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    2116 results match your criteria Advancement Flaps

    1 OF 43

    Outcomes of using a modified anteromedial thigh perforator flap for repairing the anterolateral thigh free flap donor site: A retrospective clinical review.
    Medicine (Baltimore) 2018 Apr;97(16):e0491
    Department of Hand Surgery, Wuxi No. 9 People's Hospital Affiliated to Soochow University, Wuxi, Jiangsu, P.R. China.
    The anterolateral thigh (ALT) flap plays an essential part in plastic and reconstructive surgery. However, repair of the anterolateral donor site has not been the focus of the clinicians.To assess the clinical value and feasibility of using a modified anteromedial thigh (AMT) perforator flap for repairing the ALT free flap donor site. Read More

    Repeated Use of Gluteal Fold Flaps for Post-Oncologic Vulvoperineal Reconstruction.
    Ann Plast Surg 2018 Apr 17. Epub 2018 Apr 17.
    Background And Aim: Because of the associated high recurrence rate, future reconstructive options should be reckoned with during surgical treatment of primary or recurrent (pre)malignant vulvoperineal lesions. One of the claimed advantages of the gluteal fold flap is the possibility of repeated use of the flap in case of recurrence. We present our experience with such reuse of gluteal fold flaps to illustrate this possibility. Read More

    Synchronous Soleus and Reverse Sural Flap for Large Soft Tissue Defect Reconstruction of Leg.
    World J Plast Surg 2018 Jan;7(1):12-15
    Department of Plastic Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
    Background: Extended Soft tissue defect of leg including middle and distal parts always has been a challenge for many plastic surgeons and also a frustrated problem for patients and families. To introduce the use of the soleus muscle and reverse sural flaps as synchronous surgical treatment alternative of the leg bone exposure with large soft tissue defect, this study was conducted.

    Methods: The medical records of patients undergoing transposition of the soleus muscle for treating exposed bone in the leg and simultaneous sural flap were retrospectively analyzed from January 2009 to July 2014, while gathering information on the used muscle was to cover the lesion. Read More

    Triple flap technique for vulvar reconstruction.
    Ann Chir Plast Esthet 2018 Apr 9. Epub 2018 Apr 9.
    Department of plastic reconstructive and aesthetic surgery, university hospital of Picardie, 80054 Picardie cedex 1, France. Electronic address:
    Objective: Perineal defects are encountered ever more frequently, in the treatment of vulvar cancers or abdominoperineal resection. The surgical treatment of vulvar cancer leads to significant skin defect. The aim of the reconstruction is not to provide volume but rather to resurface perineum. Read More

    Patient satisfaction in 1,827 patients following various methods of facial reconstruction based on age, defect size and site.
    J Dtsch Dermatol Ges 2018 Apr;16(4):426-433
    Department of Dermatology, Eberhard Karl University of Tübingen, Tübingen, Germany.
    Background: Defect coverage following tumor excision requires a case-by-case decision as regards the optimal reconstruction technique. In the head and neck region in particular, the cosmetic outcome is of major importance. The objective of the present study was to compare various reconstruction methods in terms of their functional and aesthetic outcome based on patient age, defect size and site. Read More

    Complete Lower Lip Reconstruction with a Large Lip Switch Flap and a Composite Modiolus Advancement Flap.
    Plast Reconstr Surg Glob Open 2017 Dec 22;5(12):e1607. Epub 2017 Dec 22.
    Department of Plastic Surgery, Telemark Hospital, Skien, Norway; ALERT Center & Yekatit 12 Hospital, Addis Ababa, Ethiopia; Eminent Surgery, Kristiansand, Norway; and Department of Plastic Surgery, Odense University Hospital and Vejle/Lillebaelt Hospital, Denmark.
    Total loss of the lower lip is debilitating and poses a reconstructive challenge. Aiming to restore oral continence and function and also cosmetic appearance, a successful reconstruction has a huge impact on the quality of life for the individual patient. Early sources of local tissue rearrangement for lip reconstruction date back 3000 years, with earliest reports of lip switch procedures more than 2 centuries ago in Europe, when noma was still endemic in Europe, indicating that the anatomy was better understood by the barber surgeons of the past than we like to acknowledge. Read More

    The V-Y flap technique in complicated and recurrent pilonidal sinus disease.
    Ann Ital Chir 2018 ;89:66-69
    Object Ves: This study presents early and long term (5 years) outcome of 61 complicated pilonidal sinus disease cases undergoing V-Y advancement flap method together with the literature data.

    Method: Data of 336 patients undergoing surgery for pilonidal sinus disease between 2008 and 2012 were retrospectively analyzed. Patients with defect size ≥ 10 cm, and more than one subcutaneous sinus tunnels were assumed to have complicated pilonidal sinus disease. Read More

    Forehead reconstruction using modified double-opposing rotation-advancement flaps for severe skin necrosis after filler injection.
    Arch Craniofac Surg 2018 Mar 20;19(1):64-67. Epub 2018 Mar 20.
    Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine, Busan, Korea.
    Varying degrees of complications can occur after hyaluronic acid filler injections. Tissue necrosis due to interruption of the vascular supply is an early complication that can be severe. If the site of tissue necrosis due to the filler injection is the forehead, successfully reconstructing the region without distorting the key landmarks is challenging. Read More

    The Role of the Visor Flap in Scalp Reconstruction: A Case Series of 21 Patients.
    Oper Neurosurg (Hagerstown) 2018 Mar 14. Epub 2018 Mar 14.
    University of Illinois at Chicago, Chicago, Illinois.
    Background: Full-thickness scalp defects pose a reconstructive problem, especially in the setting of infection, chemotherapy/radiation, and underlying cranial defects. Current options include dermal matrices, skin grafts, and local flaps. Local flaps often fail, requiring subsequent microvascular free flap reconstruction. Read More

    Lip Repair after Mohs Surgery for Squamous Cell Carcinoma by Bilateral Tissue Expanding Vermillion Myocutaneous Flap (Goldstein Technique Modified by Sawada).
    Open Access Maced J Med Sci 2018 Jan 10;6(1):93-95. Epub 2018 Jan 10.
    Department of Dermatology, Venereology and Dermatologic Surgery, Medical Institute of Ministry of Interior, Sofia, Bulgaria.
    Squamous cell carcinoma is the most common malignancy of the lower lip. Environmental factors such as ultraviolet light exposure, arsenic and smoking are contributing factors to the increasing incidence. Mohs surgery is the treatment of choice ensuring the lowest recurrence rates. Read More

    Coverage of the dorsal surface of a digit based on a pedicled free-style perforator flap concept.
    J Plast Reconstr Aesthet Surg 2018 Feb 13. Epub 2018 Feb 13.
    Yotsuya Medical Cube Hand Surgery and Microsurgery Center, Tokyo, Japan.
    Background: Reconstruction of the finger and thumb dorsum has been considered difficult because of the need for a thin and flexible flap, and the surrounding tissue is sometimes insufficient for a local flap. The purpose of this report is to describe our concept for finger and thumb dorsum reconstruction with free-style perforator flaps and our clinical experience with transfer of various perforator flaps.

    Methods: Thirty-two finger dorsum defects in 32 patients were covered with pedicled free-style perforator flaps. Read More

    Reconstruction of a Sacral Pressure Ulcer With an Inferior Gluteal Artery Perforator Flap After Failed Reconstruction Using Bilateral V-Y Advancement Flaps.
    Ostomy Wound Manage 2018 Feb;64(2):45-48
    Many types of flaps are available if surgical reconstruction of a pressure ulcer is indicated, including a gluteus maximus flap, V-Y advancement flap, and superior gluteal artery perforator flap. Regional flap failure can complicate treatment, requiring additional flap surgery. An 80-year old woman with a 2-year history of being unconscious following a cerebrovascular accident presented with a Stage 4 sacral pressure ulcer of 2 months' duration with eschar and abscess formation. Read More

    The V-to-Y Advancement Flap for Distal Nasal Reconstruction: Our Experience With 39 Patients.
    J Cutan Med Surg 2018 Feb 1:1203475418761043. Epub 2018 Feb 1.
    2 Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
    Background And Objective: The V-to-Y advancement flap, also known as the island pedicle flap, is a single-stage repair option that can be used for defects on the distal nose. We report our experience using this flap for nasal defects following Mohs micrographic surgery, as well as describe optimal patient selection and flap design.

    Materials And Methods: A retrospective review was conducted of all patient charts and operative photographs of nasal V-to-Y advancement flaps performed over 6 years at the Universtiy of Texas Southwestern Medical Center. Read More

    Surgical and Oncological Outcomes in Patients After Vascularised Flap Reconstruction for Locoregionally Advanced Penile Cancer.
    Eur Urol Focus 2018 Feb 9. Epub 2018 Feb 9.
    Department of Urology, Netherlands Cancer Institute, Amsterdam, The Netherlands. Electronic address:
    Background: Treatment of locoregionally advanced penile squamous cell carcinoma (LAPSCC) is challenging. The exact role (in terms of oncological benefit) of extensive surgery is not well established. Moreover, surgery invariably leads to large defects requiring reconstructive surgery. Read More

    Coverage of the scrotum after Fournier's gangrene.
    GMS Interdiscip Plast Reconstr Surg DGPW 2018 15;7:Doc01. Epub 2018 Jan 15.
    Plastic Surgery Center, Faculty of Medicine, Mansoura University, Egypt.
    Fournier's gangrene is a necrotizing fasciitis caused by mixed aerobic and anaerobic bacteria and results in loss of skin and subcutaneous tissue in the perineal area. Coverage of testis varies from closure of the defect primarily, burying inside the thigh, using the remnants of the scrotum for tissue expansion and coverage by flaps. In this manuscript, scrotal advancement flaps and pudendal thigh flaps were used for coverage of the testis unilaterally or bilaterally according to the size of the defect following Fournier gangrene. Read More

    Standard morphology of the oral commissure and changes resulting from reconstruction for defects involving the commissure.
    Int J Oral Maxillofac Surg 2018 Feb 2. Epub 2018 Feb 2.
    Department of Oral and Maxillofacial Surgery, Gunma University Graduate School of Medicine, Gunma, Japan.
    The aim of this study was to characterize the standard morphology of the oral commissure and to describe the changes after reconstruction in patients with through-and-through cheek defects involving the oral commissure. Indices for the morphological analyses of the commissure were derived from examinations of 50 normal Japanese volunteers. Ten patients with full-thickness cheek defects involving the commissure were then evaluated. Read More

    Studies on reconstruction of large skin defects following mammary tumor excision in dogs.
    Vet World 2017 Dec 27;10(12):1521-1528. Epub 2017 Dec 27.
    Department of Veterinary Surgery and Radiology, Madras Veterinary College, Tamil Nadu Veterinary and Animal Sciences University, Chennai-600007, Tamil Nadu, India.
    Aim: The main objective of the study was to describe the use of skin fold advancement flaps (SFAFs) and other reconstructive techniques for closure of large skin defects following mammary tumor excision in dogs.

    Materials And Methods: Twelve dogs underwent reconstruction of large ventral skin defects following mammary tumor excision with wide margins. Skin fold flaps (flank fold flap and elbow fold flap) were elevated from the flank and elbow region, respectively, and transposed and sutured onto the large ventral skin defect following mastectomy in all the dogs. Read More

    Application of gluteus maximus fasciocutaneous V-Y advancement flap combined with resection in sacrococcygeal pressure ulcers: A CONSORT-compliant article.
    Medicine (Baltimore) 2017 Nov;96(47):e8829
    Department of Trauma and Microsurgery, The 324 Hospital of PLA, Chongqing.
    Background: Traditional gluteus maximus myocutaneous flaps have generally been used to fill tissue defects after resection of sacrococcygeal pressure ulcers. However, postoperative complications were gradually revealed as increasing operations were performed. This study aimed to introduce the innovative application of gluteus maximus fasciocutaneous V-Y advancement flaps for repairing tissue defects and to comparatively analyze the differences between the innovative and traditional flaps. Read More

    Combination of Melolabial Interpolation Flap and Nasal Sidewall and Cheek Advancement Flaps Allows for Repair of Complex Compound Defects.
    Dermatol Surg 2018 Jan 22. Epub 2018 Jan 22.
    Department of Dermatology, St. Louis University School of Medicine, St. Louis, Missouri.
    Background: The paramedian forehead flap (PMFF) is the repair of choice for large nasal defects involving multiple cosmetic subunits. However, the PMFF may not be optimal for all patients. The combination of a melolabial interpolation flap (MLIF) and a nasal sidewall flap may serve as an alternative. Read More

    Stem Cell Therapy in Refractory Perineal Crohn's Disease: Long-term Follow-up.
    Colorectal Dis 2018 Jan 6. Epub 2018 Jan 6.
    Colorectal Surgery Unit, Clínica Las Condes, Santiago, Chile.
    Aim: To describe the long-term outcomes of adipose-mesenchymal stem cells, platelet-rich plasma, and endorectal advancement flaps in patients with Perineal Crohn's Disease.

    Method: This was a single-center, prospective, observational pilot study performed between March 2013 and December 2016. The study included adult patients diagnosed with Perianal Crohn's Disease (with complex perianal fistulas) refractory to previous surgical and/or biological treatment. Read More

    A novel technique for unilateral supraglottoplasty.
    Int J Pediatr Otorhinolaryngol 2018 Jan 6;104:150-154. Epub 2017 Nov 6.
    Department of Otolaryngology - Head and Neck Surgery, University of Nevada Las Vegas School of Medicine, 1701 W. Charleston Blvd., Suite #490, Las Vegas, NV 89102, USA. Electronic address:
    Objectives: Traditional supraglottoplasty for pediatric laryngomalacia is most commonly conducted with either CO2 laser or cold steel instruments. While the procedure enjoys high success rates, serious complications such as excessive bleeding, supraglottic stenosis and aspiration can occur. Unilateral coblation supraglottoplasty may reduce this risk, but data on respiratory and swallowing outcomes are lacking. Read More

    Umbilicus Reconstruction with Bilateral Square "Pumpkin-Teeth" Advancement Flaps.
    Plast Reconstr Surg 2018 01;141(1):186-189
    Chicago, Ill. From the Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine.
    The creation of a neoumbilicus is a common challenge for plastic surgeons. The authors present their technique of umbilical reconstruction with bilateral square "pumpkin-teeth" advancement flaps. The technique described is applicable in both the setting of a vertical midline incision and when no midline incision is present (e. Read More

    Single port component separation: endoscopic external oblique release for complex ventral hernia repair.
    Surg Endosc 2018 May 20;32(5):2474-2479. Epub 2017 Dec 20.
    Macquarie University Hospital, Technology Place, Macquarie, Australia.
    Background: Component separation (CS) is a technique which mobilizes flaps of innervated, vascularized tissue, enabling closure of large ventral hernia defects using autologous tissue. Disadvantages include extensive tissue dissection when creating these myofascial advancement flaps, with potential consequences of significant post-operative skin and wound complications. This study examines the benefit of a novel, ultra-minimally invasive single port anterior CS technique. Read More

    Early outcomes of fluorescence angiography in the setting of endorectal mucosa advancement flaps.
    Tech Coloproctol 2018 01 18;22(1):25-30. Epub 2017 Dec 18.
    Division of Colon and Rectal Surgery, Department of Surgery, Morehouse School of Medicine, 720 Westview Dr., Atlanta, GA, 30310, USA.
    Background: Fistula-in-ano has a reported incidence of 31-34%. Besides fistulotomy, options for fistula repair are seton placement, endorectal advancement flap (ERAF), fibrin sealant, anal fistula plug and ligation of the intersphincteric fistula tract. Despite having a reported success rate as high as 75-98%, ERAF is not without complications, including flap breakdown, recurrence and fecal incontinence. Read More

    The Use of Keystone Flaps in Periarticular Wound Closure: A Case Series.
    Front Surg 2017 29;4:68. Epub 2017 Nov 29.
    Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, United Kingdom.
    The Keystone perforator island flap (Keystone flap), is a Type A fasciocutaneous advancement flap, consisting of two V to Y advancement flaps. Skin cancer excision around joints presents a number of reconstructive challenges. Owing to the mobile nature of joints, the optimal periarticular reconstructive option should possess the ability to provide adequate tissue coverage and withstand regional changes in tensile pressures. Read More

    Anal advancement flap versus lateral internal sphincterotomy for chronic anal fissure- a systematic review and meta-analysis.
    Int J Surg 2018 Jan 9;49:16-21. Epub 2017 Dec 9.
    Department of Colorectal Surgery, University Hospital Galway, Galway, Ireland.
    Background: Chronic anal fissures (CAF) are common and associated with reduced quality of life. Lateral internal sphincterotomy (LIS) is frequently carried out but carries a significant risk of anal incontinence. Anal advancement flap (AAF) has been advocated as an alternative, 'sphincter-preserving' procedure. Read More

    Lip reconstruction technique: A modified Abbe-Estlander with a myomucosal advancement flap.
    J Stomatol Oral Maxillofac Surg 2017 Nov 26. Epub 2017 Nov 26.
    Oral and Maxillofacial Surgery Department, Hospital Universitario La Princesa, 28006 Madrid, Spain.
    Lip cancer represents between 12-15% of all oral cavity cancers; 95% affect the lower lip. The main objectives in lip reconstruction after tumoral mass resection are functionality and esthetics. We present the case of an 81-year-old male with a past medical history of squamous cell carcinoma of the maxilla. Read More

    What happens after a failed LIFT for anal fistula?
    Am J Surg 2017 Dec 18;214(6):1210-1213. Epub 2017 Sep 18.
    Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI Medical Center, Omaha, NE, USA. Electronic address:
    Background: Ligation of the intersphincteric fistula tract (LIFT) was developed to treat transsphincteric anal fistulas. The aftermath of a failed LIFT has not been well documented.

    Methods: Retrospective chart review of LIFT procedure for transsphincteric anal fistula between March 2012 and September 2016. Read More

    Reconstructive options for large back free flap donor sites.
    ANZ J Surg 2017 Nov 9. Epub 2017 Nov 9.
    Department of Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia.
    Background: Reconstruction of posterior thoracic and trunk defects can prove challenging even to the most seasoned surgeons. Many commonly used techniques for closing back defects include primary closure and split skin grafts. Often times, however, other techniques are needed in order to give the patient the best aesthetic and functional outcome. Read More

    Vulvo-vaginal reconstruction after radical excision for treatment of vulvar cancer: Evaluation of feasibility and morbidity of different surgical techniques.
    Surg Oncol 2017 Dec 5;26(4):511-521. Epub 2017 Oct 5.
    Department of Gynecologic-Obstetrical and Urologic Sciences, University "Sapienza" of Rome, Policlinico Umberto I Hospital, Rome, Italy. Electronic address:
    Background: Vulvar cancer is a rare disease accounting for approximately 5% of female genital tract tumors worldwide. Currently surgery represents the mainstay alone or sometimes, in combination with chemo-radiotherapy, for locally advanced tumors and recurrent disease. However, significant physical and sexual impairment mostly due to anatomical distortion of external genitalia are a consequence of radical surgical treatment. Read More

    Congenital pharyngeal webs: Treatment of a rare clinical entity by endoscopic CO laser approach.
    Int J Pediatr Otorhinolaryngol 2017 Nov 3;102:123-126. Epub 2017 Aug 3.
    Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital Lausanne (CHUV), Lausanne, Switzerland.
    Importance: Oesophageal inlet stenosis can promote dysphagia and aspiration. We report the cases of syndromic children with congenital pharyngeal webs successfully treated with endoscopic CO2 laser.

    Observations: Pharyngeal webs were excised with CO2 laser (Ultrapulse mode) and resurfaced using mucosal advancement flaps to avoid restenosis and/or formation of secondary synechia. Read More

    Pedicled posteromedial thigh (pPMT) perforator flap and its application in loco-regional soft tissue reconstructions.
    J Plast Reconstr Aesthet Surg 2018 Feb 16;71(2):217-223. Epub 2017 Oct 16.
    Department of Plastic and Hand Surgery, University Hospital Zurich, Rämistraße 100, 8091, Zurich, Switzerland.
    Introduction: The posteromedial thigh (PMT) perforator flap is a valuable reconstructive option. In its pedicled form, the experience is currently limited to a few case reports. The purpose of this article is to describe various clinical applications of the pedicled posteromedial thigh (pPMT) flap for reconstruction of loco-regional soft tissue defects. Read More

    Immediate Perineal Reconstruction After Extralevatory Abdominoperineal Excision: Buried Desepidermised Fasciocutaneous V-Y Advancement Flap.
    Ann Plast Surg 2018 Feb;80(2):154-158
    Background: According to National Cancer Institute, there are approximately 39,800 rectal cancer cases per year, 25% of which will need an abdominoperineal resection (APR). The key to avoid most of the complications related to pelvic defect that occurs after APR is choosing an appropriate reconstruction option for perineum. This study aims to introduce an easily applicable flap option for closure to address postoperative pelvic defect in low rectal cancer. Read More

    Materials and techniques in chest wall reconstruction: a review.
    J Vis Surg 2017 26;3:95. Epub 2017 Jul 26.
    Thoracic Surgery Unit, G. B. Morgagni Hospital, Forli, Italy.
    Extensive chest wall resection and reconstruction are a challenging procedure that requires a multidisciplinary approach, including input from thoracic surgeon, plastic surgeon and oncologist. In particular chest wall neoplastic pathology is associated with high surgical morbidity and can result in full thickness defects hard to reconstruct. The goals of a successful chest wall reconstruction are to restore the chest wall rigidity, preserve pulmonary mechanic and protect the intrathoracic organs minimizing the thoracic deformity. Read More

    Wide local excision of perianal Paget's disease with gluteal flap reconstruction: an interdisciplinary approach.
    J Vis Surg 2016 19;2:159. Epub 2016 Sep 19.
    Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, Illinois, USA.
    Perianal Paget's disease (PPD) is an extremely rare condition characterized as intraepithelial adenocarcinoma of unclear etiology. It can be either primary or secondary. The disease typically presents as an eczema-like, erythematous, and painful skin lesion that is associated with pruritus. Read More

    Innovation in the planning of V-Y rotation advancement flaps: A template for flap design.
    Arch Plast Surg 2018 Jan 27;45(1):85-88. Epub 2017 Oct 27.
    Department of Plastic Surgery, Ankara Training and Research Hospital, Ankara, Turkey.
    Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. Read More

    Endoscopic Endonasal Reconstructive Methods to the Anterior Skull Base.
    Semin Plast Surg 2017 Nov 25;31(4):203-213. Epub 2017 Oct 25.
    Department of Neurosurgery, Aurora Neuroscience Innovation Institute, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin.
    The success of expanded endoscopic endonasal approaches (EEAs) to the anterior skull base, sellar, and parasellar regions has been greatly aided by the advancement in reconstructive techniques. In particular, the pedicled vascularized flaps have been developed and effectively cover skull base defects of varying sizes with a significant reduction in postoperative CSF leaks. There are two aims to this review: (1) We will provide our current, simplified reconstruction algorithm. Read More

    Combined Gluteus and Pudendal Thigh Flap Reconstruction of Vaginal Defects following Robotic Abdominoperineal Resection.
    Plast Reconstr Surg Glob Open 2017 Sep 19;5(9):e1500. Epub 2017 Sep 19.
    Department of Plastic and Reconstructive Surgery, University of Virginia Health System, Charlottesville, Va.; and Division of Surgical Oncology, Department of General Surgery, University of Virginia Health System, Charlottesville, Va.
    Low-lying rectal cancers are being treated more frequently with robotic-assisted abdominoperineal resection, obviating the need for laparotomy and the ability to raise vertical rectus abdominis musculocutaneous flaps. For female patients, posterior vaginectomy often accompanies the resection. Combined pudendal thigh flaps as an extension of bilateral gluteus advancement flaps allow for posterior vaginal resurfacing with thin pliable fasciocutaneous flaps, which rest on the gluteal flap soft-tissue bulk that obliterates the pelvic dead space. Read More

    [Effects of improved V-Y advancement flap with major artery perforator on repairing skin and soft tissue defects].
    Zhonghua Shao Shang Za Zhi 2017 Oct;33(10):611-615
    Department of Burns and Reconstructive Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
    To explore the effect of improved V-Y advancement flap with major artery perforator on repairing several skin and soft tissue defects in whole body. From March 2015 to June 2017, 4 cases with pressure ulcer in sacrococcygeal region, 4 cases with pressure ulcer at ischial tuberosity, 2 cases with scalp and skull defects at occiput, 1 case with secondary wound after tumor resection in axillary region, and 2 cases with skin and soft tissue defects caused by other trauma were hospitalized, with disease duration ranging from 1 week to 6 months. Bones, blood vessels, or nerves were exposed in wounds of 11 cases. Read More

    Anterior Skull Base and Pericranial Flap Ossification after Frontofacial Monobloc Advancement.
    Plast Reconstr Surg 2018 Feb;141(2):437-445
    Paris and Boulogne-Billancourt, France From Assistance Publique-Hôpitaux de Paris, Hôpital Universitaire Necker-Enfants Malades, Service de Chirurgie Maxillofaciale et Plastique; Centre de Références des Malformations de la Face et de la Cavité Buccale, Unité de Chirurgie Crâniofaciale, Service de Neurochirurgie, and Centre de Référence des Malformations Crânio-faciales, Université Paris Descartes; INSERM U1132 and University Paris-Diderot Hôpital Lariboisière; and Clinique Marcel Sembat, Ramsay-Générale de Santé.
    Background: Frontofacial monobloc advancement creates a communication between the anterior cranial fossa and nasal cavities. To tackle this issue, transorbital pericranial pedicled flaps are routinely performed in the authors' center. This study aimed to assess the postoperative ossification of the anterior skull base and pedicled flaps following frontofacial monobloc advancement, and to identify factors influencing this ossification. Read More

    The Keystone Flap-A Case Series Demonstrating Practical Design, Use, and Applications.
    Plast Surg (Oakv) 2017 Aug 25;25(3):184-187. Epub 2017 Jul 25.
    Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
    Introduction: The keystone design perforator island flap is a trapezoidal-shaped random perforator island flap with many advantages over primary closure, skin grafting, and other local flaps for soft tissue reconstruction commonly encountered with cancer excisions.

    Methods: This case series of 39 keystone flaps in 37 patients reviews the practical design, use, and applications of the flap while highlighting certain important considerations. Keystone flaps were designed as in the original description, with a minor modification in the lower extremity where a higher flap to defect width ratio was used. Read More

    Microvascular Free Flaps in Oral and Maxillofacial Reconstruction following Cancer Ablation.
    J Nepal Health Res Counc 2017 Sep 8;15(2):88-95. Epub 2017 Sep 8.
    Department of Prosthodontics, College of Medical Sciences-Teaching Hospital, Bharatpur, Chitwan, Nepal.
    Microsurgical free flaps have become the first choice for reconstruction of oral and maxillofacial (OMF) defects after tumor resection. Till recently the pectoralis major myocutaneous flap (PMMC) was considered to be the benchmark for OMF reconstruction. This philosophy is changing fast with rapid advancement in reconstructive microsurgery. Read More

    A Comparative Study of the Aesthetic Outcome of Two Techniques for Unilateral Complete Cleft Lip Repair.
    Plast Reconstr Surg 2017 Oct;140(4):757-764
    Oxford and Salisbury, United Kingdom From Spires Cleft Centre, Oxford University Hospitals NHS Trust, John Radcliffe Hospital; and the Spires Cleft Centre, Salisbury Foundation NHS Trust.
    Background: Cleft lip repair aims to create symmetric nasolabial morphology with minimal scarring. Poor aesthetic outcomes may have damaging psychosocial implications. Determining the optimal method of recreating lip symmetry is a major goal of applied cleft clinical research. Read More

    Bipedicle Flaps for Posterior Elbow Reconstruction.
    Tech Hand Up Extrem Surg 2017 Dec;21(4):161-163
    *MetroHealth Medical Center †Case Western Reserve University School of Medicine, Cleveland, OH.
    Chronic posterior elbow soft tissue defects often require soft tissue reconstruction because of exposure of the underlying triceps tendon and proximal ulna. Current options for soft tissue coverage require sacrifice of a local muscle or microsurgery. The purpose of this study is to evaluate patient and surgical outcomes after reconstruction of small-sized to medium-sized (<50 cm) posterior elbow defects with bipedicle advancement flaps. Read More

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