Embedded Files
Unfortunately, the best way to act is unclear. Retrobulbar injections of large and repeated dosages of hyaluronidase (H-ase) have long been the standard of care. However, the initial idea that H-ase was able to diffuse through the CRA arterial wall and dissolve the filler, has recently been doubted. Alternatively, canulation of the supratrochlear of supraorbital artery and direct intravascular infusion of the H-ase, can be tried Clearly more work has to be done to elucidate the pathophysiology of vascular adverse events and the best forms of action. Prevention Several experiments have made clear that simple aspiration before injecting fillers is not enough to prevent intra-arterial injection [15]. Therefore, it seems logical to perform prior ultrasound scanning of an area to identify vascular anomalies, in particular in case of nasal or glabellar injections. After nasal surgery the main arterial blood supply of upper lip and adjacent areas may run an alternative course. Given the low incidence of VAE it will be very difficult to prove the beneficial effects of such an approach. Yet, duplex sonography is a very simple, non-invasive method that is completed in a few minutes [16]. As doctors, we owe it to our patients to do the utmost to prevent any harm being done. Kadouch J, et al. (2021) A Guide to Doppler Ultrasound Analysis of the Face in Cosmetic Medicine. Part 2: Vascular M High-quality research is fundamental to the advancement of surgical practice. Currently, there is no quantitative assessment of the research output of vascular surgeons in Australia and New Zealand. By conducting this bibliometric analysis, we aim to provide an objective representation of the trends in vascular surgery and guide future research. A list of all current vascular surgeons in Australia and New Zealand was compiled from the Royal Australasian College of Surgeons ‘Find a Surgeon’ website tool and correlated with the Australia and New Zealand Society for Vascular Surgery database. A Scopus search of each surgeon’s author profile over the last 20 years was conducted. In total, 2120 articles were published by 208 Australasian vascular surgeons between 1998 and July 2018, with an overall increase in publications over time. Audits or case series were the most published type of study and only 8% of the publications were of high-level evidence. The most popular topics were thoracoabdominal aortic pathologies (24%), followed by peripheral arterial disease (15%). Chronological analysis illustrates an increasing volume of peripheral arterial disease research over time and there is a clear trend towards more endovascular and hybrid surgery publications. The top 10 (5%) highest publishing authors by h-index account for 41% of all publications and 49% of all citations and are also responsible for producing significantly more high-level evidence research. Australasian vascular surgeons have made a significant contribution to medical research. However, the majority of these articles are of low-level evidence. In this time, there has been an increasing number of publications on endovascular and hybrid surgery in keeping with the trend in clinical practice. These areas, as well as research regarding peripheral arterial disease, show potential for high-evidence research in the future. High-quality research is fundamental to the continuing advancement of surgical practice. Over time, publications can lead to refinement in the diagnosis, investigation and treatment of various surgical conditions. It also provides a means of communication between surgeons internationally and allows dissemination of information that can potentially impact clinical practice on a global scale. A bibliometric analysis is a standardised method of quantifying research output and ascertaining trends, strengths and gaps in the literature.1 An author analysis examining the individual productivity of each surgeon allows appreciation of research output disparities based on author characteristics and identifies authors of high output in particular areas of interest. Vascular surgery is a specialty that has seen significant growth in recent decades, with number of vascular surgeons in Australasia increasing from 124 in 2005 to 212 in 2015.2,3 There have been several
Report abuse