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J Craniofac Surg 2022 May 3;33(3):910-912. Epub 2021 Aug 3.

Department of Neurosurgery and Gamma Knife Radiosurgery.

Background: Late-onset, extracranial soft tissues dehiscence in the spheno-temporal region after major neurosurgical procedures might represent a potentially life-threatening complication.Due to surgery-related galeal/pericranial and myofascial temporal atrophy, classical regional flaps are often unavailable, enforcing potential indication for free vascularized flaps.Nevertheless, in elderly multioperated patients, who are not eligible for major surgery, it becomes mandatory to consider less invasive options for reconstruction. Read More

JPRAS Open 2022 Sep 12;33:32-36. Epub 2022 May 12.

Plastic and Reconstructive Surgery Department, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK.

The choice between skin graft and local flap reconstruction depends upon the surgeon's experience and the facilities available. For skin cancers, our main objective is clear, oncologic clearance with preservation of function. For some patients, aesthetic outcome is often equally important. Read More

Ulus Travma Acil Cerrahi Derg 2022 Jun;28(6):867-870

Department of Plastic Reconstructive and Aesthetic Surgery, Çukurova University Faculty of Medicine, Adana-Turkey.

Many flap designs for coverage of soft-tissue defects of the posterior elbow have been reported, and the lateral arm flap is considered reliable. With the advantages of less donor site morbidity and preservation of the continuity of the source artery, perforator flaps have taken the place of lateral arm flap recently. The lateral arm perforator flaps for elbow soft-tissue coverage have a propeller design. Read More

Acta Chir Belg 2022 Jun 2:1-6. Epub 2022 Jun 2.

GZA Ziekenhuizen, Antwerp, Belgium.

Background: The keystone perforator-based fasciocutaneous island flap is a method of locoregional skin defect reconstruction, consisting of two conjoined V to Y advancement flaps. In this article, we report a series of 30 consecutive cases in various body parts with the aim to demonstrate the versatility of the keystone flap in the reconstruction of various skin defects after removal of a suspected malignant skin lesion and evaluate our clinical experience while maintaining oncological safety and good aesthetic results.

Methods: Patients who underwent keystone flap reconstruction between January 2016 and January 2021 were retrospectively reviewed. Read More

J Eur Acad Dermatol Venereol 2022 May 27. Epub 2022 May 27.

Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia, Bulgaria.

Am Surg 2022 May 17:31348221075731. Epub 2022 May 17.

Surgery Group Los Angeles, Los Angeles, CA, USA.

Purpose: Flap procedures following pilonidal excision have high recurrence and dehiscence rates. We present a cosmetic, outpatient technique to reconstruction via bilateral gluteal fasciocutaneous advancement flaps with and without tie-over sutures.

Methods: This is a prospective case series of 51 patients (40 males and 11 females). Read More

Ann Plast Surg 2022 05;88(3 Suppl 3):S190-S193

Division of Plastic Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, NY.

Background: Sternal wound (SW) infection and dehiscence after median sternotomy from cardiac surgery remain challenging complications with high morbidity. Knowledge of common pathogen types and variance with time from cardiac surgery can simplify the choice of antibiotics while awaiting definitive culture results.

Methods: Records of 505 patients undergoing SW reconstruction by the senior author from 1996 to 2018 at a high-volume cardiac surgery center were reviewed. Read More

Ann Plast Surg 2022 Jul 3;89(1):77-81. Epub 2022 Apr 3.

Department of Plastic and Reconstructive Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Republic of Korea.

Introduction: Myelomeningocele is the most common form of neural tube anomalies. Early reliable skin coverage should be achieved to reduce central nervous system infections. The keystone flaps are gaining popularity for myelomeningocele defect reconstruction. Read More

Dermatol Online J 2021 Dec 15;27(12). Epub 2021 Dec 15.

Division of Dermatology, University of Kansas Medical Center, Kansas City, Kansas, USA.

Background: Reconstruction of surgical defects on the dorsal finger can be challenging because of a lack of adjacent tissue reservoirs, poor laxity, and often thin, atrophic skin surrounding the defect.

Objective: To present reconstructive options for cutaneous dorsal finger defects.

Methods: We describe our five preferred approaches to reconstructing cutaneous dorsal finger defects based on the amount of available underlying tissue and location of the defect on the finger. Read More

Front Surg 2022 13;9:739250. Epub 2022 Apr 13.

Department of Plastic and Burn Surgery, The Second Affiliated Hospital of Chengdu Medical College, China National Nuclear Corporation 416 Hospital, Chengdu, China.

Background: Decubitus ulcers are common skin injuries in plastic and burn surgery departments, usually occur in patients with a long disease course and poor underlying health. Designing a reconstruction procedure with safety blood supply to a large volume soft tissue and resulting in minimal trauma is a priority for surgeons.

Methods: The free-style perforators on the potential donor sites surrounding the ulcers were detected by Doppler, and the area of the ulcer was divided into several sections based on the location of pre-design perforator flaps. Read More

ANZ J Surg 2022 05 28;92(5):1137-1141. Epub 2022 Mar 28.

Faculty of Mathematics and Computer Science, Adam Mickiewicz University, Poznań, Poland.

Background: There is still a search for a standard method of therapy for high anal fistulas. The aim of this trial was a comparison between a modified two stage minimally invasive procedure, consisting of loose-seton placement with the subsequent application of platelet rich plasma with mucosal advancement flap for the treatment of high transsphincteric anal fistulas of crypto-glandular origin.

Methods: The study was designed as a prospective, randomized trial including 96 patients. Read More

Eye (Lond) 2022 Apr 25. Epub 2022 Apr 25.

Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, TX, USA.

Background: To evaluate the outcomes of combined levator resection and frontalis muscle advancement for surgical management of recurrent severe congenital ptosis.

Design: Retrospective, nonrandomized interventional case series.

Methods: A retrospective review was performed of patients who underwent combined levator resection and frontalis muscle advancement for recurrent congenital ptosis between 2017 and 2020. Read More

GMS Interdiscip Plast Reconstr Surg DGPW 2022 8;11:Doc02. Epub 2022 Mar 8.

Department of Plastic Surgery, Jawaharlal Nehru Medical College and Hospital, Aligarh (UP), India.

The lip has functional and aesthetic importance. Lip defects occur due to the variety of etiology and the choice of their reconstruction has profound effect on functions and cosmesis. There are multiple options available for reconstruction according to defect size, but superiority of one method over another is still debated and hence the methods and their outcome were analyzed prospectively. Read More

Wounds 2022 Apr;34(4):94-98

Harran University, Şanlıurfa, Turkey.

Introduction: Pilonidal sinus (PNS) disease affects the skin and subcutaneous tissue of the natal cleft of the buttocks. The treatment is variable and depends on presentation and the extent of disease. The mainstay of surgical management for PNS disease is to excise all sinus tracts and pits. Read More

Ann Plast Surg 2022 05;88(5):507-512

Department of Plastic Surgery, Centre Francois-Xavier Michelet, CHU-Bordeaux, France.

Background: Dorsal digital soft tissue defects are considered among the most challenging to reconstruct. Numerous treatment options are proposed, including advancement flaps, antegrade, retrograde flow flaps, adipofascial flaps, and digital artery perforator flaps. However, the optimal treatment remains controversial. Read More

Int J Dermatol 2022 Jun 8;61(6):744-745. Epub 2022 Apr 8.

Department of Dermatology, Baylor College of Medicine, Houston, TX, USA.

Background: The east-west advancement flap is a simple flap traditionally used to repair Mohs surgery defects on the nose. We aim to demonstrate this flap can be used with good cosmetic outcome and minimal complications on a variety of anatomical sites.

Methods: This study was a case series of four patients taking place between March 2021 and September 2021 with 4- to 6-week postoperative follow-up. Read More

Cureus 2022 Feb 27;14(2):e22671. Epub 2022 Feb 27.

Burns & Plastic Surgery, All India Institute of Medical Sciences, Bathinda, IND.

Background Scrotal defects in developing countries are common challenges for the reconstructive surgeon and hence this work has been done with the aim to compare the outcome, advantages and disadvantages of different modalities of scrotal reconstruction. Methods The prospective observational hospital-based study of reconstruction of scrotal defects following trauma and Fournier's gangrene was done over a period of three years. Scrotal defect reconstruction was done in 35 patients by scrotal advancement flap, split thickness skin grafting, medial thigh flap, anterolateral thigh flap and groin flap keeping in mind the various indication of different modalities. Read More

Medicina (Kaunas) 2022 Mar 1;58(3). Epub 2022 Mar 1.

Faculty of Medicine, Gazi University, Cankaya, Ankara 06560, Turkey.

Anal stenosis, which develops as a result of aggressive excisional hemorrhoidectomy, especially with the stoutly use of advanced technologies (LigaSure, ultrasonic dissector, laser, etc.), has become common, causing significant deterioration in the patient's quality of life. Although non-surgical treatment is effective for mild anal stenosis, surgical reconstruction is unavoidable for moderate to severe anal stenosis that causes distressing, severe anal pain, and inability to defecate. Read More

World Neurosurg 2022 Jun 21;162:e561-e567. Epub 2022 Mar 21.

Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA; Divsion of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA. Electronic address:

Background: Adult spinal deformity (ASD) surgery is becoming increasingly prevalent. Soft tissue defects arising from revision closure and impaired healing can predispose to wound complications including dehiscence and infection. Soft tissue coverage with local muscle flaps has been shown to minimize wound complications in high-risk patients. Read More

Indian J Ophthalmol 2022 Apr;70(4):1404-1407

Oculoplasty and Paediatric Ophthalmology Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

Full-thickness deficiency of eyelid tissues can result in coloboma or retraction or both. Here we report our initial experience on the use of auricular skin-cartilage sandwich graft technique for full-thickness eyelid deformities. Five patients (4-32 years) underwent the procedure. Read More

J Craniofac Surg 2021 Oct 26. Epub 2021 Oct 26.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011.

To describe a modified anchored suture technique combined with varied flaps for the repair of paranasal skin defect secondary to melanocytic nevus excision. The feasibility and effectiveness of the technique were discussed. A total of 26 patients (10 male and 16 female) with an average age of 11. Read More

Dermatol Surg 2022 03;48(3):364-365

Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.

J Reconstr Microsurg 2022 Mar 4. Epub 2022 Mar 4.

Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Background:  Deep sternal wound complications following sternotomy represent a complex challenge. Management can involve debridement, flap reconstruction, and rigid sternal fixation (RSF). We present our 11-year experience in the surgical treatment of deep sternal wound dehiscence using a standardized treatment algorithm. Read More

Tech Coloproctol 2022 Jun 2;26(6):499-501. Epub 2022 Mar 2.

Department of Anorectal Surgery, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Polymers (Basel) 2022 Feb 14;14(4). Epub 2022 Feb 14.

Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympicro 43 gil, Songpa-gu, Seoul 05505, Korea.

(1) Background: In the present study, we evaluated the efficacy of a 3D-printed, patient-specific polycaprolactone/beta tricalcium phosphate (PCL/β-TCP) scaffold in the treatment of complex zygomatico-maxillary defects. (2) Methods: We evaluated eight patients who underwent immediate or delayed maxillary reconstruction with patient-specific PCL implants between December 2019 and June 2021. The efficacy of these techniques was assessed using the volume and density analysis of computed tomography data obtained before surgery and six months after surgery. Read More

Plast Reconstr Surg Glob Open 2022 Feb 18;10(2):e4139. Epub 2022 Feb 18.

King Abdulaziz Medical City, King Abdullah Specialized Children Hospital, National Guard Ministry, Riyadh, Saudi Arabia.

The posterior tibial artery perforator flap has been described as a good option for small to moderate lower extremity defects with consistent anatomy and caliber. Different geometrical designs are found in the literature for posterior tibial artery perforator flaps and are mostly executed as propeller, peninsular, and island flaps. Upon literature review, V-Y advancement flaps were not commonly used, despite the clear design, persistent anatomy, and straight execution. Read More

J Hand Surg Asian Pac Vol 2022 Feb 17;27(1):183-186. Epub 2022 Feb 17.

Department of Hand and Reconstructive Microsurgery, Instituto Roosevelt, Bogotá, Colombia.

Amniotic band syndrome (ABS) is a congenital disease that causes a variable degree of deformity and tissue disruption. Surgical excision of fibrotic tissue and advancement of local flaps is the gold standard for constriction bands of the upper limb. We report the use of an adipofascial Superficial Circumflex Iliac Artery perforator (SCIP) flap to improve contour following amniotic band resection in the upper extremity in two patients with ABS. Read More

Arch Plast Surg 2022 Jan 15;49(1):39-42. Epub 2022 Jan 15.

Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, Korea.

Bilateral pectoralis major myocutaneous (PMMC) flaps are commonly used to reconstruct large chest wall defects. We report a case of large chest wall defect reconstruction using bilateral PMMC flaps augmented with axillary V-Y advancement rotation flaps for additional flap advancement. A 74-year-old male patient was operated on for recurrent glottic squamous cell carcinoma. Read More

Ann Thorac Surg 2022 Jan 24. Epub 2022 Jan 24.

Department of Surgery, Cancer Treatment Centers of America, Newnan, Georgia.

Background: Chest wall reconstruction can be a challenge. The perfect material does not exist to restore chest wall stability. Synthetic materials have been the mainstay for reconstruction. Read More

Plast Reconstr Surg Glob Open 2022 Jan 24;10(1):e4049. Epub 2022 Jan 24.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Taipei Veterans General Hospital, Taiwan.

The keystone design perforator island flap has been gaining popularity for reconstructing large cutaneous defects with sufficient soft tissue laxity. However, for a defect with insufficient local tissue and tense laxity such as upper to mid-back, a single keystone flap may not be so suitable for advancement and mobilization. Instead of an additional flap or double-opposite-designed keystone flaps, we attempted to apply the vessel loop shoelace technique for external expansion before proceeding with only one keystone flap reconstruction for a 15 × 15 cm skin and soft tissue defect on the mid-back. Read More