3,132 results match your criteria Flaps Muscle and Musculocutaneous Flaps


The Flip-Back Myocutaneous Advancement Flap for Periocular Reconstruction.

Ophthalmic Plast Reconstr Surg 2019 Mar 18. Epub 2019 Mar 18.

Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, Florida.

Purpose: To present a novel myocutaneous flap for anterior lamellar reconstruction.

Methods: Retrospective interventional case series of consecutive patients who underwent Mohs reconstruction using the flip-back flap. Operations were performed by a single surgeon (DTT) between January 2012 and May 2016. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001377DOI Listing
March 2019
1 Read

Risk Factors Associated with Reconstructive Complications Following Sacrectomy.

Plast Reconstr Surg Glob Open 2018 Nov 5;6(11):e2002. Epub 2018 Nov 5.

USC Division of Plastic and Reconstructive Surgery, Los Angeles, Calif.

Background: Sacral pathology requiring partial or total sacrectomy is rare, and reconstructing the ensuing defects requires careful decision-making to minimize morbidity. The purpose of this study was to review the experience of a single institution with reconstructing large sacral defects, to identify risk factors for suboptimal outcomes.

Methods: A retrospective chart review was conducted of all patients who underwent sacrectomy over a 10-year period. Read More

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http://Insights.ovid.com/crossref?an=01720096-201811000-0001
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http://dx.doi.org/10.1097/GOX.0000000000002002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414132PMC
November 2018
1 Read

Surgical outcomes of VRAM versus gracilis flaps for the reconstruction of pelvic defects following oncologic resection.

J Plast Reconstr Aesthet Surg 2019 Jan 9. Epub 2019 Jan 9.

Division of Plastic and Reconstructive Surgery, University of Ottawa, Ottawa, Ontario, Canada. Electronic address:

Purpose: Pelvic reconstruction following abdominoperineal resection or pelvic exenteration is associated with signification surgical site morbidity. Immediate pelvic reconstruction with a muscle flap is now the gold standard, associated with reduced perineal morbidity compared to primary closure alone. The purpose of the present study was to directly compare outcomes of VRAM and gracilis flap pelvic reconstruction following oncologic resection. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815193001
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http://dx.doi.org/10.1016/j.bjps.2018.12.044DOI Listing
January 2019
5 Reads

Predictors affecting complications and aesthetic outcomes in autologous breast reconstruction with free muscle-sparing transverse rectus abdominis myocutaneous flaps.

Microsurgery 2019 Feb 22. Epub 2019 Feb 22.

Department of Plastic Surgery, Korea University Anam Hospital, Seoul, South Korea.

Background: Identification and understanding of predictors for complications and aesthetic outcomes in free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flap are essential for successful breast reconstruction. The purpose of this study was to investigate predictors for complications and aesthetic outcomes in patients who underwent autologous breast reconstruction with free MS-TRAM flaps.

Patients And Methods: Between March 2003 and September 2017, a total of 214 patients who underwent breast reconstruction with MS-TRAM flaps were included in this study. Read More

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http://doi.wiley.com/10.1002/micr.30442
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http://dx.doi.org/10.1002/micr.30442DOI Listing
February 2019
5 Reads

The use of chimeric musculocutaneous posterior interosseous artery flaps for treatment of osteomyelitis and soft tissue defect in hand.

Microsurgery 2019 Feb 19. Epub 2019 Feb 19.

Swissparc AG, Hand Surgery Service, Zürich, Switzerland.

Introduction: There is growing evidence of the superior ability of muscular tissue to clear bacterial bone infection. Unfortunately, in the hand, there are almost no small local muscular flaps, and muscular transfers to the hand are mainly microsurgical free transfers. In this report, we present the results of the use of a chimeric posterior interosseous flap including part(s) of the forearm muscles to treat osteomyelitis and soft tissue defect of hand from a series of patients. Read More

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http://dx.doi.org/10.1002/micr.30434DOI Listing
February 2019
1 Read

Successful free flap salvage upon venous congestion in bilateral breast reconstruction using a venous cross-over bypass: A case report.

Microsurgery 2019 Jan 28. Epub 2019 Jan 28.

Department of Plastic and Hand Surgery, University Hospital of Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.

Abdominal free flaps such as the muscle sparing transverse rectus abdominis myocutaneous (ms-TRAM) or deep inferior epigastric artery perforator (DIEP) flap represent the gold standard in autologous breast reconstruction. We describe a salvage procedure during bilateral free flap breast reconstruction due to insufficient venous drainage using a venous cross-over bypass. A 54-year-old woman with a thrombosis of the left subclavian port-system in the medical history was elected for simultaneous bilateral breast reconstruction with ms-TRAM and DIEP flaps. Read More

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http://dx.doi.org/10.1002/micr.30423DOI Listing
January 2019
4 Reads

Successful Long-term Extracorporeal Perfusion of Free Musculocutaneous Flaps in a Porcine Model.

J Surg Res 2019 Mar 25;235:113-123. Epub 2018 Oct 25.

Department of Plastic and Reconstructive Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.

Background: Extracorporeal perfusion is a technique that aims to safely prolong tissue preservation by reducing ischemia-reperfusion injury. Free muscle flaps provide a sensitive research model due to their low ischemic tolerance. However, long-term perfusion of free muscle flaps is scarcely researched. Read More

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http://dx.doi.org/10.1016/j.jss.2018.09.076DOI Listing
March 2019
1 Read

Investigation of the dorsolateral branch of the posterior intercostal artery for use as the pedicle of a free flap: A cadaveric study and case series.

Arch Plast Surg 2019 Jan 15;46(1):39-45. Epub 2019 Jan 15.

UP Plastic Surgery Clinic, Busan, Korea.

Background: The dorsolateral branch of the posterior intercostal artery (DLBPI) can be easily found while harvesting a latissimus dorsi (LD) musculocutaneous flap for breast reconstruction. However, it remains unknown whether this branch can be used for a free flap and whether this branch alone can provide perfusion to the skin. We examined whether the DLBPI could be reliably found and whether it could provide sufficient perfusion. Read More

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http://e-aps.org/journal/view.php?doi=10.5999/aps.2018.00122
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http://dx.doi.org/10.5999/aps.2018.00122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369044PMC
January 2019
7 Reads

[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
13 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

A National Snapshot of Patient-Reported Outcomes Comparing Types of Abdominal Flaps for Breast Reconstruction.

Plast Reconstr Surg 2019 Mar;143(3):667-677

Detroit, Mich.; Tampa, Fla.; Durham, N.C.; and New York, N.Y. From the Division of Plastic Surgery, Department of Surgery, Henry Ford Health System; the Division of Plastic Surgery, Department of Surgery, Morsani College of Medicine, University of South Florida; the Department of Biostatistics, Department of Surgery, Duke University; and Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center.

Background: This study aimed to identify differences in patient-reported abdominal well-being, satisfaction, and quality of life in women with muscle-preserving free abdominal versus pedicle transverse rectus abdominis musculocutaneous (TRAM) flap for breast reconstruction.

Methods: Women with a history of breast cancer surgery were recruited from the Army of Women foundation to take the BREAST-Q and a background questionnaire. Descriptive statistics and regression analyses were used to compare abdominal physical well-being, breast satisfaction, chest physical, psychosocial well-being, and sexual well-being in women undergoing free versus pedicle TRAM flaps. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005301DOI Listing
March 2019
1 Read

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
15 Reads

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

J Surg Oncol 2019 Mar 18;119(3):388-396. 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
March 2019
3 Reads

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
1 Read

Primary Reconstruction After Maxillectomy Defects Using Ultra Flex Mesh Plate and Rectus Abdominis Myocutaneous Free Flap Including Aponeurosis of External Abdominal Oblique Muscle.

J Craniofac Surg 2019 Jan;30(1):211-213

Department of Plastic and Reconstructive Surgery, Toho University Omori Medical Center, Tokyo, Japan.

Background: In primary reconstruction after maxillectomy for cancer, simple and less invasive surgical techniques considering functionality and aesthetics are necessary. The authors performed reconstruction for tissue defects after maxillectomy using an Ultra flex mesh plate and a free rectus abdominis myocutaneous flap including the aponeurosis of the external abdominal oblique muscle.

Method: A 72-year-old male with a maxillary squamous cell carcinoma underwent subtotal maxillectomy. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005045DOI Listing
January 2019
12 Reads

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
10 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
18 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
15 Reads

[Breast reconstruction with free flap of gracilis].

Ann Chir Plast Esthet 2018 Nov 7;63(5-6):486-497. Epub 2018 Jul 7.

Service de chirurgie plastique reconstructrice et esthétique, hôpital Civil, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.

Breast reconstruction with free flap of gracilis has been described since 2004. The procedure consists in harvesting a flap made of the gracilis muscle and a transverse cutaneous paddle originating from the internal root of the thigh. The pedicle of the flap is the main pedicle of the gracilis muscle. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.06.009DOI Listing
November 2018
1 Read

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
1 Read

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
1 Read

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
Publisher Site
http://dx.doi.org/10.12968/jowc.2018.27.Sup9a.S4DOI Listing
September 2018
13 Reads

[Breast reconstruction by latissimus dorsi myocutaneous flap and implant: The dorsal bra technique].

Ann Chir Plast Esthet 2018 Nov 1;63(5-6):405-421. Epub 2018 Sep 1.

Service de chirurgie plastique reconstructrice et esthétique, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg, France.

Despite the development of microsurgical techniques, latissimus dorsi myocutaneous pedicle flap remains mainly used in breast reconstruction surgery. It is reliable and could be performed on almost all the patients, even if they smoke. It is also a good indication in case of irradiation. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.06.014DOI Listing
November 2018
10 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
August 2018
1 Read

[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
4 Reads

Outcome and Complications following Vertical Rectus Abdominis Myocutaneous Flap Surgery to Reconstruct Sacrectomy Defects.

Plast Reconstr Surg 2018 11;142(5):1327-1335

Rochester, Minn. From the Department of Orthopedic Surgery and the Division of Plastic and Reconstructive Surgery, Mayo Clinic.

Background: The vertical rectus abdominis myocutaneous flap has been used to reliably reconstruct posterior soft-tissue defects following resection of high sacral tumors, providing skin and soft-tissue bulk. Current literature examining the use of these flaps for high sacral reconstruction is limited. The purpose of this study was to report the authors' institution's outcome on the use of the vertical rectus abdominis myocutaneous flap to reconstruct a high sacral defect following an oncologic resection. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004890DOI Listing
November 2018
14 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
7 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
6 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
27 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
16 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
22 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
2 Reads

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
June 2018
1 Read

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
11 Reads

Use of a folded extended vertical lower trapezius island myocutaneous flap to repair large pharyngocutaneous fistulae developing after salvage total laryngectomy.

Int J Oral Maxillofac Surg 2018 Oct 8;47(10):1268-1273. Epub 2018 Jun 8.

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

The purpose of this study was to evaluate the outcomes of surgery involving the use of folded trapezius flaps to repair large pharyngocutaneous fistulae (PCFs) developing after salvage total laryngectomy. Folded extended vertical lower trapezius island myocutaneous flaps (TIMFs) were created to repair large PCFs that developed after salvage total laryngectomy in eight patients. The maximum fistula dimension was 4. Read More

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http://dx.doi.org/10.1016/j.ijom.2018.05.019DOI Listing
October 2018
12 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
5 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://www.rrsurg.com/article/10.7507/1002-1892.201612132
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http://dx.doi.org/10.7507/1002-1892.201612132DOI Listing
June 2017
24 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
22 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.
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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
3 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
4 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
6 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
6 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
4 Reads