3,114 results match your criteria Flaps Muscle and Musculocutaneous Flaps


[Application of dual-pedicle abdominal flap for unilateral breast reconstruction].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Jan;33(1):70-74

Department of Plastic and Reconstructive Surgery, Peking University People's Hospital, Beijing, 100044, P.R.China.

Objective: To explore the effectiveness of dual-pedicle abdominal flap for unilateral breast reconstruction.

Methods: Between March 2014 and March 2018, a clinical data of 19 female patients underwent dual-pedicle abdominal flap reconstruction because of unilateral mastectomy defect was reviewed retrospectively. The median age was 45 years (range, 32-51 years), including 3 immediate breast reconstruction and 16 delayed breast reconstruction, and left side in 7 cases and right side in 12 cases. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201807043
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http://dx.doi.org/10.7507/1002-1892.201807043DOI Listing
January 2019
2 Reads

Usefulness of the orbicularis oculi myocutaneous flap in periorbital reconstruction.

Arch Craniofac Surg 2018 Dec 27;19(4):254-259. Epub 2018 Dec 27.

Department of Dermatology, Pusan National University Hospital, Busan, Korea.

Background: The esthetic and functional outcomes of periorbital defect reconstruction are very important because of the complex anatomy and specialized functions of this region. The orbicularis oculi myocutaneous (OOMC) flap is useful for the reconstruction of periorbital defects. But, according to the location and depth of the defects, the reconstruction using OMC flaps with various techniques is rare. Read More

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http://dx.doi.org/10.7181/acfs.2018.02019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325325PMC
December 2018

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 application of computed tomography angiography and three-dimensional reconstruction in repairing high-voltage electrical burn wounds in necks, shoulders, axillas, and upper arms with tissue flaps].

Zhonghua Shao Shang Za Zhi 2018 Dec;34(12):874-880

Department of Burns and Plastic Surgery, General Hospital of Ningxia Medical University, Yinchuan 750004, China.

To explore the application value of computed tomography angiography (CTA) and three-dimensional reconstruction in repairing high-voltage electrical burn wounds in necks, shoulders, axillas, and upper arms with tissue flaps. From December 2014 to December 2018, 12 patients with high-voltage electrical burns in necks, shoulders, axillas, and upper arms were hospitalized. The size of wounds ranged from 13 cm×10 cm to 32 cm×15 cm after complete debridement. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2018.12.011DOI Listing
December 2018

Reverse turnover pedicled latissimus dorsi muscle flap for lower back reconstruction: Two case reports.

Medicine (Baltimore) 2018 Dec;97(51):e13851

Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Large soft tissue defects on the lower back represent a treatment challenge. Among a variety of reconstructive procedures, the latissimus dorsi (LD) muscle or musculocutaneous flap is one of most frequently used pedicled flaps. However, the pedicled LD flap carries a bulky pivot point and a short arc of rotation. Read More

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http://Insights.ovid.com/crossref?an=00005792-201812210-0013
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http://dx.doi.org/10.1097/MD.0000000000013851DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320210PMC
December 2018
5 Reads

A cost-effectiveness analysis of DIEP vs free MS-TRAM flap for microsurgical breast reconstruction.

J Surg Oncol 2018 Dec 18. Epub 2018 Dec 18.

Division of Plastic and Reconstructive Surgery, University Health Network, Toronto, Ontario, Canada.

Background And Objectives: The deep inferior epigastric perforator (DIEP) flap may be associated with less long-term donor-site morbidity compared with free muscle-sparing transverse rectus abdominis myocutaneous flap (MS-TRAM) flap. However, DIEP flaps may have longer operative time and higher rates of acute postoperative complications. We performed a cost-effectiveness analysis (CEA) that compared the long-term costs and patient-reported outcomes between the two flaps. Read More

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http://dx.doi.org/10.1002/jso.25325DOI Listing
December 2018
1 Read

The Reach of the Gastrocnemius Musculocutaneous Flap: How High Is High?

World J Plast Surg 2018 Sep;7(3):319-325

Department of Plastic Surgery, BJG Medical College and Sassoon Hospital, Pune, India.

Background: Gastrocnemius muscle and musculocutaneous flaps are very versatile and one of the commonly used flaps for lower extremity reconstruction. There is significant literature available on the use of these flaps. However, we feel that the potential of the gastrocnemius musculocutaneous (GMC) flaps has not yet been fully explored in terms of increasing their reach, viability and arc of rotation. Read More

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http://dx.doi.org/10.29252/wjps.7.3.319DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290316PMC
September 2018

Distribution of internal thoracic artery perforators: A clincal anatomy study.

Clin Anat 2018 Nov 13. Epub 2018 Nov 13.

Department of Plastic and Reconstructive Surgery, Bundang CHA Medical Center, School of Medicine, CHA University, Seongnam, South Korea.

There are various modifications of the transverse rectus abdominis musculocutaneous flap and deep inferior epigastric perforator flap to reduce the morbidity of the donor site or to augment the vascularity of the flap. For microanastomosis of multiple pedicles, multiple recipient vessels or an intervening vein graft should be provided. In addition, alternative perforator-based flaps used in breast reconstruction have small caliber pedicles. Read More

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http://doi.wiley.com/10.1002/ca.23312
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http://dx.doi.org/10.1002/ca.23312DOI Listing
November 2018
8 Reads

Design of skin islands for a myocutaneous serratus anterior free flap-An anatomical study and clinical implication for pharyngeal reconstruction after laryngopharyngectomy.

Clin Otolaryngol 2018 Nov 9. Epub 2018 Nov 9.

Institute for Head and Neck Diseases, Evangelical Hospital Vienna, Vienna, Austria.

Objectives: The main purpose of this study was to evaluate flap size and flap design of skin islands in myocutaneous serratus anterior free flaps (SAFFs) in fresh cadavers and to further investigate whether myocutaneous SAFFs are suitable flaps for pharyngeal reconstruction after laryngopharyngectomy.

Methods: Dissection and injection of methylene blue were performed in 20 hemithoraces of 13 fresh cadavers to evaluate flap size and location of skin islands. Based on these pre-clinical data, we performed pharyngeal reconstruction with myocutaneous SAFF in five patients after laryngopharyngectomy. Read More

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http://dx.doi.org/10.1111/coa.13257DOI Listing
November 2018
10 Reads

Reconstructions with Different and New Techniques of Large and Extensive Myelomeningocele Defects.

Authors:
Ilteris M Emsen

J Craniofac Surg 2018 Nov 2. Epub 2018 Nov 2.

Department of Plastic Reconstructive and Aesthetic Surgery, Training and Research Hospital, Erzurum, Turkey.

Background: Myelomeningocele and/or meningocele is a defect of spine and spinal cord, and it is congenital. Although meningocele is a mild form of spina bifida, myelomeningocele is a more complex and serious form. There is a sac in both forms at the back. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004879DOI Listing
November 2018
10 Reads

Long-Term Effects on Volume Change in Musculocutaneous Flaps after Head and Neck Reconstruction.

J Reconstr Microsurg 2018 Sep 21. Epub 2018 Sep 21.

Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

Objective:  Musculocutaneous flap reconstruction surgery is one of the standard procedures following head and neck cancer resection. However, no previous studies have classified flaps in terms of muscle and fat or examined them after long-term follow-up. The purpose of this study was to estimate the fat and muscle volume changes in musculocutaneous flaps during long-term follow-up. Read More

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http://dx.doi.org/10.1055/s-0038-1672134DOI Listing
September 2018

Reconstruction of Temporal Bone Defect Using a Vertically-Oriented Free Muscle-Sparing Rectus Abdominis Musculocutaneous Flap.

J Craniofac Surg 2018 Oct;29(7):1884-1886

Department of Plastic Surgery.

Reconstruction of a temporal bone defect after tumor ablation should provide watertight filling and adequate resurfacing. A muscle-sparing rectus abdominis musculocutaneous (ms-RAMC) flap with de-epithelized skin paddle has been used and early experience was reported. Case series enrolled 7 patients who underwent free ms-RAMC flap after tumor ablation for external auditory canal cancer. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004794DOI Listing
October 2018
5 Reads

Secondary breast reconstruction after mastectomy using the DIEP flap.

Surg Oncol 2018 Sep 26;27(3):513. Epub 2018 Jun 26.

Department of Plastic and Hand Surgery, University Hospital of Erlangen, Erlangen, Germany; Interdisciplinary Breast Center, University Hospital of Erlangen, Erlangen, Germany.

Introduction: Breast reconstruction is an important element in the successful therapy of breast cancer [1]. Thereby, autologous microvascular breast reconstruction has been shown to be a reliable technique. The use of a deep inferior epigastric perforator (DIEP) flap or a muscle-sparing (MS) free transverse rectus abdominis musculocutaneous (TRAM) flap is recognized in many centres as gold standard for reconstructive options [2-4]. Read More

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http://dx.doi.org/10.1016/j.suronc.2018.06.006DOI Listing
September 2018

Reconstruction of infected trunk wounds with pedicled rectus abdominis musculocutaneous flaps: a retrospective case series.

J Wound Care 2018 Sep;27(Sup9a):S4-S11

Professor Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center, Daejeon, Korea.

Objective: To completely treat and cover extensively infected trunk defects, reconstruction should be performed using a sufficiently vascularised flap, such as a muscle or musculocutaneous flap after perfect debridement. These reconstructive surgeries are challenging in patients with severe comorbidities. In this case series, we describe extensively infected trunk defect reconstruction, in patients with severe comorbidities, using a pedicled rectus abdominis musculocutaneous flap and suggest an algorithm for reconstruction. Read More

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http://www.magonlinelibrary.com/doi/10.12968/jowc.2018.27.Su
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http://dx.doi.org/10.12968/jowc.2018.27.Sup9a.S4DOI Listing
September 2018
6 Reads

Intramuscular Lipoma within a Free Myocutaneous Flap: Systematic Review and Management.

J Hand Microsurg 2018 Aug 20;10(2):101-104. Epub 2018 Mar 20.

Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States.

Lipomas are a common finding often of little clinical significance, but they can pose a challenge to the microsurgeon if discovered during flap harvesting, especially if found within the muscle along the pedicle or perforators. Here the authors report a case in which a well-circumscribed intramuscular lipoma was discovered within the muscle of a free myocutaneous right anterolateral thigh (ALT) vastus lateralis free flap. To the authors' knowledge, the management of lipoma during flap harvesting has not been previously discussed in the literature. Read More

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http://dx.doi.org/10.1055/s-0038-1626686DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103749PMC

[Effectiveness of posterior intercostal artery perforator flap in repair of donor defect after latissimus dorsi myocutaneous flap transfer].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1187-1191

Department of Burn &  Plastic and Hand &  Foot Surgery, the Second Hospital of Yulin City , Yulin Shaanxi, 719000, P.R.China.

Objective: To investigate the feasibility and effectiveness of the latissimus dorsi myocutaneous flap in repair of large complex tissue defects of limb and the relaying posterior intercostal artery perforator flap in repair of donor defect after latissimus dorsi myocutaneous flap transfer.

Methods: Between January 2016 and May 2017, 9 patients with large complex tissue defects were treated. There were 8 males and 1 female with a median age of 33 years (range, 21-56 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201803046DOI Listing
September 2018
2 Reads

Volume Change of Pedicled Latissimus Dorsi Muscle Flap after Partial Breast Reconstruction.

J Reconstr Microsurg 2018 Oct 12;34(8):651-657. Epub 2018 Aug 12.

Department of Plastic and Reconstructive Surgery, School of Medicine, Catholic University of Daegu, Daegu, Republic of Korea.

Introduction:  Despite successful breast reconstruction with oversized latissimus dorsi muscle flap after breast-conserving surgery for breast cancer, esthetic problems continue to exist due to flap shrinkage. The purpose of this study was to evaluate the objective volume change of pedicled latissimus dorsi muscle flap when it is used in breast reconstruction.

Methods:  Patients who were diagnosed with breast cancer and underwent a breast-conserving surgery with immediate breast reconstruction with pedicled latissimus dorsi myocutaneous flap between October 2009 and November 2015 were studied. Read More

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http://dx.doi.org/10.1055/s-0038-1667176DOI Listing
October 2018
3 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

Donor-site morbidities in 615 patients after breast reconstruction using a free muscle-sparing type I transverse rectus abdominis myocutaneous flap: a single surgeon experience.

J Plast Surg Hand Surg 2018 Jul 24:1-8. Epub 2018 Jul 24.

a Department of Plastic and Reconstructive Surgery , Seoul National University College of Medicine, Seoul National University Hospital , Seoul , Republic of Korea.

Transverse rectus abdominis myocutaneous flap is one of the most commonly used reconstruction tools after oncological mastectomy. However, post-operative donor-site morbidities remain an issue to be addressed. In this study, we retrospectively reviewed patients with either immediate or delayed breast reconstruction using a free muscle-sparing type I transverse rectus abdominis myocutaneous flap only, performed by a single surgeon, regarding the donor-site morbidity. Read More

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http://dx.doi.org/10.1080/2000656X.2018.1493389DOI Listing
July 2018
3 Reads

Extraocular Pressure Measurements to Avoid Orbital Compartment Syndrome in Aneurysm Surgery.

World Neurosurg 2018 Oct 7;118:e601-e609. Epub 2018 Jul 7.

Department of Neurosurgery, Korea University Medical Center, Korea University College of Medicine, Seoul, Republic of Korea. Electronic address:

Background: Orbital compartment syndrome (OCS) is a rare but devastating complication following pterional craniotomy. Although the causes of OCS are unclear, external compression of the orbit by a myocutaneous flap is commonly mentioned as a major factor. We evaluated the ocular influence of external compression using an extraocular pressure monitor. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.06.248DOI Listing
October 2018
19 Reads

Long-term Outcomes After Pediatric Free Flap Reconstruction.

Ann Plast Surg 2018 Oct;81(4):449-455

Division of Plastic and Reconstructive Surgery, Northshore University Health System, Northbrook, IL.

Introduction: Whereas free tissue transfer has evolved to minimize morbidity in adults, less is known about outcomes after free flaps in children. This study sought to assess short- and long-term outcomes after microvascular reconstruction in the pediatric population.

Methods: Short- and long-term outcomes of free tissue transfer were assessed using chart-review and quality-of-life surveys. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001549DOI Listing
October 2018
10 Reads

[Clinical application of submental artery perforator flap in oral and maxillofacial defect restoration after tumor resection].

Zhonghua Kou Qiang Yi Xue Za Zhi 2018 Jan;53(1):3-7

Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.

To summarize the clinical anatomical features and surgical technique of the submental artery perforator flap (SMAPF), and to evaluate the outcome and value of the flap for oral cavity reconstruction after cancer ablation. A total of 56 patients with oral cancer were included in this study. The modified SMAPF excluded the anterior belly of the digastric muscle and submental fatty tissue. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1002-0098.2018.01.002DOI Listing
January 2018
15 Reads

Should planned/desired pregnancy be considered an absolute contraindication to breast reconstruction with free abdominal Flaps? A retrospective case series and systematic review.

J Plast Reconstr Aesthet Surg 2018 Sep 9;71(9):1295-1300. Epub 2018 Jun 9.

Division of Plastic & Reconstructive Surgery, Stanford University Medical Center, 770 Welch Road, Suite 400, Palo Alto, CA 94304, USA. Electronic address:

Background: Autologous breast reconstruction is considered by many to be the gold standard reconstructive modality following mastectomy. Despite the advantages of autologous reconstruction, however, surgeons have been cautious in recommending this approach to patients who desire to become pregnant postoperatively because of concerns related to abdominal wall morbidity. While intuitive, this approach does not appear to be based on robust data. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.05.032DOI Listing
September 2018

Distal major pedicle of sartorius muscle flap: Anatomical study and its clinical implications.

Indian J Plast Surg 2018 Jan-Apr;51(1):40-45

Department of Anatomy, Ramaiah Medical College, Bengaluru, Karnataka, India.

Background: Reconstruction of the popliteal region has limited option in terms of muscle flaps or myocutaneous flaps. Gastrocnemius muscle or the myocutaneous flaps are the option for majority of cases. However, reach of Gastrocnemius is limited if the wound is on the distal one-third thigh or the lateral aspect of knee region. Read More

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http://dx.doi.org/10.4103/ijps.IJPS_127_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992938PMC

Comprehensive approach to reestablishing form and function after radical parotidectomy.

Am J Otolaryngol 2018 Sep - Oct;39(5):542-547. Epub 2018 Jun 7.

Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, USA.

Introduction: The reconstructive goals following radical parotidectomy include restoration of symmetry, reanimation of the face, and reestablishment of oral competence. We present our experience utilizing the anterolateral thigh (ALT) free flap, orthodromic temporalis tendon transfer (OTTT), and facial nerve cable grafting to reestablish form and function.

Material And Methods: From 2010 to 2016, 17 patients underwent radical parotidectomy followed by immediate reconstruction. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.06.008DOI Listing
December 2018
10 Reads

Assessment of Frontalis Myocutaneous Transposition Flap for Forehead Reconstruction After Mohs Surgery.

JAMA Dermatol 2018 Jun;154(6):708-711

Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

Importance: Forehead reconstruction after Mohs surgery has become a challenge for dermatology surgeons, and achieving an excellent cosmetic and functional result is imperative in this location.

Objective: To highlight the utility of a frontalis myocutaneous transposition flap (FMTF) for forehead reconstruction after Mohs surgery.

Design, Setting, And Participants: Surgical technique case series including 12 patients with large forehead defects recruited between January 2010 and June 2017 at the Dermatology Department of the University Clinic of Navarra, Spain. Read More

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http://dx.doi.org/10.1001/jamadermatol.2018.1213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145651PMC
June 2018
3 Reads

[Reconstruction of oral and maxillofacial soft tissue defects with anterolateral thigh (myocutaneous) flap assisted by computed tomography angiography].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Jun;31(6):702-708

Department of Oral and Maxillofacial Surgery, Southwest Medical University Affiliated Stomatological Hospital, Luzhou Sichuan, 646000,

Objective: To investigate the efficacy of anterolateral thigh (myocutaneous) flap designed with computed tomography angiography (CTA) to reconstruct oral and maxillofacial soft tissue defects.

Methods: Between January 2011 and December 2015, 23 cases of oral and maxillofacial tumors were treated. There were 14 males and 9 females with the age range from 45 to 72 years (mean, 56. Read More

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http://dx.doi.org/10.7507/1002-1892.201612132DOI Listing
June 2017
14 Reads

[Clinical application of various forms of free profunda femoral artery pedicled chimeric myocutaneous perforator flap in defect reconstruction after tongue carcinoma resection].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Jun;31(6):696-701

Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital and the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha Hunan, 410008, P.R.China.

Objective: To investigate the clinical anatomy and application of free profunda femoral artery pedicled chimeric myocutaneous perforator flap in the defect reconstruction after radical resection of tongue carcinoma.

Methods: Between April 2011 and January 2016, 44 cases of tongue carcinoma underwent radical resection, and tongue defects were reconstructed by free profunda femoral artery pedicled chimeric myocutaneous perforator flaps at the same stage. There were 40 males and 4 females, with a mean age of 46. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201701045
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http://dx.doi.org/10.7507/1002-1892.201701045DOI Listing
June 2017
17 Reads

[A study of 16 cases on the island pectoralis major muscle flap in repair for the defects after the laryngeal function reserved operation of hypopharyngeal carcinoma].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Oct;31(20):1575-1578

Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.

To explore the application about island pectoralis major muscle flap in repair for the defects after the laryngeal function reserved operation of hypopharyngeal carcinoma.A retrospective analysis about 16 patients who underwent hypopharyngeal carcinoma surgery using pedicle island pectoralis major myocutaneous flap to repair, including 14 cases whose primary tumors located in the piriform fossa, and 2 cases in pharynx posterior wall.All 16 cases' pectoralis major muscle flap survived, 2 of patient appeared to have a pharyngeal fistula, but recovered after transition. Read More

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http://www.cnki.net/kcms/doi/10.13201/j.issn.1001-1781.2017.
Publisher Site
http://dx.doi.org/10.13201/j.issn.1001-1781.2017.20.008DOI Listing
October 2017
9 Reads

Prospective Evaluation of Obese Patients Undergoing Autologous Abdominal Free Flap Breast Reconstruction.

Plast Reconstr Surg 2018 08;142(2):120e-125e

Houston, Texas From the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center.

Background: Obesity has been viewed as a relative contraindication against autologous free flap breast reconstruction because of increased risks of complications, including flap loss.

Methods: The authors conducted a prospective analysis of obese patients undergoing autologous breast reconstruction.

Results: Overall, 72 patients (average age, 48. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004550DOI Listing
August 2018
2.990 Impact Factor

Outcomes after surgical resection of lower eyelid tumors and reconstruction using a nasal chondromucosal graft and an upper eyelid myocutaneous flap.

J Fr Ophtalmol 2018 May 16;41(5):412-420. Epub 2018 May 16.

Institut Curie, 26, rue d'Ulm, 75248 Paris cedex 05, France.

Introduction: Surgical excision of large malignant lower eyelid tumors may cause important full-thickness eyelid defects. The reconstruction of such defects must restore the physiologic function of the eyelid and also re-establish an acceptable aesthetic result.

Materials And Methods: We report the outcomes of full-thickness excision of tumors extending over half of the horizontal lid length, followed by reconstruction using a nasal chondromucosal graft (coming from the ipsilateral ala of the nose) and an upper eyelid myocutaneous flap. Read More

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http://dx.doi.org/10.1016/j.jfo.2017.10.008DOI Listing
May 2018
2 Reads

Combined application of latissimus dorsi myocutaneous flap and iliac bone flap in the treatment of chronic osteomyelitis of the lower extremity.

J Orthop Surg Res 2018 May 18;13(1):117. Epub 2018 May 18.

Department of Hand Surgery, Ruihua Affiliated Hospital of Soochow University, No. 5 Tayun Road, Suzhou, 215104, China.

Background: To evaluate the clinical efficacy and safety of latissimus dorsi myocutaneous flap (stage I) combined with iliac bone flap (stage II) in the treatment of chronic osteomyelitis of the lower extremity.

Methods: Clinical data of 18 patients undergoing latissimus dorsi myocutaneous flap in combination with iliac bone flap grafting were retrospectively analyzed. Among them, 2 patients developed chronic osteomyelitis of the lower segment of the femur, 4 were diagnosed with chronic osteomyelitis of the tibial plateau, and 12 with chronic osteomyelitis of the lower segment of the tibia. Read More

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https://josr-online.biomedcentral.com/articles/10.1186/s1301
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http://dx.doi.org/10.1186/s13018-018-0824-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960194PMC
May 2018
2 Reads
1.580 Impact Factor

Classification and Microvascular Flap Selection for Anterior Cranial Fossa Reconstruction.

J Reconstr Microsurg 2018 Oct 18;34(8):590-600. Epub 2018 May 18.

Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kansas.

Background:  Microvascular reconstruction of the anterior cranial fossa (ACF) creates difficult challenges. Reconstructive goals and flap selection vary based on the defect location within the ACF. This study evaluates the feasibility and reliability of free tissue transfer for salvage reconstruction of low, middle, and high ACF defects. Read More

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http://dx.doi.org/10.1055/s-0038-1649520DOI Listing
October 2018
2 Reads

Pectoralis Major Musculocutaneous Flap With a Midline Sternal Skin Paddle for Head and Neck Reconstruction: A New Design.

Ann Plast Surg 2018 Aug;81(2):186-191

Otolaryngology, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea.

Purpose: The pectoralis major musculocutaneous (PMMC) flap is a classic flap for head and neck reconstruction, relatively unpopular with the advancement of microsurgery and free flaps. The classic parasternal paddle design provided a thick flap with a small rotation arch leaving objectionable scarring. Our new symmetric midsternal design overcomes these problems. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001453DOI Listing
August 2018
4 Reads

Gastrocnemius Myocutaneous Flaps for Knee Joint Coverage.

Ann Plast Surg 2018 Aug;81(2):208-214

Introduction: The gastrocnemius muscular flap has already proven its efficiency for soft tissue coverage in cases of knee joint exposure. However, it may be too small to cover large defects and has not the same aesthetic and mechanical properties as normal skin. Perforator fasciocutaneous flaps have recently been described in knee joint coverage with good results as they replace skin by skin, but they can be hard to harvest. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001451DOI Listing
August 2018
5 Reads

Adipofascial Flaps With Acellular Dermal Matrix Compared With Myocutaneous Flap Reconstruction in Lumbar Myelomeningocele Defects.

J Craniofac Surg 2018 Jul;29(5):1137-1142

Department of Plastic and Reconstructive Surgery, Case Western Reserve University School of Medicine, Cleveland, OH.

Background: Adipofascial flaps (AFF) with acellular dermal matrix (ADM) have the potential to reconstruct neural tube defects without sacrificing muscle that may be critical for long-term function. Comparative studies between myocutaneous flap (MF) reconstruction, the accepted standard reconstructive technique, and AFF/ADM remain under-reported. The aim of this study was to evaluate the safety and efficacy of myelomeningocele reconstruction using muscle sparing AFF/ADM versus MF. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004598DOI Listing
July 2018
1 Read

[Defect coverage using gluteal flaps].

Oper Orthop Traumatol 2018 May 9. Epub 2018 May 9.

Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Objective: Gluteal skin, fasciocutaneous and myocutaneous flaps can be used to cover decubitus ulcers in the sacral and ischiocrural area.

Indications: Decubitus ulcers in the sacral or ischial area that do not heal after exhausted conservative therapy.

Contraindications: Moribund patients who are very likely to suffer a life-threatening complication. Read More

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http://dx.doi.org/10.1007/s00064-018-0549-5DOI Listing
May 2018
3 Reads

A Multicenter Analysis Examining Patients Undergoing Conversion of Implant-based Breast Reconstruction to Abdominally based Free Tissue Transfer.

J Reconstr Microsurg 2018 Nov 7;34(9):685-691. Epub 2018 May 7.

Duke University School of Medicine, Durham, North Carolina.

Background:  Breast implant placement is the most common method for postmastectomy reconstruction. For patients who develop complications associated with implant-based reconstruction, additional surgeries may be challenging. This study examined implant-based reconstruction failure in patients undergoing salvage with abdominal free tissue transfer. Read More

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http://dx.doi.org/10.1055/s-0038-1641680DOI Listing
November 2018
2 Reads

Development of esthetic prosthesis for a patient with severe stigmatizing facial lesions due to cancer: a pilot study.

Support Care Cancer 2018 Sep 3;26(9):2941-2944. Epub 2018 May 3.

Escola de Engenharia, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

Purpose: Severe physical facial deformities due to surgical interventions can have significant psychosocial consequences to patient's relationships with friends and family and thus, has a considerable impact on their quality of life. We have developed a 3D prosthesis for a 56-year-old woman diagnosed with epidermoid carcinoma at the right hemiface, to improve her quality of life.

Methods: The patient started radiotherapy with modulated intensity. Read More

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http://dx.doi.org/10.1007/s00520-018-4213-2DOI Listing
September 2018
12 Reads

Long-term outcomes of patients with breast cancer after nipple-sparing mastectomy/skin-sparing mastectomy followed by immediate transverse rectus abdominis musculocutaneous flap reconstruction: Comparison with conventional mastectomy in a single center study.

Medicine (Baltimore) 2018 May;97(18):e0680

Division of Breast and Endocrine Surgery, Department of Surgery.

To evaluate the oncological outcomes of patients with breast cancer after nipple-sparing mastectomy (NSM)/skin-sparing mastectomy (SSM), followed by immediate reconstruction, as compared to conventional mastectomy (CM).SSM/NSM has been increasingly used to treat women with breast cancer who wish to preserve the overlying breast skin, but concern exist regarding its oncological safety due to the potential for residual breast tissue. We report our experience performing SSM/NSM for breast cancer treatment compared to CM with a long follow-up period. Read More

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http://Insights.ovid.com/crossref?an=00005792-201805040-0006
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http://dx.doi.org/10.1097/MD.0000000000010680DOI Listing
May 2018
13 Reads

Outcomes of Gracilis Muscle Flaps in the Management of Groin Complications after Arterial Bypass with Prosthetic Graft.

Ann Vasc Surg 2018 Aug 14;51:113-118. Epub 2018 Apr 14.

Department of Vascular Surgery, Northwest Community Hospital, Arlington Heights, IL. Electronic address:

Background: This study details 2-year outcomes of a modified gracilis muscle flap (GMF) technique in providing tissue coverage for groin complications after arterial bypass surgery with synthetic graft.

Methods: All patients who developed groin infections after lower extremity arterial bypass with synthetic graft who underwent a GMF technique were included from June 2014 to March 2017 from a prospectively collected, purpose-built institutional database. Modifications to the standard technique included identification of the muscle using ultrasound to ensure precise skip incisions, preservation of the segmental blood supply, widening of the tunnel through which the muscle is retroflexed, placement of a wound vacuum-assisted closure for healing, and lifelong antibiotics. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.02.009DOI Listing
August 2018
3 Reads

Evolution in Monitoring of Free Flap Autologous Breast Reconstruction after Nipple-Sparing Mastectomy: Is There a Best Way?

Plast Reconstr Surg 2018 05;141(5):1086-1093

New York, N.Y.; and New Haven, Conn. From the Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center; and the Section of Plastic Surgery, Yale School of Medicine.

Background: Free flap monitoring in autologous reconstruction after nipple-sparing mastectomy remains controversial. The authors therefore examined outcomes in nipple-sparing mastectomy with buried free flap reconstruction versus free flap reconstruction incorporating a monitoring skin paddle.

Methods: Autologous free flap reconstructions with nipple-sparing mastectomy performed from 2006 to 2015 were identified. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004271DOI Listing
May 2018
5 Reads

[Contribution of the scrotal flap for the coverage of ischial and perineal pressure ulcers].

Ann Chir Plast Esthet 2018 Apr 11. Epub 2018 Apr 11.

Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalier Saint-Joseph Saint-Luc, 20, quai Claude-Bernard, 69007 Lyon, France.

Introduction: The ischiatric pressure sore is a common pathology in rehabilitated spinal cord injured people, despite careful prevention. Medical treatment by discharge and directed healing is not always sufficient and surgery using local musculocutaneous flaps is often essential. Unfortunately, recidivism is frequent and the availability of local flaps is limited. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.03.005DOI Listing
April 2018
5 Reads
0.590 Impact Factor

Limb salvage and reconstruction following a zebra attack.

Trauma Case Rep 2017 Jun 14;9:5-9. Epub 2017 Mar 14.

University of Arkansas for Medical Sciences, Department of Vascular Surgery, 4301 W. Markham St., Little Rock, AR 72205, United States.

Animal bites are fairly rare events but can cause devastating traumatic injuries to the victim. In addition to the soft tissue, vascular, and orthopedic trauma inflicted by these occurrences, bite injuries also have the potential to introduce an inoculum of microbes, which may progress to an infection if not treated properly and expeditiously. We present the case of a healthy male who sustained multiple bite wounds from a domestic zebra to his left upper extremity. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S23526440173000
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http://dx.doi.org/10.1016/j.tcr.2017.01.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883220PMC
June 2017
1 Read

An anterolateral thigh chimeric flap for dynamic facial and esthetic reconstruction after oncological surgery in the maxillofacial region: a case report.

Head Face Med 2018 Apr 11;14(1). Epub 2018 Apr 11.

Department of Oral and Maxillofacial Surgery, University of Szeged, Kálvária 57, Szeged, H-6725, Hungary.

Background: The surgical management of malignant tumors in the head and neck region often leads to functional and esthetic defects that impair the quality of life of the patients. Reconstruction can be solved with prostheses in these cases, but various types of microsurgical free flaps can provide a better clinical outcome.

Case Presentation: In this case report, the tumor and parts of the involved facial muscles and nerve were excised surgically from a 42-year-old patient after a third relapse of basal cell carcinoma in the left midface. Read More

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http://dx.doi.org/10.1186/s13005-018-0164-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896052PMC
April 2018
1 Read

Combined bilobed trapezius myocutaneous and scapula osteomyocutaneous flaps for the restoration of through-and-through defects of the mandible following salvage surgery for recurrent head and neck tumours.

Int J Oral Maxillofac Surg 2018 Jul 4;47(7):858-864. Epub 2018 Apr 4.

Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

This study was performed to evaluate the outcomes of combined bilobed trapezius myocutaneous and scapula osteomyocutaneous flaps for the restoration of through-and-through defects of the mandible. The subjects were six patients with recurrent malignant tumours who underwent salvage surgeries and reconstruction with combined flaps based on the transverse cervical vessels (TCVs). All patients had combined bone (four type H, one type LCL, and one type C) and extensive soft tissue defects (through-and-through defects) following salvage surgery. Read More

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http://dx.doi.org/10.1016/j.ijom.2018.03.010DOI Listing
July 2018
5 Reads

Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis.

Rev Col Bras Cir 2018 Mar 29;45(2):e1682. Epub 2018 Mar 29.

- Irmandade da Santa Casa de Misericórdia de São Paulo, Discipline of Head and Neck Surgery, Department of Surgery, São Paulo, SP, Brazil.

Objective: to evaluate the results of the use of the pectoralis major flap in the reconstruction of head and neck surgeries.

Methods: we conducted a retrospective study with data bank analysis and review of medical records of patients with head and neck cancer operated at the Discipline of Head and Neck Surgery, Surgery Department, São Paulo Holy Home of Mercy, using the pectoralis major flap for reconstruction, in a period of 16 years. We analyzed age, gender, primary site of neoplasia, clinical staging, preoperative radiotherapy (RT) and complications, classified as major and minor. Read More

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http://dx.doi.org/10.1590/0100-6991e-20181682DOI Listing

A rare case of atypical thoracodorsal artery: a challenge for flap reconstruction.

Surg Radiol Anat 2018 Aug 29;40(8):899-902. Epub 2018 Mar 29.

Department of Anatomy, Srinivas Institute of Medical Sciences and Research Center, Mukka, Mangalore, India.

The thoracodorsal artery mainly supplies the latissimus dorsi muscle. Anatomical details pertaining to the origin and distribution of thoracodorsal artery are important because the latissimus dorsi myocutaneous flap is one of the most reliable and versatile flaps used in reconstructive surgery. Atypical origin and course of the thoracodorsal artery is, therefore, a challenge for flap reconstruction surgeries. Read More

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http://dx.doi.org/10.1007/s00276-018-2009-1DOI Listing

Foot reconstruction using a free proximal peroneal artery perforator flap: Anatomical study and clinical application.

J Plast Reconstr Aesthet Surg 2018 Jun 22;71(6):883-888. Epub 2018 Feb 22.

Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea. Electronic address:

Background: When a small, thin, and durable flap is required for coverage of the foot, the proximal peroneal artery perforator (PPAP) free flap may be a novel option. However, few clinical results and anatomical studies on the PPAP flap have been published.

Methods: A total of 24 PPAP flaps used in 22 patients from January 2013 to December 2016 were analyzed. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.01.044DOI Listing

Prevention of pharyngocutaneous fistula in salvage total laryngectomy: role of the pectoralis major flap and peri-operative management.

J Laryngol Otol 2018 Mar;132(3):246-251

Department of Otolaryngology,Chiang Mai University Hospital,Thailand.

Objective: This study aimed to evaluate the impact of an onlay pectoralis major flap in reducing the incidence of pharyngocutaneous fistula after salvage total laryngectomy and determine the complications of pectoralis major flap reconstruction.

Methods: A retrospective study was conducted of consecutive patients who underwent salvage total laryngectomy between 1995 and 2016. The pharyngeal defects were primarily closed with or without the pectoralis major flap. Read More

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http://dx.doi.org/10.1017/S0022215118000178DOI Listing
March 2018
4 Reads