Central Upper Lip Reconstruction Using Combined Advancement Flaps of Skin and Mucosa.
Skinmed 2018 1;16(2):137-139. Epub 2018 Apr 1.
Department of Dermatology and Venereology, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
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[Application of local skin flaps in adjustment of reconstructed nasal alars at second stage].
- Authors:
- Zhiyuan Jiang,
- Xiaobo You,
- Zhen Cai,
- Quan Liu,
- Kuangyun Tang,
- Han Zhang,
- Wei Cui,
- Zaihong Chen,
- Shan Luo
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jan;32(1):55-58
Department of Plastic Surgery, Sichuan Provincial People's Hospital & Sichuan Academy of Medical Sciences, Chengdu Sichuan, 610072, P.R.China.
Objective: To investigate the effectiveness of local skin flaps such as V-Y advancement flap (V-Y plasty) and transposition flap (Z plasty) in the adjustment of reconstructed nasal alars at second stage.
Methods: Between June 2012 and January 2017, 14 cases of reconstructed nasal alars by nasolabial flap or expanded forehead flap were recruited. There were 9 males and 5 females with an average age of 34. Read More
Methods: Between June 2012 and January 2017, 14 cases of reconstructed nasal alars by nasolabial flap or expanded forehead flap were recruited. There were 9 males and 5 females with an average age of 34. Read More
Assessment of Frontalis Myocutaneous Transposition Flap for Forehead Reconstruction After Mohs Surgery.
- Authors:
- Alejandra Tomás-Velázquez,
- Pedro Redondo
JAMA Dermatol 2018 Jun;154(6):708-711
Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.
Importance: Forehead reconstruction after Mohs surgery has become a challenge for dermatology surgeons, and achieving an excellent cosmetic and functional result is imperative in this location.
Objective: To highlight the utility of a frontalis myocutaneous transposition flap (FMTF) for forehead reconstruction after Mohs surgery.
Design, Setting, And Participants: Surgical technique case series including 12 patients with large forehead defects recruited between January 2010 and June 2017 at the Dermatology Department of the University Clinic of Navarra, Spain. Read More
Objective: To highlight the utility of a frontalis myocutaneous transposition flap (FMTF) for forehead reconstruction after Mohs surgery.
Design, Setting, And Participants: Surgical technique case series including 12 patients with large forehead defects recruited between January 2010 and June 2017 at the Dermatology Department of the University Clinic of Navarra, Spain. Read More
A Combination Flap for Nasal Defect Reconstruction.
- Authors:
- Rajshree Jayarajan
Ann Plast Surg 2018 May 17. Epub 2018 May 17.
From the Department of Plastic Surgery, University Hospitals of Leicester, Leicester, United Kingdom.
Background: Nasal reconstruction is a common plastic surgery procedure following cancer resection. Whereas most small and medium defects are managed using standard local flaps, reconstructive options available for large defects of the nose such as a heminasal defect are very few. Most of the large defects are usually managed using a forehead flap, which involves at least 2 stages or using free tissue transfer. Read More
Pectoralis Major Musculocutaneous Flap With a Midline Sternal Skin Paddle for Head and Neck Reconstruction: A New Design.
- Authors:
- Jeongseok Oh,
- Hee Chang Ahn,
- Seungki Youn,
- Kyung Tae
Ann Plast Surg 2018 May 14. Epub 2018 May 14.
Otolaryngology, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea.
Purpose: The pectoralis major musculocutaneous (PMMC) flap is a classic flap for head and neck reconstruction, relatively unpopular with the advancement of microsurgery and free flaps. The classic parasternal paddle design provided a thick flap with a small rotation arch leaving objectionable scarring. Our new symmetric midsternal design overcomes these problems. Read More
The Combination of Expanded Scalp Flap and 800 nm Diode Laser in the Reconstruction of Forehead Defect.
- Authors:
- Yang Li,
- Weiyang Li,
- Chaohua Liu,
- Qing Yang,
- Ping Xue,
- Hengxin Liu,
- Jiangbo Cui,
- Jianke Ding,
- Yingjun Su,
- Xianjie Ma
Aesthetic Plast Surg 2018 May 3. Epub 2018 May 3.
Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, 127 Changle West Road, Xi'an, 710032, People's Republic of China.
Skin grafting is often the first choice for closing forehead defects. However, the aesthetics of skin grafting-reconstructed forehead defects are still not accepted by a large number of patients. With the technological advancement of laser hair removal, scalp flaps have been considered as donors for reconstruction of forehead defects. Read More
Outcomes of using a modified anteromedial thigh perforator flap for repairing the anterolateral thigh free flap donor site: A retrospective clinical review.
- Authors:
- Xiao Zhou,
- Jin Wang,
- Li Qiang,
- Yongjun Rui,
- Mingyu Xue
Medicine (Baltimore) 2018 Apr;97(16):e0491
Department of Hand Surgery, Wuxi No. 9 People's Hospital Affiliated to Soochow University, Wuxi, Jiangsu, P.R. China.
The anterolateral thigh (ALT) flap plays an essential part in plastic and reconstructive surgery. However, repair of the anterolateral donor site has not been the focus of the clinicians.To assess the clinical value and feasibility of using a modified anteromedial thigh (AMT) perforator flap for repairing the ALT free flap donor site. Read More
Repeated Use of Gluteal Fold Flaps for Post-Oncologic Vulvoperineal Reconstruction.
- Authors:
- J Joris Hage,
- Maurits Lange,
- Henry J Zijlmans,
- Marc van Beurden
Ann Plast Surg 2018 Jun;80(6):648-652
Gynecologic Oncology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.
Background And Aim: Because of the associated high recurrence rate, future reconstructive options should be reckoned with during surgical treatment of primary or recurrent (pre)malignant vulvoperineal lesions. One of the claimed advantages of the gluteal fold flap is the possibility of repeated use of the flap in case of recurrence. We present our experience with such reuse of gluteal fold flaps to illustrate this possibility. Read More
Synchronous Soleus and Reverse Sural Flap for Large Soft Tissue Defect Reconstruction of Leg.
World J Plast Surg 2018 Jan;7(1):12-15
Department of Plastic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background: Extended Soft tissue defect of leg including middle and distal parts always has been a challenge for many plastic surgeons and also a frustrated problem for patients and families. To introduce the use of the soleus muscle and reverse sural flaps as synchronous surgical treatment alternative of the leg bone exposure with large soft tissue defect, this study was conducted.
Methods: The medical records of patients undergoing transposition of the soleus muscle for treating exposed bone in the leg and simultaneous sural flap were retrospectively analyzed from January 2009 to July 2014, while gathering information on the used muscle was to cover the lesion. Read More
Methods: The medical records of patients undergoing transposition of the soleus muscle for treating exposed bone in the leg and simultaneous sural flap were retrospectively analyzed from January 2009 to July 2014, while gathering information on the used muscle was to cover the lesion. Read More
Triple flap technique for vulvar reconstruction.
Ann Chir Plast Esthet 2018 Apr 9. Epub 2018 Apr 9.
Department of plastic reconstructive and aesthetic surgery, university hospital of Picardie, 80054 Picardie cedex 1, France. Electronic address:
Objective: Perineal defects are encountered ever more frequently, in the treatment of vulvar cancers or abdominoperineal resection. The surgical treatment of vulvar cancer leads to significant skin defect. The aim of the reconstruction is not to provide volume but rather to resurface perineum. Read More
Patient satisfaction in 1,827 patients following various methods of facial reconstruction based on age, defect size and site.
- Authors:
- Saskia Maria Schnabl,
- Helmut Breuninger,
- Eleni Iordanou,
- Alexander Scheu,
- Lukas Kofler,
- Hans-Martin Häfner,
- Franziska Carola Eberle
J Dtsch Dermatol Ges 2018 Apr;16(4):426-433
Department of Dermatology, Eberhard Karl University of Tübingen, Tübingen, Germany.
Background: Defect coverage following tumor excision requires a case-by-case decision as regards the optimal reconstruction technique. In the head and neck region in particular, the cosmetic outcome is of major importance. The objective of the present study was to compare various reconstruction methods in terms of their functional and aesthetic outcome based on patient age, defect size and site. Read More
Complete Lower Lip Reconstruction with a Large Lip Switch Flap and a Composite Modiolus Advancement Flap.
- Authors:
- Gudjon L Gunnarsson,
- Meheret Beferkadu Demmissie,
- Ingemar Havemann,
- Thom Kare Topstad,
- Jorn Bo Thomsen
Plast Reconstr Surg Glob Open 2017 Dec 22;5(12):e1607. Epub 2017 Dec 22.
Department of Plastic Surgery, Telemark Hospital, Skien, Norway; ALERT Center & Yekatit 12 Hospital, Addis Ababa, Ethiopia; Eminent Surgery, Kristiansand, Norway; and Department of Plastic Surgery, Odense University Hospital and Vejle/Lillebaelt Hospital, Denmark.
Total loss of the lower lip is debilitating and poses a reconstructive challenge. Aiming to restore oral continence and function and also cosmetic appearance, a successful reconstruction has a huge impact on the quality of life for the individual patient. Early sources of local tissue rearrangement for lip reconstruction date back 3000 years, with earliest reports of lip switch procedures more than 2 centuries ago in Europe, when noma was still endemic in Europe, indicating that the anatomy was better understood by the barber surgeons of the past than we like to acknowledge. Read More
The V-Y flap technique in complicated and recurrent pilonidal sinus disease.
- Authors:
- Yavuz Savas Koca,
- Ihsan Yıldız,
- Mustafa Ugur,
- Ibrahim Barut
Ann Ital Chir 2018 ;89:66-69
Object Ves: This study presents early and long term (5 years) outcome of 61 complicated pilonidal sinus disease cases undergoing V-Y advancement flap method together with the literature data.
Method: Data of 336 patients undergoing surgery for pilonidal sinus disease between 2008 and 2012 were retrospectively analyzed. Patients with defect size ≥ 10 cm, and more than one subcutaneous sinus tunnels were assumed to have complicated pilonidal sinus disease. Read More
Method: Data of 336 patients undergoing surgery for pilonidal sinus disease between 2008 and 2012 were retrospectively analyzed. Patients with defect size ≥ 10 cm, and more than one subcutaneous sinus tunnels were assumed to have complicated pilonidal sinus disease. Read More
Forehead reconstruction using modified double-opposing rotation-advancement flaps for severe skin necrosis after filler injection.
- Authors:
- Jinwoo Kim,
- Woosuk Hwang
Arch Craniofac Surg 2018 Mar 20;19(1):64-67. Epub 2018 Mar 20.
Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine, Busan, Korea.
Varying degrees of complications can occur after hyaluronic acid filler injections. Tissue necrosis due to interruption of the vascular supply is an early complication that can be severe. If the site of tissue necrosis due to the filler injection is the forehead, successfully reconstructing the region without distorting the key landmarks is challenging. Read More
The Role of the Visor Flap in Scalp Reconstruction: A Case Series of 21 Patients.
- Authors:
- Marco Ellis,
- Lisa Hwang,
- Ni-Ka Ford,
- Konstantin Slavin
Oper Neurosurg (Hagerstown) 2018 Mar 14. Epub 2018 Mar 14.
University of Illinois at Chicago, Chicago, Illinois.
Background: Full-thickness scalp defects pose a reconstructive problem, especially in the setting of infection, chemotherapy/radiation, and underlying cranial defects. Current options include dermal matrices, skin grafts, and local flaps. Local flaps often fail, requiring subsequent microvascular free flap reconstruction. Read More
Lip Repair after Mohs Surgery for Squamous Cell Carcinoma by Bilateral Tissue Expanding Vermillion Myocutaneous Flap (Goldstein Technique Modified by Sawada).
- Authors:
- Alberto Goldman,
- Uwe Wollina,
- Katlein França,
- Torello Lotti,
- Georgi Tchernev
Open Access Maced J Med Sci 2018 Jan 10;6(1):93-95. Epub 2018 Jan 10.
Department of Dermatology, Venereology and Dermatologic Surgery, Medical Institute of Ministry of Interior, Sofia, Bulgaria.
Squamous cell carcinoma is the most common malignancy of the lower lip. Environmental factors such as ultraviolet light exposure, arsenic and smoking are contributing factors to the increasing incidence. Mohs surgery is the treatment of choice ensuring the lowest recurrence rates. Read More
Coverage of the dorsal surface of a digit based on a pedicled free-style perforator flap concept.
- Authors:
- Satoshi Usami,
- Kohei Inami,
- Yuichi Hirase
J Plast Reconstr Aesthet Surg 2018 Jun 13;71(6):863-869. Epub 2018 Feb 13.
Yotsuya Medical Cube Hand Surgery and Microsurgery Center, Tokyo, Japan.
Background: Reconstruction of the finger and thumb dorsum has been considered difficult because of the need for a thin and flexible flap, and the surrounding tissue is sometimes insufficient for a local flap. The purpose of this report is to describe our concept for finger and thumb dorsum reconstruction with free-style perforator flaps and our clinical experience with transfer of various perforator flaps.
Methods: Thirty-two finger dorsum defects in 32 patients were covered with pedicled free-style perforator flaps. Read More
Methods: Thirty-two finger dorsum defects in 32 patients were covered with pedicled free-style perforator flaps. Read More
Reconstruction of a Sacral Pressure Ulcer With an Inferior Gluteal Artery Perforator Flap After Failed Reconstruction Using Bilateral V-Y Advancement Flaps.
- Authors:
- Chi-Yu Wang,
- Chien-Ju Wu,
- Tzi-Shiang Chu,
- Chun-Yu Chen,
- Chang-Yi Chou,
- Hao-Yu Chiao,
- Chun-Kai Chang,
- Niann-Tzyy Dai
Ostomy Wound Manage 2018 Feb;64(2):45-48
Many types of flaps are available if surgical reconstruction of a pressure ulcer is indicated, including a gluteus maximus flap, V-Y advancement flap, and superior gluteal artery perforator flap. Regional flap failure can complicate treatment, requiring additional flap surgery. An 80-year old woman with a 2-year history of being unconscious following a cerebrovascular accident presented with a Stage 4 sacral pressure ulcer of 2 months' duration with eschar and abscess formation. Read More
The V-to-Y Advancement Flap for Distal Nasal Reconstruction: Our Experience With 39 Patients.
- Authors:
- Ryan B Thorpe,
- Rajiv I Nijhawan,
- Divya Srivastava
J Cutan Med Surg 2018 Jul/Aug;22(4):411-414. Epub 2018 Feb 24.
2 Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Background And Objective: The V-to-Y advancement flap, also known as the island pedicle flap, is a single-stage repair option that can be used for defects on the distal nose. We report our experience using this flap for nasal defects following Mohs micrographic surgery, as well as describe optimal patient selection and flap design.
Materials And Methods: A retrospective review was conducted of all patient charts and operative photographs of nasal V-to-Y advancement flaps performed over 6 years at the Universtiy of Texas Southwestern Medical Center. Read More
Materials And Methods: A retrospective review was conducted of all patient charts and operative photographs of nasal V-to-Y advancement flaps performed over 6 years at the Universtiy of Texas Southwestern Medical Center. Read More
Surgical and Oncological Outcomes in Patients After Vascularised Flap Reconstruction for Locoregionally Advanced Penile Cancer.
- Authors:
- Sarah R Ottenhof,
- Andrew Leone,
- Rosa S Djajadiningrat,
- Mounsif Azizi,
- Kamran Zargar,
- Laura C Kidd,
- Gregory Diorio,
- Gerard Mosiello,
- Niels M Graafland,
- Philippe E Spiess,
- Simon Horenblas
Eur Urol Focus 2018 Feb 9. Epub 2018 Feb 9.
Department of Urology, Netherlands Cancer Institute, Amsterdam, The Netherlands. Electronic address:
Background: Treatment of locoregionally advanced penile squamous cell carcinoma (LAPSCC) is challenging. The exact role (in terms of oncological benefit) of extensive surgery is not well established. Moreover, surgery invariably leads to large defects requiring reconstructive surgery. Read More
Coverage of the scrotum after Fournier's gangrene.
- Authors:
- Ahmed Hassan El-Sabbagh
GMS Interdiscip Plast Reconstr Surg DGPW 2018 15;7:Doc01. Epub 2018 Jan 15.
Plastic Surgery Center, Faculty of Medicine, Mansoura University, Egypt.
Fournier's gangrene is a necrotizing fasciitis caused by mixed aerobic and anaerobic bacteria and results in loss of skin and subcutaneous tissue in the perineal area. Coverage of testis varies from closure of the defect primarily, burying inside the thigh, using the remnants of the scrotum for tissue expansion and coverage by flaps. In this manuscript, scrotal advancement flaps and pudendal thigh flaps were used for coverage of the testis unilaterally or bilaterally according to the size of the defect following Fournier gangrene. Read More
Standard morphology of the oral commissure and changes resulting from reconstruction for defects involving the commissure.
- Authors:
- T Makiguchi,
- S Yokoo,
- M Ogawa
Int J Oral Maxillofac Surg 2018 Feb 2. Epub 2018 Feb 2.
Department of Oral and Maxillofacial Surgery, Gunma University Graduate School of Medicine, Gunma, Japan.
The aim of this study was to characterize the standard morphology of the oral commissure and to describe the changes after reconstruction in patients with through-and-through cheek defects involving the oral commissure. Indices for the morphological analyses of the commissure were derived from examinations of 50 normal Japanese volunteers. Ten patients with full-thickness cheek defects involving the commissure were then evaluated. Read More
Studies on reconstruction of large skin defects following mammary tumor excision in dogs.
- Authors:
- Sabarish Babu Malli Sadhasivan,
- Mohamed Shafiuzama,
- Mala Shammi,
- Ganne Venkata Sudhakar Rao,
- Nitin J D Souza,
- Hemalatha Senthilnayagam,
- Ravi Sundar George,
- P Manoj Prabhakar
Vet World 2017 Dec 27;10(12):1521-1528. Epub 2017 Dec 27.
Department of Veterinary Surgery and Radiology, Madras Veterinary College, Tamil Nadu Veterinary and Animal Sciences University, Chennai-600007, Tamil Nadu, India.
Aim: The main objective of the study was to describe the use of skin fold advancement flaps (SFAFs) and other reconstructive techniques for closure of large skin defects following mammary tumor excision in dogs.
Materials And Methods: Twelve dogs underwent reconstruction of large ventral skin defects following mammary tumor excision with wide margins. Skin fold flaps (flank fold flap and elbow fold flap) were elevated from the flank and elbow region, respectively, and transposed and sutured onto the large ventral skin defect following mastectomy in all the dogs. Read More
Materials And Methods: Twelve dogs underwent reconstruction of large ventral skin defects following mammary tumor excision with wide margins. Skin fold flaps (flank fold flap and elbow fold flap) were elevated from the flank and elbow region, respectively, and transposed and sutured onto the large ventral skin defect following mastectomy in all the dogs. Read More
Application of gluteus maximus fasciocutaneous V-Y advancement flap combined with resection in sacrococcygeal pressure ulcers: A CONSORT-compliant article.
- Authors:
- Xing Liu,
- Wan Lu,
- Yidong Zhang,
- Yun Liu,
- Xinghua Yang,
- Sheng Liao,
- Zhongrong Zhang
Medicine (Baltimore) 2017 Nov;96(47):e8829
Department of Trauma and Microsurgery, The 324 Hospital of PLA, Chongqing.
Background: Traditional gluteus maximus myocutaneous flaps have generally been used to fill tissue defects after resection of sacrococcygeal pressure ulcers. However, postoperative complications were gradually revealed as increasing operations were performed. This study aimed to introduce the innovative application of gluteus maximus fasciocutaneous V-Y advancement flaps for repairing tissue defects and to comparatively analyze the differences between the innovative and traditional flaps. Read More
Combination of Melolabial Interpolation Flap and Nasal Sidewall and Cheek Advancement Flaps Allows for Repair of Complex Compound Defects.
- Authors:
- Payal M Patel,
- Judah N Greenberg,
- Kathryn L Kreicher,
- Nicole M Burkemper,
- Jeremy S Bordeaux,
- Ian A Maher
Dermatol Surg 2018 Jun;44(6):785-795
Department of Dermatology, St. Louis University School of Medicine, St. Louis, Missouri.
Background: The paramedian forehead flap (PMFF) is the repair of choice for large nasal defects involving multiple cosmetic subunits. However, the PMFF may not be optimal for all patients. The combination of a melolabial interpolation flap (MLIF) and a nasal sidewall flap may serve as an alternative. Read More
Stem Cell Therapy in Refractory Perineal Crohn's Disease: Long-term Follow-up.
- Authors:
- Claudio Wainstein,
- Rodrigo Quera,
- Daniela Fluxá,
- Udo Kronberg,
- Alejandro Conejero,
- Francisco López-Köstner,
- Claudio Jofre,
- Alejandro J Zarate
Colorectal Dis 2018 Jan 6. Epub 2018 Jan 6.
Colorectal Surgery Unit, Clínica Las Condes, Santiago, Chile.
Aim: To describe the long-term outcomes of adipose-mesenchymal stem cells, platelet-rich plasma, and endorectal advancement flaps in patients with Perineal Crohn's Disease.
Method: This was a single-center, prospective, observational pilot study performed between March 2013 and December 2016. The study included adult patients diagnosed with Perianal Crohn's Disease (with complex perianal fistulas) refractory to previous surgical and/or biological treatment. Read More
Method: This was a single-center, prospective, observational pilot study performed between March 2013 and December 2016. The study included adult patients diagnosed with Perianal Crohn's Disease (with complex perianal fistulas) refractory to previous surgical and/or biological treatment. Read More
A novel technique for unilateral supraglottoplasty.
- Authors:
- Harry H Ching,
- Alycia G Spinner,
- Nathaniel H Reeve,
- T J O-Lee
Int J Pediatr Otorhinolaryngol 2018 Jan 6;104:150-154. Epub 2017 Nov 6.
Department of Otolaryngology - Head and Neck Surgery, University of Nevada Las Vegas School of Medicine, 1701 W. Charleston Blvd., Suite #490, Las Vegas, NV 89102, USA. Electronic address:
Objectives: Traditional supraglottoplasty for pediatric laryngomalacia is most commonly conducted with either CO2 laser or cold steel instruments. While the procedure enjoys high success rates, serious complications such as excessive bleeding, supraglottic stenosis and aspiration can occur. Unilateral coblation supraglottoplasty may reduce this risk, but data on respiratory and swallowing outcomes are lacking. Read More
Reply: The Split Pectoralis Flap: Combining the Benefits of Pectoralis Major Advancement and Turnover Techniques in One Flap.
- Authors:
- Valerie DeGregorio,
- Shayan Izaddoost
Plast Reconstr Surg 2018 01;141(1):193e-194e
Division of Plastic and Reconstructive Surgery, Baylor College of Medicine, Houston, Texas.
Umbilicus Reconstruction with Bilateral Square "Pumpkin-Teeth" Advancement Flaps.
- Authors:
- Chad A Purnell,
- Sergey Y Turin,
- Gregory A Dumanian
Plast Reconstr Surg 2018 01;141(1):186-189
Chicago, Ill. From the Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine.
The creation of a neoumbilicus is a common challenge for plastic surgeons. The authors present their technique of umbilical reconstruction with bilateral square "pumpkin-teeth" advancement flaps. The technique described is applicable in both the setting of a vertical midline incision and when no midline incision is present (e. Read More
Single port component separation: endoscopic external oblique release for complex ventral hernia repair.
- Authors:
- Kristen E Elstner,
- John W Read,
- Anita S W Jacombs,
- Rodrigo Tomazini Martins,
- Fernando Arduini,
- Peter H Cosman,
- Omar Rodriguez-Acevedo,
- Anthony N Dardano,
- Alex Karatassas,
- Nabeel Ibrahim
Surg Endosc 2018 May 20;32(5):2474-2479. Epub 2017 Dec 20.
Macquarie University Hospital, Technology Place, Macquarie, Australia.
Background: Component separation (CS) is a technique which mobilizes flaps of innervated, vascularized tissue, enabling closure of large ventral hernia defects using autologous tissue. Disadvantages include extensive tissue dissection when creating these myofascial advancement flaps, with potential consequences of significant post-operative skin and wound complications. This study examines the benefit of a novel, ultra-minimally invasive single port anterior CS technique. Read More
Early outcomes of fluorescence angiography in the setting of endorectal mucosa advancement flaps.
- Authors:
- J S Turner,
- A Okonkwo,
- A Chase,
- C E Clark
Tech Coloproctol 2018 01 18;22(1):25-30. Epub 2017 Dec 18.
Division of Colon and Rectal Surgery, Department of Surgery, Morehouse School of Medicine, 720 Westview Dr., Atlanta, GA, 30310, USA.
Background: Fistula-in-ano has a reported incidence of 31-34%. Besides fistulotomy, options for fistula repair are seton placement, endorectal advancement flap (ERAF), fibrin sealant, anal fistula plug and ligation of the intersphincteric fistula tract. Despite having a reported success rate as high as 75-98%, ERAF is not without complications, including flap breakdown, recurrence and fecal incontinence. Read More
The Use of Keystone Flaps in Periarticular Wound Closure: A Case Series.
- Authors:
- Thomas H Jovic,
- Zita M Jessop,
- Robert Slade,
- Thomas Dobbs,
- Iain S Whitaker
Front Surg 2017 29;4:68. Epub 2017 Nov 29.
Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom.
The Keystone perforator island flap (Keystone flap), is a Type A fasciocutaneous advancement flap, consisting of two V to Y advancement flaps. Skin cancer excision around joints presents a number of reconstructive challenges. Owing to the mobile nature of joints, the optimal periarticular reconstructive option should possess the ability to provide adequate tissue coverage and withstand regional changes in tensile pressures. Read More
Anal advancement flap versus lateral internal sphincterotomy for chronic anal fissure- a systematic review and meta-analysis.
- Authors:
- Shaheel Mohammad Sahebally,
- Stewart Redmond Walsh,
- Waqas Mahmood,
- Thomas Michael Aherne,
- Myles Richard Joyce
Int J Surg 2018 Jan 9;49:16-21. Epub 2017 Dec 9.
Department of Colorectal Surgery, University Hospital Galway, Galway, Ireland.
Background: Chronic anal fissures (CAF) are common and associated with reduced quality of life. Lateral internal sphincterotomy (LIS) is frequently carried out but carries a significant risk of anal incontinence. Anal advancement flap (AAF) has been advocated as an alternative, 'sphincter-preserving' procedure. Read More
Lip reconstruction technique: A modified Abbe-Estlander with a myomucosal advancement flap.
- Authors:
- P J Brabyn,
- M F Muñoz-Guerra,
- I Zylberberg,
- F J Rodríguez-Campo
J Stomatol Oral Maxillofac Surg 2017 Nov 26. Epub 2017 Nov 26.
Oral and Maxillofacial Surgery Department, Hospital Universitario La Princesa, 28006 Madrid, Spain.
Lip cancer represents between 12-15% of all oral cavity cancers; 95% affect the lower lip. The main objectives in lip reconstruction after tumoral mass resection are functionality and esthetics. We present the case of an 81-year-old male with a past medical history of squamous cell carcinoma of the maxilla. Read More
What happens after a failed LIFT for anal fistula?
- Authors:
- Moriah Wright,
- Alan Thorson,
- Garnet Blatchford,
- Maniamparampil Shashidharan,
- Jennifer Beaty,
- Noelle Bertelson,
- Piyush Aggrawal,
- Lindsay Taylor,
- Charles A Ternent
Am J Surg 2017 Dec 18;214(6):1210-1213. Epub 2017 Sep 18.
Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI Medical Center, Omaha, NE, USA. Electronic address:
Background: Ligation of the intersphincteric fistula tract (LIFT) was developed to treat transsphincteric anal fistulas. The aftermath of a failed LIFT has not been well documented.
Methods: Retrospective chart review of LIFT procedure for transsphincteric anal fistula between March 2012 and September 2016. Read More
Methods: Retrospective chart review of LIFT procedure for transsphincteric anal fistula between March 2012 and September 2016. Read More
Correction of vermilion lip retraction after mucosal advancement flap: A countertraction technique.
- Authors:
- Jebyeong Chae,
- Jee-Woong Choi,
- Je-Ho Mun
J Am Acad Dermatol 2017 Dec;77(6):e159-e160
Department of Dermatology, College of Medicine, Seoul National University, Seoul, Gyeonggi Province, Korea; Institute of Humane Environment Interface Biology, Seoul National University, Seoul, Gyeonggi Province, Korea. Electronic address:
Reconstructive options for large back free flap donor sites.
- Authors:
- Arshia Azizeddin,
- Peter F M Choong,
- Damien Grinsell
ANZ J Surg 2017 Nov 9. Epub 2017 Nov 9.
Department of Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia.
Background: Reconstruction of posterior thoracic and trunk defects can prove challenging even to the most seasoned surgeons. Many commonly used techniques for closing back defects include primary closure and split skin grafts. Often times, however, other techniques are needed in order to give the patient the best aesthetic and functional outcome. Read More
Vulvo-vaginal reconstruction after radical excision for treatment of vulvar cancer: Evaluation of feasibility and morbidity of different surgical techniques.
- Authors:
- Violante Di Donato,
- Carlotta Bracchi,
- Emanuele Cigna,
- Lavinia Domenici,
- Angela Musella,
- Andrea Giannini,
- Francesca Lecce,
- Claudia Marchetti,
- Pierluigi Benedetti Panici
Surg Oncol 2017 Dec 5;26(4):511-521. Epub 2017 Oct 5.
Department of Gynecologic-Obstetrical and Urologic Sciences, University "Sapienza" of Rome, Policlinico Umberto I Hospital, Rome, Italy. Electronic address:
Background: Vulvar cancer is a rare disease accounting for approximately 5% of female genital tract tumors worldwide. Currently surgery represents the mainstay alone or sometimes, in combination with chemo-radiotherapy, for locally advanced tumors and recurrent disease. However, significant physical and sexual impairment mostly due to anatomical distortion of external genitalia are a consequence of radical surgical treatment. Read More
Congenital pharyngeal webs: Treatment of a rare clinical entity by endoscopic CO laser approach.
Int J Pediatr Otorhinolaryngol 2017 Nov 3;102:123-126. Epub 2017 Aug 3.
Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital Lausanne (CHUV), Lausanne, Switzerland.
Importance: Oesophageal inlet stenosis can promote dysphagia and aspiration. We report the cases of syndromic children with congenital pharyngeal webs successfully treated with endoscopic CO2 laser.
Observations: Pharyngeal webs were excised with CO2 laser (Ultrapulse mode) and resurfaced using mucosal advancement flaps to avoid restenosis and/or formation of secondary synechia. Read More
Observations: Pharyngeal webs were excised with CO2 laser (Ultrapulse mode) and resurfaced using mucosal advancement flaps to avoid restenosis and/or formation of secondary synechia. Read More
Pedicled posteromedial thigh (pPMT) perforator flap and its application in loco-regional soft tissue reconstructions.
- Authors:
- Mario F Scaglioni,
- Alberto Franchi,
- Pietro Giovanoli
J Plast Reconstr Aesthet Surg 2018 02 16;71(2):217-223. Epub 2017 Oct 16.
Department of Plastic and Hand Surgery, University Hospital Zurich, Rämistraße 100, 8091, Zurich, Switzerland.
Introduction: The posteromedial thigh (PMT) perforator flap is a valuable reconstructive option. In its pedicled form, the experience is currently limited to a few case reports. The purpose of this article is to describe various clinical applications of the pedicled posteromedial thigh (pPMT) flap for reconstruction of loco-regional soft tissue defects. Read More
Immediate Perineal Reconstruction After Extralevatory Abdominoperineal Excision: Buried Desepidermised Fasciocutaneous V-Y Advancement Flap.
- Authors:
- Özay Özkaya,
- Ayça Ergan Şahin,
- İlker Üsçetin,
- Hakan Güven,
- Fazil Sağlam
Ann Plast Surg 2018 Feb;80(2):154-158
Background: According to National Cancer Institute, there are approximately 39,800 rectal cancer cases per year, 25% of which will need an abdominoperineal resection (APR). The key to avoid most of the complications related to pelvic defect that occurs after APR is choosing an appropriate reconstruction option for perineum. This study aims to introduce an easily applicable flap option for closure to address postoperative pelvic defect in low rectal cancer. Read More
Materials and techniques in chest wall reconstruction: a review.
- Authors:
- Stefano Sanna,
- Jury Brandolini,
- Alessandro Pardolesi,
- Desideria Argnani,
- Marta Mengozzi,
- Andrea Dell'Amore,
- Piergiorgio Solli
J Vis Surg 2017 26;3:95. Epub 2017 Jul 26.
Thoracic Surgery Unit, G. B. Morgagni Hospital, Forli, Italy.
Extensive chest wall resection and reconstruction are a challenging procedure that requires a multidisciplinary approach, including input from thoracic surgeon, plastic surgeon and oncologist. In particular chest wall neoplastic pathology is associated with high surgical morbidity and can result in full thickness defects hard to reconstruct. The goals of a successful chest wall reconstruction are to restore the chest wall rigidity, preserve pulmonary mechanic and protect the intrathoracic organs minimizing the thoracic deformity. Read More
Wide local excision of perianal Paget's disease with gluteal flap reconstruction: an interdisciplinary approach.
- Authors:
- Daniel J Borsuk,
- George Melich,
- Jeremy Sugrue,
- Jed Calata,
- Iris A Seitz,
- John J Park,
- Leela M Prasad,
- Slawomir J Marecik
J Vis Surg 2016 19;2:159. Epub 2016 Sep 19.
Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, Illinois, USA.
Perianal Paget's disease (PPD) is an extremely rare condition characterized as intraepithelial adenocarcinoma of unclear etiology. It can be either primary or secondary. The disease typically presents as an eczema-like, erythematous, and painful skin lesion that is associated with pruritus. Read More
Innovation in the planning of V-Y rotation advancement flaps: A template for flap design.
- Authors:
- Utku Can Dölen,
- Uğur Koçer
Arch Plast Surg 2018 Jan 27;45(1):85-88. Epub 2017 Oct 27.
Department of Plastic Surgery, Ankara Training and Research Hospital, Ankara, Turkey.
Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. Read More
Endoscopic Endonasal Reconstructive Methods to the Anterior Skull Base.
Semin Plast Surg 2017 Nov 25;31(4):203-213. Epub 2017 Oct 25.
Department of Neurosurgery, Aurora Neuroscience Innovation Institute, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin.
The success of expanded endoscopic endonasal approaches (EEAs) to the anterior skull base, sellar, and parasellar regions has been greatly aided by the advancement in reconstructive techniques. In particular, the pedicled vascularized flaps have been developed and effectively cover skull base defects of varying sizes with a significant reduction in postoperative CSF leaks. There are two aims to this review: (1) We will provide our current, simplified reconstruction algorithm. Read More
Combined Gluteus and Pudendal Thigh Flap Reconstruction of Vaginal Defects following Robotic Abdominoperineal Resection.
- Authors:
- Kasandra R Dassoulas,
- Traci L Hedrick,
- Chris A Campbell
Plast Reconstr Surg Glob Open 2017 Sep 19;5(9):e1500. Epub 2017 Sep 19.
Department of Plastic and Reconstructive Surgery, University of Virginia Health System, Charlottesville, Va.; and Division of Surgical Oncology, Department of General Surgery, University of Virginia Health System, Charlottesville, Va.
Low-lying rectal cancers are being treated more frequently with robotic-assisted abdominoperineal resection, obviating the need for laparotomy and the ability to raise vertical rectus abdominis musculocutaneous flaps. For female patients, posterior vaginectomy often accompanies the resection. Combined pudendal thigh flaps as an extension of bilateral gluteus advancement flaps allow for posterior vaginal resurfacing with thin pliable fasciocutaneous flaps, which rest on the gluteal flap soft-tissue bulk that obliterates the pelvic dead space. Read More
[Effects of improved V-Y advancement flap with major artery perforator on repairing skin and soft tissue defects].
Zhonghua Shao Shang Za Zhi 2017 Oct;33(10):611-615
Department of Burns and Reconstructive Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
To explore the effect of improved V-Y advancement flap with major artery perforator on repairing several skin and soft tissue defects in whole body. From March 2015 to June 2017, 4 cases with pressure ulcer in sacrococcygeal region, 4 cases with pressure ulcer at ischial tuberosity, 2 cases with scalp and skull defects at occiput, 1 case with secondary wound after tumor resection in axillary region, and 2 cases with skin and soft tissue defects caused by other trauma were hospitalized, with disease duration ranging from 1 week to 6 months. Bones, blood vessels, or nerves were exposed in wounds of 11 cases. Read More
