Australasian Journal of Plastic Surgery. March 2022; 5(1)

OUT NOW

TOPIC—ELECTIVE SURGERY

Categories
Editors-in-Chief Mark Lee and Mark Ashton propose a holistic categorisation system that is more reflective of urgency and less prone to manipulation or ‘turning off’  in times of pressure. LINK

Impact of elective surgery restrictions on training, service to the community and public
William Blake and David Morgan examine the impacts of elective surgery restrictions in response to COVID-19 on the Australian PRS trainee program, service to the community and public. LINK

TOPIC—WORKFORCE

Future development of plastic and reconstructive surgery in Australasia 
President of NZAPS, Christopher Adams, cautions against plastic surgery becoming less relevant with significant engagement and cultural change needed for the profession to grow and expand. LINK

AESTHETIC
The role of tranexamic acid in breast and body contouring surgery: a review of the literature | Daniel WH Wong, Tai K 'Quoc' Lam
A literature review evaluating evidence for the use of tranexamic acid in reducing postoperative seroma and haematoma formation in breast surgery and body contouring surgery. LINK

BREAST

Toolkit for the management of breast implants and the importance of informed educated consent | Anand Deva and Mark Ashton 
NSW Health's Agency for Clinical Innovation has just released a toolkit for the management of breast implants.These are the result of collaborative clinical consensus write Anand Deva and Mark Ashton. LINK

Inaugural roundtable on breast reconstruction practice in Australia: background, process and recommendations | Kathy Dempsey, Meagan E Brennan, Andrew Spillane
Recommendations from the inaugural roundtable on breast reconstruction held on 9 October 2019 in Queensland, Australia, for improved decision-making and increased funding to support wider, timely access to breast reconstruction. LINK

Prevention of thermal injury from lighted retractors in breast surgery—a comparative study of optical cable calibre | Danielle Nizzero, Roland Deek, Nicola R Dean
A comparative study of optical cable calibre to determine whether a smaller calibre optical cable generates less heat at its connection with a Tebbetts lighted retractor. LINK

The financial burden of complications of overseas breast implants at the Royal Brisbane and Women's hospital | Isabel Gonzalez Matheus, Matthew Peters, Marie-Claire Edmunds
A retrospective analysis of Australian Breast Device Registry data to establish the financial costs of complications from overseas breast implants treated at a single tertiary unit in Brisbane, Australia. LINK

PET positive tattoo lymphadenopathy: a case report and review of the literature | Sarah Lonie, Alisha Fong, Peter Gregory, Manish Jain, George F Pratt
Lymphadenopathy related to tattoo ink has been reported previously, however, this is the only case of benign PET positive tattoo lymphadenopathy resulting in unnecessary invasive surgery reported to date. LINK

BURNS
Perioperative antibiotic prophylaxis in Australian burns patients | Patrick Lu, Dane Holden, Alex Padiglione, Heather Cleland
A retrospective review of perioperative antibiotic prophylaxis among acute adult burns patients at the Victorian Adult Burns Service, Australia. LINK

CLEFT LIP AND PALATE
Heterotopic ossification in a soft tissue free flap vascular pedicle: a case report | Jan Janzekovic, Noah M Betar, Alicia Heald, Robert Calvisi, Admire Matsika, Yun S Phua
The first described case of heterotopic ossification surrounding the vascular pedicle of a radial artery free flap (RAFF) after microsurgical cleft palate reconstruction. LINK

CRANIOMAXILLOFACIAL
Vascularised periosteal free flap reconstruction for medication-related osteonecrosis of the jaw: a case series | Isabella Reid, Ian Loh, Frank Bruscino-Raiola
TA retrospective case series describing preliminary outcomes for advanced MRONJ managed with conservative dental measures, local nasolabial flap reconstruction or vascularised periosteal radial forearm flap reconstruction. LINK

GENERAL RECONSTRUCTION
Experiences of women undergoing abdominoplasty in the public sector: a qualitative study | Nicola R Dean, Kristen Foley, Randall Long, Paul Ward
A prospective, qualitative study of women undergoing abdominoplasty in the Australian public healthcare system exploring the effect of abdominoplasty on mental health and physical symptoms including association with rectus diastasis. LINK

HAND
Traction splinting (EAVAST protocol) versus operative fixation of proximal phalanx fractures: a comparative study of patient outcomes | Alyse D Hopkins, Nick P Barry, Sebastian RA Bowman, Sivapirabu Sathasivam, Rohit J Kumar, Angelo P Preketes, Michael B Dowd
A non-randomised, single-centre prospective cohort study comparing functional outcomes for patients who underwent operative fixation or traction splinting using the EAVAST protocol for the management proximal phalanx fractures of the hand. LINK

Digital flexor tendon rupture due to gout: a case report and literature review | Sean Kwang Howe Leow, Robert Knight
A rare case of intra-tendinous infiltration with tophaceous gout leading to spontaneous rupture in the hand with detailed approach to assessment, investigation and management, and literature review. LINK

HEAD AND NECK
Microsurgical scalp reconstruction and cranioplasty refined | Sonia Sinclair, Kiane Zhou, Jia Miin Yip, Shagun Aggarwal, Alistair K Jukes, Jonathan R Clark, Brindha Shivalingham, Sydney Ch’ng
A retrospective cohort study assessing clinical outcomes over a five year period of complex scalp reconstruction by a single surgeon with technical refinements for refining microsurgical scalp reconstruction and cranioplasty. LINK

Facial artery myomucosal flap reconstruction of a hemilaryngectomy defect: a case report | Sarah Rose Adamson, Bernard Lyons, Damien Grinsall
A case report of a pedicled facial artery myomucosal (FAMM) flap for the reconstruction of the hemilarynx with excellent functional results and no donor site morbidity. LINK

MELANOMA AND SKIN CANCER
Enhanced risk of multiple sentinel lymph node basins in truncal and head and neck melanoma | Harmeet K Bhullar, Lipi Shukla, Ramin Shayan, Frank Bruschino-Raiola
A retrospective review comparing lymphatic drainage patterns and characteristics of truncal and head and neck melanoma to assess their clinical usefulness in areas of unpredictable drainage. LINK

Skin lesion assessment and management model: optimising existing resources in the management of non-melanoma skin cancer | Caitlin O’Hare, Michael McKeough, Melanie Hickson, Rebekah Ferris, Jay Wiper, Michael Wagels
A clinical study investigating the impact of a ‘see-and-treat’ model of care for the assessment and treatment of non-melanoma skin cancer on treatment wait times, costs and patient satisfaction. LINK

Margin of error: accuracy of estimated excision margins by surgical experience.
Guidelines for recommended margins for common lesions are well documented. Harriet K Semple and Marc J Langbart found that while accuracy generally improves with surgical experience, margins are largely underestimated by all groups. LINK

PAEDIATRIC
Unexpected diagnosis of a pilomatrixoma in an infant: a case report | Daniel WH Wong, Timothy Chew, Edward Gibson, Bernard Carney
Case report of a large pilomatrixoma presenting in an ex-premature infant reaffirming the need for a vigilant approach when managing paediatric skin lesions, particularly those that don’t follow the expected course. LINK

TECHNOLOGY AND IMAGING
Advances in perforator imaging through holographic CTA and augmented reality: a systematic review | Robert Phan, Michael P Chae, David J Hunter-Smith, Warren M Rozen
A systematic review of the literature evaluating evidence for the use of augmented reality to assist in pedicle identification and dissection versus Doppler ultrasound and CTA. LINK

THANK YOU

Thank you to our section editors and reviewers for their contributions to this issue.

If you have an article or case you would like to submit for consideration, or a perspective, 'how to do it', book review or other practical, non-clinical skills for surgeons, please view our guidelines here. For questions relating to submissions, please email us at [email protected].

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Australian Society of Plastic Surgeons is the peak body in Australia for specialist plastic surgeons. Visit ASPS to learn about:

• plastic surgery regulation 
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• fellowship opportunities
• latest events

ASPS Research Hub seeks to facilitate plastic surgery research by encouraging collaboration and knowledge sharing via the Australasian Plastic and Reconstructive Surgery Research Network (APRSRN).

Visit ASPS Research Hub to learn about:

• Combined plastic and reconstructive surgery PhD/FRACS program
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• Research profiles
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The next Plastic Surgery Congress will be held on the Gold Coast 16-18 June 2022. For further details refer to the PSC website.

The Australasian Journal of Plastic Surgery was established in 2018 as a joint initiative between the Australasian Foundation for Plastic Surgery and the Australian Society of Plastic Surgeons. The journal is published by the Australian Society of Plastic Surgeons with support from the New Zealand Association of Plastic Surgeons.