ORCID Profile
0000-0001-6581-6033
Current Organisations
Austin Health
,
Royal Children's Hospital
,
Alfred Health
,
St Vincent's Hospital Melbourne
,
Skin Health Institute
,
Royal Women's Hospital
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Publisher: Oxford University Press (OUP)
Date: 04-2023
DOI: 10.1093/BJD/LJAD101
Abstract: Benign familial pemphigus, also known as Hailey–Hailey disease (HHD), is a rare autosomal-dominant genetic skin disorder characterized by symmetrical, well-demarcated, erythematous, painful erosive and crusted plaques in the intertrigous regions. Treatment options are limited and aimed at control and limiting complications. Ocrelizumab, an anti-CD20 antibody, was given to treat our patient’s multiple sclerosis, and incidentally found to have cleared her HHD, thus offering a potential effective treatment option.
Publisher: Wiley
Date: 12-07-2023
DOI: 10.1111/AJD.14109
Publisher: Openventio Publishers
Date: 30-12-2022
DOI: 10.17140/TCOJ-5-118
Abstract: Objective Hidradenitis Suppuravita (HS) is a chronic condition that creates a significant burden on a patient’s life, both physical and emotional. While a broad range of medical and dressing treatments exist for HS, surgery is often considered the only curative approach. The aim of this study is to comprehensively review existing and emerging surgical options available for the treatment of HS. Methods Using the key phrase “Hidradenitis Suppuravita” and the MeSH terms “surgery or surgical” and “treatment or procedure”, a search of the Ovid Medline and Pubmed databases was conducted 2012 to 2022. Forty-eight studies meeting criteria were identified and included in the literature review. Results Many methods exist for the treatment of HS and there have been promising small scale series and reports that highlight positive disease and quality-of-life (QoL) outcomes associated with some surgical treatment modalities. Most methods are centred around excision of all diseased tissue followed by varying methods of reconstruction. Some novel methods, such as laser ablation, are also used. Each method has its own strengths and weaknesses. Selection of method is currently made based on a case-by-case basis such as disease severity, disease location and surgeon preference. Conclusion Further randomised control trials with larger patient populations are needed to quantify the efficacy and safety of the various surgical methods available. These approaches to treatment hold tremendous potential for improving patient outcomes globally.
Publisher: Australian Society of Plastic Surgeons
Date: 31-03-2022
Abstract: Background: A multitude of flaps have been used in post-laryngectomy reconstruction, involving different operative sites and histologically different donor tissue types. Methods: Plastic surgeons have used the pedicled facial artery myomucosal (FAMM) flap to reconstruct a perilaryngeal defect following resection of a low-grade thyroid chondrosarcoma. Results: On six-week postoperative review, the patient was eating and swallowing well, and speech was intelligible. On five-year review, the flap looked like normal mucosa and a patent airway was maintained. Conclusion: The FAMM flap provided a novel solution with excellent functional results and no donor site morbidity, warranting its consideration for perilaryngeal defects.
Publisher: Wiley
Date: 20-04-2023
DOI: 10.1111/ANS.18391
Abstract: Pressure ulcers (PU) are a common yet debilitating injury within the spinal cord injury (SCI) population. This retrospective data analysis is intended to identify the contributing factors, review the current management protocol, and risk of recurrence of PU in SCI patients at Victoria's state referral centre for traumatic spinal cord injuries. A retrospective audit of the medical records of SCI patients with pressure ulcers was conducted for the period of January 2016 to August 2021. Patients aged 18 years and older who presented for surgical management of their PU were included in the study. Among the 93 patients who met the inclusion criteria, there were a total of 195 surgeries for 129 PU. Ninety‐seven percent were classified as grade of 3 or 4 and 53% had osteomyelitis on presentation. 58% were either current smokers or ex‐smokers, and 19% were diabetic. Debridement alone was the most common type of surgical management (58%), followed by flap reconstruction (25%). Those who underwent flap reconstruction were admitted for 71 days longer, on average. 41% of the surgeries were associated with a post‐operative complication, with the most prominent being an infection at 26%. Of the 129 PU, 11% recurred at least 4 months post initial presentation. There are a multitude of a factors that impact prevalence, surgical complications, and recurrence of PU. This study provides insight into these factors to review our current practices and optimize surgical outcomes in the management of PU in the SCI population.
No related grants have been discovered for Sarah Rose Adamson.