3,266 results match your criteria Flaps Muscle and Musculocutaneous Flaps


Bilateral Simultaneous Breast Reconstruction with DIEP- and TMG Flaps: Head to Head Comparison, Risk and Complication Analysis.

J Clin Med 2020 Jun 28;9(7). Epub 2020 Jun 28.

Department of Plastic and Reconstructive Surgery, Marienhospital Stuttgart, Teaching Hospital of the Eberhard Karls University Tuebingen, Germany; Boeheimstr 37, 70199 Stuttgart, Germany.

Background: A two center retrospective cohort study of simultaneous bilateral breast reconstructions using double deep inferior epigastric perforator (DIEP) flaps and double transverse myocutaneous/upper gracilis (TMG) flaps was conducted. The aim of this study was to compare surgical procedures, complications, and overall outcome.

Patients And Methods: Two study groups, either receiving a simultaneous bilateral breast reconstruction, with double DIEP flaps ( = 152) in group 1, or double TMG flaps ( = 86) in group 2, were compared. Read More

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http://dx.doi.org/10.3390/jcm9072031DOI Listing

Dual-Plane Gluteal Myocutaneous Flap for Reconstruction of Ischial Tuberosity Pressure Wounds.

Ann Plast Surg 2020 Jul;85(S1 Suppl 1):S23-S27

From the Long Island Plastic Surgical Group, PC, Garden City, NY.

Purpose: Ischial tuberosity pressure wounds are the most common type of pressure wound and contribute to a large percentage of the total cost of surgical and nonsurgical management of pressure wounds. Gluteal myocutaneous and fascocutaneous flaps are well-documented methods of coverage for ischial pressure wounds. This study aimed to describe results using a novel dual-plane gluteal myocutaneous flap technique for reconstruction of ischial tuberosity pressure wounds. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002331DOI Listing

Patient satisfaction in one-stage immediate breast reconstruction after mastectomy: A multi-center comparative patient evaluation of prosthesis, LDMF, and TRAM techniques.

Medicine (Baltimore) 2020 May;99(22):e19991

Department of Breast Surgery, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.

To analyze patient satisfaction and the predictive factors characterizing three types of one-stage immediate breast reconstruction (IBR) after mastectomy, including prosthesis, latissimus dorsi myocutaneous flap (LDMF), transverse rectus abdominis myocutaneous (TRAM) flap techniques.Data were collected via face-to-face or telephone interviews from eight breast centers in China from January 2012 to December 2016. A standardized questionnaire that evaluated the general satisfaction and aesthetic satisfaction was sent to patients who had undergone IBR. Read More

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http://dx.doi.org/10.1097/MD.0000000000019991DOI Listing
May 2020
5.723 Impact Factor

Evaluation of Residual Neuro-Muscular Integrity in the Orbicularis Oculi Muscle After Lower Eyelid Transcutaneous Blepharoplasty According to Reidy Adamson-s Flap.

Aesthetic Plast Surg 2020 May 26. Epub 2020 May 26.

Plastic and Reconstructive Microsurgery, Careggi University Hospital, Viale Giacomo Matteotti 42, 50132, Florence, Italy.

Background: The aging process affects skin, muscle and fat of the eyes in a different manner. Their individual rejuvenation would require specific surgical treatment according to their particular demands during lower eyelid blepharoplasty. This would require the separate management of the skin and the muscle by separating them into two different flaps. Read More

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http://dx.doi.org/10.1007/s00266-020-01783-2DOI Listing

[Effects of pedicled rectus abdominis myocutaneous flap combined with free deep inferior epigastric artery perforator flap carrying inguinal lymphatic flap in breast reconstruction and upper limb lymphedema treatment post radical mastectomy].

Zhonghua Shao Shang Za Zhi 2020 Apr;36(4):297-303

Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.

To explore the effects of pedicled rectus abdominis myocutaneous (PRAM)flap combined with free deep inferior epigastric artery perforator (DIEAP) flap carrying inguinal lymphatic flap in breast reconstruction and upper limb lymphedema treatment post radical mastectomy. From October 2014 to September 2016, 9 patients with upper limb lymphedema after mastectomy were treated with PRAM flap combined with free DIEAP flap carrying inguinal lymphatic flap for breast reconstruction and upper limb lymphedema treatment in Hunan Province Cancer Hospital. The patients were all females, aged 34-66 (44±7) years. Read More

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http://dx.doi.org/10.3760/cma.j.cn501120-20190117-00011DOI Listing

Bilateral Fascia Lata Flap: An Alternative for Massive Abdominal Wall Defect Repair.

Plast Reconstr Surg Glob Open 2020 Feb 28;8(2):e2577. Epub 2020 Feb 28.

American British Cowdray Medical Center I.A.P., Mexico City, Mexico.

The abdominal wall represents a unique structure of dermo-myotendinous conformation that is considered a surgical challenge. The musculocutaneous pedicled flap, using tensor fasciae latae muscle (TFL), is a technique of abdominal wall repair, and it is becoming a more frequent reconstructive procedure. It is a well-suited procedure because it provides both a semirigid fascia layer and adequate skin coverage. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002577DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159935PMC
February 2020

Free Medial Plantar Flap Versus Free Dorsal Myocutaneous Flap for the Reconstruction of Traumatic Foot Sole Defects.

Ann Plast Surg 2020 May;84(5S Suppl 3):S178-S185

From the Department of Plastic and Reconstructive Surgery, First Medical Center of PLA General Hospital.

Background: Trauma can cause large defects in the weight-bearing foot sole. The reconstruction of such defects poses a major challenge in providing a flap that is durable, sensate, and stable. The pedicled medial plantar flap has been commonly used for reconstructing heel and plantar forefoot defects; however, the ipsilateral instep region is usually compromised by trauma. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002373DOI Listing

Recurrent late seroma after immediate breast reconstruction with latissimus dorsi musculocutaneous flap.

Arch Plast Surg 2020 May 10;47(3):267-271. Epub 2020 Apr 10.

Busan Cancer Center, Pusan National University Hospital, Busan, Korea.

The latissimus dorsi musculocutaneous flap (LDMCF) is widely used for breast reconstruction. However, it has the disadvantage of frequent seroma formation at the donor site, and late seroma has also been reported. The authors report histological findings after the surgical treatment of a late, repeatedly recurrent seroma at 10 years after breast reconstruction with LDMCF. Read More

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http://dx.doi.org/10.5999/aps.2019.00402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264904PMC

Incidence of Complications in Delayed Abdominal-Based Flap Breast Reconstruction Using a Drainless Recipient Site: A Case Series.

Ann Plast Surg 2020 Jul;85(S1 Suppl 1):S37-S40

Plastic and Reconstructive Surgery, MedStar Franklin Square Medical Center, Baltimore, MD.

Background: Seroma is a common complication after breast surgery such as mastectomy and immediate reconstruction. However, there is a lack of evidence for the utility of drains in the recipient site in delayed autologous breast reconstruction. We reviewed our experience with delayed abdominal-based flap breast reconstruction with a drainless recipient site. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002328DOI Listing

Interdisciplinary Treatment of Breast Cancer After Mastectomy With Autologous Breast Reconstruction Using Abdominal Free Flaps in a University Teaching Hospital-A Standardized and Safe Procedure.

Front Oncol 2020 5;10:177. Epub 2020 Mar 5.

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

Breast cancer is the most common malignancy in women. The interdisciplinary treatment is based on the histological tumor type, the TNM classification, and the patient's wishes. Following tumor resection and (neo-) adjuvant therapy strategies, breast reconstruction represents the final step in the individual interdisciplinary treatment plan. Read More

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http://dx.doi.org/10.3389/fonc.2020.00177DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066123PMC

Repair of a complex abdominal wall defect with anterolateral thigh flap: a good surgical alternative.

Cir Cir 2020 ;88(2):206-210

Servicio de Anestesiología, Hospital Ángeles Lomas, Ciudad de México. México.

Introduction: Reconstruction of the abdominal wall with major defects usually represents a surgical challenge, especially in cases where the defects are recurrent and have a large size that avoids the use of adjacent tissues for an adequate closure. According to each region the abdomen topography is divided into three regions: upper, middle and lower. Several reconstructive alternatives have been described according to the affected area of the abdomen that include the separation of the muscularis aponeurotic components of the abdominal rectus sheath, the flap of the rectus abdominus muscle with or without cutaneous island, the flap dependent on the dorsal muscle and muscular or musculocutaneous thigh flaps to reconstruct the lower area of the abdomen which is called anterolateral thigh (ALT) flap. Read More

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http://dx.doi.org/10.24875/CIRU.19000671DOI Listing
January 2020

Geometric Measurements of Nipple Position in Breasts Reconstructed with Transverse Rectus Abdominis Musculocutaneous Flap: A 5-Year Prospective Study.

Plast Reconstr Surg 2020 03;145(3):491e-498e

Seoul and Busan, Republic of Korea; Chicago, Ill.; and Frankfurt, Germany From the Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine; the Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital; the Department of Economics, University of Chicago; and the Department of Plastic, Hand, and Reconstructive Surgery, BG Unfallklinik.

Background: After breast reconstruction, nipple position and other long-term changes in the reconstructed breast relative to the contralateral breast remain poorly understood. In this prospective cohort study, the authors performed serial nipple position measurements over 5 years in patients who had undergone breast reconstruction with a transverse rectus abdominis musculocutaneous (TRAM) flap. The effects of adjuvant radiotherapy on nipple position over time were also investigated. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006544DOI Listing

The Role of Myocutaneous Flaps in the Treatment of Patients with Multiple Decubitus Ulcers.

J Med Life 2019 Oct-Dec;12(4):453-456

Department of Plastic and Reconstructive Surgery, "Bagdasar-Arseni" Emergency Clinical Hospital, Bucharest, Romania.

The current research aims to present the therapeutic approach in the case of a paraplegic patient hospitalized in the Plastic Surgery Department at the "Bagdasar-Arseni" Emergency Clinical Hospital for the treatment of decubitus ulcers located at the level of the sacral, left trochanteric and posterior thoracic regions. The particularity of the case is given by the complexity of the surgical interventions necessary for the reconstruction of the above-mentioned anatomical regions. In order to cover the sacral region, two gluteal myocutaneous flaps were used, followed by a tensor fascia lata flap for the trochanteric lesion. Read More

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http://dx.doi.org/10.25122/jml-2019-0104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993285PMC

Flap Reconstruction for Deep Sternal Wound Infections: Factors Influencing Morbidity and Mortality.

Ann Thorac Surg 2020 05 23;109(5):1584-1590. Epub 2020 Jan 23.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.

Background: Deep sternal wound infections (DSWI) often require flap reconstruction to obliterate dead space and provide healthy soft tissue coverage. A better understanding of risk factors for complications after DSWI flap reconstruction may improve operative management.

Methods: A retrospective study (2007-2018) was conducted of all patients with DSWI after cardiothoracic procedure referred to a single reconstructive surgeon for flap reconstruction. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.12.014DOI Listing

Dual vascular free transverse rectus abdominis myocutaneous flap for hemifacial reconstruction in a vessel-depleted neck.

Arch Plast Surg 2020 Jan 15;47(1):88-91. Epub 2020 Jan 15.

Department of Plastic Surgery, Korea University College of Medicine, Seoul, Korea.

Cutaneous squamous cell carcinoma (SCC) is the second most common skin malignancy. This report describes the case of an unusual extensive SCC involving the whole hemiface, which required reconstruction with a combination of a dual vascular free transverse rectus abdominis muscle (TRAM) flap and a skin graft. A 79-year-old woman visited our hospital with multiple large ulcerated erythematous patches on her right hemiface, including the parieto-temporal scalp, bulbar and palpebral conjunctiva, cheek, and lip. Read More

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http://dx.doi.org/10.5999/aps.2019.00927DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976761PMC
January 2020

Sternal Wound Reconstruction Made Simple.

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

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

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

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

Biologic Basis of De-Epithelialized Transverse Platysma Flap for Oral Cavity Reconstruction.

Iran J Otorhinolaryngol 2019 Nov;31(107):343-347

Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Introduction: The inferiorly and laterally based platysma myocutaneous flap contains hair in some ethnics; therefore, it is required to change the myocutaneous flap to myofascial flap to prevent the hair growth after its transfer to the oral cavity.

Materials And Methods: Five male mongrel dogs were selected for this study. De-epithelialized laterally based platysma flap, muscle part facing the oral cavity, was used for buccal reconstruction. Read More

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http://dx.doi.org/10.22038/ijorl.2019.26361.1861DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6914321PMC
November 2019

Pre-Expanded Latissimus Dorsi Myocutaneous Flap for Total Scalp Defect Reconstruction.

J Craniofac Surg 2020 Mar/Apr;31(2):e151-e153

Department of Plastic and Burn Surgery, West China Hospital of Sichuan University, Chengdu.

Scalp defects can be caused by various factors, and reconstruction options for scalp defects include skin grafts, local flaps, tissue expanders, and free flaps. However, currently, it is widely accepted that the use of free flaps is the most feasible method for extensive scalp defect reconstruction. While multiple flaps have been used to reconstruct scalp defects, the reconstruction of total scalp defects still remains challenging. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006084DOI Listing

Reconstruction of a large pelvic defect by transfer of a quadruplet combination of pedicled flaps from the medial thigh using bilateral muscular gracilis flaps and bilateral vertical posteromedial thigh (vPMT) propeller flaps-A case report.

Microsurgery 2020 May 5;40(4):486-491. Epub 2019 Dec 5.

Depatment of Hand- and Plastic Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.

The reconstruction of defects of the perianal area and vagina places a high demand on a reconstructive surgeon. Different reconstructive methods include a skin graft, a local skin flap, a musculocutaneous flap, and a pedicled perforator flap. Here, we report the case of a 59-year-old female patient with a pelvic defect, who underwent reconstruction with a quadruplet combination of pedicled flaps from the medial thigh, due to an extensive resection of a recurrence of a squamous cell carcinoma of the anus, vulva, and partially the colon. Read More

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http://dx.doi.org/10.1002/micr.30544DOI Listing

[Limb salvage strategies for patients with high voltage electric burns of extremities on the verge of amputation].

Zhonghua Shao Shang Za Zhi 2019 Nov;35(11):776-783

Department of Burns, Beijing Jishuitan Hospital, Beijing 100035, China.

To explore the limb salvage strategies for patients with high voltage electric burns of extremities on the verge of amputation. From January 2003 to March 2019, 61 patients with high voltage electric burns of extremities on the verge of amputation were treated in our hospital. All of them were male, aged 15-58 years, including 49 cases of upper limbs and 12 cases of lower limbs. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.11.003DOI Listing
November 2019

Modifield musculocutaneous gracilis flap A case report.

Ann Ital Chir 2019 Oct 9;8. Epub 2019 Oct 9.

A heterogeneous range of malignant pathologies affects vulvar and perineal regions. Today standard radical mutilating surgery for the treatment of invasive vulvar carcinoma is being replaced by a conservative and individualized approach. Defects of the external pelvis and perineal lining are usually reconstructed with local or regional fasciocutaneous flaps. Read More

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October 2019
2 Reads

Postoperative Cancer Surveillance Following Oncoplastic Surgery with Latissimus Dorsi Flap: a Matched Case-Control Study.

Ann Surg Oncol 2019 Dec 11;26(13):4681-4691. Epub 2019 Oct 11.

Department of Plastic and Reconstructive Surgery, and Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, Korea.

Background: The latissimus dorsi (LD) myocutaneous flap is a widely used local option in oncoplastic surgery for avoiding breast deformities; however, concerns exist regarding its influence in monitoring recurrence. In this study, we evaluated the impact of this flap on postoperative cancer surveillance.

Methods: Each patient receiving oncoplastic surgery with LD flap after partial mastectomy were matched in age, cancer stage, and body mass index with patients receiving partial mastectomy alone. Read More

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http://dx.doi.org/10.1245/s10434-019-07898-4DOI Listing
December 2019
2 Reads
3.930 Impact Factor

Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap.

Indian J Plast Surg 2019 May 12;52(2):242-245. Epub 2019 Jul 12.

Department of Plastic Surgery, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy.

Lower lip is an important anatomical unit in daily life activities, and its proper functional and aesthetic reconstruction is crucial. In the literature, both locoregional and microsurgical flaps have been described in lower lip reconstruction. Few authors have reported lower lip reconstruction with gracilis free flap. Read More

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http://dx.doi.org/10.1055/s-0039-1693511DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785335PMC
May 2019
1 Read

Bilobed Gracilis Flap: A Novel Alternative for Pelvic and Perineal Reconstruction.

Plast Reconstr Surg 2020 01;145(1):231-234

Tampa, Fla. From the Department of Plastic and Reconstructive Surgery, Morsani College of Medicine, University of South Florida.

Perineal reconstruction historically has been guided by the vertical rectus abdominis myocutaneous flap. In oncologic patients, because of prior surgical intervention, this donor site is often unavailable, the pelvis has been irradiated, and defects can be deep or irregularly contoured. Using plastic surgery principles of perforators, geometrically defined local tissue rearrangement, and flap inset, the authors have developed a modification of the gracilis flap to include a second soft-tissue arm similar to a bilobed flap. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006341DOI Listing
January 2020

Application of a "fish mouth flap" combined with an orbicularis oculi myocutaneous flap after surgical removal of basal cell carcinoma in the facial buccal region.

Indian J Dermatol Venereol Leprol 2019 Nov-Dec;85(6):649-652

Department of Dermatology, Medical Cosmetic Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

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http://dx.doi.org/10.4103/ijdvl.IJDVL_1003_18DOI Listing
March 2020
1 Read

Preoperative cross-sectional mapping for deep inferior epigastric and profunda artery perforator flaps.

Cardiovasc Diagn Ther 2019 Aug;9(Suppl 1):S131-S142

Department of Radiology, UT Health Science Center, San Antonio, TX, USA.

Perforator flap-based breast reconstruction in a post mastectomy patient requires dissection of the artery-vein bundle (perforators) responsible for perfusion of the subcutaneous fat and skin of the flap. Traditionally, these reconstructions were performed with the transverse rectus abdominis myocutaneous (TRAM) flap, but autologous breast reconstruction using muscle sparing free flaps has become steadily more popular in recent years. Preoperative imaging to locate and evaluate candidate perforators has become an essential step before patients undergo the microsurgical procedure. Read More

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http://dx.doi.org/10.21037/cdt.2018.10.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732116PMC
August 2019
1 Read

Through-knee amputation: mediolateral fasciocutaneous flaps with the addition of a protective gastrocnemius layer.

Ann R Coll Surg Engl 2020 Feb 18;102(2):162-163. Epub 2019 Sep 18.

Vascular Surgery, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.

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http://dx.doi.org/10.1308/rcsann.2019.0127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996440PMC
February 2020
2 Reads

MRI of surgical flaps in pelvic reconstructive surgery: a pictorial review of normal and abnormal findings.

Abdom Radiol (NY) 2019 Sep 16. Epub 2019 Sep 16.

Division of Abdominal and Body Imaging, Department of Radiology, College of Medicine-Jacksonville, University of Florida, 2nd Floor, Clinical Center, 655 West 8th Street, C90, Jacksonville, FL, 32209, USA.

Surgical flaps are commonly used for pelvic reconstruction in a subgroup of patients with locally advanced or recurrent anorectal and gynecologic malignancies and following complications of pelvic irradiation. Surgical scenarios where flaps may be placed include (but are not limited to) extended or radical abdominal perineal resection (APR) and total pelvic exenteration (PE). Surgical flaps in pelvic reconstruction serve several functions, including reducing dead space and providing structural support, facilitating wound closure and cosmetic appearance, enhancing the postsurgical healing process, protecting anastomoses and helping to prevent adhesions of organs and viscera to adjacent structures and the pelvic side wall. Read More

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http://dx.doi.org/10.1007/s00261-019-02211-zDOI Listing
September 2019
3 Reads

Squamous cell carcinoma of the renal pelvis presenting as an integumentary neoplasm of the flank: A case report.

Medicine (Baltimore) 2019 Sep;98(36):e17049

Chonbuk National University, Biomedical Research Institute of Chonbuk National University Hospital, Research Institute of Clinical Medicine of Chonbuk National University, Department of Orthopedic Surgery.

Rationale: Although chronic pyelonephritis and urolithiasis are established risk factors for squamous cell carcinoma (SCC), only a minority of patients with chronic urolithiasis eventually develop SCC. It is believed that the chronic irritation leads to squamous cell metaplasia that may subsequently develop into SCC. Although studies show that SSC generally spreads locally with associated symptoms of lymphadenopathy, metastasis to the lungs and liver have also been reported. Read More

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http://dx.doi.org/10.1097/MD.0000000000017049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6739005PMC
September 2019
3 Reads

Invited Discussion on: Identifying Preoperative Factors Associated with the Volume Discrepancy in Patients Undergoing Breast Reconstruction with the Extended Latissimus Dorsi Musculocutaneous Flap Coverage.

Authors:
Rieka Taghizadeh

Aesthetic Plast Surg 2019 12 20;43(6):1497-1499. Epub 2019 Aug 20.

Department of Plastic Surgery, St Helen and Knowsley Teaching Hospitals, Liverpool, UK.

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http://dx.doi.org/10.1007/s00266-019-01473-8DOI Listing
December 2019

Revisiting the sternocleidomastoid flap as a reconstructive option in head and neck surgery.

J Laryngol Otol 2019 Aug 19:1-5. Epub 2019 Aug 19.

Department of Otolaryngology, Head and Neck Surgery, Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, UK.

Background: The sternocleidomastoid can be used as a pedicled flap in head and neck reconstruction. It has previously been associated with high complication rates, likely due in part to the variable nature of its blood supply.

Objective: To provide clinicians with an up-to-date review of clinical outcomes of sternocleidomastoid flap surgery in head and neck reconstruction, integrated with a review of vascular anatomical studies of the sternocleidomastoid. Read More

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http://dx.doi.org/10.1017/S0022215119001592DOI Listing
August 2019
1 Read

Effects of vasopressors on circulation in the porcine abdominal island flap model.

J Plast Reconstr Aesthet Surg 2019 Oct 27;72(10):1653-1660. Epub 2019 Jun 27.

Department of Plastic and Reconstructive Surgery, Korea University Medical Center, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, 15355, Korea. Electronic address:

Background: During reconstructive surgical procedures, systemic vasopressors are frequently used to maintain normal blood pressure. However, questions have arisen regarding the pharmacologic effects of vasopressors on flap circulation. Many plastic surgeons have expressed concern about the possibility of impaired flap circulation caused by the vasoconstrictive effect of the drugs. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.06.009DOI Listing
October 2019
1.474 Impact Factor

Letter to the Editor Following "Optimal Reconstruction Method for Large Radionecrosis Following Breast Cancer Treatment" by Ha et al, Annals of Plastic Surgery, 2018.

Ann Plast Surg 2020 02;84(2):246

Department of Plastic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seoul, South Korea

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http://dx.doi.org/10.1097/SAP.0000000000001957DOI Listing
February 2020
2 Reads

Subbrow Blepharoplasty Combined with Periorbital Muscle Manipulation for Periorbital Rejuvenation in Asian Women.

Plast Reconstr Surg 2019 11;144(5):760e-769e

Xi'an, Shaanxi, People's Republic of China From the Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University.

Background: With advancing age, Asian women are often plagued by lateral hooding of the upper eyelid skin, eyebrow ptosis, and obvious periorbital wrinkles. The authors propose a novel technique to revive the natural eyelid shape with a stable eyebrow position and alleviate periorbital wrinkles in Asian women.

Methods: Sixty-six patients underwent subbrow blepharoplasty combined with periorbital muscle manipulation. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006144DOI Listing
November 2019
3 Reads

Chest wall reconstruction following iatrogenic Eloesser-type wounds: The rush algorithm.

J Plast Reconstr Aesthet Surg 2019 Oct 17;72(10):1700-1738. Epub 2019 Jul 17.

Department of Surgery, Division of Plastic and Reconstructive Surgery, Rush University Medical Center, 1625 W Harrison St, Chicago, IL 60612, United States.

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http://dx.doi.org/10.1016/j.bjps.2019.06.038DOI Listing
October 2019
1 Read
1.474 Impact Factor

Indications and results of extended total laryngectomy with en-bloc resection of overlying cervical skin.

Eur Arch Otorhinolaryngol 2019 Nov 26;276(11):3179-3184. Epub 2019 Jul 26.

Otorhinolaryngology Department, Hospital de La Santa Creu I Sant Pau, Universitat Autònoma de Barcelona, C/ Mas Casanovas, 90, 08041, Barcelona, Spain.

Purpose: Extended total laryngectomy with en-bloc resection of overlying cervical skin (ETL) is indicated in cases with infiltration of the pre-laryngeal soft tissues. The present study analyses the surgical indications and the results of ETL in our hospital.

Methods: Retrospective review of 38 patients treated with an ETL during the period 1988-2016. Read More

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http://dx.doi.org/10.1007/s00405-019-05573-8DOI Listing
November 2019
3 Reads

Extensive Microsurgical Reconstruction of Chest Wall Defects for Locally Advanced Breast Cancer: A 10-Year Single-Unit Experience.

Ann Plast Surg 2020 03;84(3):293-299

From the Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan.

Background: Despite improvements in the early detection of breast cancer, locally advanced breast cancer (LABC) involving the chest wall exists in developing countries. Surgical resection remains a controversial management option. This study aims to demonstrate the value of chest wall reconstructive techniques for large LABC defects and report long-term outcomes. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002000DOI Listing
March 2020
3 Reads
1.458 Impact Factor

Evaluation of Anatomic Variations of Fibula Free Flap in Human Fresh Cadavers.

World J Plast Surg 2019 May;8(2):229-236

Department of Oral and Maxillofacial Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: Reconstruction of the head and neck defects is still one of the most challenging surgeries for the surgeons. This study investigated on anatomic variations of fibula free flap in human fresh cadavers.

Methods: Twenty fibula free flaps harvested from 10 fresh human corpses were enrolled. Read More

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http://dx.doi.org/10.29252/wjps.8.2.229DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620816PMC
May 2019
5 Reads

Staged Treatment of Chest Wall Radiation-Induced Ulcer With Negative Pressure Wound Therapy and Latissimus Dorsi Myocutaneous Flap Transplantation.

J Craniofac Surg 2019 Jul;30(5):e450-e453

Department of Burns and Plastic Surgery.

Chest wall ulcer induced by postmastectomy radiation therapy (PRMT) remains challenging for plastic surgeons because of the reduced blood supply, fibrosis, and impaired cellular potential in the irradiated area. In this study, chest wall ulcer was treated with negative pressure wound therapy (NPWT) and the latissimus dorsi myocutaneous (LDM) flap reconstruction in 2 stages. A retrospective study was performed on consecutive patients with chronic radiation-induced ulcers in chest wall from June 2012 to June 2017. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005514DOI Listing
July 2019
3 Reads

Perforator Flaps Based on the Terminal Perforators of the Pectoral Branch of Thoracoacromial Vessels Axis: A Viable Option in the Head and Neck Reconstructions.

Ann Plast Surg 2020 01;84(1):76-84

From the Department of Plastic Reconstructive and Faciomaxillary Surgery, Madras Medical College, Chennai, India.

Background: The purpose of this article is to develop a new method for elevating the pedicled terminal pectoral perforator flaps (PTPPFs) and to resolve the difficulties and controversies that shroud the anatomy of terminal pectoral perforators from the pectoral branch of the thoracoacromial axis.

Aim: Anatomical study was conducted to assess the feasibility of perforator flaps based on the terminal perforators of the pectoral branch of the thoracoacromial vessel axis. The knowledge that gleaned from this anatomical study was applied in the clinical scenario. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001952DOI Listing
January 2020
7 Reads

Emergency Repair of Severe Limb Injuries With Free Flow-Through Chimeric Anterolateral Thigh Perforator Flap.

Ann Plast Surg 2019 12;83(6):670-675

Department of Microsurgery, Orthopedic Trauma and Hand Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Background: Complex limb trauma often involves both soft tissue and vascular defects, and is challenging for surgeons. The traditional musculocutaneous flap cannot achieve a 3-dimensional wound repair. Here we report our experience with a single-stage reconstruction and revascularization performed on complex extremity injuries using a free flow-through chimeric anterolateral thigh perforator (ALTP) flap. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001913DOI Listing
December 2019
18 Reads

End-to-Side Venous Anastomosis to a Ligated Vein Stump for Free Flap Transfer in Head and Neck Reconstruction.

Ann Plast Surg 2019 08;83(2):180-182

Department of Oral Surgery, Hokuto Hospital, Obihiro, Hokkaido, Japan.

Introduction: In head and neck reconstruction, use of a free flap paired with end-to-side anastomosis to a preserved vein is generally performed. However, it is frequently difficult to select the recipient vein after a neck dissection in which there is only a ligated internal jugular vein/external jugular vein (IJV/EJV). Here, a new anastomosis technique using a ligated IJV/EJV stump is described. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001905DOI Listing
August 2019
6 Reads

Rezoning Free Muscle-Sparing Transverse Rectus Abdominis Myocutaneous Flaps Based on Perforasome Groupings and a New Understanding of the Vascular Architecture of the Deep Inferior Epigastric Artery-Based Flaps.

Ann Plast Surg 2019 12;83(6):e59-e67

From the Department of Plastic and Reconstructive Surgery, School of Medicine, Fukuoka University, Fukuoka, Japan.

Background: We compare the vascular territory of free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flaps, deep inferior epigastric perforator (DIEP) flaps, and crossover anastomosis (CA) flaps using intraoperative ex vivo angiography. We also use ex vivo angiography to analyze the vascular architecture of the MS-TRAM flap.

Methods: Our study includes 84 lower abdominal free flaps: MS-TRAM, DIEP-1 (1 perforator), DIEP-2 (2 perforators), and CA. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001859DOI Listing
December 2019
16 Reads

Porcine experimental model for gracilis free flap transfer to the head and neck area with novel donor site description.

J Plast Reconstr Aesthet Surg 2020 Jan 22;73(1):111-117. Epub 2019 May 22.

Head and Neck Surgery and Reconstructive Surgery Section of the Oto-rhino-laryngology Department, Hospital Universitario Donostia-Donostia Unibersitate Ospitalea, P° Dr. Begiristain 109, 20004 Donostia San Sebastián, Gipuzkoa, Spain.

Introduction: Functional free tissue transfer in the form of muscle free flap is a challenging surgical procedure and needs a steep learning curve. A porcine model for free muscle transfer and insetting in a distant area is of great interest in reconstructive microsurgery due to the experience and learning curve necessary to perform these surgeries. The aim of this study was to assess the feasibility of a swine model for gracilis muscle free transfer and to describe the donor site anatomy. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.05.032DOI Listing
January 2020
9 Reads

Ethnic differences in platysmal perforators and its relevance for the platysma myocutaneous flap.

J Plast Reconstr Aesthet Surg 2019 Aug 16;72(8):1272-1277. Epub 2019 May 16.

Department of Medical Education, Albany Medical College, Albany, NY, USA. Electronic address:

Background: Variable flap loss rates for the platysma myocutaneous flap have been reported for the Caucasian and the Asian population, which are 10.1% and 1.6%, respectively. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.05.001DOI Listing
August 2019
5 Reads

Multicentre, randomised trial comparing acellular porcine collagen implant versus gluteus maximus myocutaneous flap for reconstruction of the pelvic floor after extended abdominoperineal excision of rectum: study protocol for the Nordic Extended Abdominoperineal Excision (NEAPE) study.

BMJ Open 2019 05 29;9(5):e027255. Epub 2019 May 29.

Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden.

Introduction: Different surgical techniques are used to cover the defect in the floor of the lesser pelvis after an 'extralevator' or 'extended' abdominoperineal excision for advanced rectal cancer. However, these operations are potentially mutilating, and the reconstruction method of the pelvic floor has been studied only sparsely. We aim to study whether a porcine-collagen implant is superior or equally beneficial to a gluteus maximus myocutaneous flap as a reconstruction method. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-027255DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6549677PMC
May 2019
11 Reads

Free vastus lateralis musculocutaneous flap transfer for radiation-induced chest wall fistula combined with osteomyelitis: Two case report.

Medicine (Baltimore) 2019 May;98(22):e15859

Department of Cardiothoracic Surgery, Tongde Hospital of Zhejiang Province.

Rationale: Chronic chest wall fistula is a refractory and agonizing disease that results from multiple predisposing etiologies, including radiation-induced damage. Successful management remains challenging when this condition is combined with osteomyelitis, and a limited number of reports have been published in the literature concerning this management.

Patient Concerns: Two Chronic chest wall fistula patients were selected to undergo surgery in our hospital because they could not be cured by conventional therapy for several years. Read More

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http://dx.doi.org/10.1097/MD.0000000000015859DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709280PMC
May 2019
4 Reads

Long-Term Serial Measurement of Muscle Volume in TRAM Flaps Using the Eclipse Treatment Planning System.

Plast Reconstr Surg 2019 06;143(6):1137e-1141e

Seoul, Republic of Korea From the Departments of Plastic Surgery and Radiation Oncology, Asan Medical Center, University of Ulsan College of Medicine; and the Department of Plastic Surgery, HongCheon Asan Hospital.

Background: Muscle flaps used in reconstructive surgery are known to lose volume over time because of denervation and disuse atrophy. However, there is currently no agreement on a quantitative approach to evaluating volume changes. Here, long-term serial measurement of muscle volume in transverse rectus abdominis musculocutaneous (TRAM) flap breast reconstruction has been conducted using the Eclipse treatment planning system. Read More

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http://Insights.ovid.com/crossref?an=00006534-900000000-9758
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http://dx.doi.org/10.1097/PRS.0000000000005609DOI Listing
June 2019
8 Reads