Reconstruction of Punitive Ear Amputations in Uganda: A Unique Surgical Burden of Disease.
Identifieur interne : 002B73 ( PubMed/Curation ); précédent : 002B72; suivant : 002B74Reconstruction of Punitive Ear Amputations in Uganda: A Unique Surgical Burden of Disease.
Auteurs : Joseph Dusseldorp [France] ; Andrew Hodges ; Anup Patel ; Alexandre Marchac ; Françoise FirminSource :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Amputation traumatique (), Cartilage costal (transplantation), Cartilage de l'oreille (), Cartilage de l'oreille (traumatismes), Enfant, Femelle, Humains, Jeune adulte, Lambeaux chirurgicaux, Mâle, Oreille externe (), Oreille externe (traumatismes), Ouganda, Procédures de chirurgie reconstructive ().
- MESH :
- Wicri :
- geographic : Ouganda.
English descriptors
- KwdEn :
- Adolescent, Adult, Amputation, Traumatic (surgery), Child, Costal Cartilage (transplantation), Ear Cartilage (injuries), Ear Cartilage (surgery), Ear, External (injuries), Ear, External (surgery), Female, Humans, Male, Middle Aged, Reconstructive Surgical Procedures (methods), Surgical Flaps, Uganda, Young Adult.
- MESH :
- geographic : Uganda.
- injuries : Ear Cartilage, Ear, External.
- methods : Reconstructive Surgical Procedures.
- surgery : Amputation, Traumatic, Ear Cartilage, Ear, External.
- transplantation : Costal Cartilage.
- Adolescent, Adult, Child, Female, Humans, Male, Middle Aged, Surgical Flaps, Young Adult.
Abstract
Over the course of 12 months, a plastic surgical team from Paris, France, undertook 2 intensive ear reconstruction missions with plastic surgeons from the CoRSU Rehabilitation Hospital in Uganda. A cohort of over 30 adult women was assessed having been subjected to ear amputations by members of the Lords Resistance Army in Northern Uganda in the 1990s. The patients were identified, mobilized, and transferred to Kampala for surgery by a charitable arm of the Watoto Church, known as Living Hope. The surgical team performed 15 ear reconstruction cases during the first 1-week mission and 16 ear reconstruction cases during the second 1-week mission. All cases were reconstructed successfully using the 2-stage autologous auricular reconstruction method advocated by the senior author (FF). Local skin was used to cover the costal cartilage framework in the first stage without need for temporo-parietal fascial flaps. Technical challenges included the older age of patients and ossified costal cartilage, high prevalence of HIV positivity, bilateral amputation, and difficulty of surgical follow-up. The main modifications to standard practice were routine pre-op testing of the costal cartilage, pre-op viral load and CD4 count screening in HIV-positive patients, simultaneous bilateral first-stage ear reconstruction, prolonged hospital stay, and implementation of routine surgical counting procedures.
DOI: 10.1097/SCS.0000000000001783
PubMed: 26080156
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xml:lang="en"><term>Uganda</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Ear Cartilage</term><term>Ear, External</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Reconstructive Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Amputation, Traumatic</term><term>Ear Cartilage</term><term>Ear, External</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Costal Cartilage</term></keywords><keywords scheme="MESH" qualifier="traumatismes" xml:lang="fr"><term>Cartilage costal</term><term>Cartilage de l'oreille</term><term>Oreille externe</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Child</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Surgical Flaps</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Amputation traumatique</term><term>Cartilage de l'oreille</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Lambeaux chirurgicaux</term><term>Mâle</term><term>Oreille externe</term><term>Ouganda</term><term>Procédures de chirurgie reconstructive</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ouganda</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Over the course of 12 months, a plastic surgical team from Paris, France, undertook 2 intensive ear reconstruction missions with plastic surgeons from the CoRSU Rehabilitation Hospital in Uganda. A cohort of over 30 adult women was assessed having been subjected to ear amputations by members of the Lords Resistance Army in Northern Uganda in the 1990s. The patients were identified, mobilized, and transferred to Kampala for surgery by a charitable arm of the Watoto Church, known as Living Hope. The surgical team performed 15 ear reconstruction cases during the first 1-week mission and 16 ear reconstruction cases during the second 1-week mission. All cases were reconstructed successfully using the 2-stage autologous auricular reconstruction method advocated by the senior author (FF). Local skin was used to cover the costal cartilage framework in the first stage without need for temporo-parietal fascial flaps. Technical challenges included the older age of patients and ossified costal cartilage, high prevalence of HIV positivity, bilateral amputation, and difficulty of surgical follow-up. The main modifications to standard practice were routine pre-op testing of the costal cartilage, pre-op viral load and CD4 count screening in HIV-positive patients, simultaneous bilateral first-stage ear reconstruction, prolonged hospital stay, and implementation of routine surgical counting procedures.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26080156</PMID><DateCreated><Year>2015</Year><Month>06</Month><Day>17</Day></DateCreated><DateCompleted><Year>2016</Year><Month>02</Month><Day>11</Day></DateCompleted><DateRevised><Year>2015</Year><Month>06</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-3732</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Jun</Month></PubDate></JournalIssue><Title>The Journal of craniofacial surgery</Title><ISOAbbreviation>J Craniofac Surg</ISOAbbreviation></Journal><ArticleTitle>Reconstruction of Punitive Ear Amputations in Uganda: A Unique Surgical Burden of Disease.</ArticleTitle><Pagination><MedlinePgn>1196-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/SCS.0000000000001783</ELocationID><Abstract><AbstractText>Over the course of 12 months, a plastic surgical team from Paris, France, undertook 2 intensive ear reconstruction missions with plastic surgeons from the CoRSU Rehabilitation Hospital in Uganda. A cohort of over 30 adult women was assessed having been subjected to ear amputations by members of the Lords Resistance Army in Northern Uganda in the 1990s. The patients were identified, mobilized, and transferred to Kampala for surgery by a charitable arm of the Watoto Church, known as Living Hope. The surgical team performed 15 ear reconstruction cases during the first 1-week mission and 16 ear reconstruction cases during the second 1-week mission. All cases were reconstructed successfully using the 2-stage autologous auricular reconstruction method advocated by the senior author (FF). Local skin was used to cover the costal cartilage framework in the first stage without need for temporo-parietal fascial flaps. Technical challenges included the older age of patients and ossified costal cartilage, high prevalence of HIV positivity, bilateral amputation, and difficulty of surgical follow-up. The main modifications to standard practice were routine pre-op testing of the costal cartilage, pre-op viral load and CD4 count screening in HIV-positive patients, simultaneous bilateral first-stage ear reconstruction, prolonged hospital stay, and implementation of routine surgical counting procedures.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dusseldorp</LastName><ForeName>Joseph</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>*Royal Australasian College of Surgeons, Sydney, Australia †CoRSU Rehabilitation Hospital, Kampala, Uganda ‡Yale University School of Medicine, New York, NY §Hôpital Européen Georges Pompidou ||Clinique Bizet, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hodges</LastName><ForeName>Andrew</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Patel</LastName><ForeName>Anup</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Marchac</LastName><ForeName>Alexandre</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Firmin</LastName><ForeName>Françoise</ForeName><Initials>F</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Craniofac Surg</MedlineTA><NlmUniqueID>9010410</NlmUniqueID><ISSNLinking>1049-2275</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000673" MajorTopicYN="N">Amputation, Traumatic</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D066186" MajorTopicYN="N">Costal Cartilage</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004425" MajorTopicYN="N">Ear Cartilage</DescriptorName><QualifierName UI="Q000293" MajorTopicYN="N">injuries</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004431" MajorTopicYN="N">Ear, External</DescriptorName><QualifierName UI="Q000293" MajorTopicYN="N">injuries</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019651" MajorTopicYN="N">Reconstructive Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="Y">Surgical Flaps</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014454" MajorTopicYN="N" Type="Geographic">Uganda</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>6</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>6</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>2</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26080156</ArticleId><ArticleId IdType="doi">10.1097/SCS.0000000000001783</ArticleId><ArticleId IdType="pii">00001665-201506000-00053</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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