to restore balance and function to paralyzed, injured, or absent neuromuscular motor units. The goal is to improve the balance of a neurologically impaired hand. In the upper extremity, tendon transfers are most commonly used to restore function following injury to the radial, median, and ulnar nerves. We report the case of an Indian Border Security Force (BSF) jawan who had wrist drop following a bullet injury to the left upper arm.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"11 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":"130540240","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}

{"title":"Reconstruction of soft tissue defects in the distal third of the leg, ankle, and foot: A meta-analysis","authors":"S. Ademola, W. Adebayo, O. Lawani","doi":"10.4103/0794-9316.166851","DOIUrl":"https://doi.org/10.4103/0794-9316.166851","url":null,"abstract":"Management of soft tissue defects in the distal third of the leg, ankle and foot has evolved over time despite its challenges. No option of coverage is universally recommended for defects in this region of the body. Our objectives were to review and analyze outcomes of reported options of reconstruction of soft tissue defects in this region. We conducted a search of PUBMED and HINARI databases from 2000-2014 to identify reported options of reconstruction of soft tissue defects of the leg, ankle, and foot. Pooled data from suitable articles were analyzed and the success and complication rates as well as the relative risks for failure and complications were computed. One thousand and thirty two articles were retrieved out of which thirty three met the inclusion criteria for analysis. All the 33 articles were uncontrolled cohort and descriptive studies. There were 14 reports on sural artery flap, 6 on perforator-based flaps, and 5 on free flaps. Cross leg flaps, adipofascial, peroneus brevis, and hemisoleus muscle flaps were reported in two studies each while medial plantar, supramalleolar, and skin grafts were reported in one study each. Flap failure was the commonest complication with free flaps while reconstruction with skin grafts had the lowest failure rate. Free flaps were, however, versatile for reconstruction of complex defect. Conclusively, meticulous planning is required in the reconstruction of defects of the lower third of the distal third of the leg, ankle, and foot in order to use the most appropriate method for best outcomes.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"94 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":"114193014","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}

{"title":"Satisfaction of plastic surgeons with job, working environment, and practice in Nigeria: A pilot study","authors":"E. Esezobor, Ojochide S Ebune, Festus A Okhimamhe","doi":"10.4103/0794-9316.166850","DOIUrl":"https://doi.org/10.4103/0794-9316.166850","url":null,"abstract":"Introduction: Dissatisfaction has serious consequences for both the physicians and patients. Studies had shown that job dissatisfaction among physicians is associated with increase rate of medical errors thus jeopardizing patients' safety. Plastic surgeons are not exempted from this problem. This study is aimed at knowing the level of satisfaction of plastic surgeons with their job, working environment and practice in Nigeria Materials and Methods: This is a cross-sectional study of plastic surgeons that attended the 19th annual scientific conference and annual general meeting of Nigerian Association of Plastic, Reconstructive and Aesthetic Surgeons (NAPRAS) in Lokoja Kogi State, Nigeria. Data on the determinant of Job satisfaction as described in “Medicine in Australia: Balancing Employment and Life (MABEL) questionnaire” was used. The level of significance was set at P ≤ 0.05. Result: There were 31 respondents with all the geographical zones except North-West represented. The mean age was 41.06 ± 5.84 years and the Female: Male ratio was 1: 5.2. There were more respondents who were indecisive on the level of satisfaction with the patients they see. Of those who were decisive (41.9%), more were dissatisfied (25.8%). Most respondents are dissatisfied with the level of support provided and work location. On objectively assessing the level of job satisfaction among this same group of plastic surgeons, only one (3.2%) respondent was satisfied. Conclusion: Plastic surgeons in Nigeria are not satisfied with their job. Remuneration seem to be far down the list of the causes of their job dissatisfaction.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"55 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":"132845362","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}

{"title":"Inventory of potential reconstructive needs in patients with post-burn contractures","authors":"A. Ibrahim, F. Ijekeye, M. Asuku","doi":"10.4103/0794-9316.155165","DOIUrl":"https://doi.org/10.4103/0794-9316.155165","url":null,"abstract":"Background: The inventory of potential reconstructive needs records the specific reconstructive needs of the patient with burns and allows systematic planning for future reconstruction and rehabilitation. It also assists patients to evaluate and prioritize reconstructive options with the guidance of the plastic surgeon, as well as facilitating the adoption of realistic expectations on the part of the patient and family. Materials and Method: A survey of the potential reconstructive needs was carried out using the inventory of reconstructive needs form. The form is applicable to all body regions and is divided into three sections. Each section is subdivided into anatomic units: head and neck (anatomic units 1-5); upper extremity (anatomic units 6-9); and trunk and lower extremity (anatomic units 10-13). The results are presented in tabular form and analyzed using simple frequency distribution. Results: The anatomic region with the highest number of reconstructive needs was the head and neck in adults 25 (42%).The trunk and lower extremity accounted for the least reconstructive needs in adults 12 (20%). When the reconstructive needs were stratified by anatomic units in the head and neck, the upper eyelids 8 (32%) and the neck 6 (24%) had the highest frequency of reconstructive needs in adults. The upper extremity had the highest reconstructive needs in children 51 (52%). The upper eyelid, mouth and neck accounted for 13 (76%) of the reconstructive needs in children. Seventy-eight (50%) of the 157 patients had at least two contractures. Conclusion: There were more reconstructive needs in children than adults. The anatomic region with the highest number of reconstructive needs was the head and neck in adults and the upper extremity in children. This study underscores the importance of positioning and intensive therapy intervention in the prevention of post-burn contractures.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"162 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114652981","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}

{"title":"Experience with a two-stage nasal reconstruction with the paramedian forehead flap","authors":"A. Ibrahim, F. Ijekeye, M. Asuku","doi":"10.4103/0794-9316.155185","DOIUrl":"https://doi.org/10.4103/0794-9316.155185","url":null,"abstract":"The unique anatomy of the nose combined with its aesthetic and functional importance makes its reconstruction a challenging but rewarding undertaking. The authors of this study present their experience in a two-stage nasal reconstruction with a paramedian forehead flap. The patient underwent reconstruction with a narrow pedicle to resurface the dorsum, and its distal wings covered the alae. He had a significant amount of residual intranasal lining and this was used for a pedicle flap. The reconstructed dorsum and nasal tip appeared bulky, and the soft triangle needed better definition after the second stage. The patient underwent two revisions with improvement in the projection, outline, and contour of the nose.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132988445","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}

{"title":"Impact of burn unit routine on outcome: A 5-year experience","authors":"Z. Y. Kaltungo, O. Olajide, A. Bojude","doi":"10.4103/0794-9316.155169","DOIUrl":"https://doi.org/10.4103/0794-9316.155169","url":null,"abstract":"Background: The burn unit, like any high dependency, unit is awash with multi-antibiotic resistant microbes, and the clinician is in a constant battle to prevent such infections from becoming established. After the elimination of hypovolemic shock as a cause of death, infections constitute the leading cause of morbidity and mortality in burn patients. Aims and Objectives: This study aimed to determine the incidence of infection in our burn unit and to demonstrate how our burn unit routine leads to a low incidence of infection in our setting. Materials and Methods: This is a retrospective review of the records of patients attended to between 2009 and 2013 in the burn unit of Federal Teaching Hospital, Gombe, Nigeria. Details of the treatment and follow-up data were obtained from patients′ case files using a predesigned pro forma. All patients were within 24 h of burn and had wounds cleaned under general anesthesia before admission to the unit. In addition, all patients with major burns received infusion of glucose, potassium, and insulin (GKI). Antibiotics use was strictly regulated and was guided by known antimicrobial and sensitivity patterns. Results: Thirty-three patients were admitted within the study period, of whom 27 patients had complete information and were analyzed. The mean age of the burn patients was 11 ± 16.7 (SD) years. There were 16 (59.3%) males and 11 (40.7%) females. Scalding and flame burns accounted for 20 (74.1%) and seven (25.9%) patients, respectively. Only four (14.8%) patients developed wound infection on admission (three were in the age range of 11 years and below, while one was 57 years old) and one patient had gastrointestinal tract (GIT) infection. One patient died from suspected thromboembolism within 24 h of burn, and 14 (51.8%) and 12 (44.4%) patients were discharged with and without residual burn wounds, respectively. The average burn surface area was 18.9%. The average length of stay (LOS) was 18.65 days and the average LOS per patient per percentage burn surface was 0.98 days. On follow-up at 2 weeks after discharge, four (14.8%) patients had delayed wound healing and seven (25.9%) patients developed hypertrophic scars. Conclusion: Our findings indicate a low incidence of infection related complications and it appears that our burn unit routine may play a significant role.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"898 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116390720","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}

{"title":"Psychiatric morbidity and quality of life among mothers of children with orofacial cleft disorders in Enugu: A pilot study","authors":"I. Onah, Justin Achor","doi":"10.4103/0794-9316.155170","DOIUrl":"https://doi.org/10.4103/0794-9316.155170","url":null,"abstract":"Introduction: This work investigates the prevalence of psychiatric morbidity and its impact on the quality of life of mothers of children with orofacial cleft. Mothers bear stresses and care burdens of ill family members and it affects their mental health. Little is known about the psychiatric morbidity of such mothers in South-eastern Nigeria. Materials and Methods: Participants were assessed using the Brief Screen for Depression (BSD), the EUROHIS-QOL 8-item Index, and the Self-Reporting Questionnaire (SRQ). The data was analyzed using SPSS version 15. Results: Of the 48 participating mothers, 50% screened positive for psychiatric morbidity with the SRQ, whereas 62.5% screened positive for depression using the BSD. Psychiatric morbidity was found more among mothers with lower levels of education, having more children; older index children and with over-representation of affected female children. The mean quality of life score was 3.34 ± 0.86. Mothers that screened positive for psychiatric morbidity reported a significantly lower quality of life than those without morbidity (2.82 ± 0.90 versus 3.85 ± 0.40). Conclusion: Features of psychosocial distress and depression are common among mothers of cleft children and exert negative effects on their quality of life.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125293459","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}

{"title":"Split-hand/Split-foot malformation","authors":"N. Kortor, W. Yongu, I. Elachi, D. Mue","doi":"10.4103/0794-9316.155181","DOIUrl":"https://doi.org/10.4103/0794-9316.155181","url":null,"abstract":"Split-hand/split-foot malformation (SHFM), also known as ectrodactyly or lobster claw hand deformity, is a rare congenital limb malformation characterized by a median cleft of hands and/or feet due to the absence of the central rays. SHFM has a reported incidence of 1 in 90,000 live births. It may occur either as an isolated anomaly or as part of a syndrome. We present a rare case of a 9-year-old boy with SHFM who underwent surgical correction of the cleft hand, with improved cosmetic and functional outcome.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131080508","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}