2,019 results match your criteria Flaps Fasciocutaneous Flaps


Circumferential Pharyngoesophageal Reconstruction and Total Larynx Preservation with Extra-anatomical Free Flaps.

Plast Reconstr Surg Glob Open 2018 Nov 19;6(11):e2008. Epub 2018 Nov 19.

Department of Plastic and Reconstructive Surgery, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Reconstruction of total circumferential pharyngeal defects following caustic or stenosant lesions of the pharynx present major challenges with respect to minimizing surgical morbidity and restoring functional deficits. With recent advances in microvascular free tissue transfer, the options for pharyngeal reconstruction have multiplied in order to maximize swallowing and voice. There is long experience in the reconstruction of the pharynx and the cervical esophagus in oncological patients after total pharyngolaryngectomy, but there are not many publications concerning circumferential pharyngeal reconstruction preserving the larynx. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414114PMC
November 2018

The Clinical Outcome of Perforator Based Sural Artery and Propeller Flaps in Reconstruction of Soft Tissue of Extremities.

World J Plast Surg 2019 Jan;8(1):3-11

Department of Plastic and Reconstructive Surgery, Vydehi Institute of Medical Science and Research Centre, Bangalore, India.

Background: The reconstructive options for the soft tissues in extremities present serious challenges due to thin non-expendable soft tissues and predisposition to massive edema formation, thus frequently requiring flap cover. This study was undertaken to assess the outcome of a modified version of the sural artery flap with that of propeller perforator flaps for the reconstruction of lower extremities, particularly the heel defects.

Methods: This prospective study was conducted on 40 consecutive patients, of which 20 treated with sural artery flap and another 20 with perforator based propeller flap cover for soft tissue reconstruction in extremities based on predefined inclusion criteria. Read More

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http://dx.doi.org/10.29252/wjps.8.1.3.DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409133PMC
January 2019

Microsurgical Reconstruction of the Lower Extremity.

Semin Plast Surg 2019 Feb 8;33(1):54-58. Epub 2019 Mar 8.

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

Reconstruction of bony and soft tissue defects of the lower extremity has been revolutionized by the advent of microsurgical tissue transfer. There are numerous options for reconstruction. Possibilities include transfer of soft tissue, composite (bone and soft tissue) tissue, and functional muscle. Read More

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http://dx.doi.org/10.1055/s-0039-1677878DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408237PMC
February 2019
2 Reads

Free Tissue Transfer for Upper Extremity Reconstruction.

Semin Plast Surg 2019 Feb 8;33(1):17-23. Epub 2019 Mar 8.

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

With the advent of the Industrial Revolution, traumatic injuries of the upper extremity increased exponentially. As a result, surgeons began to reevaluate amputation as the standard of care. Following the Second World War, local and regional pedicled flaps became common forms of traumatic upper extremity reconstruction. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1677702
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http://dx.doi.org/10.1055/s-0039-1677702DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408247PMC
February 2019
4 Reads

Cross-Leg Flaps for Lower Extremity Salvage: A Scoping Review.

J Reconstr Microsurg 2019 Mar 5. Epub 2019 Mar 5.

Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah.

Background:  Lower extremity trauma with soft tissue loss presents a challenge to the reconstructive surgeon. Cross-leg flaps, first described by Hamilton in 1854, are still used to salvage traumatized lower extremities in patients not suitable for free tissue transfer, or those who are receiving care in locations with limited resources.

Methods:  A scoping review methodology was used to examine the evidence supporting the use of cross-leg flaps in modern healthcare. Read More

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http://dx.doi.org/10.1055/s-0039-1679955DOI Listing

A comparison of fasciocutaneous and adipofascial methods in the reverse sural artery flap for treatment of diabetic infected lateral malleolar bursitis.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019828546

2 Department of Orthopedic Surgery, Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University, Seoul, Korea.

Purpose:: Infected lateral malleolar bursitis occurring as a diabetic complication requires debridement and flap surgery because it cannot be treated by conservative methods. The most accessible flap is the reverse sural artery flap, which can be harvested as a fasciocutaneous flap or an adipofascial flap. The purpose of this study was to compare the two types of flap methods performed in patients with diabetic infected lateral malleolar bursitis. Read More

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http://dx.doi.org/10.1177/2309499019828546DOI Listing
February 2019
1 Read

Comparison of keystone flaps and skin grafts for oncologic reconstruction: A retrospective review.

J Surg Oncol 2019 Feb 6. Epub 2019 Feb 6.

Department of Plastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.

Background And Objectives: Two common options for the closure of complex defects are local flaps and skin grafting. The keystone flap, a fasciocutaneous flap based on perforators, has demonstrated compelling ease of use, reproducibility, and low complication rates without requiring a distant donor site. Our objective for this study was to compare postoperative outcomes for keystone flaps and skin grafts in cancer resection. Read More

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http://dx.doi.org/10.1002/jso.25394DOI Listing
February 2019
1 Read

Anatomical Study of a Chimeric Fascio-Osteomyocutaneous Fibula Flap for Free Microvascular Tissue Transfer.

J Reconstr Microsurg 2019 Jan 31. Epub 2019 Jan 31.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.

Background:  Functional restoration in reconstructive surgery can require complex and adaptable approaches. In this anatomical study, the combined angiosome of the septofasciomyocutaneous vessels originating from the fibular artery was defined as basis for a chimeric flap of the lateral lower leg.

Methods:  Methylene blue injection into the fibular artery was performed in 10 legs of fresh cadavers for visualization of the angiosome on the skin, fibula, and adjacent muscles as the lateral hemisoleus (HS) muscle. Read More

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http://dx.doi.org/10.1055/s-0039-1677769DOI Listing
January 2019
1 Read

A Head-to-Head Comparison of the Vascular Basis of the Transverse Myocutaneous Gracilis, Profunda Artery Perforator, and Fasciocutaneous Infragluteal Flaps: An Anatomical Study.

Plast Reconstr Surg 2019 02;143(2):381-390

Vienna, Pölten, and Linz, Austria From the Division of Anatomy and Cell Biology, Medical University of Vienna; the Department of Radiology, Kaiser-Franz-Josef Hospital; Plastic and Reconstructive Surgery, University of St. Pölten; the Section of Plastic and Reconstructive Surgery, Department of General Surgery, Kepler University Hospital; and maz, Microsurgical Training and Research Center.

Background: Perforator flaps of the upper thigh or buttock provide a valuable secondary choice in autologous breast reconstruction. The purpose of this study was to compare the vascular territories and supplying vessels of the transverse myocutaneous gracilis flap, the profunda artery perforator flap, and the fasciocutaneous infragluteal flap.

Methods: In total, 26 lower limbs from 13 fresh specimens were investigated. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005276DOI Listing
February 2019

An Unreported Complication After Fetoscopic Myelomeningocele Closure.

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

Division of Plastic Surgery.

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

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

Local Flaps with Negative Pressure Wound Therapy in Secondary Reconstruction of Myelomeningocele Wound Necrosis.

Plast Reconstr Surg Glob Open 2018 Dec 14;6(12):e2012. Epub 2018 Dec 14.

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan.

Major wound necrosis is an uncommon yet critical complication of meningomyelocele surgical repair with few reports available. Management is demanding and often requires further reconstructive surgery. We report a case of a neonate who developed extensive wound necrosis with dehiscence following primary repair of myelomeningocele. Read More

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http://Insights.ovid.com/crossref?an=01720096-900000000-9815
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http://dx.doi.org/10.1097/GOX.0000000000002012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326624PMC
December 2018
14 Reads

Microsurgical head and neck reconstruction in patients with coronary artery disease: A perioperative assessment algorithm.

Microsurgery 2019 Jan 15. Epub 2019 Jan 15.

Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Background: With the rising number of patients in advanced age receiving microsurgical procedures, coronary artery disease (CAD) and its challenging management is of increasing importance. Evidence based data concerning morbidity and mortality are rare. We present our experiences with this highly selected patient population and propose a preoperative assessment algorithm. Read More

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http://dx.doi.org/10.1002/micr.30429DOI Listing
January 2019
5 Reads

Comparison of Outcomes of Fasciocutaneous Free Flaps and Jejunal Free Flaps in Pharyngolaryngoesophageal Reconstruction: A Systematic Review and Meta-Analysis.

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

Department of Plastic, Reconstructive & Aesthetic Surgery, Singapore General Hospital, Singapore.

Background: The literature reports a wide variety of reconstructive methods for pharyngolaryngoesophageal (PLO) defects, the most widely used being anterolateral thigh (ALT), radial forearm (RFF), and jejunal free flaps (JFF). However, there is a lack of uniform agreement among head and neck surgeons as to which technique offers the best results. With an increasing number of salvage PLO extirpations, determining the role of radiotherapy in influencing postoperative complication rates is becoming ever more important. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001776DOI Listing
January 2019
9 Reads

Gluteal Flaps Revisited: Technical Modifications for Perineal Wound Reconstruction.

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

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

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

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

Microsurgical Reconstruction of the Plantar Foot: Long-Term Functional Outcomes and Quality of Life.

J Reconstr Microsurg 2019 Jan 9. Epub 2019 Jan 9.

Department for Plastic, Reconstructive, Hand, and Burn Surgery, Technical University Munich, StKM - Klinikum Bogenhausen, Academic Teaching Hospital, Munich, Germany.

Background:  When faced with plantar defects, reconstruction of the weight-bearing areas presents unique surgical challenges. Several free flap modalities have been described in this respect, but there remains debate regarding the best-suited flap modality. Aim of this study was to compare free muscle and non-neurotized fasciocutaneous flaps for plantar reconstruction with respect to long-term functional outcomes. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1677038
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http://dx.doi.org/10.1055/s-0038-1677038DOI Listing
January 2019
14 Reads

One-Stage versus Two-Stage Arteriovenous Loop Reconstructions: An Experience on 103 Cases from a Single Center.

Plast Reconstr Surg 2019 Mar;143(3):912-924

Ludwigshafen and Heidelberg, Germany From the Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center Ludwigshafen, and the Department of Medical Statistics, University Medicine Mannheim, University of Heidelberg; and the Ethianum, Clinic for Plastic, Reconstructive and Aesthetic Surgery, Orthopedic Surgery, Partner Hospital of Heidelberg University.

Background: The optimal time for flap anastomosis to an arteriovenous loop remains controversial. Whether perforator flaps and axially vascularized muscle or fasciocutaneous flaps lead to comparable outcomes in conjunction with arteriovenous loops has not been investigated.

Methods: Medical records from 103 patients undergoing arteriovenous loop reconstruction (76 one-stage and 27 two-stage) between 2007 and 2017 were reviewed. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005386DOI Listing
March 2019
8 Reads

The medial sural artery perforator flap: A better option in complex head and neck reconstruction?

Laryngoscope 2018 Dec 26. Epub 2018 Dec 26.

Department of Otolaryngology-Head and Neck Surgery, New York, New York, U.S.A.

Objectives: The medial sural artery perforator (MSAP) free flap is an uncommonly utilized soft tissue flap in head and neck reconstruction. It is a thin, pliable, fasciocutaneous flap that provides significant pedicle length. The donor site can be closed primarily, and its location is more aesthetically pleasing to patients. Read More

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http://doi.wiley.com/10.1002/lary.27652
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http://dx.doi.org/10.1002/lary.27652DOI Listing
December 2018
12 Reads

Tension-Band Wire Fixation of Olecranon Fractures.

JBJS Essent Surg Tech 2018 Sep 8;8(3):e22. Epub 2018 Aug 8.

Edinburgh Orthopaedic Trauma, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.

Olecranon fractures account for approximately 20% of fractures of the proximal part of the forearm. Clinicians may consider nonoperative management for elderly low-demand patients, whereas operative fixation is recommended for active patients with a displaced fracture. Tension-band wire (TBW) fixation is commonly employed for simple isolated stable displaced fractures of the olecranon (type IIA according to the Mayo classification). Read More

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http://Insights.ovid.com/crossref?an=01709766-201808030-0000
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http://dx.doi.org/10.2106/JBJS.ST.17.00071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292719PMC
September 2018
13 Reads

Reconstructive Surgery of Inguinal Defects: A Systematic Literature Review of Surgical Etiology and Reconstructive Technique.

In Vivo 2019 Jan-Feb;33(1):1-9

Department of Plastic, Reconstructive and Hand Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland

Background/aim: This study aimed to evaluate the literature regarding surgical etiology demanding inguinal reconstructive surgery, associated reconstructive techniques and outcomes.

Materials And Methods: A systematic literature search was performed according to the PRISMA statement between 1996-2016.

Results: A total of 64 articles were included, comprising 816 patients. Read More

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http://dx.doi.org/10.21873/invivo.11431DOI Listing
October 2018

[Clinical effects of adjacent fasciocutaneous flaps in repairing small wounds with bone or steel plate exposure in anterior tibia].

Zhonghua Shao Shang Za Zhi 2018 Dec;34(12):907-909

Department of Burns and Plastic Surgery, the First Affiliated Hospital of Soochow University, Soochow 215006, China.

To explore the clinical effects of adjacent fasciocutaneous flaps in repairing small wounds with bone or steel plate exposure in anterior tibia. Twelve patients with small wounds of bone or steel plate exposure in anterior tibia covering area of 2 cm×2 cm to 5 cm×3 cm were admitted to our unit from January 2014 to December 2016. A circular or elliptical adjacent fasciocutaneous flap was designed on the normal skin located at the inside or outside of the wound according to the size of wound after thorough debridement. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2018.12.016DOI Listing
December 2018

Impact of intraoperative use of vasopressors in lower extremity reconstruction: Single centre analysis of 437 free gracilis muscle and fasciocutaneous anterolateral thigh flaps.

Clin Hemorheol Microcirc 2018 Dec 17. Epub 2018 Dec 17.

Centre of Plastic, Aesthetic, Hand and Reconstructive Surgery, University of Regensburg, Franz-Josef-Strauß-Allee, Regensburg, Germany.

Background: While complication rates in free tissue transfers have continuously decreased over time due to improved techniques, the intraoperative use of vasopressors and their negative effects on flap microcirculation and patency of the anastomoses remains controversial. To further elucidate this matter, this retrospective study examines the effect of intraoperative vasopressors on free gracilis muscle and free fasciocutaneous anterolateral thigh (ALT) flaps for lower extremity reconstruction.

Methods: A total of 425 patients underwent 437 free flaps for lower limb reconstruction. Read More

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http://dx.doi.org/10.3233/CH-189411DOI Listing
December 2018
1 Read

Z-plasty as an alternative choice for the treatment of recurrent local sternal wound infections.

Gen Thorac Cardiovasc Surg 2018 Dec 19. Epub 2018 Dec 19.

Department of Cardiovascular Surgery, Karabük Training and Research Hospital, Karabük, Turkey.

Objective: Sternal wound infections after sternotomy are associated with high morbidity, high mortality, and prolonged hospital stay. The recurrence rate of sternal wound infections after single-stage closure is greater than expected. The aim of the study is to present our results of a consecutive series of Z-plasty for the treatment of recurrent sternal wound infections. Read More

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http://link.springer.com/10.1007/s11748-018-1052-5
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http://dx.doi.org/10.1007/s11748-018-1052-5DOI Listing
December 2018
16 Reads

Muscular Versus Non-Muscular Free Flaps for Soft Tissue Coverage of Chronic Tibial Osteomyelitis.

World J Plast Surg 2018 Sep;7(3):294-300

Department of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals, Faculty of Medicine, University of Geneva, Switzerland.

Background: Eradication of chronic tibial osteomyelitis necessitates aggressive debridement is often followed by soft tissue reconstruction. Muscular flaps are said to be more effective than non-muscular flaps for infection treatment, while fasciocutaneous and perforator flaps are considered to be less invasive and offering a better aesthetic result.

Methods: In this study, we reviewed 24 consecutive cases of chronic tibial osteomyelitis treated according to a specific protocol in a tertiary hospital. Read More

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http://dx.doi.org/10.29252/wjps.7.3.294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290312PMC
September 2018
3 Reads

Optimal Result of One-Stage Secondary Debulking Procedure After Flap Reconstruction of the Ankle.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

From the Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Skin and soft tissue defect of the ankle usually mandates flap reconstruction; however, bulky flap and difficulty ambulance have been the major disadvantages after flap reconstruction of this area. We used the concept of full-thickness skin graft as a 1-stage method of secondary debulking procedure to achieve both aesthetic and functional results.

Methods: Since January of 2004 to June of 2016, 22 one-stage secondary debulking procedures were performed on 22 patients who had received reconstruction with flaps for ankle defects. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001638DOI Listing
December 2018
11 Reads

Propeller flap reconstruction of irradiated sarcoma defects: A comparison.

J Plast Reconstr Aesthet Surg 2019 Feb 9;72(2):181-187. Epub 2018 Nov 9.

Department of Plastic and Reconstructive Surgery, St Vincent's Hospital, 41 Victoria Parade, Fitzroy VIC 3065, Australia.

Introduction: The treatment for soft tissue sarcomas has evolved to include radiotherapy, wide local excision and plastic surgical reconstruction. Goals for the reconstruction of these irradiated defects are the introduction of non-irradiated healthy tissue, tension-free closure and obliteration of potential dead space. Although many defects once required free tissue transfer for reconstruction, greater knowledge of anatomical vascular pattern has led to the increasing use of propeller perforator flaps, islanded and transposed into the defect. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.10.011DOI Listing
February 2019

Modified internal mammary artery perforator flap in treatment of sternal wound complications.

Scand Cardiovasc J 2018 Oct 4;52(5):275-280. Epub 2019 Jan 4.

a Department of Plastic Surgery , Kuopio University Hospital , Kuopio , Finland.

Objectives: There are multiple treatment strategies and flap options to cover defects after deep sternal wound infections and other similar sternal defects. The choice of flap is made according to surgeons' preferences and the size and location of the defect. Our aim is to introduce a new option to cover these kinds of defects with an internal mammary artery perforator flap combined with a pectoralis major muscle flap mostly raised with a muscle-sparing technique. Read More

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http://dx.doi.org/10.1080/14017431.2018.1546897DOI Listing
October 2018
8 Reads

Reconstruction of a surgical defect in the popliteal fossa: A case report.

Int J Surg Case Rep 2018 1;53:228-230. Epub 2018 Nov 1.

Columbia University Medical Center, Department of Dermatology, New York, NY, 10032, United States. Electronic address:

Introduction: Surgical defects of the popliteal fossa pose a reconstructive challenge to the surgeon, given the intimate relationship of this area with the knee joint and underlying vital neuro-vasculature.

Case Presentation: An 88-year-old woman was treated for a biopsy proven invasive squamous cell carcinoma of the right popliteal fossa with Mohs micrographic surgery. The resultant defect (4. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183049
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http://dx.doi.org/10.1016/j.ijscr.2018.10.070DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232581PMC
November 2018
17 Reads

Determinants of Free Fasciocutaneous Flap Outcomes in Partial Hypopharyngeal Defects.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S2-S5

School of Medicine, Griffith University, Gold Coast, Queensland, Australia.

Background: Most of the patients with hypopharyngeal cancer are still diagnosed with advanced stage, and total or partial pharyngectomy with free flap reconstruction is the mainstay of treatment. The aim of this study was to find out the possible risk factors related to surgical complications after free fasciocutaneous flap reconstruction for partial pharyngeal defect and its sequelae in the follow-up.

Patients And Methods: We retrospectively reviewed the charts of patients with advanced hypopharyngeal cancer who received free fasciocutaneous flaps for partial pharyngeal defects reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001699DOI Listing
January 2019
11 Reads

Treatment of deep cavities using a perforator-based island flap with partial de-epithelization.

BMC Surg 2018 Nov 12;18(1):96. Epub 2018 Nov 12.

Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, 249-1, Gyomun-dong, Guri-si, Gyeonggi-do, 471-701, Korea.

Background: The perforator-based island flap is a popular option for defect coverage. In cases with deep cavities, however, the classical island flap may not be a suitable option. By de-epithelization of the peripheral portion of a perforator-based island flap, the distal part of the flap can be used to fill deep spaces, as the flap can be folded and inserted into the spaces. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-018-0431-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233539PMC
November 2018
9 Reads

Reconstruction of composite defects of the scalp and neurocranium-a treatment algorithm from local flaps to combined AV loop free flap reconstruction.

World J Surg Oncol 2018 Nov 7;16(1):217. Epub 2018 Nov 7.

Department of Plastic and Hand Surgery, University Hospital of Erlangen, Friedrich-Alexander University of Erlangen-Nuernberg, Krankenhausstr. 12, 91054, Erlangen, Germany.

Background: Reconstruction of cranial composite defects, including all layers of the scalp and the neurocranium, poses an interdisciplinary challenge. Especially after multiple previous operations and/or radiation therapy, sufficient reconstruction is often only possible using microsurgical free flap transplantation. The aim of this study was to analyze the therapy of interdisciplinary cases with composite defects including the scalp and neurocranium. Read More

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http://dx.doi.org/10.1186/s12957-018-1517-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223072PMC
November 2018
4 Reads

Reconstruction of complex nail matrix defect using the homodigital reverse fasciocutaneous flap.

Medicine (Baltimore) 2018 Nov;97(44):e12974

Department of Hand and Foot Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.

Reconstruction of complex and severe nail matrix defects with the exposure of bone, tendon or joint continues to be challenging for the surgeon. We present our experience using the homodigital reverse laterodorsal fasciocutaneous flap in the reconstruction of complex nail matrix defects.Six patients (7 fingers) of complex nail matrix defects with the exposure of bone, tendon or joint were treated with the homodigital reverse laterodorsal fasciocutaneous flap based on the dorsal branches of the proper digital artery. Read More

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http://Insights.ovid.com/crossref?an=00005792-201811020-0002
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http://dx.doi.org/10.1097/MD.0000000000012974DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221725PMC
November 2018
14 Reads

Flap Reconstruction of Sarcoma Defects in the Setting of Neoadjuvant and Adjuvant Radiation.

J Reconstr Microsurg 2018 Oct 24. Epub 2018 Oct 24.

Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York.

Purpose:  Limb-sparing treatment of extremity soft tissue sarcomas requires wide resections and radiation therapy. The resulting complex composite defects necessitate reconstructions using either muscle or fasciocutaneous flaps, often in irradiated wound beds.

Methods:  A retrospective chart review was performed of all limb-sparing soft tissue sarcoma resections requiring immediate flap reconstruction from 2012 through 2016. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1675147
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http://dx.doi.org/10.1055/s-0038-1675147DOI Listing
October 2018
14 Reads

Complications and loss of free flaps after reconstructions for oral cancer.

Br J Oral Maxillofac Surg 2018 11 15;56(9):835-840. Epub 2018 Oct 15.

Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, PO Box 220, FI-00029 Helsinki, Finland.

The aim of this retrospective study was to analyse the incidence of complications and loss of flaps after primary reconstructions for oral cancer in 191 patients at our hospital over the five years 2005-2010. The patients' clinical and personal details, characteristics of the tumours, types of microvascular flap, complications, and outcomes were recorded. The soft tissue flaps used most often were the fasciocutaneous radial forearm free flap (RFFF) (n=86, 45%) and the anterolateral thigh free flap (ALTFF) (n=48, 25%) while the most commonly used osseous flap was the deep circumflex iliac artery flap (DCIA) (n=25, 13%). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02664356183031
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http://dx.doi.org/10.1016/j.bjoms.2018.09.005DOI Listing
November 2018
13 Reads

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

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

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

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

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

Novel Chest Wall Reconstruction Following Excision of an Xiphisternal Chondrosarcoma.

Ochsner J 2018 ;18(2):180-182

The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.

Background: Chondrosarcoma, the most common primary malignant tumor of the chest wall, most frequently arises from the sternum, with limited reported cases of tumor origination from the xiphoid process. Because of the location, patients present with complaints of a large chest wall mass associated with pain and respiratory symptoms. These tumors are best managed by en bloc resection and chest wall reconstruction. Read More

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http://dx.doi.org/10.31486/toj.17.0066DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135278PMC
January 2018
2 Reads

Can a 2-Day Course Teach Orthopaedic Surgeons Rotational Flap Procedures? An Evaluation of Data From the Nepal SMART Course Over 2 years.

J Orthop Trauma 2018 Oct;32 Suppl 7:S38-S42

Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, CA.

Introduction: Traumatic lower extremity injuries requiring multidisciplinary treatment pose a challenge in low- and middle-income countries, where access to specialists may be limited. The surgical management and reconstructive training (SMART) course teaches orthopaedic surgeons muscle and fasciocutaneous flap procedures to address this scarcity. The purpose of this study is to assess the effectiveness of the SMART course in improving competency and comfort in performing common lower extremity flap procedures among participants. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001298DOI Listing
October 2018
5 Reads

Clinical results and quality of life after reconstruction following sacrectomy for primary bone malignancy.

J Plast Reconstr Aesthet Surg 2018 Dec 24;71(12):1730-1739. Epub 2018 Aug 24.

Division of Orthopaedics and Traumatology, Unit of Musculoskeletal Surgery, Tampere University Hospital, Tampere, Finland; Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, Helsinki, Finland.

Background: Sacrectomy is a rare and demanding surgical procedure that results in major soft tissue defects and spinopelvic discontinuity. No consensus is available on the optimal reconstruction algorithm. Therefore, the present study evaluated the results of sacrectomy reconstruction and its impact on patients' quality of life (QOL). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815183029
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http://dx.doi.org/10.1016/j.bjps.2018.08.008DOI Listing
December 2018
4 Reads

Venous Congestion in Pedicled Frontal Branch Superficial Temporal Artery Flaps Reconstructions for Head and Neck Defects: A Review.

Ann Plast Surg 2019 Mar;82(3):330-336

The superficial temporal artery (STA) flap is a versatile flap for head and neck defect reconstruction. It can be based on the frontal branch of the STA and an islanded 360-degree rotation arc for various defects on the scalp, cheek, and auricular region. It provides a nonmicrosurgical option for reconstructing such defects, which is itself relatively easy to perform. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001602DOI Listing
March 2019
5 Reads
1.460 Impact Factor

Comparison of Musculocutaneous and Fasciocutaneous Free Flaps for the Reconstruction of the Extensive Composite Scalp and Cranium Defects.

J Craniofac Surg 2018 Oct;29(7):1947-1951

Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Sihhiye.

Composite scalp and cranium defects, which require microsurgical reconstruction, result from tumor resection, radiation, trauma, severe burn injuries, and rarely vasculitic disorders. In the current study, the authors aim to compare the outcomes of the fasciocutaneous flaps and musculocutaneous free flaps used for the reconstruction of extensive composite scalp and cranium defects. From 2010 to 2017, 21 patients who underwent composite scalp and cranium defect reconstruction with a free flap were retrospectively identified. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005052DOI Listing
October 2018
8 Reads

Noninvasive Flap Preconditioning by Foam-Mediated External Suction Improves the Survival of Fasciocutaneous Axial-Pattern Flaps in a Type 2 Diabetic Murine Model.

Plast Reconstr Surg 2018 12;142(6):872e-883e

Boston, Mass.; and Aachen, Mainz, and Düsseldorf, Germany From the Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School; the Department of Plastic and Reconstructive Surgery, Hand Surgery-Burn Center, University Hospital of the RWTH Aachen; the Institute of Functional and Clinical Anatomy, University Medical Center of the Johannes Gutenberg University; and the Institute of Pathology, Heinrich Heine University and University Hospital.

Background: Advances in reconstructive surgery are leading to an increased number of flaps at risk for ischemic necrosis, because of either intrinsic (e.g., larger flap size) or extrinsic (e. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005038DOI Listing
December 2018
1 Read

Utilizing V-Y fasciocutaneous advancement flaps for vulvar reconstruction.

Gynecol Oncol Rep 2018 Nov 24;26:24-28. Epub 2018 Aug 24.

Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, 833 Chestnut Street, 1st Floor, Philadelphia, PA, United States.

Objectives: We aimed to analyze the outcomes of patients who underwent vulvectomy with subsequent V-Y fasciocutaneous flap reconstruction.

Methods: All medical records of all patients who underwent vulvectomies with V-Y fasciocutaneous flap reconstruction from January 2007 to June 2016 were retrospectively reviewed. Patient clinical and surgical data, demographics, and outcomes were abstracted. Read More

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http://dx.doi.org/10.1016/j.gore.2018.08.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122364PMC
November 2018
1 Read

Combined single-stage enterolysis with pedicle seromuscular bowel flaps, myocutaneous and fasciocutaneous flaps to repair recurrent enterocutaneous fistulas in complex abdominal Wall defects.

Microsurgery 2018 Sep 3. Epub 2018 Sep 3.

Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.

Introduction: Reconstruction of abdominal wall defects with enterocutaneous fistulas (ECF) remains challenging. The purpose of this report is to describe a single-stage approach using combined microscopic enterolysis, pedicle seromuscular bowel flaps, mesh, fasciocutaneous, and myocutaneous flaps.

Methods: Between 1990 and 2016 a retrospective review identified a total of 18 patients with an average age of 39 years (ranging 26-59 years). Read More

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http://dx.doi.org/10.1002/micr.30374DOI Listing
September 2018
3 Reads

Penile fasciocutaneous flap urethroplasty for the reconstruction of pediatric long anterior urethral stricture.

J Pediatr Urol 2018 Dec 24;14(6):555.e1-555.e6. Epub 2018 Jul 24.

Tanta Faculty of Medicine, Egypt. Electronic address:

Background: Though pediatric urethral stricture is an uncommon urological problem, it is a challenging urological one. The causative factors are iatrogenic, traumatic, and inflammatory. In the current study, the authors report their experience of the treatment of pediatric long anterior urethral stricture using penile circular fasciocutaneous flap. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14775131183037
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http://dx.doi.org/10.1016/j.jpurol.2018.07.008DOI Listing
December 2018
6 Reads

Fasciocutaneous flap with perforating branches of peroneal artery repairing soft tissue loss in anterior and middle parts of children's feet: A STROBE-compliant article.

Medicine (Baltimore) 2018 Aug;97(31):e11351

Department of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, China.

Repairing soft tissue loss in feet's anterior and middle parts has become a problem, especially for children. We observed the feasibility and clinical effects of superficial peroneal fasciocutaneous flap pedicled with terminal perforating branches of peroneal artery for repairing children's feet.Between January 2015 and December 2016, soft tissue loss in anterior and middle regions of feet were repaired using superficial peroneal fasciocutaneous flap pedicled with terminal perforating branches of peroneal artery in 8 children with a median age of 6. Read More

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http://dx.doi.org/10.1097/MD.0000000000011351DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081184PMC
August 2018
4 Reads

Long-term Outcomes of Cranioplasty: Titanium Mesh Is Not a Long-term Solution in High-risk Patients.

Ann Plast Surg 2018 Oct;81(4):416-422

From the Department of Plastic Surgery, and.

Background: Titanium mesh is a popular material for cranioplasty. However, long-term outcomes of these reconstructions remain unknown. We aimed to compare long-term outcomes between patients undergoing both (1) skull reconstruction with titanium mesh and other commonly used cranioplasty materials and (2) scalp reconstructions with locoregional flaps and free tissue transfers. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001559DOI Listing
October 2018
3 Reads

Prevention and management of bacterial infections of the donor site of flaps raised for reconstruction in head and neck surgery.

J Craniomaxillofac Surg 2018 Sep 18;46(9):1669-1673. Epub 2018 Jun 18.

Department for Oral and Craniomaxillofacial and Plastic Surgery, University of Cologne, Germany.

Purpose: In the field of reconstructive head and neck surgery, surgical site infections (SSI) are commonly investigated for the recipient site of various reconstructive procedures. Data about SSI of the donor site of different flaps raised for reconstruction are rare.

Material And Methods: With regard to the bacterial donor site infections, we retrospectively investigated the medical data, surgical reports and wound management protocols of 267 patients who received reconstruction of the head and neck after ablative surgery. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.06.011DOI Listing
September 2018

Reducing the donor site morbidity in radial forearm free flaps by utilizing a narrow radial forearm free flap.

Arch Plast Surg 2018 Jul 15;45(4):345-350. Epub 2018 Jul 15.

Department of Plastic Surgery, Liaquat National Hospital, Karachi, Pakistan.

Background: The radial forearm free flap (RFFF) has remained a leading choice of many plastic surgeons as a fasciocutaneous flap due to its versatility, pedicle length, and simple elevation technique. However, donor site morbidity has led many reconstructive surgeons to limit their use of the RFFF and to use other flaps instead. We propose that using a narrow RFFF (nRFFF) decreases the aesthetic and functional morbidity of the donor site. Read More

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http://dx.doi.org/10.5999/aps.2018.00115DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062702PMC
July 2018
4 Reads

Comparing Radiographic Progression of Bone Healing in Gustilo IIIB Open Tibia Fractures Treated With Muscle Versus Fasciocutaneous Flaps.

J Orthop Trauma 2018 Aug;32(8):381-385

Department of Orthopaedic Surgery, NYU School of Medicine, NYU Langone Orthopedic Hospital, New York, NY.

Objectives: To investigate how muscle and fasciocutaneous flaps influence the progression of bone healing in acute Gustilo IIIB tibia fractures.

Design: Retrospective Chart Review.

Setting: Urban Academic Level I Trauma Center. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001190DOI Listing
August 2018
3 Reads

The Fascia-Only Reverse Posterior Interosseous Artery Flap.

J Hand Surg Am 2019 Mar 19;44(3):249.e1-249.e5. Epub 2018 Jul 19.

Department of Trauma, Hand, Plastic, and Reconstructive Surgery, University Hospital Wuerzburg, Wuerzburg, Germany.

Purpose: Fascia flaps are a preferred method to reconstruct the soft tissue envelope of the hand when a thin and pliable flap is required to cover exposed tendons. The aim of this study was to report on our experience with the fascia-only reversed posterior interosseous artery flap. Contrary to commonly used fascia flaps, this flap does not require free tissue transfer. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.06.012DOI Listing
March 2019
11 Reads

Focus on anatomical aspects of soft tissue coverage options in elbow reconstruction: an updating review.

Surg Radiol Anat 2018 Aug 10;40(8):943-954. Epub 2018 Jul 10.

Department of Orthopedic Surgery, Rouen University Hospital, 1 rue de Germont, 76031, Rouen, France.

Introduction: The elbow joint is particularly exposed to soft tissue injuries associated with fractures and dislocations. Different coverage options within the past decades for recovering loss of soft tissue defects around the elbow region have been proposed based on anatomical research. Our aim was to make an updated focus on the anatomical basis of different techniques of coverage of loss of tissues around the elbow. Read More

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http://dx.doi.org/10.1007/s00276-018-2066-5DOI Listing
August 2018
11 Reads