2,243 results match your criteria Advancement Flaps


Clinical outcome of V-Y flap with latissimus dorsi and gluteal advancement for treatment of large thoracolumbar myelomeningocele defects: a comparative study.

J Neurosurg Pediatr 2019 Apr 19:1-10. Epub 2019 Apr 19.

1Department of Neurosurgery.

OBJECTIVESurgical repair and closure of myelomeningocele (MMC) defects are important and vital, as the mortality rate is as high as 65%-70% in untreated patients. Closure of large MMC defects is challenging for pediatric neurosurgeons and plastic surgeons. The aim of the current study is to report the operative characteristics and outcome of a series of Iranian patients with large MMC defects utilizing the V-Y flap and with latissimus dorsi or gluteal muscle advancement. Read More

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http://dx.doi.org/10.3171/2019.1.PEDS18232DOI Listing

Endorectal Advancement Flaps for Perianal Fistulae in Crohn's Disease: Careful Patient Selection Leads to Optimal Outcomes.

J Gastrointest Surg 2019 Apr 12. Epub 2019 Apr 12.

UC San Diego Health System, San Diego, CA, USA.

Background: Anorectal fistulae resultant from Crohn's disease (CD) is a clinical challenge. The advent of immune therapy (IT) has altered the way in which fistulae have responded to treatment. Endorectal advancement flap (ERAF) is a surgical procedure that is used to treat complex fistulae. Read More

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http://dx.doi.org/10.1007/s11605-019-04205-0DOI Listing
April 2019
2 Reads

Reconstruction of nasal supratip defect using vertical alar groove tissue.

J Dermatolog Treat 2019 Apr 8:1-13. Epub 2019 Apr 8.

a Department of Dermatology , Seoul National University College of Medicine, Bundang Hospital , Gyeonggi , Korea.

Abstracts Background: Several local flaps have been introduced for the reconstruction of small-to-medium-sized nasal supratip defects.

Objective: To evaluate the outcome of reconstructing supratip defects using tangential advancement flaps from the vertical alar groove tissue.

Methods & Materials: Medical records of 20 patients who underwent supratip reconstruction using this flap between January 2012 and July 2018 were retrospectively analyzed. Read More

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http://dx.doi.org/10.1080/09546634.2019.1605134DOI Listing

Nail bed and flap reconstructions for acute fingertip injuries - A case review and report of a chemical burn injury.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019839278

Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Nail bed injuries were commonly found concomitantly with fingertip injuries. Reconstruction of fingertip including the nail bed should be attempted at acute stage. Aim of the surgery was to restore as much finger length and achieve normal nail growth. Read More

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http://dx.doi.org/10.1177/2309499019839278DOI Listing
April 2019
1 Read

V-Y Plasty or Primary Repair Closure of Myelomeningocele: Our Experience.

J Pediatr Neurosci 2018 Oct-Dec;13(4):398-403

Department of Neurosurgery, Father Muller Medical College, Mangaluru, Karnataka, India.

Background: Open neural tube defects in the spine most commonly are in the lumbo-sacral region. Surgical closure is the treatment, but in primary closure the chances of CSF leak are more. Hence a novel technique of using an advancement flap called the V-Y plasty for closure of these defects(6). Read More

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http://dx.doi.org/10.4103/JPN.JPN_40_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413606PMC
April 2019
1 Read

Statement of the expert group on the current practice and prospects for the treatment of complex perirectal fistulas in the course of Crohn's disease.

Pol Przegl Chir 2019 Feb;91(1):38-46

II Klinika Chirurgii Ogólnej, Gastroenterologicznej i Nowotworów Układu Pokarmowego, Uniwersytet Medyczny w Lublinie.

Perirectal fistulas in the course of Crohn's disease (CD) constitute an important problem in this group of patients. They are observed in a vast majority of patients with involvement through colorectal inflammation. Perirectal fistulas in CD present a great diagnostic and therapeutic challenge due to the intensified clinical symptoms and worse prognosis than in the case of crypt originating fistulas. Read More

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http://dx.doi.org/10.5604/01.3001.0013.0593DOI Listing
February 2019

The Flip-Back Myocutaneous Advancement Flap for Periocular Reconstruction.

Ophthalmic Plast Reconstr Surg 2019 Mar 18. Epub 2019 Mar 18.

Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, Florida.

Purpose: To present a novel myocutaneous flap for anterior lamellar reconstruction.

Methods: Retrospective interventional case series of consecutive patients who underwent Mohs reconstruction using the flip-back flap. Operations were performed by a single surgeon (DTT) between January 2012 and May 2016. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001377DOI Listing
March 2019
7 Reads

Risk Factors Associated with Reconstructive Complications Following Sacrectomy.

Plast Reconstr Surg Glob Open 2018 Nov 5;6(11):e2002. Epub 2018 Nov 5.

USC Division of Plastic and Reconstructive Surgery, Los Angeles, Calif.

Background: Sacral pathology requiring partial or total sacrectomy is rare, and reconstructing the ensuing defects requires careful decision-making to minimize morbidity. The purpose of this study was to review the experience of a single institution with reconstructing large sacral defects, to identify risk factors for suboptimal outcomes.

Methods: A retrospective chart review was conducted of all patients who underwent sacrectomy over a 10-year period. Read More

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http://Insights.ovid.com/crossref?an=01720096-201811000-0001
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http://dx.doi.org/10.1097/GOX.0000000000002002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414132PMC
November 2018
4 Reads

A Method for Reconstruction of Anterior Commissure Glottal Webs With Endoscopic Fibro-Mucosal Flaps.

Ann Otol Rhinol Laryngol 2019 Mar;128(3_suppl):82S-93S

1 Department of Surgery, Harvard Medical School, Boston, MA, USA.

Background:: Anterior-commissure (AC) cicatrization and web formation is a difficult problem that can result from a variety of clinical scenarios. An advancement-rotation flap utilizing papillomatous epithelium and subepithelial fibrous tissue has been previously described. For patients in whom there was not excessive redundant papillomatosis covering the AC web, including other clinical scenarios, a microlaryngoscopic procedure was designed to lengthen the glottal/subglottal aperture using substantial local fibro-mucosal tissue. Read More

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http://dx.doi.org/10.1177/0003489418820031DOI Listing
March 2019
6 Reads

Mastopexy Autoaugmentation by Using Vertical and Triangular Flaps of Mammary Parenchyma Through a Vertical Ice Cream Cone-Shaped Approach.

Aesthetic Plast Surg 2019 Mar 6. Epub 2019 Mar 6.

Post-Graduate Course of Plastic Surgery of the ACA - Institute of Assistance in Plastic Surgery of São Paulo, Division of Plastic Surgery at General Hospital São Rafael, Brazilian Society of Plastic Surgery and Brazilian Medical Association, Rua Afonso de Freitas 641, São Paulo, SP, 04006-052, Brazil.

Background: Mastopexy autoaugmentation by using an extended vertical flap and two transverse triangular flaps of mammary parenchyma was performed through an adjustable vertical ice cream cone-shaped approach.

Method: A vertical rectangular flap with the length of the inferior pole and thickness of the mammary parenchyma was supported at the inframammary fold. Dissection of the vertical flap was extended underneath the areola until the projection of its upper limit, adding 4-5 cm to the length of the vertical flap. Read More

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http://dx.doi.org/10.1007/s00266-019-01337-1DOI Listing
March 2019
6 Reads

Expertise in Head and Neck Cutaneous Reconstructive Surgery.

Dermatol Surg 2019 Feb 28. Epub 2019 Feb 28.

Division of Dermatology, Section of Procedural Dermatology, Cooper University Health Care, Marlton, New Jersey.

Background: The management of skin cancers has evolved with the development of Mohs micrographic surgery and a greater emphasis on surgical training within dermatology. It is unclear whether these changes have translated into innovations and contributions to the reconstructive literature.

Objective: To assess contributions from each medical specialty to the cutaneous head and neck oncologic reconstructive literature. Read More

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http://dx.doi.org/10.1097/DSS.0000000000001844DOI Listing
February 2019
3 Reads

Review of Procedures for Reconstruction of Soft Tissue Chest Wall Defects Following Advanced Breast Malignancies.

Cancer Control 2019 Jan-Dec;26(1):1073274819827284

3 Department of Breast Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.

The purpose of this article is to review closure options for complex chest wounds in patients with locally advanced breast cancer. Experiences of the plastic and oncologic surgery teams at Moffitt Cancer Center were reviewed, and the literature researched for various surgical options of complex chest wound closure. Multiple treatment modalities exist for reconstruction of complex chest wall wounds with the external oblique and V-Y latissimus dorsi musculocutaneous advancement flaps serving as workhorses in reconstruction. Read More

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http://dx.doi.org/10.1177/1073274819827284DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360472PMC
February 2019
1 Read

Management of Hand Burn With Pedicled Converted Anterolateral Thigh Free Flap.

Plast Surg Nurs 2019 Jan/Mar;39(1):14-17

José María García-Sánchez, MD, is Plastic Surgeon, Department of Plastic and Reconstructive Surgery and Burns, La Fe Hospital, Valencia, Spain. Laura Ibáñez Beltrán, MD, is Pediatrician, Department of Pediatrics, La Fe Hospital, Valencia, Spain. Eduardo Simón-Sanz, MD, is Plastic Surgeon, Department of Plastic and Reconstructive Surgery and Burns, La Fe Hospital, Valencia, Spain. Alberto Ruiz Cases, MD, is Plastic Surgeon, Department of Plastic and Reconstructive Surgery and Burns, La Fe Hospital, Valencia, Spain. Enrique Salmerón-González, MD, is Plastic Surgeon, Department of Plastic and Reconstructive Surgery and Burns, La Fe Hospital, Valencia, Spain. María Dolores Pérez del Caz, MD, is Plastic Surgeon, Department of Plastic and Reconstructive Surgery and Burns, La Fe Hospital, Valencia, Spain.

The upper limb is involved in burns in a high percentage of cases and its reconstruction is extremely important, given the functional impact of this anatomical region. Among the reconstruction choices for severe and large structural defects, the pedicled anterolateral thigh flap is an available option. This case study discusses the utilization of the pedicled anterolateral thigh flap for reconstruction of a complex full-thickness hand burn, when adequate arterial perforators were not available. Read More

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http://dx.doi.org/10.1097/PSN.0000000000000254DOI Listing
April 2019
7 Reads

Neo-vaginal advancement flaps in the treatment of urethral strictures in transwomen.

Urology 2019 Feb 16. Epub 2019 Feb 16.

Dept. Of Urology, Ghent University Hospital, Ghent, Belgium.

Objectives: To explore the use of neo-vaginal advancement flaps in the treatment of distal urethral strictures with description of the techniques and preliminary results in transwomen.

Methods: Five patients were treated. A 7-flap was used in 2 patients and an inverted U-flap in 3 patients. Read More

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http://dx.doi.org/10.1016/j.urology.2019.02.003DOI Listing
February 2019

Flap Related Complications Requiring Secondary Surgery in a Series of 851 Local Flaps Used for Fingertip Reconstruction.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):24-29

‖ Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Background: Local flaps are widely used to cover fingertip defects. Errors in design or technical execution of the flap may lead to morbidity and additional surgical procedure. The purpose of this study was to review flap related complications requiring unplanned secondary surgery to characterize preventable issues. Read More

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http://dx.doi.org/10.1142/S242483551950005XDOI Listing

[Reconstruction finger web with dorsal two wing-shaped advancement flap for the treatment of congenital syndactyly].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 02;33(2):195-198

The First Department of Hand Surgery, Honghui Hospital Affiliated to Medical School of Xi'an Jiao Tong University, Xi'an Shaanxi, 710054,

Objective: To discuss the effectiveness of using dorsal two wing-shaped advancement flap to reconstruct finger web for treatment of congenital syndactyly.

Methods: Between August 2014 and August 2017, 30 cases of congenital syndactyly were treated, including 18 males and 12 females with an average age of 2.5 years (range, 1. Read More

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http://dx.doi.org/10.7507/1002-1892.201809012DOI Listing
February 2019
3 Reads

Preservation of lower extremity spare parts using the University of Wisconsin solution.

SAGE Open Med Case Rep 2019 22;7:2050313X18823438. Epub 2019 Jan 22.

Division of Plastic and Reconstructive Surgery, McGill University Health Center, Montreal, QC, Canada.

The management of a mangled limb is a challenging endeavor. With the advancement in microsurgery, spare parts surgery (fillet flaps) has gained recent interest. In the context of lower extremity amputation secondary to trauma, viable spare parts can provide stump soft tissue coverage, potentially preserving critical length and obviating above-knee amputations. Read More

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http://dx.doi.org/10.1177/2050313X18823438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350014PMC
January 2019
1 Read

An Unreported Complication After Fetoscopic Myelomeningocele Closure.

J Craniofac Surg 2019 Jan 19. Epub 2019 Jan 19.

Division of Plastic Surgery.

Myelomeningocele (MMC) is a type of open neural tube defect characterized by exposure of the spinal cord through a defect in the skin and posterior hindbrain herniation through the foramen magnum. Outcomes vary but common morbidities include paraplegia, hydrocephalus, neurogenic bladder, scoliosis, and tethered cord. Fetal surgery, although not a cure, has been shown to decrease the risk of associated morbidity. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005196DOI Listing
January 2019
1 Read

Reconstruction of Alar-Perialar Defects with a Combined Subcutaneous and Cutaneous Pedicled Rotation-Advancement Nasolabial Flap.

J Invest Surg 2019 Jan 15:1-7. Epub 2019 Jan 15.

a Department of Dermatology and Allergology , University of Szeged, Szeged, Hungary.

Aim Of The Study: During the reconstruction of alar defects involving the upper lip, reconstructive surgeons face the need for various thicknesses of tissues crucial to preserving the facial sulcus which is important for a cosmetically acceptable result. Our aim was to reconstruct the deep perialar and thinner lateral nasal alar defect in a single step procedure with a suitable flap which is reliable, has appropriate blood supply and provides an esthetically good result.

Materials And Methods: Extended alar defect was reconstructed with a combined flap in 10 cases. Read More

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http://dx.doi.org/10.1080/08941939.2018.1538397DOI Listing
January 2019
5 Reads

Reconstruction of Mohs Defects Located in the Head and Neck.

J Craniofac Surg 2019 Jan 10. Epub 2019 Jan 10.

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

Background: Defects following Mohs micrographic surgery (MMS) can range in size from small defects requiring linear closure to large defects needing flap coverage. Reconstruction is dependent on defect size and facial aesthetic unit involvement. The aim of this study was to review the types of facial reconstruction per aesthetic unit involvement and describe their outcomes. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9509
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http://dx.doi.org/10.1097/SCS.0000000000005137DOI Listing
January 2019
12 Reads
0.676 Impact Factor

Gluteal Flaps Revisited: Technical Modifications for Perineal Wound Reconstruction.

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

University of Rochester School of Medicine and Dentistry, Rochester, NY.

Background: Abdominoperineal resection is the treatment for many anorectal malignancies. The laparotomy approach allows for harvest of the rectus abdominis muscle for perineal reconstruction. However, with increasing numbers of robotic abdominoperineal resections being performed, the morbidity associated with a laparotomy incision is avoided. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001771DOI Listing
January 2019
5 Reads

Correction of Tanzer Type IIB Constricted Ears via Z-shaped Double V-Y Advancement Flaps.

Ann Plast Surg 2019 Mar;82(3):284-288

From the Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu, China.

Background: Correction of Tanzer type IIB constricted ears requires sufficient expansion of the auricular skin to cover the reconstructed cartilaginous framework. To obtain an adequately sized skin cover, skin flap transposition from periauricular donor sites has been described; however, it remains challenging to obtain enough skin to enable satisfactory reconstruction. Herein, we describe a novel method that uses 2 local flaps comprising superoauricular, retroauricular, and preauricular soft tissue to expand the skin cover and correct Tanzer type IIB deformity. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001750DOI Listing
March 2019
4 Reads

Reconstruction of cutaneous defects of the nasal tip and alar by two different methods.

Arch Craniofac Surg 2018 Dec 27;19(4):260-263. Epub 2018 Dec 27.

Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.

Background: The alar and nasal tip are important subunits of the nose. Determining the optimal procedure for reconstructing a cutaneous defect in a nasal subunit depends on several factors including size, location, and involvement of deep underlying structures. We treated cutaneous defects after tumor ablation in the alar and nasal tip with a local flap, using an S-shaped design and a modified V-Y advancement flap with a croissant shape. Read More

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http://dx.doi.org/10.7181/acfs.2018.02271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325337PMC
December 2018
2 Reads

Usefulness of the orbicularis oculi myocutaneous flap in periorbital reconstruction.

Arch Craniofac Surg 2018 Dec 27;19(4):254-259. Epub 2018 Dec 27.

Department of Dermatology, Pusan National University Hospital, Busan, Korea.

Background: The esthetic and functional outcomes of periorbital defect reconstruction are very important because of the complex anatomy and specialized functions of this region. The orbicularis oculi myocutaneous (OOMC) flap is useful for the reconstruction of periorbital defects. But, according to the location and depth of the defects, the reconstruction using OMC flaps with various techniques is rare. Read More

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http://dx.doi.org/10.7181/acfs.2018.02019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325325PMC
December 2018

Lymphangiosis Carcinomatosa in a Patient with Giant Cutaneous SCC: Cervicopectoral Advancement Flap in Combination with Tunnel Transposition Flap from the Back as Promising Treatment Approach?

Open Access Maced J Med Sci 2018 Dec 18;6(12):2376-2377. Epub 2018 Dec 18.

Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, General Skobelev Nr 79, Sofia, Bulgaria.

Background: One of the features characterising cutaneous SCC as high-risk is lymphovascular infiltration. The diffuse lymphangitic spread of carcinogenic cells is defined as the so-called lymphangitis carcinomatosa. In some cases, it is the only and first sign to alert the presence of an underlying malignancy. Read More

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http://dx.doi.org/10.3889/oamjms.2018.516DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311477PMC
December 2018
3 Reads

Reconstruction of post-traumatic upper extremity soft tissue defects with pedicled flaps: An algorithmic approach to clinical decision making.

Chin J Traumatol 2018 Dec 5;21(6):338-351. Epub 2018 Nov 5.

Department of Plastic Reconstructive & Burns Surgery, All India Institute of Medical Sciences, New Delhi, India. Electronic address:

Purpose: Pedicled flaps are still the workhorse flaps for reconstruction of upper limb soft tissue defects in many centers across the world. They are lifeboat options for coverage in vessel deplete wounds. In spite of their popularity existing algorithms are limited to a particular region of upper limb; a general algorithm involving entire upper limb which helps in clinical decision making is lacking. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183001
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http://dx.doi.org/10.1016/j.cjtee.2018.04.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354178PMC
December 2018
16 Reads

Pediatric nasal septal perforation.

Int J Pediatr Otorhinolaryngol 2019 Mar 4;118:15-20. Epub 2018 Dec 4.

Department of Otolaryngology, University of Pittsburgh Medical Center, 200 Lothrop Street Suite 500, Pittsburgh, PA, 15213, USA; Department of Pediatric Otolaryngology, Children's Hospital of Pittsburgh, 4401 Penn Avenue #3, Pittsburgh, PA, 15224, USA.

Objective: 1.) Describe demographic and clinical characteristics of pediatric nasal septal perforations (NSP), 2.) Analyze efficacy of treatment modalities in symptom management and resolution of pediatric NSP, 3. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.12.001DOI Listing
March 2019
1 Read

Contemporary Trends in the Surgical Management of Nasal Septal Perforations: A Community Survey.

Facial Plast Surg 2019 Feb 19;35(1):78-84. Epub 2018 Dec 19.

Private Practice, Facial Plastic Surgery Associates, Houston, Texas.

There currently exists an overabundance of publications advocating different septal perforation repair methods. The objective of this article was to examine the preponderance of techniques and trends in the surgical management of septal perforations in the practices of otolaryngologists, rhinologists, and facial plastic surgeons. The study was designed as a multicenter cross-sectional survey. Read More

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http://dx.doi.org/10.1055/s-0038-1676049DOI Listing
February 2019
1 Read

Outcome of Patients with Complete Unilateral Cleft Lip and Palate: 20-Year Follow-Up of a Treatment Protocol.

Plast Reconstr Surg 2019 02;143(2):359e-367e

Taoyuan, Taiwan From the Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University.

Background: The treatment plan for cleft lip and palate varies among centers and requires long-term evaluation of its final outcome.

Methods: A consecutive series of patients born from 1994 to 1996 were reviewed. Inclusion criteria were complete unilateral cleft lip and palate, undergoing all treatment procedures performed by the team, and continuous follow-ups until 20 years of age. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005216DOI Listing
February 2019
6 Reads

A New Technique for Reconstruction of Medium-Sized Eyelid Defects (A Modification of Tessier Nasojugal Flap).

Facial Plast Surg 2018 Dec 4;34(6):657-662. Epub 2018 Dec 4.

Department of Plastic and Reconstructive Surgery, Urmia University of Medical Sciences, Imam Khomeini Teaching Hospital, Urmia, West Azerbaijan, the Islamic Republic of Iran.

Eyelid reconstructions are considered challenging surgical procedures, which are mostly performed due to trauma, tumor resections, and congenital defects. Several techniques can be used to reconstruct the lower eyelid defects. In this study, the authors aimed to introduce a new single-step technique for the reconstruction of medium-sized lower eyelid defects while preventing ectropion. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676050
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http://dx.doi.org/10.1055/s-0038-1676050DOI Listing
December 2018
13 Reads

Comparison of the Clinical Outcomes of Buccal Advancement Flap Versus Platelet-Rich Fibrin Application for the Immediate Closure of Acute Oroantral Communications.

Authors:
Kani Bilginaylar

J Craniofac Surg 2019 Jan;30(1):e45-e49

Department of Oral and Maxillofacial Surgery, Near East University, Boulevard, Nicosia, Turkey.

The aim of this study was to compare the clinical outcomes of buccal advancement flap surgery to platelet-rich fibrin (PRF) application for the closure of acute oroantral communications (AOACs). In 36 patients, following the extractions of posterior maxillary teeth, AOACs which were larger than 3 mm diameter were detected. In group A, PRF clots were used in 21 patients and group B, classic buccal advancement flap was used in 15 patients. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004958DOI Listing
January 2019
11 Reads

Extending Applications of Local Anesthesia Without Tourniquet to Flap Harvest and Transfer in the Hand.

Hand Clin 2019 Feb;35(1):97-102

Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong 226001, Jiangsu, China.

The authors' experience demonstrates that wide-awake flap surgery in the hand is safe. The authors used this approach in 4 commonly used flaps in the hand in 27 patients: the extended Segmuller flap, the homo-digital reverse digital artery flap, the dorsal metacarpal artery perforator flap, and the Atasoy advancement flap. Wide-awake flap surgery works very well and safely achieved excellent anesthetic and vasoconstrictive effects in the authors' cases. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07490712183010
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http://dx.doi.org/10.1016/j.hcl.2018.08.009DOI Listing
February 2019
7 Reads

Reconstruction of the Cheek.

Facial Plast Surg Clin North Am 2019 Feb;27(1):55-66

Department of Otolaryngology, University of Colorado School of Medicine, 12631 East 17th Avenue, B205, Aurora, CO 80045-2527, USA. Electronic address:

The goal of cheek reconstruction is to restore an illusion of "normal." Attention must be directed toward the contralateral cheek skin color, texture, thickness, and contour, because this serves a template for reconstruction. The cheek is a peripheral facial subunit and largely frames the more central subunits (eyelids, nose, lips). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10647406183007
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http://dx.doi.org/10.1016/j.fsc.2018.08.007DOI Listing
February 2019
15 Reads

Rare Median Cleft-Lip Repair With Novel Surgical Procedures Using Bilateral Cleft Margin Flaps.

J Craniofac Surg 2019 Jan;30(1):19-22

Department of Plastic and Reconstructive Surgery, Osaka City General Hospital, Osaka, Japan.

Reports of median cleft lip with nasal anomalies are few, and descriptions of concomitant surgical repair of a median cleft lip and bifid nose deformity are similarly rare. These surgical repair techniques mainly involve the use of normal neighboring structures. Reconstruction of the columella and nasal base is especially important. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9525
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http://dx.doi.org/10.1097/SCS.0000000000004891DOI Listing
January 2019
18 Reads

Novel Surgical Strategies in the Treatment of Gynecological Malignancies.

Curr Treat Options Oncol 2018 Nov 9;19(12):73. Epub 2018 Nov 9.

Department of Surgical Oncology, Institut Claudius Regaud-Institut Universitaire du Cancer de Toulouse (IUCT)-Oncopole, 1 avenue Irène Joliot-Curie, 31059, Toulouse Cedex 9, France.

Opinion Statement: The main advancement in the surgical treatment of early cervical cancer has been a de-escalation in the radical surgical approach of early stage disease. Similarly, sentinel lymph node detection with cervical tracer injection can be performed alone in microscopic tumors (stage IA) while additional lymphadenectomy is still performed in macroscopic tumors (IB1 and IIA). Parametrial resection has been progressively reduced in tumors less than 2 cm, and simple procedures, conservative (trachelectomy) or not (simple hysterectomy), are currently being evaluated in several phase III trials. Read More

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http://link.springer.com/10.1007/s11864-018-0582-5
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http://dx.doi.org/10.1007/s11864-018-0582-5DOI Listing
November 2018
21 Reads

Microscopic approach for repairing nasal septal perforations using bilateral advancement flaps.

Eur Arch Otorhinolaryngol 2019 Jan 7;276(1):101-106. Epub 2018 Nov 7.

ENT and Cervicofacial Surgery Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.

Background: Septal perforations consist in an anatomic defect of the mucosal, cartilaginous and/or bone tissues of the nasal septum. A huge variety of approaches and techniques for nasal perforation repair have been reported.

Methodology/principal: Between January 2008 and January 2017, 38 patients were treated for nasal septal perforation in Department of Otorhinolaryngology Head and Neck Surgery, Fundación Jiménez Díaz University Hospital, Madrid, Spain. Read More

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http://link.springer.com/10.1007/s00405-018-5169-z
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http://dx.doi.org/10.1007/s00405-018-5169-zDOI Listing
January 2019
23 Reads

The Modified Keystone Flap for Pressure Ulcers: A Modification of the Keystone Flap With Rotation and Advancement.

Ann Plast Surg 2019 Mar;82(3):299-303

Department of Plastic and Reconstructive Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.

Introduction: The reconstruction of extensive soft tissue defects from pressure ulcers is a great challenge. Resurfacing such defects with like tissues and minimizing morbidities are important. Here we present our surgical experience using a novel modified keystone flap for pressure ulcer patients. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001677DOI Listing
March 2019
2 Reads
1.460 Impact Factor

Propeller perforator flaps in forearm and hand reconstruction.

Eur J Orthop Surg Traumatol 2019 Feb 26;29(2):357-366. Epub 2018 Oct 26.

Clinical Hospital of Rehabilitation Cluj Napoca, University of Medicine Iuliu Hatieganu Cluj Napoca, Str. Viilor Nr. 46-50, 400347, Cluj Napoca, Cluj, Romania.

After a long history in flaps' surgery, the perforator flaps became the most used flaps nowadays. From the beginning, their use as free flaps diminished substantially the donor site morbidity. In the attempt to not only diminish the donor site morbidity, but also to achieve more similar reconstructions, a new concept appeared 20 years ago: local perforator flaps. Read More

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http://link.springer.com/10.1007/s00590-018-2323-7
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http://dx.doi.org/10.1007/s00590-018-2323-7DOI Listing
February 2019
21 Reads

Perianal Fistulas in Patients With Crohn's Disease, Part 2: Surgical, Endoscopic, and Future Therapies.

Gastroenterol Hepatol (N Y) 2018 Sep;14(9):521-528

Dr Gold is an internal medicine resident in the Department of Medicine at NewYork-Presbyterian/Weill Cornell Medical Center in New York, New York.

The treatment of perianal fistulas remains a clinical challenge despite the significant advances that have been made in the management of luminal inflammatory bowel disease. In combination with medical therapies, surgical management of perianal fistulas is important for both infection control and definitive repair. Older surgical techniques include the placement of draining and cutting setons and endorectal advancement flaps. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194657PMC
September 2018
66 Reads

Cutaneous Breast Radiation-associated Angiosarcoma: Anterior Chest Wall Reconstruction Options Following Extra-radical Resection.

Plast Reconstr Surg Glob Open 2018 Sep 5;6(9):e1938. Epub 2018 Sep 5.

Division of Plastic Surgery, Brigham and Women's Hospital and Dana Farber Cancer Institute, Boston, Mass.

Background: Radiation-associated angiosarcoma (RAAS) of the breast is a rare complication following breast irradiation with high rates of recurrence and death. To improve survival, we have advocated for an extra-radical resection where the entire irradiated skin and subcutaneous tissue is excised. This results in very large chest defects for which we describe our reconstructive experience. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001938DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191213PMC
September 2018
3 Reads

Bucket-Handle Bipedicled Scalp Flaps for Coverage of Cranial Constructs in Cranioplasty.

J Craniofac Surg 2018 Nov;29(8):2182-2185

Division of Plastic Surgery, University of Miami Hospital, Miami, FL.

Composite frontal scalp defects involving the frontal bone and full thickness scalp can pose a reconstructive challenge. Often, they necessitate the use of microsurgical free tissue transfer, which can be physiologically demanding in high-risk patients with multiple comorbidities, with exposure to prolonged general anesthesia time and increased surgical morbidity. The experience of a single surgeon was reviewed with reconstruction of composite frontal scalp wounds in 4 patients with structural framework and a bipedicled scalp advancement (ie, "bucket handle") flap, thus obviating the need for free tissue transfer. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9529
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http://dx.doi.org/10.1097/SCS.0000000000004832DOI Listing
November 2018
18 Reads

Use of Local Flaps for Soft-Tissue Closure in Diabetic Foot Wounds: A Systematic Review.

Foot Ankle Spec 2018 Oct 17:1938640018803745. Epub 2018 Oct 17.

Division of Podiatric Medicine and Surgery, Department of Orthopaedics, University of Texas Health San Antonio, San Antonio, Texas.

"A systematic review was undertaken to assess the outcomes of local random flaps in diabetic foot wound closure. The review was conducted using the following databases: Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, Excerpta Medica dataBASE, Google Scholar, MEDLINE, Ovid, and PubMed. Search terms were local random flap, diabetes, foot, wound, ulceration, neuropathy, tissue transfer, V-Y, bilobed, monolobed, rotational, advancement, transpositional, rhomboid, and Limberg. Read More

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http://journals.sagepub.com/doi/10.1177/1938640018803745
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http://dx.doi.org/10.1177/1938640018803745DOI Listing
October 2018
2 Reads

Experience with gluteal V-Y fasciocutaneous advancement flaps in vulvar reconstruction after oncological resection and a modification to the marking: Playing with tension lines.

Int Wound J 2019 Feb 10;16(1):96-102. Epub 2018 Oct 10.

Plastic Surgery Service, Ospedale Santa Maria della Misericordia, Udine, Italy.

Many post-vulvectomy vulvar reconstruction solutions, using local fasciocutaneous flaps where possible, have been proposed. We report the use of V-Y advancement flaps from the gluteal fold in medium to large vulvar reconstructions and a simple modification we made to the technique in order to minimise wound-related complications. Between 2006 and 2016, 30 vulvar reconstructions were performed via a total of 59 flaps, 24 of which were raised using the proposed modification to the plasty design. Read More

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http://dx.doi.org/10.1111/iwj.12997DOI Listing
February 2019
3 Reads

Use of a helical composite free flap for alar defect reconstruction with a supermicrosurgical technique.

Arch Plast Surg 2018 Sep 15;45(5):466-469. Epub 2018 Sep 15.

Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

The highly contoured nature of the nose and the abundant free margin makes it especially difficult to reconstruct. In this report, we describe the use of a new helical rim free flap technique for the reconstruction of full-thickness nasal alar defects via supermicrosurgery. Briefly, after a wide excision with a margin of 0. Read More

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http://e-aps.org/journal/view.php?doi=10.5999/aps.2017.01270
Publisher Site
http://dx.doi.org/10.5999/aps.2017.01270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177631PMC
September 2018
7 Reads

Simple neovaginoplasty using spontaneous regeneration ability of labial and vestibular flap in patients with Müllerian agenesis.

Gynecol Minim Invasive Ther 2017 Oct-Dec;6(4):173-177. Epub 2017 Jul 1.

Healthy Aging Korean Medical Research Center, Pusan National University, Busan, Republic of Korea.

Objectives: This study is aimed to introduce a simple neovaginoplasty procedure without significant complications using the spontaneous regenerative ability of labial and vestibular advancement flaps in patients with Müllerian agenesis.

Materials And Methods: Prospectively collected data of 5 patients with vaginal agenesis due to Müllerian duct abnormality who underwent neovaginoplasty using labial and vestibular advancement flaps were retrospectively reviewed. Operative details, perioperative outcome, complications, length and width of the neovagina, and the postoperative sexual activity were evaluated. Read More

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http://dx.doi.org/10.1016/j.gmit.2017.06.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135190PMC
July 2017
1 Read

A rare case of Brooke-Spiegler syndrome: integrated surgical treatment of multiple giant eccrine spiradenomas of the head and neck in a young girl.

Int J Surg Case Rep 2018 12;51:277-281. Epub 2018 Sep 12.

Department of Plastic and Reconstructive Surgery, University Hospital of Foggia, Foggia, Italy.

Introduction: The authors present a "four-step" integrated surgical protocol to treat a rare case of multiple giant eccrine spiradenoma (ES) of the head and neck in a young patient.

Presentation Of Case: An 18-year-old female patient presented with multiple swellings in the head and neck regions. The patient had a severe psychological trauma with a negative impact on her social life. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183032
Publisher Site
http://dx.doi.org/10.1016/j.ijscr.2018.08.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146587PMC
September 2018
16 Reads

Treatment options for partial auricle reconstruction: a prospective study of outcomes and patient satisfaction.

J Wound Care 2018 Sep;27(9):564-572

Department of Burns, Plastic and Reconstructive Surgery, JN Medical College, Aligarh Muslim University, Aligarh, UP-202002, India.

Objective: To evaluate the various methods and outcomes of post-traumatic partial auricle wound reconstruction, and to review the benefit to the patient's quality of life and their psychological improvement after the operation.

Methods: The prospective study included patients who suffered from post-traumatic partial auricular wounds. The defects were repaired using various techniques including simple local cutaneous advancement flaps, tube flaps, cartilage framework using conchal and costal cartilage with local skin flap cover. Read More

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http://dx.doi.org/10.12968/jowc.2018.27.9.564DOI Listing
September 2018
21 Reads

Large Scalp Defect Repair with Flap Reconstruction Using Tissue Expander After Combined Bypass in Case of Moyamoya Disease.

World Neurosurg 2018 Dec 7;120:185-189. Epub 2018 Sep 7.

Department of Neurosurgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon-si, Gyeonggi-do, Republic of Korea. Electronic address:

Background: Combined revascularization is the preferred surgical management of adult Moyamoya disease. However, postoperative flap necrosis of the scalp is not an uncommon complication. We investigated the role of scalp incision design on the basis of the course of the superficial temporal artery (STA) to prevent postoperative scalp necrosis. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.221DOI Listing
December 2018
8 Reads