Int J Burns Trauma 2017 25;7(4):50-55. Epub 2017 Jul 25.

Department of Burns, Plastic and Reconstructive Surgery, SMS Medical College and HospitalJaipur, Rajasthan, India.

Background: Large post burn scars are a very difficult problem to treat. Available methods include skin grafts and tissue expansion. The reconstructive method used should be tailored according to individual patient rather than following a textbook approach in each. Read More

Acta Stomatol Croat 2017 Mar;51(1):60-64

Professor,DM, MSc, PhD at the School of Medicine, University of Zagreb, Department of Oral and Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia.

The early techniques of cleft lip repair involved the straight-line technique, the triangular flap technique or some kind of geometric line (triangular, quadrangular closure). A turning point in cleft lip surgery was in 1955 when doctor. Millard presented his method: the rotation-advancement technique or flap, at the First International Congress of Plastic Surgery in Stockholm. Read More

Facial Plast Surg Clin North Am 2017 Aug;25(3):323-335

Department of Otolaryngology Head and Neck Surgery, The University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 3010, Kansas City, KS 66160, USA. Electronic address:

A mastery of advancement flap design, selection, and execution greatly aids the surgeon in solving reconstructive dilemmas. Advancement flaps involve carefully planned incisions to most efficiently close a primary defect in a linear vector. Advancement flaps are subcategorized as unipedicle, bipedicle, V-to-Y, and Y-to-V flaps, each with their own advantages and disadvantages. Read More

Actas Dermosifiliogr 2017 Jun 27. Epub 2017 Jun 27.

Servicio de Dermatología, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, España.

Background And Objectives: A broad range of skin flaps can be used to repair facial surgical defects after the excision of a tumor. The aim of our study was to develop a practical guideline covering the most useful skin grafts for each of the distinct facial cosmetic units.

Material And Methods: This was a multicenter study in which 10 dermatologists with extensive experience in reconstructive surgery chose their preferred technique for each cosmetic unit. Read More

J Vet Dent 2017 Jun;34(2):100-105

1 Veterinary Dental Specialties & Oral Surgery, San Diego, CA, USA.

A 7-year-old, 31.3 kg spayed female Golden Retriever dog was presented for the treatment of Miller Class I gingival recession at the right maxillary fourth premolar (108). A semilunar coronally advanced periodontal flap was performed at this tooth and created an increase of approximately 3 mm of soft tissue coverage of the tooth. Read More

Indian J Plast Surg 2017 Jan-Apr;50(1):96-99

Department of Otorhinolaryngology, San Raffaele Hospital and Vita-Salute University, Via Olgettina, Milan, Italy.

Nasal columella defects can significantly impair aesthetic appearance. Columella reconstruction can be very challenging for surgeons, especially if due to cocaine abuse. The case of a 32-year-old male patient with subtotal columellar necrosis secondary to cocaine abuse is presented. Read More

Plast Reconstr Surg Glob Open 2017 Apr 7;5(4):e1291. Epub 2017 Apr 7.

Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colo.; and Division of Plastic Surgery, Departments of Surgery and Otolaryngology, Children's Hospital Colorado and University of Colorado School of Medicine, Aurora, Colo.

Multiple, simultaneous skin cancers of the face are common. This is the first description of reconstructing discontinuous facial defects (i.e. Read More

Am J Rhinol Allergy 2017 May;31(3):190-195

Background: Septal perforation closure is still often invasive and complex, with relatively low closure rates.

Objectives: We aimed to provide the first results of a case series of 20 patients with nasal septal perforations who underwent septal perforation repair by both an open and a minimally invasive technique by using a graft that consisted of temporoparietal fascia and a polydioxanone (PDS) plate without mucosal flaps. Between 2014 and 2016, we tested, for the first time, the feasibility of the insertion of this graft via a hemitransfixion incision at our institution. Read More

Br J Surg 2017 Aug 10;104(9):1160-1166. Epub 2017 May 10.

Department of Gastrointestinal Surgery, Akershus University Hospital, Lorenskog, Norway.

Background: The role of a collagen plug for treating anal fistula is not well established. A randomized prospective multicentre non-inferiority study of surgical treatment of trans-sphincteric cryptogenic fistulas was undertaken, comparing the anal fistula plug with the mucosal advancement flap with regard to fistula recurrence rate and functional outcome.

Methods: Patients with an anal fistula were evaluated for eligibility in three centres, and randomized to either mucosal advancement flap surgery or collagen plug, with clinical follow-up at 3 and 12 months. Read More

J Oral Maxillofac Surg 2017 Aug 8;75(8):1792.e1-1792.e8. Epub 2017 Apr 8.

Specialist, Pathology Department, Yildirim Beyazit University, Ataturk Training and Research Hospital, Ankara, Turkey.

Purpose: This article discusses the results of orbicularis oris muscle-sparing surgery and reconstruction of defects through the use of facial artery perforator flaps and mucosal advancement flaps.

Patients And Methods: Patients with lower lip carcinoma were evaluated retrospectively. Patients who underwent reconstruction with facial artery perforator flaps and mucosal advancement flaps with clear surgical margins and no muscle invasion were included in this study. Read More

Ann R Coll Surg Engl 2017 May;99(5):e142-e144

Department of Plastic and Reconstructive Surgery, Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Preston , UK.

We describe a previously unreported technique of advancing the rectus abdominis muscle superiorly, based on the deep inferior epigastric artery, to cover a lower anterior chest wall defect. This technique represents an important salvage option for chest wall reconstruction and affords a great deal of intra-operative flexibility. Read More

Eplasty 2017 6;17:e15. Epub 2017 Apr 6.

Institute for Plastic and Reconstructive Surgery, Southern Illinois University School of Medicine, Springfield.

Introduction: Deep sternal wound infection following major cardiac surgery is a deleterious complication with sequelae that can be life threatening. The use of vacuum-assisted closure therapy in management of sternal wounds with resultant right ventricular rupture has been documented in the cardiothoracic and to a lesser extent in the reconstructive literature. Methods/Case Report: We present a case of a 67-year-old male patient who suffered from right ventricular perforation from a floating rib following debridement of a deep sternal wound infection and placement of a vacuum-assisted closure device. Read More

Orbit 2017 Aug 24;36(4):228-233. 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

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

J Hand Surg Am 2017 May 30;42(5):396.e1-396.e5. Epub 2017 Mar 30.

New York Hand and Wrist Center of Lenox Hill, 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

Clin Plast Surg 2017 Apr;44(2):325-344

Division of Plastic and Reconstructive Surgery, Mayo Clinic, MA1244W, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address:

Head and neck reconstructive microsurgery is constantly innovating because of a combination of multidisciplinary advances. This article examines recent innovations that have affected the field as well as presenting research leading to future advancement. Innovations include the use of virtual surgical planning and three-dimensional printing in craniofacial reconstruction, advances in intraoperative navigation and imaging, as well as postoperative monitoring, development of minimally invasive reconstructive microsurgery techniques, integration of regenerative medicine and stem cell biology with reconstruction, and the dramatic advancement of face transplant. Read More

Eplasty 2017 21;17:ic5. Epub 2017 Feb 21.

Division of Plastic surgery, Department of Surgery, University of South Florida, Morsani College of Medicine, Tampa, FL.

J Plast Reconstr Aesthet Surg 2017 Jul 23;70(7):959-966. 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

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

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 (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm479732. Read More

Ann Plast Surg 2017 Jul;79(1):34-38

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

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

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

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

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

Am J Surg 2017 Sep 10;214(3):428-431. 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

J Craniofac Surg 2017 Jun;28(4):1027-1029

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

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

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

J Hand Surg Eur Vol 2017 Jul 8;42(6):626-632. Epub 2017 Feb 8.

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

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

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

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

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

Ann Plast Surg 2017 Jul;79(1):53-59

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

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

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

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

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

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.

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

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

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

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

Dermatol Surg 2017 Apr;43(4):583-586

*Department of Orthopedics and Traumatology, Kayseri Training and Research Hospital, Kayseri, Turkey; †Department of Orthopedics and Traumatology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey.

Background: Onychogryphosis is manifested by irregular thickening and curving of nails and the nailfold, resulting in ram horn appearance. No therapeutic modality that can normalize nails with onychogryphosis is yet available. Recommended therapies include palliative measures and various surgical interventions. Read More

J Craniofac Surg 2017 Jan;28(1):122-124

*Department of Plastic and Reconstructive Surgery, New York University †Division of Plastic and Reconstructive Surgery, Northwell Health, New York, NY.

Background: The senior author has previously described a deep-plane cervicofacial hike flap as a workhorse for reconstruction mid-cheek defects. One important modification commonly used involves overcorrection of the defect in order to reduce the incidence of ectropion. This report outlines the senior author's experience in surgical treating complex cheek defects with an overcorrected deep-plane cervicofacial hike flap. Read More

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

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

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