834 results match your criteria Latissimus Myocutaneous Flap


Dimensional changes in reconstructed nipples: autologous versus prosthetic breast reconstruction.

Ann Surg Treat Res 2019 Jan 26;96(1):8-13. Epub 2018 Dec 26.

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

Purpose: The creation of the nipple-areola complex is the final stage in breast reconstruction and highly affects patient satisfaction. The neo-nipple is well known to shrink over time, particularly in the nipple projection. Currently, no reconstruction technique is clearly superior in terms of nipple size maintenance. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4174/astr.2019.9
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http://dx.doi.org/10.4174/astr.2019.96.1.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306505PMC
January 2019
1 Read

[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

Autologous Breast Reconstruction With the Latissimus Dorsi Muscle With Immediate Fat Grafting: Long-term Results and Patient Satisfaction.

Ann Plast Surg 2019 Feb;82(2):152-157

From the Breast Surgery Department, Hospital Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil.

Objective: The aim of this study was to describe a variation of the breast reconstruction technique with myocutaneous flap of the fat-grafted latissimus dorsi muscle and its outcomes and evaluation of patient satisfaction.

Method: This prospective cohort study included 18 patients and 19 reconstructed breasts, with 1 bilateral case. There were 7 cases of late reconstruction and 11 cases of immediate reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001764DOI Listing
February 2019

[A giant sacral chordoma resection and reconstruction with a gluteal perforator flap, a case report and literature review].

Ann Chir Plast Esthet 2018 Nov 30. Epub 2018 Nov 30.

Service de chirurgie orthopédique et traumatologie, chirurgie du rachis, hôpital Bicêtre, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France.

Background: Sacral chordomas are rare primary bone tumors and represent more than half of all primary malignant sacral tumors. Surgical resection is the only treatment with close to 50% of remission at 10 years, with or without radiotherapy. This tissue removal can be very extensive and morbid, particularly for evolved tumors. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.10.004DOI Listing
November 2018
3 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

Free Latissimus Dorsi Myocutaneous Flap in a 6-Month-Old Child for Reconstruction of a Temporal Fossa Defect After Teratoma Resection.

Ann Plast Surg 2019 Jan;82(1):62-63

Department of Otorhinolaryngology-Head and Neck Surgery, Friedrich Alexander University Erlangen-Nuernberg, Erlangen, Germany.

Although free flap reconstruction has already gained widespread acceptance in pediatric patients, little is known about the outcome of free tissue transfer in head and neck reconstruction in pediatric patients. We present a case of a 6-month-old boy with a large volume deficit in the right temporal fossa after resection of a teratoma. This led to a large volume deficit with widely undermined skin margins. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001629DOI Listing
January 2019
3 Reads

A novel technique for large and ptotic breast reconstruction using a latissimus dorsi myocutaneous flap set at the posterior aspect, combined with a silicone implant, following tissue expander surgery.

Arch Plast Surg 2018 Sep 15;45(5):484-489. Epub 2018 Sep 15.

Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan.

Large and ptotic breast reconstruction in patients who are not candidates for a transverse rectus abdominalis myocutaneous flap and revision surgery for the contralateral breast remains challenging. We developed a novel breast reconstruction technique using a latissimus dorsi myocutaneous (LD m-c) flap set at the posterior aspect of the reconstructed breast, combined with an anatomical silicone breast implant (SBI), following tissue expander surgery. We performed the proposed technique in four patients, in whom the weight of the resected tissue during mastectomy was >500 g and the depth of the inframammary fold (IMF) was >3 cm. Read More

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http://e-aps.org/journal/view.php?doi=10.5999/aps.2017.01781
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http://dx.doi.org/10.5999/aps.2017.01781DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177628PMC
September 2018
1 Read

Managing necrotising fasciitis to reduce mortality and increase limb salvage.

J Wound Care 2018 Sep;27(Sup9a):S20-S27

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

Objective: Necrotising fasciitis is a rare soft-tissue infection with a high mortality rate. In this paper we describe our management protocol for necrotising fasciitis, focused on surgical approaches, which increased patients' survival rate.

Method: Between March 2009 and December 2014, patients suspected of having necrotising fasciitis (based on laboratory and MRI examinations), underwent management for the infection. 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.S20DOI Listing
September 2018
21 Reads

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

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

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

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

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

[Treatment of Sternal Osteomyelitis after Median Sternotomy in 130 Patients with Pedicled Myocutaneous Latissimus Flap].

Zentralbl Chir 2018 Aug 5;143(S 01):S51-S60. Epub 2018 Sep 5.

Klinik für Plastische- und Wiederherstellungschirurgie, Johanniter-Krankenhaus Bonn, Deutschland.

Background: After median sternotomy in cardiac surgery, deep sternal wound infections develop in 0.8 - 8% of patients, resulting in prolonged hospital stay and increased morbidity and mortality. Our treatment strategy combines radical surgical debridement, removal of extraneous material and reconstruction of large and deep defects by a pedicled M. Read More

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http://dx.doi.org/10.1055/a-0624-9574DOI Listing

[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
9 Reads

[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

Treatment of Fungal Empyema Combined with Osteoradionecrosis by Thoracoplasty and Myocutaneous Flap Transposition.

Korean J Thorac Cardiovasc Surg 2018 Aug 5;51(4):273-276. Epub 2018 Aug 5.

Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.

We report the rare case of a 58-year-old woman who was diagnosed with fungal empyema thoracis combined with osteoradionecrosis. After 32 months of home care followed by open window thoracostomy, thoracoplasty with serratus anterior muscle transposition and a latissimus dorsi myocutaneous flap was performed successfully. Although thoracoplasty is now rarely indicated, it is still the treatment of choice for the complete obliteration of thoracic spaces. Read More

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http://dx.doi.org/10.5090/kjtcs.2018.51.4.273DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6089627PMC
August 2018
20 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

Expanded Latissimus Dorsi Myocutaneous Flap for Burn Scar Reconstruction.

Eplasty 2018 13;18:ic13. Epub 2018 Jul 13.

Department of Plastic Surgery, University of South Florida Morsani College of Medicine, Tampa.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050535PMC

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

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

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

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

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

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

Natural History of Seroma Following the Immediate Latissimus Dorsi Flap Method of Breast Reconstruction.

Chin Med J (Engl) 2018 Jul;131(14):1674-1679

Department of Plastic Surgery, Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong 510280, China.

Background: The latissimus dorsi (LD) flap procedure remains a popular and useful breast reconstruction tool in China and Western countries, and donor site seroma formation is the main complication. This study was conducted in Chinese patients to determine whether stable cases of seromas would resolve without treatment.

Methods: A. Read More

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http://dx.doi.org/10.4103/0366-6999.235877DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048921PMC
July 2018
1 Read

Comparison of 2-Year Complication Rates Among Common Techniques for Postmastectomy Breast Reconstruction.

JAMA Surg 2018 Oct;153(10):901-908

Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor.

Importance: In breast reconstruction, it is critical for patients and surgeons to have comprehensive information on the relative risks of the available options. However, previous studies that evaluated complications were limited by single-center designs, inadequate follow-up, and confounding.

Objective: To assess 2-year complication rates across common techniques for postmastectomy reconstruction in a multicenter patient population. Read More

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http://dx.doi.org/10.1001/jamasurg.2018.1687DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233788PMC
October 2018
6 Reads

Functional Reconstruction with Latissimus Dorsi Flap following Resection of an Extensive Basal Cell Carcinoma in the Shoulder Region: A Case Report.

Surg J (N Y) 2018 Apr 11;4(2):e87-e90. Epub 2018 Jun 11.

Department of Plastic, Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Diakonieklinikum Rotenburg, Rotenburg (Wümme), Germany.

Large and ulcerating skin tumors have become a rarity in the modern Western world. However, these conditions can cause serious life-threatening complications. The case of a 60-year-old male Caucasian patient is reported, who had suffered from an extensive basal cell carcinoma in the right shoulder region for several years. Read More

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http://dx.doi.org/10.1055/s-0038-1660451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995686PMC

[Research progress of pedicled flaps for defect repair and reconstruction after head and neck tumor resection].

Authors:
Jian Chen Wei Li

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Mar;32(3):369-376

Department of Head and Neck Surgery, Hubei Cancer Hospital, Wuhan Hubei, 430079,

Objective: To summarize the current status of pedicled flaps for defect repair and reconstruction after head and neck tumor resection, and to present its application prospects.

Methods: Related literature was reviewed, and the role evolution of pedicled flaps in the reconstruction of head and neck defects were discussed. The advance, anatomical basis, indications, advantages, disadvantages, and modification of several frequently used pedicled flaps were summarized. Read More

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http://dx.doi.org/10.7507/1002-1892.201710098DOI Listing
March 2018
17 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

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

Postmastectomy Breast Reconstruction With the Totally Autologous Latissimus Dorsi Flap in the Thin, Small-Breasted Woman: Give It More Thought!

Eplasty 2018 26;18:e13. Epub 2018 Feb 26.

Department of Plastic and Reconstructive Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.

Thin women have fewer autologous tissue breast reconstructive options than their higher body mass index counterparts-due to a lack of adequate donor sites. They are therefore usually offered expander/implant techniques. The total autologous latissimus dorsi flap is generally used in "well-padded" individuals, as they have enough fat on their back on which a completely autologous reconstruction could be based. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838613PMC
February 2018
5 Reads

Nonresponse bias in survey research: lessons from a prospective study of breast reconstruction.

J Surg Res 2018 Apr 22;224:112-120. Epub 2017 Dec 22.

Section of Plastic Surgery, University of Michigan, Ann Arbor, Michigan. Electronic address:

Background: Survey-based research is essential for evaluating the outcomes of health care in an era of patient-centered care. However, many such studies are hampered by poor response rates in completion of study questionnaires, thus limiting the generalizability of any findings. The objectives of this analysis were to identify independent variables associated with nonresponse to surveys following breast reconstruction to improve future patient-reported outcomes research. Read More

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http://dx.doi.org/10.1016/j.jss.2017.11.058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844368PMC
April 2018
6 Reads
1.940 Impact Factor

Fungating Growth of Squamous Cell Carcinoma in Long-Standing Meningocele.

Pediatr Neurosurg 2018 2;53(2):134-139. Epub 2018 Feb 2.

Squamous cell carcinoma is known to occur as a serious complication of chronic burns, scars, and ulcers, but very rarely has it been reported to occur in a long-neglected meningocele. The authors wish to present the case of a 21-year-old man who presented to us when a previously asymptomatic meningocele developed a squamous cell carcinoma on the meningocele sac. The squamous cell carcinoma was excised in toto, followed by excision of the redundant meningocele sac. Read More

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https://www.karger.com/Article/FullText/485250
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http://dx.doi.org/10.1159/000485250DOI Listing
August 2018
17 Reads

Monitoring of Myocutaneous Flaps by Measuring Capillary Glucose and Lactate Levels: Experimental Study.

Ann Plast Surg 2018 Apr;80(4):416-423

Introduction: In surgery, certain defects require reconstruction with a microsurgical flap. The free flap failure rate varies between 2% and 5%. Vascular thrombosis is the most frequent complication and represents 15% to 73% of failures. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001313DOI Listing
April 2018
7 Reads

Ghost cell odontogenic carcinoma on right mandible and its respective surgical reconstruction: a case report.

J Korean Assoc Oral Maxillofac Surg 2017 Dec 26;43(6):415-422. Epub 2017 Dec 26.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Seoul, Korea.

Calcifying cystic odontogenic tumor (CCOT) is defined as an odontogenic cyst-like benign neoplasm that characteristically contains several ghost cells, ameloblastoma-like epithelium, and occasional calcification. Ghost cell odontogenic carcinoma (GCOC), a malignant form of CCOT, is an exceptionally rare malignant tumor. In this report, we present a case of a 53-year-old man whose chief complaint was a solitary mass on the right mandible area. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.5125/jkaoms.2017
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http://dx.doi.org/10.5125/jkaoms.2017.43.6.415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5756799PMC
December 2017
19 Reads

Breast reconstruction of an unusual configuration using two paranemic implants.

Gland Surg 2017 Dec;6(6):729-732

Department of Breast Surgery, Tochigi Cancer Center, Yohnan, Utsunomiya City, Japan.

Implant-based breast reconstruction can be performed using a choice of various types of breast implants. However, cases where the breast shapes are unsuitable for implant-based reconstruction method are occasionally encountered. We present two patients with wide trunks who underwent breast reconstruction using an unusual configuration that involved a latissimus dorsi myocutaneous flap combined with two paranemic implants. Read More

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http://dx.doi.org/10.21037/gs.2017.07.03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750298PMC
December 2017
6 Reads

Vertical Skin Paddle Orientation for the Latissimus Dorsi Flap in Breast Reconstruction: A Modification to Simultaneously Correct Inferior Pole Constriction and Improve Projection.

Plast Reconstr Surg 2018 03;141(3):598-601

Chicago, Ill. From Northwestern Specialists in Plastic Surgery.

The latissimus dorsi myocutaneous flap is a reliable and frequently used option to bring vascularized skin and soft tissue to improve the stability and aesthetic result in breast reconstruction. Standard techniques with skin paddle inset in a horizontal or oblique fashion preferentially improve anterior projection (when inset at the mastectomy scar) or lower pole and inframammary fold constriction (when inset into the inframammary fold). Here, the authors describe a modification for inset of the latissimus dorsi myocutaneous flap that improves both anterior projection and lower pole/inframammary fold constriction, and also allows the latissimus muscle to fan out and provide complete implant coverage. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004103DOI Listing
March 2018
4 Reads

Use of Incisional Negative Pressure Wound Therapy in Skin-Containing Free Tissue Transfer.

J Reconstr Microsurg 2018 Mar 7;34(3):200-205. Epub 2017 Nov 7.

Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Winston Salem, North Carolina.

Background:  Negative pressure wound therapy (NPWT) was initially introduced for wound management, but its benefits have stimulated the investigation of its use in new clinical scenarios. Most recently, incisional NPWT has been shown to be a benefit. Incisional NPWT applied to skin-containing free tissue transfer has not been well defined. Read More

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http://dx.doi.org/10.1055/s-0037-1608621DOI Listing
March 2018
10 Reads

Pedicled and free flaps for intrathoracic fistula management.

Eur J Cardiothorac Surg 2017 Dec;52(6):1211-1217

Department of Plastic and Hand Surgery, Faculty of Medicine, University of Freiburg Medical Center, Freiburg, Germany.

Objectives: Intrathoracic fistulae are among the potential sequelae of radiation therapy, empyema and abscess clearance and surgical tumour resections. Interdisciplinary plastic-reconstructive flap surgery is a helpful tool for the successful treatment of intrathoracic fistulae.

Methods: From February 2006 to April 2016, 13 patients (3 females and 10 males) underwent flap surgery for bronchial (n = 5), tracheal (n = 2), oesophageal (n = 2), post-pneumonectomy bronchopleural fistula (n = 2), tracheo-oesophageal (n = 1), gastrobronchial (n = 1) and oesophagobronchial (n = 1) fistulae. Read More

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http://dx.doi.org/10.1093/ejcts/ezx216DOI Listing
December 2017
18 Reads

Indications and Controversies for Complete and Implant-Enhanced Latissimus Dorsi Breast Reconstructions.

Clin Plast Surg 2018 Jan 23;45(1):75-81. Epub 2017 Sep 23.

Division of Plastic Surgery, Department of Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642 USA. Electronic address:

This article describes the use of implant-enhanced and total-autologous latissimus dorsi myocutaneous flaps in breast reconstruction. It addresses the indications for use of this reconstruction alternative, which have recently been expanded thanks to the advent of high-volume fat grafting. Given its straightforward dissection, reliable vascular pedicle, variety of approaches, and potential for excellent aesthetic results, use of latissimus dorsi flaps may be considered among first-line options in selected patients. Read More

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http://dx.doi.org/10.1016/j.cps.2017.08.006DOI Listing
January 2018
11 Reads

Basal cell carcinoma of the scalp with destruction and invasion into the calvarium and dura mater: Report of 7 cases and review of literature.

J Clin Neurosci 2018 Jan 23;47:190-197. Epub 2017 Oct 23.

Department of Neurosurgery, Vilnius Univeristy Hospital, Vilnius, Lithuania.

Basal cell carcinoma (BCC) is the most common skin malignancy in humans. Giant BCC is a rarer entity that is characterised by aggressive biological behaviour. Intracranial invasion by a BCC on the scalp is extremely rare. Read More

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http://dx.doi.org/10.1016/j.jocn.2017.09.028DOI Listing
January 2018
4 Reads

Reconstruction of extensive thoracic wall defect using the external oblique myocutaneous flap: An analysis on 20 Chinese patients with locally advanced soft tissue sarcoma.

J Surg Oncol 2018 Feb 26;117(2):130-136. Epub 2017 Oct 26.

Department of Bone and Soft Tissue Sarcomas, Fudan University Shanghai Cancer Center, Shanghai, China.

Background: Soft tissue sarcomas are rare neoplasms that can occur in the thoracic wall, abdominal wall, extremities, and inguinal region. Wide local resection, with precise histological margin control, results in large skin defects that are challenging to close. Various repair procedures, such as vertical rectus abdominis flaps (VRAM), latissimus dorsi flaps, and tensor fascia lata (TFL) flaps are used to cover broad thoracic wall defects. Read More

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http://dx.doi.org/10.1002/jso.24823DOI Listing
February 2018
1 Read

Measuring the patient perspective on latissimus dorsi donor site outcomes following breast reconstruction.

J Plast Reconstr Aesthet Surg 2018 Mar 13;71(3):336-343. Epub 2017 Sep 13.

Modus Outcomes, Suite 210b, Spirella Building, Letchworth Garden City SG6 4ET, UK.

Background: There is little evidence about the long-term donor site outcome of latissimus dorsi breast reconstruction and no patient-reported outcome measures designed specifically for the procedure.

Methods: A prospective cohort of breast cancer patients having latissimus dorsi reconstruction after a mastectomy was recruited from 270 hospitals in the United Kingdom. An 18-month follow up questionnaire containing two novel scales was sent to consenting patients. Read More

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http://dx.doi.org/10.1016/j.bjps.2017.08.028DOI Listing
March 2018
17 Reads

Classification of chronic radiation-induced ulcers in the chest wall after surgery in breast cancers.

Radiat Oncol 2017 Aug 15;12(1):135. Epub 2017 Aug 15.

Department of Plastic Surgery, The Affiliated Hospital of Academy of Military Medical Sciences, Beijing, 100043, China.

Background And Purpose: To explore the methods of clinical classification in chronic radiation-induced ulcers in the chest wall (CRUCWs).

Materials And Methods: A total of 64 patients with CRUCWs were treated. We divided the cases into 3 types (mild, moderate, or severe) according to their clinical manifestations. Read More

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http://dx.doi.org/10.1186/s13014-017-0876-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558728PMC
August 2017
4 Reads

The possibility of free tissue transfer as a nutrient flap for critical ischemic foot: A case report.

Microsurgery 2017 Sep 2;37(6):694-698. Epub 2017 Aug 2.

Department of Plastic and Reconstructive Surgery, Graduate School of Medical Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Microsurgical procedure of free tissue transfer in critical limb ischemia patients with large ulceration has already been established. The nutrient flap concept was that transferred tissue functioned not only to cover the skin defect but also as a supplementary blood supply to the ischemic lower leg. This report showed the justification for this concept, which was rarely discussed. Read More

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http://dx.doi.org/10.1002/micr.30215DOI Listing
September 2017
1 Read

USE of arterialized saphenous vein venous flow-through flaps as a temporizing measure for hand salvage in contaminated wounds presenting with limb ischemia: A case series.

Microsurgery 2018 May 28;38(4):362-368. Epub 2017 Jul 28.

Section of Plastic Surgery, University of Manitoba, Winnipeg, Canada.

Background: Vascular injuries resulting in limb ischemia are traditionally treated acutely with autologous or prosthetic bypass grafts. Traumatic contaminated injuries with soft tissue and vascular segmental loss are challenging as prosthetic bypasses are at risk of erosion, infection, and occlusion; and autologous bypasses are at risk of desiccation, blow-out, infection, and clotting. We propose a novel approach to these injuries by using arterialized saphenous vein venous flow-through free flaps (S-VFTF) as an autologous bypass, and present the results of its application in a series of cases. Read More

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http://dx.doi.org/10.1002/micr.30206DOI Listing
May 2018
20 Reads

Early laparotomy and timely reconstruction for patients with abdominal electrical injury: Five Case Reports and Literature Review.

Medicine (Baltimore) 2017 Jul;96(29):e7437

aDepartment of Burns and Reconstructive Surgery bDepartment of General Surgery cInstitute of Burn Research, Xiangya Hospital, Central South University, Changsha, Hunan Province, P.R. China.

Introduction: High-tension electricity can cause devastating injuries that may result in abdominal wall loss, visceral damage, and sometimes major threat to life. The visceral organ may be exposed after debridement and require flap cover, but the tensile strength of abdominal wall may be lack even if flap transplanted.

Methods: From April 2007 through May 2015, 5 patients with severe abdominal electrical injury were treated at our hospital. Read More

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http://dx.doi.org/10.1097/MD.0000000000007437DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5521891PMC
July 2017
4 Reads

Coverage of complex defects of the shoulder girdle and posterior neck triangle following tumor resection.

Int J Surg Case Rep 2017 13;37:97-101. Epub 2017 Jun 13.

Department of Orthopedics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Introduction: Numerous pedicle and free flaps have been used to cover complex defects of the shoulder girdle and posterior neck triangle following tumor resection. We describe our choice of flap selection in these patients with case examples.

Presentation Of Cases: Three cases examples demonstrate our choice of flap selection. Read More

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http://dx.doi.org/10.1016/j.ijscr.2017.06.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485556PMC
June 2017
15 Reads

Comparison of Donor Site Drainage Duration and Seroma Rate Between Latissimus Dorsi Musculocutaneous Flaps and Thoracodorsal Artery Perforator Flaps.

Ann Plast Surg 2017 Aug;79(2):183-185

From the *Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, Japan; and †Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan.

Introduction: Donor site seroma formation and prolonged drainage duration are common complications of using latissimus dorsi musculocutaneous (LDMC) flaps. The present retrospective study aimed to investigate the effect of types of back flap harvest on drainage duration and seroma formation rates.

Methods: Adult patients (n = 155) who underwent reconstruction with a latissimus dorsi flap from January 2010 to October 2015 were included in the study, of which 54 patients underwent breast reconstruction with a pedicled LDMC flap (LD breast group), 80 patients underwent an LDMC flap transfer for purposes other than breast reconstruction (LD nonbreast group), and 21 patients underwent soft tissue reconstruction with a thoracodorsal artery perforator (TAP) flap (TAP group). Read More

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http://dx.doi.org/10.1097/SAP.0000000000001077DOI Listing
August 2017
12 Reads

Combined TRAM flap with latissimus dorsi myocutaneous flap for reconstruction of a large breast post-radiation induced necrosis.

J Surg Case Rep 2017 May 11;2017(5):rjx079. Epub 2017 May 11.

Department of Oncosurgery, Mataria Teaching Hospital, Cairo, Egypt.

Radiation therapy is a critical component of breast cancer management following breast-conserving surgery. Post-radiation sequelae are greater in women with larger breasts, given the need for higher doses and dosing heterogeneity. The goal of breast reconstruction post-mastectomy is to improve the quality of life and add no more health risk. Read More

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http://dx.doi.org/10.1093/jscr/rjx079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441247PMC
May 2017
9 Reads

The impact of resident involvement in breast reconstruction surgery outcomes by modality: An analysis of 4,500 cases.

Microsurgery 2017 Oct 24;37(7):800-807. Epub 2017 May 24.

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

Background: The goal of this study was to determine the impact of resident involvement on various methods of breast reconstruction via an American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) retrospective analysis.

Methods: We performed a retrospective analysis of the ACS NSQIP database to identify patients undergoing breast reconstruction by free flap, implant, latissimus dorsi (LD), and transverse rectus abdominis myocutaneous (TRAM) flap reconstruction modalities. Primary outcomes measured include major and wound complications. Read More

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http://dx.doi.org/10.1002/micr.30146DOI Listing
October 2017
22 Reads

[Extension of the thoracodorsal artery perforator flap's pedicle: Anatomical study].

Ann Chir Plast Esthet 2017 Aug 28;62(4):327-331. Epub 2017 Mar 28.

Service de chirurgie plastique, reconstructive et esthétique, CHU Amiens Picardie, Salouel, 80054 Amiens cedex, France; Laboratoire d'anatomie, faculté d'Amiens, 3, rue des Louvels, 80036 Amiens, France. Electronic address:

Purpose: In recent years, the indications of latissimus dorsi myocutaneous flap decreased in favor of its version preserving muscle: the thoracodorsal artery perforator flap (TDAP). The intramuscular dissection reduce donor site morbidity but also allows an extension of the pedicle compared to conventional latissimus dorsi flap pedicle. The purpose of this study was to quantify objectively elongation of the pedicle when the perforator is dissected through the muscle. Read More

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http://dx.doi.org/10.1016/j.anplas.2017.01.001DOI Listing
August 2017
10 Reads

Latissimus Dorsi Flap Breast Reconstruction-A Nationwide Inpatient Sample Review.

Ann Plast Surg 2017 May;78(5 Suppl 4):S185-S188

From the *Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California-Los Angeles Medical Center, Los Angeles, CA; and †Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan Medical Center, Ann Arbor, MI.

Introduction: The latissimus dorsi (LD) myocutaneous flap has been a long term standard for breast reconstruction. The variable indications for the LD flap have not been statistically examined because of the relative infrequency of its use by any single surgeon or institution.

Methods: The Nationwide Inpatient Sample data set was queried for all patient encounters involving a LD myocutaneous flap procedure. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001079DOI Listing
May 2017
8 Reads

Markers of blood coagulation and fibrinolysis in patients with early and delayed microsurgical reconstructions in the lower extremities.

J Plast Surg Hand Surg 2017 Dec 20;51(6):420-426. Epub 2017 Mar 20.

a Department of Hand, Plastic and Reconstructive Surgery , Radboud University Hospital , Nijmegen , The Netherlands.

Background: In this study, markers of coagulation and fibrinolysis were assessed during early and delayed microsurgical reconstruction in patients with traumatic defects of their lower legs to analyse whether an imbalance of the hemostasis after trauma might predispose the development of vascular complications.

Methods: The prospective study included 70 patients. In 35 patients, surgery was performed within 72 hours after injury. Read More

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http://dx.doi.org/10.1080/2000656X.2017.1303499DOI Listing
December 2017
17 Reads

The effect of deep muscle relaxation on the force required during Latissimus Dorsi dissection for breast reconstructive surgery: results of a prospective, double-blinded observational pilot study.

BMC Anesthesiol 2017 02 21;17(1):27. Epub 2017 Feb 21.

Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, 197 Wellington Street, Perth, WA, 6000, Australia.

Background: The use of neuromuscular blocking agents has previously been suggested to facilitate the dissection of the latissimus dorsi muscle during breast reconstructive surgery. The aim of this study was to quantify the influence of deep muscle relaxation on the force required to lift the latissimus dorsi muscle during flap preparation.

Methods: After ethics approval and written informed consent 15 patients scheduled for elective breast reconstruction with a latissimus dorsi pedicled flap (muscle flap, not myocutaneous flap) under general anaesthesia were prospectively included. Read More

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http://dx.doi.org/10.1186/s12871-017-0315-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5319183PMC
February 2017
7 Reads

Breast reconstruction after mastectomy for breast cancer: comparative analysis of early and delayed reconstruction.

Minerva Chir 2017 Jun 14;72(3):188-199. Epub 2017 Feb 14.

Postgraduate Program in Intensive and Palliative Care, Centre of Health Sciences, Federal University of Santa Catarina, Florianópolis, Brazil.

Background: Early reconstruction after mastectomy for breast cancer with definitive implants has been widely used, especially with the evolution of conservative surgical breast cancer treatments. We aimed to identify different characteristics associated with plastic surgery, based on immediate or delayed reconstruction time and evaluate quality of life in patients undergoing mastectomy for cancer.

Methods: This is a cross-sectional analytical study that evaluated adult patients undergoing mastectomy for breast cancer and breast reconstruction in Plastic Surgery Service at a tertiary hospital. Read More

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http://dx.doi.org/10.23736/S0026-4733.17.07314-XDOI Listing
June 2017
7 Reads