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    1 OF 41

    Eyelid reconstruction using the "Hughes" tarsoconjunctival advancement flap: Long-term outcomes in 122 consecutive cases over a 13-year period.
    Orbit 2017 Apr 24:1-6. Epub 2017 Apr 24.
    a Department of Ophthalmology , Waikato District Health Board , Hamilton , New Zealand.
    This article evaluates the complications and long term functional and cosmetic outcomes of tarsoconjunctival advancement flaps for repairing a range of lower eyelid defects in a large cohort of consecutive cases. A retrospective series of 122 consecutive cases of eyelid reconstruction using tarsoconjunctival-advancement flaps was conducted at Waikato Hospital, or Hamilton Eye Clinic, New Zealand. All cases of lid reconstruction using tarsoconjunctival-advancement flaps between January 1, 2001 until April 3, 2014 were included for analysis. Read More

    Single-Stage Separation of 3- and 4-Finger Incomplete Simple Syndactyly With Contiguous Gull Wing Flaps: A Technique to Minimize or Avoid Skin Grafting.
    J Hand Surg Am 2017 Apr;42(4):257-264
    Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, FL. Electronic address:
    Purpose: Staged separation of 3- and 4-finger syndactyly is commonly performed owing to concerns about vascular supply to the central digit and availability of flap skin. We performed single-stage separation of patients with incomplete syndactyly of multiple digits with adjacent contiguous dorsal gullwing flaps and avoided skin grafts in the majority of cases.

    Methods: Seventy-four webs of 31 patients with more than 2-finger incomplete syndactyly were included. Read More

    The Double Thenar Flap: A Technique to Reconstruct 2 Fingertip Amputations Simultaneously.
    J Hand Surg Am 2017 Mar 29. Epub 2017 Mar 29.
    New York Hand and Wrist Center of Lenox Hill, Lenox Hill Hospital, New York, NY.
    Fingertip injuries are a common problem. There may be pulp loss and exposed bone. Various techniques have been described to reconstruct function as well as aesthetics; yet it is still unclear which treatment options should be chosen for each specific injury. Read More

    Two-stage treatment of ischial pressure ulcers in spinal cord injury patients: Technique and outcomes over 8 years.
    J Plast Reconstr Aesthet Surg 2017 Jan 23. Epub 2017 Jan 23.
    Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address:
    Background: Despite newly introduced techniques, reconstruction of ischial pressure ulcers remains a difficult problem with high-reported failure rates.

    Methods: A retrospective chart review was performed on all spinal cord injury patients who underwent ischial pressure ulcer reconstruction by the senior author (V.L. Read More

    [Perineal reconstruction: Salvage surgery with 2flaps technique].
    Cir Cir 2017 Mar 6. Epub 2017 Mar 6.
    Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.
    Background: The principles of perineal reconstructive surgery comprise adequate filling of the defect along with stable and durable skin coverage, with a low morbidity rate. Two-flap perineal reconstruction is a simple, fast and reliable technique that uses a single donor site. This improves scar position with low morbidity. Read More

    Transvaginal Repair of Complex Rectovaginal Fistulas Using the Porcine Urinary Bladder Matrix as an Augmenting Graft.
    Female Pelvic Med Reconstr Surg 2017 May/Jun;23(3):e25-e28
    From the Section of Urogynecology and Reconstructive Pelvic Surgery, Department of Gynecology, Cleveland Clinic Florida, Weston, FL.
    Background: After the US Food and Drug Administration issued a safety warning concerning vaginal mesh implants in 2008, their use in correction of pelvic floor defects have decreased in the United States ( Read More

    Aesthetic Reconstruction of the Frontotemporal Region: The Extended A-T Plasty, A Workhorse Revisited.
    Ann Plast Surg 2017 Mar 7. Epub 2017 Mar 7.
    From the Unit of Plastic Surgery and Dermatology, "Campus Bio-Medico di Roma" University, Rome, Italy.
    Background: A-T plasty has long been a workhorse for defects located around the eyebrow or in the upper and lower lip. It allows like-with-like reconstruction with placement of the scars in natural creases or subunit junctions. In this article, the authors describe their refined technique to specifically address moderate to large size defects of the frontotemporal, preauricular, and zygomatic regions. Read More

    Follicular thyroid cancer with sternal metastasis - challenges and outcomes.
    Med J Malaysia 2017 Feb;72(1):80-82
    Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, Plastics and Reconstructive Unit, 56000 Cheras, Kuala Lumpur, Malaysia.
    Sternal metastasis from differentiated thyroid carcinoma (DTC) is rare and presents a conundrum for surgeons. We present a lady diagnosed with follicular thyroid carcinoma and sternal metastasis who underwent thyroidectomy, sternectomy and sternoplasty with titanium mesh and acrylic plate. She developed a surgical site infection, of which multiple conservative approaches were attempted. Read More

    Rectal advancement flap for the treatment of complex cryptoglandular anal fistulas: a systematic review and meta-analysis.
    Int J Colorectal Dis 2017 May 28;32(5):599-609. Epub 2017 Feb 28.
    Department of Surgery, University of Valencia, Valencia, Spain.
    Purpose: Rectal advancement flap is an accepted approach for treating complex fistula-in-ano. However, a diversity of technical modifications have been described. The aim of this study was to evaluate recurrence and fecal continence rates after performing rectal advancement flaps depending upon flap thickness (full-thickness, partial-thickness, or mucosal flaps) and treatment of the fistulous tract (core-out or curettage). Read More

    Neurovascular Advancement Flap to Release Flexion Contracture of the Proximal Interphalangeal Joint.
    J Hand Surg Am 2017 Apr 24;42(4):300.e1-300.e5. Epub 2017 Feb 24.
    Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, and Chang Gung University, Taipei, Taiwan. Electronic address:
    Various methods have been described to surgically release posttraumatic flexion contracture of the proximal interphalangeal joint. Extension of the distal digit often creates a soft tissue defect on the volar aspect of the finger. Although various flaps and skin grafting have been utilized for coverage of this defect, they can be associated with morbidity. Read More

    Cerebrospinal Fluid Fistula for the Craniofacial Surgeon: A Review and Management Paradigm.
    J Craniofac Surg 2017 Feb 23. Epub 2017 Feb 23.
    *Division of Plastic Surgery, Arkansas Children's Hospital, University of Arkansas Medical Sciences †Department of Neurosurgery, New York University Langone Medical Center ‡Department of Otolaryngology, New York University Langone Medical Center §Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center, New York, NY.
    Craniofacial surgeons perform operations that involve exposure of the dura. Typical procedures include cranial vault remodeling (CVR), fronto-orbital advancement (FOA), Le Fort III, monobloc, bipartition advancement, or distraction. Cerebrospinal fluid (CSF) fistulas remain one of the most common complications encountered, occurring in up to 30% of patients. Read More

    The changes in resting anal pressure after performing full-thickness rectal advancement flaps.
    Am J Surg 2017 Jan 10. Epub 2017 Jan 10.
    Department of Surgery, University of Valencia, Spain. Electronic address:
    Background: Advancement flap is an accepted approach for treating complex fistula-in-ano.The purpose was to evaluate the changes in resting pressure along the anal canal after performing a full-thickness flap.

    Methods: Manometric review of patients who have undergone a full-thickness rectal advancement flap procedure for complex anal fistulas of cryptoglandular origin. Read More

    The Subunit Principle in Scar Face Revision.
    J Craniofac Surg 2017 Feb 15. Epub 2017 Feb 15.
    Department of Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
    Facial scaring is considered one of the most difficult cosmetic problems for any plastic surgeon to solve. The condition is more difficult if the direction of the scar is not parallel to relaxed skin tension lines. Attempts to manage this difficult situation included revisions using geometric designs, Z plasties or W plasties to camouflage the straight line visible scaring. Read More

    An Innovative Solution to Complex Inguinal Defect: Deepithelialized SIEA Flap With Mini Abdominoplasty.
    Eplasty 2017 25;17:e2. Epub 2017 Jan 25.
    Introduction: We describe a novel technique of contralateral pedicled deepithelialized superficial inferior epigastric artery flaps, followed by abdominal advancement coverage, as an alternative treatment of radiated complicated inguinal or lower abdominal defects, avoiding the donor-site defect typically seen with other methods of coverage. Methods: Two male patients with histories of liposarcoma after excision and radiation to one side of lower abdomen/inguinal area presented with complicated wounds that were reconstructed with this technique. Results: Successful obliteration of dead space and wound closure were achieved with the combination of a superficial inferior epigastric artery flap with an abdominal advancement flap. Read More

    Simple Skin-Stretching Device in Assisted Tension-Free Wound Closure.
    Ann Plast Surg 2017 Mar;78(3 Suppl 2):S52-S57
    From the *Division of Plastic Surgery, Department of Surgery, Buddhist Tzu-Chi General Hospital; †Department of Surgery, Tzu-Chi University, Hualien; and ‡Department of Surgery, Division of Plastic Surgery, Buddhist Tzu-Chi Dalin General Hospital, Chiayi, Taiwan.
    Background: Numerous conventional wound reconstruction methods, such as wound undermining with direct suture, skin graft, and flap surgery, can be used to treat large wounds. The adequate undermining of the skin flaps of a wound is a commonly used technique for achieving the closure of large tension wounds; however, the use of tension to approximate and suture the skin flaps can cause ischemic marginal necrosis. The purpose of this study is to use elastic rubber bands to relieve the tension of direct wound closure for simultaneously minimizing the risks of wound dehiscence and wound edge ischemia that lead to necrosis. Read More

    Super Kutler flap: an alternative technique for reconstruction of fingertip defects.
    J Hand Surg Eur Vol 2017 Feb 1:1753193416686884. Epub 2017 Feb 1.
    4 The Department of Plastic and Reconstructive Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.
    The bilateral V-Y flap concept for fingertip reconstruction was first desribed by Kutler. This method has limitations, such as flap size and advancement, therefore larger flap modifications are described to increase the advancement capacity of the flaps. We described a small direct-flow homodigital island flap method, called the 'super Kutler flap', for recontruction of finger pulp defects. Read More

    Overview of Local Flaps of the Face for Reconstruction of Cutaneous Malignancies: Single Institutional Experience of Seventy Cases.
    J Cutan Aesthet Surg 2016 Oct-Dec;9(4):220-225
    Department of Plastic Surgery, SMS Medical College, Jaipur, Rajasthan, India.
    Context: The most common malignant tumours of the face are basal cell carcinoma, squamous cell carcinoma and melanoma. While the results of skin graft are less than satisfactory for large areas to cover, distant flaps are bulky with a poor colour match. Local fasciocutaneous flaps provide reasonable option for reconstruction of facial defects with good colour and texture match and good success rate. Read More

    A simplified surgical algorithm for flap reconstruction of eyebrow defects.
    J Plast Reconstr Aesthet Surg 2017 Apr 8;70(4):450-458. Epub 2017 Jan 8.
    Department of Plastic and Reconstructive Surgery, The First Bethune Hospital of JiLin University, No.71, Xin Min Street, Chang Chun 130021, China. Electronic address:
    Background: Partial or total eyebrow defects after trauma or tumor excisions have been repaired by several surgical technique and algorithms. However, these algorithms are often complicated and difficult to apply clinically. We therefore established a simplified surgical algorithm for the treatment of eyebrow defects using flap reconstruction. Read More

    Upper Eyelid Reconstruction Using a Blepharoplasty Flap.
    Ophthal Plast Reconstr Surg 2017 Mar/Apr;33(2):147-149
    Cheltenham General Hospital, Cheltenham, Gloucestershire, United Kingdom.
    Purpose: The blepharoplasty flap is a relatively simple but under-recognized surgical technique for repairing defects that result from excision of broad-based lesions on the upper eyelid that lie between the eyelid crease and the eyelashes. As this has not been previously published in the literature, the authors aim to increase the awareness of this technique.

    Methods: The eyelid crease is marked. Read More

    Levator alae nasi muscle V-Y island flap for nasal tip reconstruction.
    J Craniomaxillofac Surg 2017 Mar 21;45(3):432-435. Epub 2016 Dec 21.
    Department of Plastic and Reconstructive Surgery, A.O.U. Federico II, 80131 Naples, Italy.
    Nasal tip reconstruction can be very challenging. It requires close attention to skin texture, colour and thickness matching, with the respect of the nasal aesthetic units and symmetry. Flaps are usually preferred to skin grafts where possible. Read More

    A Prospective Assessment of Surgical Risk Factors in 114 Gluteal Fold Flap Reconstructions After Oncological Vulvoperineal Resection to Establish Clinically Relevant Selection Criteria.
    Ann Plast Surg 2017 Jan 18. Epub 2017 Jan 18.
    From the Departments of *Plastic Reconstructive Surgery and †Gynecologic Oncology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
    Background And Aim: To date, clinically relevant selection criteria have not been established for the use of the gluteal fold flap after oncological vulvoperineal resection. We prospectively assessed the surgical risk factors of this reconstructive technique in a large series.

    Methodology: From April of 2000 through December of 2015, 114 gluteal fold flaps were used for vulvoperineal reconstruction after excision of (pre)malignant skin disorders in 75 women. Read More

    Giant Anterior Chest Wall Basal Cell Carcinoma: An Approach to Palliative Reconstruction.
    Case Rep Oncol Med 2016 19;2016:5067817. Epub 2016 Dec 19.
    Department of Plastic Surgery, University of California, Irvine, CA, USA.
    Anterior chest wall giant basal cell carcinoma (GBCC) is a rare skin malignancy that requires a multidisciplinary treatment approach. This case report demonstrates the challenges of anterior chest wall GBCC reconstruction for the purpose of palliative therapy in a 72-year-old female. Surgical resection of the lesion included the manubrium and upper four ribs. Read More

    Surgery: Modified Pi with Triple-Bonnet Flap and Fronto-Orbital Advancement.
    Pediatr Neurosurg 2017 7;52(2):130-135. Epub 2017 Jan 7.
    Sher-I-Kashmir Institute of Medical Sciences, Srinagar, India.
    Introduction: Craniosynostosis is the premature fusion of one or more of the cranial sutures and can occur as part of a syndrome or as an isolated defect. Pansynostosis is a rare form of craniosynostosis that involves premature fusion of all the cranial sutures (coronal, sagittal, metopic, and occipital). Particularly in cases of late presentation, there are heightened clinical concerns, both functional and aesthetic. Read More

    Management of human bite injury of the upper and lower eyelids: a rare case report.
    J Korean Assoc Oral Maxillofac Surg 2016 Dec 27;42(6):375-378. Epub 2016 Dec 27.
    Richardsons Dental and Craniofacial Hospital, Nagercoil, Tamil Nadu, India.
    Human bite injury to the eyelid is extremely rare and poses a significant challenge in surgical reconstruction. We report an extremely rare case of human bite injury to the eyelid in a 43-year-old male with approximately 60% full thickness loss of the upper eyelid and 80% to 90% full thickness loss of the lower eyelid and its successful reconstruction using the local advancement cheek flap. Read More

    Omega (Ω) Advancement Flap: A Circular Flap Design for the Aesthetic Closure of Circular Skin Defect.
    Aesthetic Plast Surg 2017 Apr 30;41(2):327-334. Epub 2016 Dec 30.
    Department of Plastic and Reconstructive Surgery, Ankara Yıldırm Beyazıt Training and Research Hospital, Ankara, Turkey.
    Background: Most skin defects that require reconstruction with a local skin flap have a circular- or oval-shaped pattern. The majority of the skin flaps are planned in an angled shape. Therefore, it may be necessary to modify the shape of the defect or the distal flap border to minimize tissue distortion. Read More

    Horizontally Opposed V-Y Advancement Flaps for Surgical Reconstruction of Central Upper Lip Defects.
    J Craniofac Surg 2017 Mar;28(2):578-579
    University of Arizona Cancer Center, Phoenix, AZ Division of Dermatology, University of Arizona, Tucson, AZ Dermatology and Plastic Surgery of Arizona, Tucson, AZ Northwestern University Feinberg School of Medicine, Chicago, IL.

    The Visor Flap: A Novel Design for Scalp Wound Closure.
    J Craniofac Surg 2017 Mar;28(2):e146-e148
    *University of Illinois at Chicago †Feinberg School of Medicine, Northwestern University, Chicago, IL.
    Full-thickness scalp defects pose a reconstructive problem in the setting of infection, radiation, and underlying calvarial defects. Current options include dermal matrices, skin grafts, and local fasciocutaneous flaps. Free tissue transfer is frequently required when scalp-based flaps fail or the wound is significantly large or complex. Read More

    Nasopalatine Island Advancement Flap.
    J Craniofac Surg 2016 Nov;27(8):2190-2191
    *Oral and Maxillofacial Diseases Research Center†Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
    Background: Anterior maxilla is a high esthetic region of the mouth. Some flaps are introduced for bone graft coverage, mainly based on secondary epithelization of connective tissue-periosteal tissues. This article evaluates the versatility of a new mucoperiosteal flap for reproducible coverage in anterior maxilla. Read More

    Jaw in a Day: State of the Art in Maxillary Reconstruction.
    J Craniofac Surg 2016 Nov;27(8):2101-2104
    *Hansjörg Wyss Department of Plastic Surgery, New York University†Department of Prosthodontics, New York University College of Dentistry‡Department of Pediatrics, Memorial Sloan-Kettering Cancer Center§New York Head and Neck Institute, Northwell, Lenox Hill Hospital, New York, NY.
    Background: Reconstruction of maxillary defects following tumor extirpation is challenging because of combined aesthetic and functional roles of the maxilla. One-stage reconstruction combining osseous free flaps with immediate osseointegrated implants are becoming the standard for mandibular defects, and have similar potential for maxillary reconstruction.

    Methods: A woman with maxillary Ewing sarcoma successfully treated at age 9 with neoadjuvant chemotherapy, right hemimaxillectomy, and obturator prosthetic reconstruction presented for definitive reconstruction, complaining of poor obturator fit, and hypernasality. Read More

    Correction of Pterygium Colli in Turner Syndrome: A Clinical Report and Review of the Surgical Management.
    J Craniofac Surg 2016 Nov;27(8):2081-2083
    Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN.
    The aim of surgery for pterygium colli (PC) is to correct the contour deformity, redistribute or remove the horizontal excess of skin, address the abnormal posterior hairline, avoid excessive scarring, and prevent recurrence. The purpose of this study is to review the available methods to correct the deformity and highlight a recent patient performed by the senior author. A modified bilateral Z-plasty technique was used for correcting PC on a 5-year-old African American girl diagnosed with Turner syndrome. Read More

    Chest wall reconstruction after extended resection.
    J Thorac Dis 2016 Nov;8(Suppl 11):S863-S871
    Division of Thoracic Surgery, Department of Thoracic Surgical and Medical Oncology, Istituto Nazionale Tumori, IRCCS, Naples, Italy.
    Extensive chest wall resection and reconstruction is a challenging procedure that requires a multidisciplinary approach, including input from thoracic surgeons, plastic surgeons, neurosurgeons, and radiation oncologists. The primary goals of any chest wall reconstruction is to obliterate dead space, restore chest wall rigidity, preserve pulmonary mechanics, protect intrathoracic organs, provide soft tissue coverage, minimize deformity, and allow patients to receive adjuvant radiotherapy. Successful chest wall reconstruction requires the re-establishment of skeletal stability to prevent chest wall hernias, avoids thoracoplasty-like contraction of the operated side, protects underlying viscera, and maintain a cosmetically-acceptable appearance. Read More

    Hypoperfusion in response to epinephrine in local anaesthetics: Investigation of dependence on epinephrine concentration, spread of hypoperfusion and time to maximal cutaneous vasoconstriction.
    J Plast Reconstr Aesthet Surg 2017 Mar 11;70(3):322-329. Epub 2016 Nov 11.
    Lund University, Skane University Hospital, Department of Clinical Sciences Lund, Ophthalmology, Lund, Sweden. Electronic address:
    Objectives: The present study aimed to examine hypoperfusion in response to epinephrine following the administration of a local anaesthetic. The concentration of epinephrine that causes maximal hypoperfusion, the spread of hypoperfusion in the tissue and the time to the stabilization of hypoperfusion were investigated.

    Methods: Blood perfusion was monitored using laser Doppler velocimetry and laser speckle contrast imaging of random-pattern advancement flaps (1 × 4 cm) or intact skin on the pig flank. Read More

    Effect of transverse conjunctival advancement flap surgery for primary pterygium.
    Can J Ophthalmol 2016 Dec;51(6):401-407
    Dongguk University Gyeongju Hospital, Gyeongju-si, South Korea.. Electronic address:
    Objective: To introduce a new surgical technique, transverse conjunctival advancement flap, and to evaluate the efficacy and safety of the technique in primary pterygium surgery.

    Design: Retrospective, noncomparative, interventional case-series analysis.

    Participants: Sixty-three eyes of 63 patients. Read More

    Skin flap complications after decompressive craniectomy and cranioplasty: Proposal of classification and treatment options.
    Surg Neurol Int 2016 9;7(Suppl 28):S737-S745. Epub 2016 Nov 9.
    Department of Neurosurgery, Polytechnic University, Ancona, Marche, Italy.
    Background: The list of complications reported after decompressive craniectomy (DC) and cranioplasty is progressively increasing. Nonetheless, the exact incidence of these events is still ill-defined. Problems affecting skin flaps after DC and cranioplasty have never been accurately analyzed in papers and their impact on patients' prognosis is largely underestimated. Read More

    Simple Correction of Alar Retraction by Conchal Cartilage Extension Grafts.
    Arch Plast Surg 2016 Nov 18;43(6):564-569. Epub 2016 Nov 18.
    Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.
    Background: Alar retraction is a challenging condition in rhinoplasty marked by exaggerated nostril exposure and awkwardness. Although various methods for correcting alar retraction have been introduced, none is without drawbacks. Herein, we report a simple procedure that is both effective and safe for correcting alar retraction using only conchal cartilage grafting. Read More

    Flap Designs for Flap Advancement During Implant Therapy: A Systematic Review.
    Implant Dent 2017 Feb;26(1):145-152
    *Resident, Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI. †Professor and Director of Graduate Periodontics, Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, Ann Arbor, MI.
    Purpose: Guided bone regeneration (GBR) procedures allow ridge augmentation before or at time of implant placement. GBR outcomes rely on primary passive tension-free wound closure, which may be achieved by a variety of flap designs and surgical procedures. A comprehensive literature review of flap design and management is provided, including material types, incision design, reflection, releasing, and suturing techniques. Read More

    Acta Chir Plast Fall 2016;58(1):12-17
    Background: The treatment of breast cancer has developed a lot during the last decade, nevertheless it still remains a considerable social and economical problem all over the world. The choice of the surgical procedure depends on a patients protocol and the surgeons preferences. The aim of this study is to evaluate the stress on the scar after breast reconstruction. Read More

    Clinical Effectiveness of Negative Pressure Wound Therapy Following Surgical Resection of Sternoclavicular Joint Infection: A Case Report.
    Cureus 2016 Oct 4;8(10):e815. Epub 2016 Oct 4.
    Department of Surgery, The Ohio State University Medical Center.
    Septic arthritis of the sternoclavicular joint (SCJ) is a rare condition accounting for 0.5% of bone and joint infections. The majority of cases require joint resection and advancement flaps to provide coverage to the resulting wound defect. Read More

    Modified keystone flap for extremity defects after Mohs surgery.
    Int J Dermatol 2016 Dec 15;55(12):1391-1395. Epub 2016 Jul 15.
    Dermatologic Surgery Unit, Department of Dermatology, Hospital de Clínicas, Montevideo, Uruguay.
    Background: When possible, surgery is the treatment of choice for cutaneous carcinomas, as it allows to us perform the anatomopathological study and control the surgical margins. Mohs micrographic surgery (MMS) controls 100% of the margins, maintains a larger amount of healthy tissue, and a fewer number of recurrences are seen. Large limb surgical defects after MMS are a challenge. Read More

    Utility of Superiorly Based Masseter Muscle Flap for Postablative Retromaxillary Reconstruction.
    J Oral Maxillofac Surg 2017 Jan 17;75(1):224.e1-224.e9. Epub 2016 Sep 17.
    Senior Resident, Department of Oral and Maxillofacial Surgery, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Hingana, Nagpur, India.
    Purpose: Resections in the posterior component of the oral cavity usually lead to severe functional compromise and lower quality of life for patients. Notable advances in reconstruction of the posterior part of the mouth and of the oropharynx have occurred in recent decades. The anatomic and physiologic rehabilitation of the defect to a reasonable outcome with low morbidity and mortality remains the founding basis of any surgical reconstruction, which also holds true for oral oropharyngeal and retromaxillary reconstructions. Read More

    Oncoplastic surgery combining abdominal advancement flaps with volume displacement techniques to breast-conserving surgery for small- to medium-sized breasts.
    Breast Cancer 2016 Nov 14;23(6):932-938. Epub 2016 Jan 14.
    Department of Breast Surgery, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, 514-8507, Japan.
    Background: An abdominal advancement flap (AAF) is a flap that pulls the elevated abdominal skin up, creating the shape of the inferior portion of the breast by making a neo-inframammary fold. We used an AAF combined with volume displacement techniques to fill the defect left after breast-conserving surgery (BCS).

    Methods: Forty-one small- to medium-sized breast patients whose resection area included the lower portion of the breast underwent this procedure from October 2010 to December 2014. Read More

    Posterior trunk reconstruction with the dorsal intercostal artery perforator based flap: Clinical experience on 20 consecutive oncological cases.
    Microsurgery 2016 Oct 28;36(7):546-551. Epub 2015 Mar 28.
    Department of Plastic, Reconstructive and Aesthetic Surgery, "Campus Bio-Medico Di Roma" University, Rome, Italy.
    Background: Few studies in the recent literature have investigated the reliability of dorsal intercostal artery perforator (DICAP) flap in posterior trunk reconstruction. The purpose of this report is to describe our clinical experience with the use of DICAP flaps in a cohort of oncological patients.

    Patients And Methods: Twenty patients underwent posterior trunk reconstruction with DICAP based flaps. Read More

    Jaw in a Day: State of the Art in Maxillary Reconstruction.
    J Craniofac Surg 2016 Oct 14. Epub 2016 Oct 14.
    *Hansjörg Wyss Department of Plastic Surgery, New York University †Department of Prosthodontics, New York University College of Dentistry ‡Department of Pediatrics, Memorial Sloan-Kettering Cancer Center §New York Head and Neck Institute, Northwell, Lenox Hill Hospital, New York, NY.
    Background: Reconstruction of maxillary defects following tumor extirpation is challenging because of combined aesthetic and functional roles of the maxilla. One-stage reconstruction combining osseous free flaps with immediate osseointegrated implants are becoming the standard for mandibular defects, and have similar potential for maxillary reconstruction.

    Methods: A woman with maxillary Ewing sarcoma successfully treated at age 9 with neoadjuvant chemotherapy, right hemimaxillectomy, and obturator prosthetic reconstruction presented for definitive reconstruction, complaining of poor obturator fit, and hypernasality. Read More

    Use of Auricular Cartilage for Closure of Oroantral Fistula: A Prospective Clinical Study.
    J Maxillofac Oral Surg 2016 Sep 12;15(3):293-299. Epub 2015 Sep 12.
    Department of Oral and Maxillofacial Surgery, King George's Medical University, Lucknow, India.
    Introduction: The term oro-antral fistula is understood to mean of fistular canal covered with epithelia which may or may not be filled with granulation tissue or polyposis of the sinus mucous membrane. With the presence of a fistula the sinus is permanently open, which enables the passage of microbial flora of the oral cavity into the maxillary sinus and the occurrence of inflammation with all possible consequences. Every now and then various researchers have proposed innumerable techniques to treat this defect. Read More

    Histological and biochemical study of the superficial abdominal fascia and its implication in obesity.
    Anat Cell Biol 2016 Sep 29;49(3):184-188. Epub 2016 Sep 29.
    Department of Anatomy, Kasturba Medical College, Manipal University, Manipal, India.
    The advancement of liposculpturing and fascial flaps in reconstructive surgery has renewed interest in the superficial fascia of abdomen. Its histological and biochemical composition may play a vital role in maintaining strength and elasticity of the fascia. Hence, study of abdominal fascia for the elastic, collagen, and hydroxyproline contents is desirable to understand asymmetrical bulges and skin folds and in improving surgical treatment of obesity. Read More

    Use of suborbicularis oculi fat flap to cover peri-orbital bone exposure.
    Int J Oral Maxillofac Surg 2017 Jan 30;46(1):32-35. Epub 2016 Sep 30.
    Unit of Plastic Surgery, University of Naples "Federico II", Naples, Italy.
    Wide resection of recurrent basal cell carcinoma (BCC) in the peri-orbital-infraorbital-nasal area may include periosteum resection with maxillary or nasal bone exposure. The absence of vascularized periosteum makes the defect ungraftable and local flaps are often required. As an alternative to a large single flap or a combination of flaps, it is possible to turn the ungraftable portion of the defect into a graftable one. Read More

    Three-Directional Reconstruction of a Massive Perineal Defect after Wide Local Excision of Extramammary Paget's Disease.
    Arch Plast Surg 2016 Sep 21;43(5):461-5. Epub 2016 Sep 21.
    Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea.
    Extramammary Paget's disease (EMPD) is a rare, slow-growing intraepithelial malignancy that mainly involves the genital region, including the vulva, penis, scrotum, perianal, and periurethral areas. Although several treatment options exist, wide local excision with a safe margin is considered the treatment of choice. After resection of the lesion, it is often challenging to reconstruct the defect because defects in the perineal region require adequate volume for protection and are susceptible to infections, which is a particularly significant risk for large defects. Read More

    Acceptable adverse outcomes after delayed breast reconstruction using abdominal advancement flap - a 15-year experience.
    J BUON 2016 Jul-Aug;21(4):832-839
    1Special Hospital for Reconstructive and Plastic Surgery "Kosovac", Belgrade, Serbia.
    Purpose: To evaluate the adverse outcomes after delayed breast reconstruction (DBR) by abdominal advancement flap (AAF) and permanent prosthesis in patients treated with mastectomy due to unilateral breast carcinoma, as well as to determine which factors are predictive for their occurrence.

    Methods: The study included 155 patients operated at the Institute for Oncology and Radiology of Serbia from 1996 to 2010. All patients had total mastectomy and axillary lymph node dissection, followed by specific oncological treatment. Read More

    Comparison of an anal fistula plug and mucosa advancement flap for complex anal fistulas: a meta-analysis.
    ANZ J Surg 2016 Dec 29;86(12):978-982. Epub 2016 Sep 29.
    Colorectal and Anal Department, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
    Objective: The aim of this analysis was to compare the advantages of the anal fistula plug (AFP) with the mucosa advancement flap (MAF) for complex anal fistulas.

    Methods: Comparative studies of the efficacy of AFP and MAF were included. Two independent reviewers selected articles for inclusion. Read More

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