{"title":"Amniotic band syndrome in a Nigerian cleft patient: A case report","authors":"O. Akadiri, J. Eigbobo, B. Otaigbe","doi":"10.4103/0794-9316.155175","DOIUrl":"https://doi.org/10.4103/0794-9316.155175","url":null,"abstract":"Amniotic band syndrome is a set of congenital malformations ranging from minor constriction rings and lymphedema of the digits to complex, bizarre multiple congenital anomalies that are attributed to amniotic bands that stick, entangle, and disrupt fetal parts. The most commonly associated anomalies include amputations, constriction bands, syndactyly, craniofacial defects, and club feet. A case of amniotic band syndrome involving limb anomalies and orofacial cleft deformity in a Nigerian child is reported.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"51 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":"133878038","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":"Van Der Woude syndrome and choanal atresia: Any association? A case report","authors":"Z. Y. Kaltungo, Ahmed Ali, A. Nasir","doi":"10.4103/0794-9316.155187","DOIUrl":"https://doi.org/10.4103/0794-9316.155187","url":null,"abstract":"Common features of Van der Woude syndrome include pits and or sinuses of the lower lip, cleft lip with or without cleft palate, isolated cleft palate, bifid uvula, and hypodontia. When associated with a web of the popliteal region, it is called popliteal pterygium syndrome. Here we present a case of popliteal pterygium syndrome with incidental finding of membranous type choanal atresia on attempt at nasotracheal intubation for general anesthesia.","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":"129143346","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":"Parental adjustment to cleft lip and palate anomaly: a preliminary study","authors":"A. Olusanya, I. Oketade, To Aladelusi","doi":"10.4314/NJPSUR.V9I2","DOIUrl":"https://doi.org/10.4314/NJPSUR.V9I2","url":null,"abstract":"Background: Cleft lip/palate is the commonest congenital craniofacial anomaly and the birth of a child with this anomaly can be devastating to the parents. This study aimed to describe the early adjustment of parents to children with cleft lip/palate anomaly. Materials and methods: Inquiry into taking the baby out, taking photographs, parental attitude to surgery, decision on having more children, parental relationship and feeding difficulty was made among parents/caregivers of infants with cleft lip/palate anomaly who were less than 6 months of age in the University College Hospital, Ibadan. Frequencies and percentages of variables were reported. Chi square test was used to test associations at 5% level of significance. Results: Parents of 34 infants participated in the study. There were 19 females and 15 males. The mean (+S.D.) age of the infant was 2.19 (1.88) months. There was a statistical significance between ‘type of cleft’ and ‘taking of photographs’ (p=0.011) as well as ‘taking the baby out’ (p=0.012) but there was no statistical significance between the type of cleft and parental adjustment as well as feeding difficulties. Conclusion: Most parents of children with cleft lip/palate anomaly avoided taking pictures of their children and did not readily take them out. However, the type of cleft lip/palate did not seem to affect how the parents adjusted to their children and the difficulty they experienced in feeding them. Keywords: cleft lip and palate, parental adjustment Nigerian Journal of Plastic Surgery Vol. 9, No 2, September 2013","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115770302","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":"Diabetes insipidus - a rare complication of major flame burn: case report","authors":"D. Onilede, O. Olawoye, A. Ipadeola","doi":"10.4314/NJPSUR.V9I1","DOIUrl":"https://doi.org/10.4314/NJPSUR.V9I1","url":null,"abstract":"Background : Diabetes insipidus is a syndrome characterised by polyuria which is associated with urinary frequency, enuresis, nocturia and polydipsia. We present this case to highlight the significant role of high degree of clinical suspicion and interdisciplinary management resulting in a rewarding outcome in a limited resource environment. Method and result : A 35year old man presented with 31% Total Body Surface Area (TBSA) flame burn injury. He was resuscitated with intravenous Ringer’s lactate. He however developed polyuria on the fifth day post burn with urinary output ranging between 2.5 – 15ml/kg/hr. Urine specific gravity ranged between 1.000 – 1.005. A clinical diagnosis of diabetes insipidus was made. He was treated with vasopressin and desmopressin and the burn wounds were managed without skin grafting. The symptoms of DI resolved at 32nd day post- burn. Conclusion : Diabetes insipidus is a rare occurrence in patients with burns. Therefore, high index of suspicion is needed to detect and effectively manage its occurrence. Key words : Polyuria, enuresis, frequency, nocturia, polydipsia","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121084547","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 cleft lip and palate deformities and associated anomalies in a selected Nigerian population","authors":"Eigbobo Jo, O. Akadiri","doi":"10.4314/NJPSUR.V7I2.69873","DOIUrl":"https://doi.org/10.4314/NJPSUR.V7I2.69873","url":null,"abstract":"Background: Cleft Lip and / or Palate (CL/P) is one of the major human orofacial congenital malformations seen in live births. Port Harcourt is a city in the South- South region of Nigeria for which there is a dearth of data on these deformities. The aim of this paper is to assess the pattern of CL/P deformities and associated anomalies in an understudied Nigerian population. Methodology: This is an observational study of the pattern, dental and occlusal features, skeletal deformities, and hearing as well as speech problems associated with CL/P. The subjects were recruited from among the beneficiaries of a corrective surgical outreach at the University of Port Harcourt Teaching Hospital in April 2010. Data collection was by oral interview and clinical examination. The information elicited was recorded in a structured questionnaire prior to the corrective surgery. Descriptive analysis of data was performed using SPSS version 17. Results: A total number of 36 subjects were studied, including 19 males and 17 females. Age range was 0.21-28 years, with a mean of 8.8 (8.2) years. Eight (22.6%) subjects were below age one year. Twenty five percent had Cleft Lip (CL) 33.3% had Cleft Palate (CP), and 41.7% had Cleft lip and palate. Cleft palate was more common in females. Dental/occlusal anomalies found in subjects were notably, anomalies of number structure and position. Speech and hearing defects were observed in 61.1% and 19.4% of the subjects respectively. Conclusion: The relative prevalence of different cleft patterns complies with previous reports in Nigeria. Also, different reported types of dental and occlusal anomalies were noted, tooth rotations being the commonest. Late presentation for surgical correction was observed in this population. Key words: Cleft lip and palate, dental and occlusal anomalies, congenital malformations","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129827099","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":"Breast cancer management: a review of the role of plastic and reconstructive surgery","authors":"P. Olaitan","doi":"10.4314/NJPSUR.V7I2.69872","DOIUrl":"https://doi.org/10.4314/NJPSUR.V7I2.69872","url":null,"abstract":"Background: In developing countries, late presentation of breast cancer is a common problem because of the fear of losing the breast as well as ignorance of post mastectomy reconstructive options. In Nigeria, about two-third of patients with this disease present late at a time when therapy offers minimal benefit. Purpose: This review is aimed at summarizing the role of the plastic surgeon in reducing the problem of mutilating surgery in breast cancer and alert surgeons in the developing countries on the need to educate women on various reconstructive options that improve the look and psychological/self image problems that often accompany mastectomy. Materials and methods: Literature review using Medline, Pubmed, AJOL and Google search engines was carried out. Result: Over 38,000 articles and abstracts were noted as discussing the subject matter of breast cancer and reconstructive procedures. There is a dearth of write ups from Africa on breast reconstruction. Several options exist for the reconstructive surgeon to assist in reducing the psychological and image problems that usually accompany mastectomy in breast cancer patients especially in developing countries. Many of the options are discussed in this paper. Conclusion: The place of an oncoplastic surgeon is important especially in the developing world where plastic surgeons are few and the general work load is heavy. Education of women on breast reconstructive options will encourage early presentation and better prognosis. Key words: Breast cancer, post mastectomy breast reconstruction, late presentation of breast cancer, developing countries.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122431701","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 a complex anterior abdominal wall defect with autologous tissues – a case report","authors":"S. Odeyinde, S. Ademola, O. Oluwatosin","doi":"10.4314/NJPSUR.V7I2.69875","DOIUrl":"https://doi.org/10.4314/NJPSUR.V7I2.69875","url":null,"abstract":"Background: The anterior abdominal wall is an important complex composite structure that poses a challenge to the reconstructive surgeon. Defects produced from infection, herniation, tumour extirpation or trauma, are often encountered. Different techniques of reconstruction have been described using autologous tissues and prosthetic materials with varying results, availability and cost implications. The use of totally autologous tissues presents a readily available reconstructive option that has been shown to be associated with a satisfactory outcome and low morbidity. In this report, we describe the use of autologous tissues for the reconstruction of a major abdominal wall defect. Method: This communication describes our experience of the use of purely autologous tissues for a full thickness anterior abdominal wall defect, presented as a case report. Result: The initial result that was obtained confirms that this is a useful technique with a satisfactory outcome with minimal morbidity. Conclusion: Utilizing purely autologous tissues, avoids most of the complications of the other techniques, is readily available, relatively cost-effective (especially advantageous in the developing country) and is less technically demanding. Keywords: Abdominal wall tumour, Fascia lata, Omentum, Skin graft","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124858734","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":"Cleft lip repair under local anaesthesia: experience in two tertiary hospitals in Nigeria","authors":"I. Onah, M. Odiakosa, L. Okoye, P. Olaitan","doi":"10.4314/NJPSUR.V7I1.66784","DOIUrl":"https://doi.org/10.4314/NJPSUR.V7I1.66784","url":null,"abstract":"Introduction : Time and costs are saved performing procedures (where applicable) under local anaesthesia. Some patients refuse surgery for fear of general anaesthesia. Indeed local anaesthesia is preferred over general anaesthesia where practicable, but lip repair is commonly done under general anaesthesia. Some surgeons carry out cleft lip repair under local anaesthesia even in paediatric age group. However, only few reports on the actual technique and experience are available from this sub region. Materials and methods : A retrospective study of lip repairs done under local anaesthesia from September 2004 to June 2009 is presented. Theatre records were reviewed; excluded were all patients who had ketamine premedication, and patients who had only a touch up for a notch. Following conscious sedation, 2% lignocaine in (1 in 50 000) adrenaline solution was infiltrated at the cleft margins and the procedure carried out. Results: Forty patients were studied, 31 from the first centre and 9 from the second. All were day procedures, no readmissions for any reasons were noted and no wound infection. One revision of a resultant notch following repair with local anaesthesia was done. No patient declined surgery in the period and all returned for palatoplasty where the palate was involved. Conclusion : Local anaesthesia is safe, cost saving, improves compliance and acceptable in Nigeria for cleft lip repair.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126508068","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":"Median cleft of the upper lip: report of cases","authors":"O. Adeosun, V. Akinmoladun, Y. Kwari, T. Owobu","doi":"10.4314/NJPSUR.V7I1.66785","DOIUrl":"https://doi.org/10.4314/NJPSUR.V7I1.66785","url":null,"abstract":"Background : Median cleft of upper lip is an uncommon facial anomaly and the severe form of it rarely survives infancy because of the associated brain tissue (corpus callosum agenesis) deformity. Surgical correction can be challenging especially when it is associated with premaxilla agenesis and absence of columella and nasal septum. Materials/Method : A review of presentation and management of five patients with median cleft of upper lip and the discussion of relevant literature. Result : Four of the cases were adult. Repair of defects were carried out by Burrow’s procedure, inverted V excision technique combined with sub-periosteal undermining at labio-buccal sulci. Effective mobilization of labial flaps on both sides ensured good apposition, but the absence of columella and nasal septum remains a major challenge in reconstruction of the defect. Conclusion : Late presentation, attributed to ignorance and poverty remains a concern in management; apart from ignorance and poverty, shortage of specialists and facilities for craniofacial surgery in Northern Nigeria may also contribute to their late presentation. Multiple surgical interventions are also not usually attractive to the patients hence result of repair are modest.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124676523","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":"Ulnar artery pseudoaneurysm with ulnar nerve palsy","authors":"J. Kortor, E. Ogwuche","doi":"10.4314/NJPSUR.V7I1.66786","DOIUrl":"https://doi.org/10.4314/NJPSUR.V7I1.66786","url":null,"abstract":"Pseudoaneurysms of the ulnar artery are very rare and usually are caused by penetrating injury. In this paper, we present a 27year old male soldier with pseudoaneurysm of the left ulnar artery which caused both motor and sensory deficits of the left ulnar nerve as a result of a pressure effect by the mass. He was treated by surgical resection of the pseudoaneurysm and direct repair of the ulnar artery and he gained a full recovery of the neurological deficit within two months.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114495553","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}