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Front Vet Sci 2021 21;8:685036. Epub 2021 May 21.

Dentistry and Oromaxillofacial Surgery Unit, Department of Surgery, ADVETIA Centre Hospitalier Vétérinaire, Vélizy-Villacoublay, France.

Primary treatment of most oromaxillofacial tumors in dogs and cats is resective surgery. Management of malignant tumors may be very challenging as wide/radical free-margin surgical removal must be achieved while preserving vital functions. Removal of orofacial tumors may result in large defects exposing the oral cavity or creating a communication with the nasal, pharyngeal, or orbital cavities. Read More

BMC Surg 2021 Jun 5;21(1):283. Epub 2021 Jun 5.

Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität Zu Berlin and Berlin Institute of Health, Department of General-, Visceral- and Vascular Surgery, Berlin, Germany.

Background: Surgical closure of anal fistulas with rectal advancement flaps is an established standard method, but it has a high degree of healing failure in some cases. The aim of this study was to identify risk factors for anal fistula healing failure after advancement flap placement between patients with cryptoglandular fistulas and patients with Crohn's disease (CD).

Methods: From January 2010 to October 2020, 155 rectal advancement flaps (CD patients = 55, non-CD patients = 100) were performed. Read More

J Cutan Aesthet Surg 2021 Jan-Mar;14(1):14-19

Department of Dermatology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Background: The anterior surface of the auricle is especially susceptible to a variety of traumatic insults and cutaneous malignancies. However, given the unique anatomy of this structure and the lack of local tissue available, the reconstruction of these defects is still a challenge. Despite of their positive outcomes, tunneled flaps have not been thoroughly explored in the literature. Read More

Acta Chir Plast 2021 ;63(1):6-13

Nasal basal cell carcinomas are the most common malignant tumors of the facial skin, which predilectively affect areas exposed to sunlight, including the nasal area. After their radical removal, there is a variable complex defect of the affected area (defect of all 3 layers of the nose) or even a composite defect (it also occupies the adjacent soft tissues around the nose), which are usually used to reconstruct this area. A 73-year-old female patient with recurrent infiltrative basal cell carcinoma of the left nasal ala underwent four re-excisions before histologically verified free margins without the presence of the tumor. Read More

Ann Plast Surg 2021 May 22. Epub 2021 May 22.

From the The Royal Wolverhampton NHS Trust, Wolverhampton Lincoln County Hospital, United Lincolnshire Hospitals NHS Trust, Lincoln, United Kingdom.

Background: Oncoplastic breast surgery is well established in many parts of the world and is gaining popularity in the rest of the world. The cornerstone in oncoplastic breast surgery is to respect oncological principles during cancer resection maintaining good aesthetic and cosmetic outcome. With the advancement in local, regional, and systemic treatment for breast cancer, survival has improved, and patients live longer. Read More

J Hand Surg Eur Vol 2021 May 21:17531934211015858. Epub 2021 May 21.

Department of Orthopaedics and Traumatology, Adana City Training and Research Hospital, Adana, Turkey.

We report the use of obliquely oriented V-Y advancement pulp flaps to reconstruct 17 consecutive, lateral oblique fingertip traumatic defects over a 2-year period. All flaps survived completely with no bone protuberance, prominent scar or neuroma evident at an average follow-up of 11 months (range 7 to 19). Although there was no incidence of severe hook nail deformities, there were two patients who had residual mild hook nails, two with pulp/nail asymmetries and one with an ingrown nail. Read More

Turk J Ophthalmol 2021 04;51(2):118-122

Clinic and Provincial Hospital of Barcelona, Department of Ophthalmology, Barcelona, Spain

The goals of periorbital region reconstruction are to obtain both functional and esthetic results. Medial canthus is the second most common periorbital location for basal cell carcinoma. If left untreated, it is locally destructive but rarely metastasizes. Read More

J Hand Surg Asian Pac Vol 2021 Jun;26(2):265-273

Department of Orthopedics, Zhongnan Hospital of Wuhan University, Wuhan, P.R. China.

Digital island flap remains among the most useful types of providing soft-tissues coverage for defect on the fingertip accompanied with underlying structures exposure. Nevertheless, its trends of functional and aesthetic issues such as the limited length of advancement and the limited flap size are the essential disadvantages. The main objective of the study was to assess the clinical effectiveness of dorsal branch skin flap of proper palmar digital artery with distal pedicle in repairing of fingertip soft tissue defect accompanied with underlying structures exposure. Read More

Dermatol Surg 2021 Apr 27. Epub 2021 Apr 27.

Division of Dermatology, Department of Medicine, Women's College Hospital, Toronto, Ontario, Canada; Faculty of Medicine, Medical Sciences Building, University of Toronto, Toronto, Ontario, Canada; Gerstein Science Information Centre, University of Toronto, Toronto, Ontario, Canada; and Department of Dermatology, University of California Davis, Sacramento, California.

Background: Despite many options for upper lip reconstruction, each method's advantages and disadvantages are unclear.

Objective: To summarize complications and functional and aesthetic outcomes of localized skin flaps for oncological reconstruction of the upper cutaneous lip (PROSPERO CRD42020157244).

Methods: The search was conducted in Ovid MEDLINE, Ovid EMBASE, and CENTRAL on December 14, 2019. Read More

Ann Otol Rhinol Laryngol 2021 Apr 30:34894211012589. Epub 2021 Apr 30.

Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.

Objective: Transoral endoscopic laser-assisted diverticulotomy (TELD) with diverticulectomy and diverticuloplasty (TELD + DD) for the management of Zenker's diverticulum (ZD) has been utilized by our institution since 2016 in attempts to reduce residual pouch size. This technique involves complete endoscopic pouch excision with partial advancement of mucosal flaps. Our study compares the subjective outcomes, objective outcomes, and complication rates between TELD and TELD + DD. Read More

Plast Reconstr Surg Glob Open 2021 Apr 23;9(4):e3558. Epub 2021 Apr 23.

Department of Plastic and Reconstructive Surgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan.

The primary goal of abdominal wall reconstruction is to prevent hernia recurrence through robust and durable repair. Synthetic mesh utilization can provide sound strength but is susceptible to extrusion, infection, and intestinal fistulization. The use of autologous fasciae latae to reinforce the primary fascial reapproximation has mostly been abandoned, presumably because synthetic patches are readily available. Read More

BMC Surg 2021 Apr 15;21(1):194. Epub 2021 Apr 15.

Department of Surgery, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Background: Pelvic sepsis after surgery for rectal cancer is a severe complication, mostly originating from anastomotic leakage. Complex salvage surgery, during which an omentoplasty is often used for filling of the pelvic cavity, is seldomly required. If this fails, a symptomatic recurrent presacral abscess with a risk of progressive inflammation can develop. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Apr;56(4):374-380

Department of Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.

To evaluate the application of three-staged paramendian forehead flap technique in reconstruction of severe full-thickness nasal defect. Clinical data of 7 cases with nasal reconstruction by three-staged forehead flap technique in the First Affiliated Hospital of Xinjiang Medical University and HongKong University Shenzhen Hospital between June 2016 and October 2019 was retrospectively reviewed. All were males aged from 10 to 71 years. Read More

Aesthet Surg J Open Forum 2021 Jan 7;3(1):ojaa046. Epub 2020 Nov 7.

Department of Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Background: It has recently been attempted in the literature to analyze the aesthetic outcomes of syndactyly web space reconstruction utilizing dorsal pentagonal advancement flaps and dorsal rectangular flaps with skin grafting. The study utilized a categorical grading system for evaluating the aesthetic outcomes of reconstruction to be used in conjunction with a visual analog scale (VAS), which has yet to be validated in the assessment of aesthetic outcomes following web space reconstruction.

Objectives: To utilize crowdsourced public perceptions to validate the grading of aesthetic outcomes in web space reconstruction for finger syndactyly. Read More

J Craniofac Surg 2021 Mar 22. Epub 2021 Mar 22.

Division of Plastic and Maxillofacial Surgery, Children's Hospital of Los Angeles, Los Angeles, CA Baylor College of Medicine, Houston, TX Division of Plastic and Reconstructive Surgery, Keck School of Medicine University of Southern California, Los Angeles Division of Plastic Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia Division of Plastic Surgery, Shriners Hospital for Children, Pasadena, CA.

Abstract: The understanding of cleft lip etiology and approaches for surgical repair have evolved over time, allowing for improved ability to restore form and function. The variability of cleft lip presentations has necessitated a nuanced surgical approach with multidisciplinary cleft care. The earliest documentation of unilateral cleft lip repair predates the 19th century, with crude outcomes observed before the advent of curved incisions and advancement flaps. Read More

Arch Plast Surg 2021 Mar 15;48(2):158-164. Epub 2021 Mar 15.

Department of Otorhinolaryngology, Corlu Private Reyap Hospital, Istanbul Rumeli University, Istanbul, Turkey.

Background: In lower lateral cartilage (LLC) surgery, cephalic trimming poses risks for the collapse of the internal and external nasal valves, pinched nose, and drooping deformity. The cephalic lateral crural advancement (CLCA) technique presented herein was aimed at using a flap to increase nasal tip rotation and support the lateral crus, in addition to the internal and external nasal valves, by avoiding grafts without performing excision.

Methods: This study included 32 patients (18 female and 14 male) and the follow-up period for patients having undergone primer open rhinoplasty was 12 months. Read More

J Mech Behav Biomed Mater 2021 06 9;118:104340. Epub 2021 Feb 9.

School of Mechanical Engineering, Purdue University, West Lafayette, IN, USA; Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA. Electronic address:

To produce functional, aesthetically natural results, reconstructive surgeries must be planned to minimize stress as excessive loads near wounds have been shown to produce pathological scarring and other complications (Gurtner et al., 2011). Presently, stress cannot easily be measured in the operating room. Read More

J Craniofac Surg 2021 Mar-Apr 01;32(2):e122-e125

Plastic and Reconstructive Surgery Unit, Surgery Department, Suez Canal University, Ismailia, Egypt.

Objective: To assess local freestyle facial perforator flaps in the reconstruction of small to medium-sized facial defects.

Materials And Methods: In a case series, local freestyle perforator flaps were used in Suez Canal University Hospital to reconstruct 28 facial defects in 26 patients between 2017 and 2019. Adequate perforators were identified near those defects and flaps were designed as propeller or VY advancement. Read More

Orbit 2021 Mar 4:1-10. Epub 2021 Mar 4.

Orbital and Oculofacial Plastic Surgery, Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

: To review and elucidate the complex, multimodal management of periocular cutaneous squamous cell carcinoma (SCC) with perineural invasion (PNI), and offer practical, evidence-based patient care recommendations. Three exemplary cases of high-risk periocular cutaneous SCC with PNI were selected from a single surgeon's experience. The clinical courses, management, and clinical outcomes, with follow-up intervals of 19, 19, and 24 months after presentation, were reviewed. Read More

Facial Plast Surg Aesthet Med 2021 Mar 1. Epub 2021 Mar 1.

Dermatology Division, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Reconstruction of nasal skin defects can be challenging due to limited skin laxity and underlying cartilage and, therefore, often require a complex repair. The aim of this review is to systematically analyze the literature on nasal skin reconstructions with specific detail to flap reconstructions. A systematic literature review of nasal skin reconstruction was performed and focused on flap reconstructions. Read More

Arch Dermatol Res 2021 Feb 20. Epub 2021 Feb 20.

Department of Dermatology, State University of New York Downstate, Veterans Affairs Medical Center, 800 Poly Place, Brooklyn, NY, 11209, USA.

Mohs micrographic surgery (MMS) is used to remove cutaneous tumors in cosmetically sensitive anatomic areas. Surgeons can provide several reconstructive options to patients following tumor removal, including primary closure, skin grafts, local, regional or free flaps, and secondary intention healing (SIH). Notably, with the advancement of surgical and reconstructive techniques, the use of second intention healing has declined and may be underutilized. Read More

Eur J Cardiothorac Surg 2021 May;59(5):951-957

Department of Cardiovascular Surgery, Iwate Medical University, Morioka, Iwate, Japan.

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Objectives: We retrospectively analysed outcomes of debridement and primary sternal closure for postoperative mediastinitis in children.

Methods: Between January 2007 and July 2019, 1285 patients under the age of 20 years underwent congenital heart surgery at the Iwate Medical University. Of these, 22 children had postoperative mediastinitis (1. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 01;35(1):44-48

Department of Head and Neck Surgery，Cancer Hospital Affiliated to Nantong University，Nantong，226361，China.

To investigate the clinical effect of modified V-Y advancement flap for reconstruction of facial skin defect. Thirty-eight patients with facial skin tumors underwent individual tumor resection according to pathological type and lesion depth. Based on the defect site and size, appropriate V-Y advancement flap was designed to reconstruct the skin defect in one stage. Read More

Facial Plast Surg 2021 Jun 27;37(3):390-394. Epub 2021 Jan 27.

Department of Otolaryngology, Columbia University, New York, New York.

This article determines if patient, defect, and repair factors can be used to predict the use of additional treatments to achieve optimal aesthetic results after repair of facial Mohs defects. An electronic chart review of patients undergoing Mohs excision and reconstruction of facial neoplasms from November 2005 to April 2017 was performed, reviewing patient demographics and history, tumor size, defect size and location, method and service of reconstruction, time between resection and repair, complications, and subsequent treatments. A total of 1,500 cases with basal cell and squamous cell carcinoma were analyzed. Read More

Arch Plast Surg 2021 Jan 15;48(1):44-48. Epub 2021 Jan 15.

Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

Previously reported nipple-areolar complex reconstruction (NAR) methods involve multiple incisions and wide skin redraping, which increase retraction forces and heighten the risk of nipple-areolar complex (NAC) flattening. We introduce a NAR method using the long V-Y advancement technique that can overcome these disadvantages. A V-shaped flap is designed with the width of the flap base 4-5 mm larger than the diameter of the normal nipple. Read More

Zhonghua Shao Shang Za Zhi 2021 Jan;37(1):64-69

Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan 063000, China.

To investigate the effects of the dorsal branch of digital artery pedicled flap combined with V-Y advancement flap for repair of degloving injury of fingertip and reverse dorsal metacarpal recurrent artery pedicled island flap for relaying repair of the soft tissue defects in the donor sites of the proximal dorsum. A total of 21 patients with degloving injuries of fingertips at the 2nd to 5th fingers were hospitalized in the Department of Hand Surgery of the Second Hospital of Tangshan from June 2016 to January 2019, including 14 males and 7 females aged 24-60 years. The retrospective clinical follow-up study was conducted. Read More

BMJ Case Rep 2021 Jan 18;14(1). Epub 2021 Jan 18.

Thoracic Surgery, Harefield Hospital, Middlesex, UK.

Reconstruction of the sternum following deep sternal wound infection (DSWI) can be challenging, and despite advances in reconstructive surgery, DSWI remains a significant cause of morbidity and mortality in cardiothoracic patients. Transplantation patients present an additional, unique challenge for the reconstructive surgeon. These patients are often on immunosuppressant therapy, with multiple comorbidities, and cannot tolerate prolonged operations for reconstruction. Read More

JBJS Case Connect 2020 12 24;10(4):e20.00128. Epub 2020 Dec 24.

Department of Plastic Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio.

Case: A 61-year-old patient was referred 12 days postoperative with complex, infected, and dehisced paraspinal wound. After debridement and revision of hardware, deep dead space was eliminated through bilateral paraspinal muscle flap advancement. After hardware coverage, a large skin and tissue defect remained. Read More

Am J Otolaryngol 2021 Mar-Apr;42(2):102890. Epub 2021 Jan 5.

Cleveland Clinic, Head and Neck Institute, Cleveland, OH, USA.

Objectives: Describe a novel technique for repair of cervical esophageal discontinuity.

Study Design: A 66-year-old female underwent hiatal hernia repair with a Nissen fundoplication. This was complicated by ischemic necrosis of the proximal stomach requiring urgent return to the operative suite for partial gastrectomy, esophageal diversion and subsequent esophagectomy repaired with a colonic interposition graft by Thoracic Surgery. Read More

Int J Surg Case Rep 2020 22;77:677-681. Epub 2020 Nov 22.

Department of Surgery Hospital Angeles Lomas, Edo. Mexico, Mexico. Electronic address:

Introduction: Liposculpture procedures have a complication rate of 5%, with the majority being minor complications. Infections in isolated liposuction procedures are as low as 0.1 % of cases. Read More