Malignant Melanoma Arising in Red Tattoo Ink

Cormac Weekes Joyce,Gerald Duff,Dermot McKenna,Padraic James Regan 대한성형외과학회 2015 Archives of Plastic Surgery Vol.42 No.4

We report the case of a 33-year-old male who presented with a malignant melanoma on his anterior chest wall. The lesion was only found in the red ink pigment of the tattoo, as were several in-transit dermal metastases. Possible explanations include a pre-existing lesion which was seeded with red ink or the possibility of the red ink causing an inflammatory reaction leading to malignant transformation. This is the first reported case of a melanoma developing in the red ink pigment of a multi-colored tattoo.

Microsurgery: The Top 50 Classic Papers in Plastic Surgery: A Citation Analysis

Cormac Weekes Joyce,Sean Michael Carroll 대한성형외과학회 2014 Archives of Plastic Surgery Vol.41 No.2

Background: The number of citations that a published article has received reflects the importance of the paper in the particular area of practice. In microsurgery, thus far, which journal articles are cited most frequently is unknown. The purpose of this study was to identify and analyze the characteristics of the top 50 papers in the field of microsurgery in the plastic surgery literature. Methods: The 50 most cited papers published in high impact plastic surgery and microsurgery journals were identified. The articles were ranked in the order of the number of citations received. These 50 classic papers were analyzed for article type, journal distribution, and geographic and institutional origin. Results: Six international journals contributed to the top 50 papers in microsurgery. The most cited paper reported on the early use of the vascularized bone graft and was cited 116 times. The top 50 papers originated from just 10 countries with the United States producing the most. The Preston and Northcote Community Hospital, Melbourne published 5 papers and this was the most productive institution in the top 50. Conclusions: These papers represent many important milestones in the relatively short history of microsurgery. Furthermore, our citation analysis provides useful information to budding authors as to what makes a paper attain a “classic” status.

The Modified Trap Door Flap for Reconstruction of Posterior Pinna and Concha Defects

Joyce, Cormac W,Sharahan, Shazarina,Regan, Padraic J Korean Society of Plastic and Reconstructive Surge 2015 Archives of Plastic Surgery Vol.42 No.5

Microsurgery: The Top 50 Classic Papers in Plastic Surgery: A Citation Analysis

Joyce, Cormac Weekes,Carroll, Sean Michael Korean Society of Plastic and Reconstructive Surge 2014 Archives of Plastic Surgery Vol.41 No.2

Background The number of citations that a published article has received reflects the importance of the paper in the particular area of practice. In microsurgery, thus far, which journal articles are cited most frequently is unknown. The purpose of this study was to identify and analyze the characteristics of the top 50 papers in the field of microsurgery in the plastic surgery literature. Methods The 50 most cited papers published in high impact plastic surgery and microsurgery journals were identified. The articles were ranked in the order of the number of citations received. These 50 classic papers were analyzed for article type, journal distribution, and geographic and institutional origin. Results Six international journals contributed to the top 50 papers in microsurgery. The most cited paper reported on the early use of the vascularized bone graft and was cited 116 times. The top 50 papers originated from just 10 countries with the United States producing the most. The Preston and Northcote Community Hospital, Melbourne published 5 papers and this was the most productive institution in the top 50. Conclusions These papers represent many important milestones in the relatively short history of microsurgery. Furthermore, our citation analysis provides useful information to budding authors as to what makes a paper attain a "classic" status.

Scar Wars: Preferences in Breast Surgery

Joyce, Cormac W,Murphy, Siun,Murphy, Stephen,Kelly, Jack L,Morrison, Colin M Korean Society of Plastic and Reconstructive Surge 2015 Archives of Plastic Surgery Vol.42 No.5

Background The uptake of breast reconstruction is ever increasing with procedures ranging from implant-based reconstructions to complex free tissue transfer. Little emphasis is placed on scarring when counseling patients yet they remain a significant source of morbidity and litigation. The aim of this study was to examine the scarring preferences of men and women in breast oncoplastic and reconstructive surgery. Methods Five hundred men and women were asked to fill out a four-page questionnaire in two large Irish centres. They were asked about their opinions on scarring post breast surgery and were also asked to rank the common scarring patterns in wide local excisions, oncoplastic procedures, breast reconstructions as well as donor sites. Results Fifty-eight percent of those surveyed did not feel scars were important post breast cancer surgery. 61% said that their partners' opinion of scars were important. The most preferred wide local excision scar was the lower lateral quadrant scar whilst the scars from the deep inferior epigastric artery perforator (DIEP) flap were most favoured. The superior gluteal artery perforator flap had the most preferred donor site while surprisingly, the DIEP had the least favourite donor site. Conclusions Scars are often overlooked when planning breast surgery yet the extent and position of the scar needs to be outlined to patients and it should play an important role in selecting a breast reconstruction option. This study highlights the need for further evaluation of patients' opinions regarding scar patterns.

Malignant Melanoma Arising in Red Tattoo Ink

Joyce, Cormac Weekes,Duff, Gerald,McKenna, Dermot,Regan, Padraic James Korean Society of Plastic and Reconstructive Surge 2015 Archives of Plastic Surgery Vol.42 No.4

We report the case of a 33-year-old male who presented with a malignant melanoma on his anterior chest wall. The lesion was only found in the red ink pigment of the tattoo, as were several in-transit dermal metastases. Possible explanations include a pre-existing lesion which was seeded with red ink or the possibility of the red ink causing an inflammatory reaction leading to malignant transformation. This is the first reported case of a melanoma developing in the red ink pigment of a multi-colored tattoo.

The 50 Most Cited Papers in Craniofacial Anomalies and Craniofacial Surgery

Mahon, Nicola A,Joyce, Cormac W,Thomas, Sangeetha,Concannon, Elizabeth,Murray, Dylan Korean Society of Plastic and Reconstructive Surge 2015 Archives of Plastic Surgery Vol.42 No.5

Background Citation analysis is a recognized scientometric method of classifying cited articles according to the frequency of which they have been referenced. The total number of citations an article receives is considered to reflect it's significance among it's peers. Methods Until now, a bibliometric analysis has never been performed in the specialty of craniofacial anomalies and craniofacial surgery. This citation analysis generates an extensive list of the 50 most influential papers in this developing field. Journals specializing in craniofacial surgery, maxillofacial surgery, plastic surgery, neurosurgery, genetics and pediatrics were searched to demonstrate which articles have cultivated the specialty within the past 55 years. Results The results show an intriguing compilation of papers which outline the fundamental knowledge of craniofacial anomalies and the developments of surgical techniques to manage these patients. Conclusions This citation analysis provides a summation of the current most popular trends in craniofacial literature. These esteemed papers aid to direct our decision making today within this specialty.

Proximal Interphalangeal Joint Dislocations and Treatment: An Evolutionary Process

Kenneth Michael Joyce,Cormac Weekes Joyce,Frank Conroy,Jeff Chan,Emily Buckley,Sean Michael Carroll 대한성형외과학회 2014 Archives of Plastic Surgery Vol.41 No.4

Background: Proximal interphalangeal joint (PIPJ) dislocations represent a significantproportion of hand clinic visits and typically require frequent follow-ups for clinical assessment,orthotic adjustments, and physiotherapy. There are a large number of treatmentoptions available for PIPJ dislocations, yet no prospective or controlled studies have beencarried out, largely due to the diversity of the various types of injuries. Methods: We retrospectively reviewed all the PIPJ dislocations in our institution over a fiveyearperiod and directly compared the different splinting techniques that we have used overthis time frame. Results: There were a total of 77 dislocations of the PIPJ (57 men and 20 women) that wereincluded in our study. We found that our management has shifted gradually from completeimmobilisation to controlled early mobilisation with figure-of-eight splints. Followingtreatment, the range of motion of the PIPJ in the figure-of-eight group was significantlygreater than that in the other three methods (P<0.05) used. There were significantly fewerhospital visits in the figure-of-eight splint group than in the other treatment groups. Conclusions: The treatment of PIPJ dislocations has undergone a significant evolution in ourexperience. Early controlled mobilisation has become increasingly important, and therefore,splints have had to be adapted to allow for this. The figure-of-eight splint has yielded excellentresults in our experience. It should be considered for all PIPJ dislocations, but careful patientselection is required to achieve optimum results.

Levels of Evidence in the Plastic Surgery Literature: A Citation Analysis of the Top 50 'Classic' Papers

Joyce, Kenneth M,Joyce, Cormac W,Kelly, John C,Kelly, Jack L,Carroll, Sean M Korean Society of Plastic and Reconstructive Surge 2015 Archives of Plastic Surgery Vol.42 No.4

Background The plastic surgery literature is vast, consisting of a plethora of diverse articles written by a myriad of illustrious authors. Despite this considerable archive of published material, it remains nebulous as to which precise papers have had the greatest impact on our specialty. The aim of this study was to identify the most cited papers in the plastic surgery literature and perform a citation analysis paying particular attention to the evidence levels of the clinical studies. Methods We identified the 50 most cited papers published in the 20 highest impact plastic surgery journals through the Web of Science. The articles were ranked in order of number of citations acquired and level of evidence assessed. Results The top 50 cited papers were published in six different journals between the years 1957 and 2007. Forty-two of the papers in the top 50 were considered as level IV or V evidence. No level I or II evidence was present in the top 50 list. The average level of evidence of the top 50 papers was 4.28. Conclusions In the plastic surgery literature, no positive correlation exists between a high number of citations and a high level of evidence. Anatomical reconstructive challenges tend to be the main focus of plastic surgery rather than pathologic diseases and consequently, papers with lower levels of evidence are relatively more valuable in plastic surgery than many other specialties.

Proximal Interphalangeal Joint Dislocations and Treatment: An Evolutionary Process

Joyce, Kenneth Michael,Joyce, Cormac Weekes,Conroy, Frank,Chan, Jeff,Buckley, Emily,Carroll, Sean Michael Korean Society of Plastic and Reconstructive Surge 2014 Archives of Plastic Surgery Vol.41 No.4

Background Proximal interphalangeal joint (PIPJ) dislocations represent a significant proportion of hand clinic visits and typically require frequent follow-ups for clinical assessment, orthotic adjustments, and physiotherapy. There are a large number of treatment options available for PIPJ dislocations, yet no prospective or controlled studies have been carried out, largely due to the diversity of the various types of injuries. Methods We retrospectively reviewed all the PIPJ dislocations in our institution over a five-year period and directly compared the different splinting techniques that we have used over this time frame. Results There were a total of 77 dislocations of the PIPJ (57 men and 20 women) that were included in our study. We found that our management has shifted gradually from complete immobilisation to controlled early mobilisation with figure-of-eight splints. Following treatment, the range of motion of the PIPJ in the figure-of-eight group was significantly greater than that in the other three methods (P<0.05) used. There were significantly fewer hospital visits in the figure-of-eight splint group than in the other treatment groups. Conclusions The treatment of PIPJ dislocations has undergone a significant evolution in our experience. Early controlled mobilisation has become increasingly important, and therefore, splints have had to be adapted to allow for this. The figure-of-eight splint has yielded excellent results in our experience. It should be considered for all PIPJ dislocations, but careful patient selection is required to achieve optimum results.