2,380 results match your criteria Advancement Flaps


[Clinical effect of X-N advancement flap in repairing pressure ulcer on the buttock or back].

Zhonghua Shao Shang Za Zhi 2020 Jun;36(6):476-479

Department of Pathology, Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545005.

To explore the clinical effect of X-N advancement flap in repairing pressure ulcer on the buttock or back. From June 2018 to June 2019, 20 patients with grade Ⅳ pressure ulcers on the buttock or back were hospitalized and treated in the Department of Traumatology, Burns and Plastic Surgery of Fourth Affiliated Hospital of Guangxi Medical University, including 15 males and 5 females, aged 48-89 years. The area of the patient's wound was 8 cm×5 cm-15 cm×12 cm after debridement, and all were repaired with the X-N advancement flap designed by the author. Read More

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http://dx.doi.org/10.3760/cma.j.cn501120-20191011-00399DOI Listing

[Selection and effects of flap/myocutaneous flap repair methods for the defect after perineum tumor resection].

Zhonghua Shao Shang Za Zhi 2020 Jun;36(6):451-457

Department of Gynecologic Oncology, Hunan Cancer Hospital, Changsha 410008, China.

To explore the selection and effects of flap/myocutaneous flap repair methods for the defect after perineum tumor resection. From January 2011 to February 2017, 31 patients with vulvar tumor who were admitted to Hunan Cancer Hospital underwent repair of wound after tumor resection with various flaps/myocutaneous flaps. The patients were composed of 5 males and 26 females, aged 39-76 years, with 27 vulvar cancer and 4 Paget's disease in primary diseases. Read More

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http://dx.doi.org/10.3760/cma.j.cn501120-20190320-00129DOI Listing

Perforator-Based Flaps for Defect Reconstruction of the Posterior Trunk.

Ann Plast Surg 2020 Jun 11. Epub 2020 Jun 11.

From the Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Ludwigshafen.

Introduction: Full-thickness soft tissue defects of the back remain challenging clinical problems for reconstructive surgeons. Among a vast variety of local flap options, perforator-based local flaps gain increasing popularity lately. Because mostly heterogeneous patient cohort comparison of different perforator flaps is difficult and decision-making algorithms are lacking. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002439DOI Listing

Long-term healing after complex anal fistula repair in patients with Crohn's disease.

Tech Coloproctol 2020 Jun 14. Epub 2020 Jun 14.

Division of Colon and Rectal Surgery, Cedars-Sinai Medical Center, 8737 Beverly Blvd., Suite 101, Los Angeles, CA, 90048, USA.

Background: Complex anal fistula in Crohn's disease (CD) poses a challenging problem. We sought to evaluate long-term surgical healing of complex anal fistula in CD through the two robust repair options-ligation of the intersphincteric fistula tract (LIFT) and advancement flap (AF).

Methods: A single-center retrospective study was conducted evaluating long-term healing rates in patients with CD with complex anal fistula undergoing LIFT or AF in 2008-2018. Read More

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http://dx.doi.org/10.1007/s10151-020-02238-1DOI Listing

[The surgical treatment of male perineum Paget's disease].

Zhonghua Yi Xue Za Zhi 2020 Jun;100(22):1711-1714

Institute of Urology, Capital Medical University / Department of Urology, Beijing Chao-Yang Hospital, Beijing 100020, China.

To evaluatethe clinical efficacy and complications of skin graft and flap plastic technique covered the defect in perineal Paget's disease postoperatively. The study comprised 6 patients diagnosed with perineal Paget's disease at Beijing Chao-Yang Hospital from June 2017 to July 2019, with all available clinical data reviewed. The defects after resection of lesions were reconstructed with skin graft, advancement skin flap during the operation, respectively. Read More

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http://dx.doi.org/10.3760/cma.j.cn112137-20190917-02056DOI Listing

The use of smartphone thermography to more safely unmask and preserve circulation to keystone advancement flaps in the lower extremity.

Injury 2020 May 23. Epub 2020 May 23.

Division of Plastic Surgery, Sacred Heart Campus, St. Luke's Hospital, Allentown, Pennsylvania, USA. Electronic address:

Background: The keystone perforator flap is a simple, popular form of advancement flap that can solve many defects of the lower extremity that can avoid consideration of a microsurgical tissue transfer. The actual circulation to this local flap subtype has not yet been delineated. The recent introduction of inexpensive thermal imaging cameras that can be coupled with a SmartPhone allows thermagrams of these flaps where "hot spots" are known to correspond to the location of pertinent perforators that will provide the requisite flap vascularization. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.029DOI Listing

Avascular necrosis in cleft maxillary repositioning: a review of cases and introduction of the 'delayed maxillary flap'.

Int J Oral Maxillofac Surg 2020 Jun 3. Epub 2020 Jun 3.

Department of Plastic and Maxillofacial Surgery, Royal Children's Hospital of Melbourne, Parkville, Melbourne, Australia.

There is a low incidence of serious complications with the Le Fort I maxillary osteotomy, but avascular necrosis is a serious problem that occurs at a higher frequency in the cleft population compared to non-cleft patients. In this retrospective study, cleft patients who had exhibited any manifestation of avascular necrosis of the maxilla following a Le Fort I advancement were identified. Five patients were found to have had vascular compromise, ranging from loss of gingival tissue to necrosis of bone and loss of teeth. Read More

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http://dx.doi.org/10.1016/j.ijom.2020.05.003DOI Listing

Bilateral, buccinator myomucosal advancement flaps to reconstruct central upper labial myomucosal defects after ablation of early-stage cancer in minor salivary glands.

J Cosmet Dermatol 2020 May 28. Epub 2020 May 28.

Department of Pathology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.

Background: Reconstruction of upper labial myomucosal defects is surgically challenging.

Aims: We evaluated whether central defects could be repaired using bilateral, buccinator myomucosal advancement flaps (b-BMAFs).

Methods: We evaluated five patients with early-stage, minor salivary gland mucoepidermoid carcinomas (low-grade [n = 2], intermediate-grade [n = 2], and high-grade [n = 1]) who underwent central, upper labial myomucosal reconstruction using b-BMAFs after cancer ablation. Read More

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http://dx.doi.org/10.1111/jocd.13513DOI Listing

Could FiLaC™ be effective in the treatment of anal fistulas? A systematic review of observational studies and proportional meta-analysis.

Colorectal Dis 2020 May 23. Epub 2020 May 23.

First Propaedeutic Department of Surgery, School of Medicine, Hippocration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Aim: Fistula Laser Closure (FiLaC™) is a novel sphincter-preserving technique that is based on new technologies and shows promising results in repairing anal fistulas whilst maintaining external sphincter function. The aim of the present meta-analysis is to present the efficacy and the safety of FiLaC™ in the management of anal fistula disease.

Method: The present proportional meta-analysis was designed using the PRISMA and AMSTAR guidelines. Read More

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http://dx.doi.org/10.1111/codi.15148DOI Listing

A Modification of the Webster-Bernard Lip Reconstruction.

Plast Reconstr Surg Glob Open 2020 Apr 27;8(4):e2762. Epub 2020 Apr 27.

Tauranga Department of Plastic Surgery, Tauranga, New Zealand.

We report a modification of the Bernard-Webster lip reconstruction technique which uses the Burrows triangles as V-Y advancement flaps rather than excising them. A 44-year-old white, nonsmoking man presented with a 2-cm cutaneous squamous cell carcinoma of the right lower lip. Oncological resection required excision of 40% of the lower lip to the modiolus. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002762DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209828PMC

Reconstruction of sternal defects after sternotomy with postoperative osteomyelitis, using a unilateral pectoralis major advancement muscle flap.

Sci Rep 2020 May 20;10(1):8380. Epub 2020 May 20.

Department of Hand Surgery, Plastic Surgery and Burns, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

Background: The pectoralis major flap, which is usually harvested bilaterally, is considered a workhorse flap in the reconstruction of sternal defects. After a median sternotomy for open heart surgery, 1%-3% of patients develop deep infection and dehiscence of the sternal wound, some of which will eventually require reconstructive surgery. Our aim was to describe the clinical feasibility and associated complications of the unilateral pectoralis major advancement flap in the reconstruction of sternal defects. Read More

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http://dx.doi.org/10.1038/s41598-020-65398-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239941PMC

Squamous cell carcinoma over pilonidal chronic disease. A new therapeutic approach.

Int J Surg Case Rep 2020 11;70:172-177. Epub 2020 May 11.

Department of Oncology Radiotherapy, Consorcio Hospitalario Provincial of Castellón, Spain.

Introduction: Pilonidal sinus is a very common disease. Malignant transformation occurs in 0,1% of patients. We present a case of squamous cell carcinoma arised from recurrent pilonidal disease, managed by multimodal treatment. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229405PMC

Management of Large Facial Defects.

Facial Plast Surg 2020 Apr 15;36(2):148-157. Epub 2020 May 15.

Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.

There is considerable variation in the surgical management of patients with large facial defects after excision of skin malignancy. The surrounding facial subunits as well as local, regional, and distant soft-tissue flaps can be considered in more complicated facial defects. We place an emphasis on the versatility of adjacent tissue advancement and transposition flaps in the treatment of these defects. Read More

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http://dx.doi.org/10.1055/s-0040-1709179DOI Listing

Soft tissue coverage of a total gluteal defect with a combination of perforator-based flaps: A case report.

Microsurgery 2020 May 15. Epub 2020 May 15.

Depatment of Hand and Plastic Surgery, Cantonal Hospital of Lucerne, Lucerne, Switzerland.

Soft tissue defects in the buttock area are often related to decubitus ulcers, which are usually small to medium-large size and can be regularly treated with local flaps. However, when the defects have bigger size, such as those involving the whole gluteal region, the coverage can become more challenging, since this specific area needs both a good resistance to pressure and an acceptable functional result. The most common solution for similar cases is the use of multiple local flaps, or, in extreme situations, a free flap. Read More

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http://dx.doi.org/10.1002/micr.30605DOI Listing

Fournier's gangrene: a review of reconstructive options.

Cent European J Urol 2020 31;73(1):74-79. Epub 2019 Dec 31.

Department of Plastic, Reconstructive and Esthetic Surgery and Burn Unit, Centro Hospitalar de São João, Porto, Portugal.

Introduction: Fournier's gangrene is a rapidly progressive necrotizing fasciitis of the genital and perineal tissues with a high mortality rate. Early diagnosis and treatment with fluid resuscitation, surgical debridement and wide-spectrum antibiotics are essential in the management of Fournier's gangrene. After primary treatment, reconstructive surgery is often necessary for coverage of soft-tissue defects. Read More

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http://dx.doi.org/10.5173/ceju.2020.0060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203772PMC
December 2019

Vulvar cancer: surgical management and survival trends in a low resource setting.

J Egypt Natl Canc Inst 2020 Jan 14;32(1). Epub 2020 Jan 14.

Department of Surgical Oncology, Dr. BRA-IRCH, All India Institute of Medical Sciences, New Delhi, India.

Background: This study aims to analyze risk factors, clinical profiles, treatment protocols, and disease outcomes in histologically proven resectable vulvar cancer (VC) patients according to tumor stage. This is a retrospective analysis of a prospectively collected database of 20 VC patients from May 2014 to June 2019.

Results: The mean age of VC diagnosis was 55 years, with a range of 38-84 years. Read More

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http://dx.doi.org/10.1186/s43046-019-0015-yDOI Listing
January 2020

Elevation of Costal Cartilage Ear Construct for Microtia Using a V-Y Scalp Flap.

J Craniofac Surg 2020 Apr 16. Epub 2020 Apr 16.

Department of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA.

Autologous ear construction for microtia creates an auricle using a costal cartilage framework. To separate the construct from the mastoid, the most common methods incorporate the use of fascial flaps or skin grafting. The authors describe a V-Y skin and subcutaneous scalp advancement flap for ear elevation as part of autologous ear construction for microtia. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006496DOI Listing

V-Y Hemi-keystone Advancement Flap: A Novel and Simplified Reconstructive Modification.

Plast Reconstr Surg Glob Open 2020 Feb 6;8(2):e2654. Epub 2020 Feb 6.

Department of Dermatology, Weill Cornell Medicine, New York, N.Y.

Background: The keystone perforator flap design has been gaining popularity for reconstruction of cutaneous defects due to its robust vascular supply and high rates of flap survival. However, the design requires significant tissue mobilization relative to the defect and is consequently technically demanding, time intensive, and has associated morbidity. We present a novel, simplified modification of the keystone flap that may increase its reconstructive applications. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002654DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159958PMC
February 2020

Longterm outcome of anal fistula - A retrospective study.

Sci Rep 2020 Apr 16;10(1):6483. Epub 2020 Apr 16.

Clinique de Genolier, Genolier, Switzerland.

This retrospective observational study analyses the outcomes of patients undergoing surgery for anal fistula at a single centre in order to assess recurrence and re-operation rates after different surgical techniques. During January 2005 and May 2013, all patients with anal fistula were included. Baseline characteristics, details of presentation, fistula anatomy, type of surgery, post-surgical outcomes and follow-up data were collected. Read More

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http://dx.doi.org/10.1038/s41598-020-63541-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162908PMC

Pedicled perforator-based flaps: Risk factor analysis, outcomes evaluation and decisional algorithm based on 130 consecutive reconstructions.

Microsurgery 2020 Apr 16. Epub 2020 Apr 16.

Department of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, Rome, Italy.

Introduction: Pedicled perforator flaps are widely used for soft tissue reconstruction, but evidence in literature about risk factors associated with complications is still controvert. The aim of this study is to evaluate risk factors and outcomes associated with pedicled perforator-based flaps harvested at different anatomical sites.

Patients And Methods: Seventy-one propeller and 59 V-Y advancement flaps were performed to reconstruct defects of the face (24 cases), trunk (47 cases), and extremities (59 cases). Read More

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http://dx.doi.org/10.1002/micr.30590DOI Listing

Combined use of a petal flap and V-Y advancement flap for reconstruction of presacral defects following rectal resection.

Tech Coloproctol 2020 06 13;24(6):593-597. Epub 2020 Apr 13.

Department of plastic and reconstructive surgery, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands.

Background: The aim of this study was to evaluate the efficacy of a combination of flaps for the reconstruction of presacral defects following abdominoperineal resections: a paramedian vertically oriented caudally based lotus petal flap for presacral defects combined with a horizontal V-Y advancement flap for closure of the superficial donor site defect.

Methods: A retrospective study was conducted on patients with a residual defect following an abdominoperineal resection between 2010 and 2017 in the Noordwest Ziekenhuisgroep. The primary endpoint was complications related to the reconstruction. Read More

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http://dx.doi.org/10.1007/s10151-020-02204-xDOI Listing

Primary Nasocutaneous Fistulae in Granulomatosis With Polyangiitis: A Case Series and Literature Review.

Ophthalmic Plast Reconstr Surg 2020 Apr 9. Epub 2020 Apr 9.

Department of Ophthalmology and Visual Sciences, University of Adelaide and South Australian Institute of Ophthalmology, Adelaide, Australia.

Purpose: To report the presentation, investigation, management, and outcomes of primary nasocutaneous fistulae in granulomatosis with polyangiitis and review the literature of this complication.

Methods: Retrospective series of 5 patients with granulomatosis with polyangiitis and nasocutaneous fistulae and the medical and surgical management strategies employed.

Results: Two cases presented with fistulae as the primary symptom of their systemic disease. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001678DOI Listing
April 2020
0.914 Impact Factor

Myomucosal Lip Island Flap for Reconstruction of Small to Medium Lower Lip Defects.

Facial Plast Surg Aesthet Med 2020 May/Jun;22(3):200-206. Epub 2020 Apr 6.

Skin Cancer and Reconstructive Surgery Center (SCARS Center), Newport Beach, California, USA.

Reconstruction of small to medium lower lip defects commonly includes mucosal advancement and wedge excision with primary closure, resulting in aesthetic complications such as lip flattening, shortening, and loss of the vermilion roll. The myomucosal lip island flap offers an alternative that preserves lower lip appearance and function. To describe the lateral myomucosal lip island flap and its indications for the reconstruction of small to medium lower lip defects. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312741PMC

Rose-trellis periosteal release in oral mucosal advancement flaps in pigs.

Br J Oral Maxillofac Surg 2020 Jun 31;58(5):542-545. Epub 2020 Mar 31.

King Edward VII Hospital, Beaumont Street, London.

The aims of this study were to find out whether scoring in a rose-trellis pattern improved the stretch of mucoperiosteal flaps more than conventional scoring in the horizontal plane, and to consider its application in the closure of oroantral communications. Sixteen sections of cadaveric porcine buccal mucoperiosteum were removed from the molar region of the maxilla and mandible. A three-sided flap was raised in the subperiosteal plane, excised, and pinned to a cork board with the periosteal side facing upwards. Read More

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http://dx.doi.org/10.1016/j.bjoms.2020.02.006DOI Listing

Fasciocutaneous Flap Side-to-Side V-Y: Fish Flap.

J Craniofac Surg 2020 Mar 20. Epub 2020 Mar 20.

Ex-Head Division Plastic Surgery, Argerich Hospital Ciudad Autonoma de Buenos Aires, Educational Plastic Surgery Unity, Medicine Faculty Buenos Aires University, Buenos Aires, Argentina.

The use of fasciocutaneous flaps remain as first election of reconstructive method after remotion of tumors, benign lesions and sequel of traumas.A new designed fasciocutaneous flap according to mechanism V-Y like island flap is described. It has 2 different portions: 1. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006330DOI Listing

Rectoperineal Fistula Repair Through Perineal Approach, Martius Flap, and House Advancement Flap.

Cureus 2020 Feb 15;12(2):e7001. Epub 2020 Feb 15.

Surgery: Colorectal Surgery, University Hospitals Cleveland Medical Center / University Hospitals Research in Surgical Outcomes & Effectiveness Center (UH-RISES), Cleveland, USA.

A rectoperineal fistula (RPF) is a relatively rare, non-life-threatening form of anorectal malformation that nevertheless causes significant physical discomfort, and remains technically challenging for surgeons to treat. We present a case of a 72-year-old female with a history of a recurrent perianal fistula with multiple approaches including endorectal advancement flap previously attempted. Our procedure involved laparoscopic loop ileostomy with transversus abdominis plane (TAP) block, and RPF repair through the perineal approach with primary repair involving Martius flap and house advancement flaps. Read More

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http://dx.doi.org/10.7759/cureus.7001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077134PMC
February 2020

Optimization of the homodigital antegrade island flap for fingertip reconstruction: New dissection sequence based on cadaver study findings.

Orthop Traumatol Surg Res 2020 Apr 18;106(2):335-339. Epub 2020 Mar 18.

Institut Européen de la Main, Hôpital Kirchberg Medical Training Center, 9, rue Edward Steichen, 2540 Luxembourg, Luxembourg.

Introduction: The homodigital antegrade island flap pedicled on the proper palmar digital artery is very useful for covering fingertip defects. However, it has its drawbacks, such as the risk of stiffness due to retractile scars and the need for extensive dissection with long-lasting dysesthesia in some cases. In clinical studies, expanding the skin paddle with V-shaped incisions increases the flap's advancement. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.01.002DOI Listing

Pressure reducing skin pie-crusting in extremity trauma: An in-vitro biomechanical study and human case series.

Injury 2020 Jun 4;51(6):1266-1270. Epub 2020 Mar 4.

Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri, USA. Electronic address:

Background: Multiple small relaxing skin incisions oriented parallel to the longitudinal axis (so-called "pie-crusting") near traumatic lacerations or surgical incisions in edematous tissue beds have been utilized to achieve primary closure when edema or skin loss would otherwise have made this difficult. Our study hopes to demonstrate (1) biomechanical evidence that pie-crusting decreases wound closure tension and (2) provide a case series with data showing clinical results.

Materials And Methods: This study is a biomechanical cadaveric study and retrospective small series cohort using 16 porcine limbs and 7 patients with 8 wounds in which pie-crusting was performed. Read More

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http://dx.doi.org/10.1016/j.injury.2020.03.008DOI Listing

Single pedicle advancement flap for treatment of feline stenotic nares: technique and results in five cases.

J Feline Med Surg 2020 Mar 16:1098612X20910539. Epub 2020 Mar 16.

WestVet, Garden City, ID, USA.

Objectives: Brachycephalic obstructive airway syndrome (BOAS) is a common cause of upper airway obstruction in dogs, but is appreciated less commonly in cats. Of the components of BOAS, stenotic nares appear to play a major role in cats. However, the axial deviation of the alar wing, a common cause of nasal obstruction in dogs, is typically not present. Read More

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http://dx.doi.org/10.1177/1098612X20910539DOI Listing

Topical nitroglycerin is associated with a reduced mastectomy skin flap necrosis-systematic review and meta-analysis.

J Plast Reconstr Aesthet Surg 2020 Jun 22;73(6):1050-1059. Epub 2020 Jan 22.

Department of Plastic Surgery, Gatot Subroto Army Central Hospital, Jakarta, Indonesia; Faculty of Medicine, Syiah Kuala University, Banda Aceh, Indonesia. Electronic address:

Introduction: The flap necrosis rate remains high despite the advancement of technology in daily practices. Several randomized trials of topical Nitroglycerin (NTG) have shown promise in reducing flap necrosis. We aim to evaluate the efficacy and safety of topical NTG in preventing flap failure based on existing databases. Read More

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http://dx.doi.org/10.1016/j.bjps.2020.01.009DOI Listing

The surgeon’s perspective: a retrospective study of wide local excisions taken to healthy subcutaneous fat in the management of advanced hidradenitis suppurativa

Can J Surg 2020 Feb 28;63(2):E94-E99. Epub 2020 Feb 28.

From the Department of Medicine, Women’s College Hospital, and the Department of Surgery, CIBC Breast Centre, St. Michael’s Hospital, University of Toronto, Toronto, Ont.

Background: Hidradenitis suppurativa (HS) is a chronic debilitating folliculopilosebaceous disease that affects the skin most commonly in the axilla, groin, inframammary, genital and buttock areas. Surgical intervention may be an appropriate option in selected cases, but there is a risk of recurrence. The purpose of this study was to assess the results of wide local excision (WLE) to healthy subcutaneous fat with secondary intention healing in patients with HS who were under concurrent surgical and dermatologic care. Read More

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http://dx.doi.org/10.1503/cjs.003119DOI Listing
February 2020

Three-dimensional modeling and comparison of nasal flap designs.

Arch Dermatol Res 2020 Feb 14. Epub 2020 Feb 14.

Department of Dermatology, University of Minnesota, 516 Delaware St. SE, Mail Code 98, Philips-Wangensteen Building, Suite 4-420, Minneapolis, MN, 55455, USA.

Few studies exist that compare local flap repair designs either mathematically or clinically. Previous mathematical studies use a two-dimensional modeling approach, which is not suited to complex structures like the nose. To quantitatively analyze and compare flap designs for nasal repair using three-dimensional, photographic models. Read More

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http://dx.doi.org/10.1007/s00403-020-02039-4DOI Listing
February 2020

Keystone Flap.

Atlas Oral Maxillofac Surg Clin North Am 2020 Mar 5;28(1):29-42. Epub 2019 Dec 5.

Section of Head & Neck Oncologic Surgery and Reconstruction, Division of Oral and Maxillofacial Surgery, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Mail Code: RO_MA_12_03E-OS, 200 First Street Southwest, Rochester, MN 55905, USA.

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http://dx.doi.org/10.1016/j.cxom.2019.10.001DOI Listing

Lip Reconstruction after Mohs Cancer Excision: Lessons Learned from 615 Consecutive Cases.

Plast Reconstr Surg 2020 Feb;145(2):533-542

Dallas, Texas From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Background: The lips provide key functional and aesthetic features of the face. From social interactions and speech to swallowing and oral competence, a functional dynamic structure is required. This interaction with surrounding landmarks presents a challenge for reconstruction. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006509DOI Listing
February 2020

The modified bipedicled flap for reconstruction of oncological skin defects of the trunk and extremities.

J Plast Reconstr Aesthet Surg 2020 May 28;73(5):913-920. Epub 2019 Nov 28.

Department of Surgery, The Christie NHS Foundation Trust, Manchester M20 4BX, UK; Institute of Cancer Studies, University of Manchester, UK. Electronic address:

Background/aims: Oncological skin defects of the extremities and trunk can be challenging. Our modified bipedicled flap utilises the principle of the bipedicled advancement flap, but allows for direct closure of the donor site (as opposed to skin grafting). It does not rely on the preservation of perforators and it random pattern, making it extremely versatile. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.11.030DOI Listing

Sternal Wound Reconstruction Made Simple.

Plast Reconstr Surg Glob Open 2019 Nov 27;7(11):e2488. Epub 2019 Nov 27.

Division of Plastic Surgery, Department of Surgery, Columbia University Medical Center, New York, N.Y.

Sternal wounds and associated infections represent a complex reconstructive problem in a highly morbid patient population. Through strict adherence to excellent plastic surgical principles, this process can be simplified, allowing safe and effective wound closure. Emphasis is placed on thorough debridement, hardware removal, obtaining adequate tissue cultures, and finally, appropriate flap closure. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002488DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908337PMC
November 2019

House advancement flap anoplasty for severe post-hemorrhoidectomy anal stenosis.

Tech Coloproctol 2020 03 14;24(3):261-262. Epub 2020 Jan 14.

Department of General Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey.

Anal stenosis (AS), which is a very rare but serious complication, usually develops after hemorrhoidectomy. It may be mild, moderate or severe depending on the grade of stenosis. While mild and moderate types can be monitored with conservative treatment, most of the severe type require advancement flap anoplasty. Read More

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http://dx.doi.org/10.1007/s10151-019-02139-yDOI Listing

Versatility of Pedicled Perforator-Based V-Y Advancement Flaps for Reconstruction of the Upper Limb: A Case Series and Review of the Literature.

Ann Plast Surg 2020 05;84(5):529-534

From the St Andrew's Centre for Plastic Surgery, Broomfield Hospital, Essex.

Introduction: The aim of any reconstruction is to provide a robust and cosmetically pleasing result that does not significantly alter function. We describe our experience of using the V-Y principle in advancement flaps designed around a distinct perforator to reconstruct soft tissue defects of the upper limb. The shortcomings of fasciocutaneous and fascial flaps requiring skin grafting can be eliminated. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002138DOI Listing

Localized disease: types of reconstruction/plastic surgery techniques after glans resurfacing/glansectomy/partial/total penectomy.

Curr Opin Urol 2020 Mar;30(2):213-217

Institute of Andrology, Department of Urology, University College London Hospitals NHS Trust.

Purpose Of Review: The aim of this article is to provide an overview of the current literature specific to surgery for localized penile cancer including novel reconstructive techniques.Centralization of penile cancer services in many European countries and in particular the United Kingdom has resulted in an increased proportion of men undergoing organ-sparing surgery (OSS) rather than partial or total penectomy. In this review, we focus on reconstructive techniques following surgery for the primary penile tumour. Read More

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http://dx.doi.org/10.1097/MOU.0000000000000711DOI Listing

The V-Y advancement flap based on the dorsal carpal perforators for dorsal metacarpal reconstruction: Anatomical and clinical study.

Clin Anat 2020 Jan 1. Epub 2020 Jan 1.

Department of Hand Surgery, Wuxi Hand Surgery Hospital, Wuxi, Jiangsu, China.

Introduction: Soft-tissue defects on the dorsal hand accompanied by exposed bone and tendon remain a challenge for plastic surgeons. The purpose of this study was to observe the morphological characteristics of the dorsal carpal perforators in the wrist and to design a V-Y advancement flap based on the dorsal carpal perforators.

Materials And Methods: Thirty cadaveric hand specimens were dissected to observe the origin, course, branches, and anastomoses of the dorsal carpal perforators, and a V-Y advancement flap was designed based on these perforators. Read More

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http://dx.doi.org/10.1002/ca.23554DOI Listing
January 2020

Sternoclavicular Joint Infections: Improved Outcomes With Myocutaneous Flaps.

Semin Thorac Cardiovasc Surg 2020 Summer;32(2):369-376. Epub 2019 Dec 20.

Division of Cardiothoracic Surgery, University of New Mexico, Albuquerque, New Mexico. Electronic address:

Sternoclavicular joint (SCJ) infection is a rare disease and its management remains controversial. Our institution has adopted an aggressive surgical approach of radical SCJ resection combined with myocutaneous flap (MCF) closure whenever possible. We reviewed our experience with this approach in the management of this condition. Read More

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http://dx.doi.org/10.1053/j.semtcvs.2019.12.007DOI Listing
December 2019

One-stage simultaneous hip-preserving surgeries for the management of bilateral femoral head osteonecrosis: a mean 7.0-year follow-up.

J Orthop Surg Res 2019 Dec 21;14(1):455. Epub 2019 Dec 21.

The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Jichang Road 16#, District Baiyun, Guangzhou, Guangdong, China.

Background: A retrospective study was conducted to evaluate and compare the clinical and radiological outcomes of one-stage fibular impaction allografting and vascularized greater trochanter flap autografting for the treatment of bilateral osteonecrosis of the femoral head (ONFH).

Methods: Patients who underwent one-stage aforementioned hip-preserving surgeries due to bilateral ONFH were retrospectively reviewed from January 2008 to December 2013. Sixty-nine patients (138 hips) with a mean age of 31. Read More

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http://dx.doi.org/10.1186/s13018-019-1467-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925467PMC
December 2019
1.577 Impact Factor

Endoscopic repair of septal perforation in children.

Int J Pediatr Otorhinolaryngol 2020 Mar 13;130:109817. Epub 2019 Dec 13.

Federal State Autonomous Institution "National Medical Research Center of Children Health". Moscow, Lomonosov Avenue, 2, 119991, Russia.

Objective: Being increasingly faced with the problem of pediatric nasal septal perforations, we have found that the surgical management of nasal septal perforations in children is not widely described in the litrature. The objective of our study was to demonstrate the results of different surgical techniques, including two original endoscopic techniques, in the septal perforation repair in children.

Methods: 24 children, ranging between 6 and 17 years of age, with nasal septal perforations were operated using different endoscopic techniques from February 2015 to May 2019 at the special tertiary referral clinic. Read More

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http://dx.doi.org/10.1016/j.ijporl.2019.109817DOI Listing

Management of oroantral communication using buccal advanced flap.

Pan Afr Med J 2019 3;34:69. Epub 2019 Oct 3.

Oral Surgery, Faculty of Dentistry of Rabat, Mohammed V University, Morocco.

Oroantral communication (OAC) or fistula (OAF) is an open pathological communication between the oral cavity and maxillary sinus which mostly occurs as a result of extraction of upper molars and premolars, iatrogenic complications or from dental infections, osteomyelitis, radiation therapy or trauma. Several alternative techniques modalities have been described throughout the years for the management of OAC and OAF which show both advantages and limitations. The most employed surgical flaps are of three types: advanced buccal flap, palatal flap and buccal fat pad flap. Read More

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http://dx.doi.org/10.11604/pamj.2019.34.69.19959DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884724PMC
December 2019

[Giant loss of domain hernia: Preoperative treatment with botulinum toxin of the abdominal oblique muscles].

Rehabilitacion (Madr) 2019 Oct - Dec;53(4):284-287. Epub 2019 Feb 22.

Servicio de Medicina Física y Rehabilitación, Hospital Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.

In giant loss of domain hernia there is a high risk of abdominal compartment syndrome and restrictive lung disease after complete surgical repair of the fascial defect. We report the case of a 54-year-old man with a late-stage right giant mesogastric loss of domain hernia who began preoperative treatment with progressive pneumoperitoneum. After evaluation of the muscles and skin, ultrasound and electromyographic-guided infiltration of botulinum toxin type A was performed in the abdominal oblique muscles. Read More

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http://dx.doi.org/10.1016/j.rh.2018.12.003DOI Listing
February 2019

Think big - Plastic surgical treatment of complicated large sacral ulcerations: A case comparison.

Hell J Nucl Med 2019 Sep-Dec;22 Suppl 2:27

Clinic of Plastic, Hand Surgery and Burn Care Unit, University Hospital Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.

Objective: Large pressure ulcers are a well know problem occurring frequently on immobilized patients. They can develop rapidly especially over bony prominences on the elderly, ICU patients and on patients after spinal cord injury. Plastic surgical treatment can be challenging if the defects are large and complications occur like affection of anal region or development of a Marjolin's scar ulcer. Read More

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[Introduction to tissue movements - Principles of flaps].

Authors:
D Lebas J-M Amici

Ann Dermatol Venereol 2019 Dec 25;146(12):832-846. Epub 2019 Nov 25.

Service de dermatologie, Hôpital Saint-André, Centre hospitalier universitaire de Bordeaux, 1, rue Jean-Burguet, 33000 Bordeaux, France.

The practice of surgical dermatology allows the dermatologist to take overall management of patients, particularly in the domain of skin cancer. It is the dermatologist who makes a diagnosis based on his expertise and his understanding, determines the tumour edges and the surgical margins to be applied, carries out the excision and repair procedures, and performs monitoring. Such comprehensive management requires knowledge of fundamental principles that allow for repair procedures suited to specific sites. Read More

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http://dx.doi.org/10.1016/j.annder.2019.09.011DOI Listing
December 2019

Invited Commentary on "Drained mucosal advancement flap versus rerouting seton" (Int. J. Surg. 2019; Epub ahead of print).

Authors:
Richard E Burney

Int J Surg 2020 01 26;73:25. Epub 2019 Nov 26.

Department of Surgery, University of Michigan, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ijsu.2019.11.028DOI Listing
January 2020