3,386 results match your criteria Microsurgery [Journal]


Soft tissue free flap for reconstruction of upper extremities: A meta-analysis on outcome and safety.

Microsurgery 2019 Apr 19. Epub 2019 Apr 19.

Department of Hand, Plastic, and Reconstructive Surgery, Microsurgery, Burn Center, BG Trauma Center, Department of Plastic and Hand Surgery, University of Heidelberg, Ludwigshafen, Germany.

Background: The aim of this study was to evaluate outcome and safety of free flaps to the upper extremity by pooled, summarized rates, compared with the existing pooled results of the lower extremity from literature, and to improve the level of evidence in a meta-analysis.

Methods: A literature search of PubMed and Embase was conducted addressing publications between January 2000 and April 2018. Publications were selected by inclusion/exclusion criteria on safety and outcome. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/micr.30460
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http://dx.doi.org/10.1002/micr.30460DOI Listing
April 2019
1 Read

Effect of vasopressor use on digit survival after replantation and revascularization-A large retrospective cohort study.

Microsurgery 2019 Apr 16. Epub 2019 Apr 16.

Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto Western Hand Program, Toronto, Ontario, Canada.

Purpose: Despite the common use of intraoperative vasopressors in hand microsurgery, the association between intraoperative vasopressor use and digital replant failure has not yet been examined. Our study aims to examine the association between intraoperative vasopressor use (phenylephrine and/or ephedrine) and postoperative digital failure of replanted or revascularized digits.

Methods: All patients from a single tertiary hand center who underwent unilateral digital replantation or revascularization procedures between 2005 and 2016 were included in this retrospective cohort study. Read More

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http://dx.doi.org/10.1002/micr.30461DOI Listing
April 2019
2.421 Impact Factor

Robot-assisted microvascular anastomosis in head and neck free flap reconstruction: Preliminary experiences and results.

Microsurgery 2019 Apr 12. Epub 2019 Apr 12.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Republic of China.

Background: The da Vinci Surgical System has facilitated considerable advancements in surgery. The process and results of robot-assisted microvascular anastomosis in real clinical situations have rarely been reported. This study presents our experience of performing robot-assisted microvascular anastomosis in free flap reconstruction in patients with oropharyngeal cancer. Read More

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http://dx.doi.org/10.1002/micr.30458DOI Listing

The descending branch of lateral circumflex femoral artery (LCFA) as recipient pedicle for free flap cover of complex defects around the knee.

Microsurgery 2019 Apr 10. Epub 2019 Apr 10.

Head of Service, Fiona Stanley Hospital Plastic Surgery Department, Curtin University Medical School, Bentley, Australia.

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http://dx.doi.org/10.1002/micr.30459DOI Listing
April 2019
1 Read

Oculo-zygomatic nerve transfer for facial synkinesis: An anatomical feasibility study.

Microsurgery 2019 Apr 8. Epub 2019 Apr 8.

Department of Surgical Sciences, Plastic and Maxillofacial Surgery, Uppsala University Hospital, Uppsala, Sweden.

Background: Patients with severe oro-ocular synkinesis often present with concomitant inefficient smile excursion on the affected site. In theory, oculo-zygomatic nerve transfer may decrease synkinesis and improve smile by redirecting nerve fibers to their target muscle. The aim of this study was to explore the feasibility of nerve transfer in human cadavers between a caudal branch innervating the orbicularis oculi to a cephalad branch innervating the zygomaticus major muscles. Read More

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http://dx.doi.org/10.1002/micr.30457DOI Listing

Pedicled neurocutaneous anterolateral thigh flap for groin reconstruction - A case report.

Microsurgery 2019 Apr 8. Epub 2019 Apr 8.

Dipartimento Scienze della Salute della Donna e del Bambino, Unità di Chirurgia Plastica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.

Several different flaps based on the feeding vessels of sensitive nerves have been described in the limbs. This article reports the case of a neurocutaneous flap based on the lateral femoral cutaneous nerve (LFCN), employed for reconstruction of an inguinal defect. A 61-years-old female patient had undergone vulvectomy and bilateral inguinal lymphadenectomy for vulvar cancer with postoperative left groin wound breakdown. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/micr.30454
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http://dx.doi.org/10.1002/micr.30454DOI Listing
April 2019
1 Read

Aesthetic single-stage vermilion reconstruction using facial artery musculomucosal flap and radial forearm free flap following cancer resection: A case report.

Microsurgery 2019 Apr 8. Epub 2019 Apr 8.

Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.

Reconstruction of defects measuring approximately two-thirds of the lower lip width is traditionally reconstructed utilizing loco-regional flap utilizing lip and cheek tissues. This often results in microstomia and unsatisfactory aesthetic outcome. This may hinder the psychosocial aspect of a recovering cancer survivor. Read More

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http://dx.doi.org/10.1002/micr.30456DOI Listing
April 2019
4 Reads

Single-stage cross-facial nerve grafting has a result equivalent to that of two-stage cross-facial nerve grafting.

Microsurgery 2019 Apr 4. Epub 2019 Apr 4.

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

Backgrounds: Cross-face nerve grafting (CFNG) is an important treatment for patients with facial palsy. Currently, two-stage CFNG is frequently performed. CFNG is performed first, followed by coaptation when innervation reaches the grafted nerve ending. Read More

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http://dx.doi.org/10.1002/micr.30448DOI Listing

Impact of advanced age on microvascular reconstruction of the lower facial third: An American College of Surgeons NSQIP study.

Microsurgery 2019 Apr 4. Epub 2019 Apr 4.

Department of Surgery (Section of Plastic and Reconstructive Surgery), Yale University School of Medicine, New Haven, Connecticut.

Background: Microvascular reconstruction is the standard of care in head and neck reconstruction, though its perioperative safety in an older population has been controversial due to safety concerns, warranting further investigation.

Materials And Methods: An "older" (≥71 years) cohort undergoing reconstruction after mandibulectomy/glossectomy was compared to the remaining population in a National Surgical Quality Improvement Program (2008-2016) analysis. Cases required both a mandibulectomy/glossectomy and microvascular or local flap reconstruction (exclusion criteria: missing ages and simultaneous microvascular and local flap reconstruction). Read More

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http://dx.doi.org/10.1002/micr.30455DOI Listing
April 2019
1 Read

Trochanteric area reconstruction with free flap using perforators as recipients: An alternative and effective option.

Microsurgery 2019 Apr 1. Epub 2019 Apr 1.

Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Background: Reconstructing soft tissue defect on the trochanteric area is challenging. Due to the significant complications associated with regional flap, free tissue transfer is an appropriate option. However, this area has poor recipient vessels. Read More

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http://dx.doi.org/10.1002/micr.30424DOI Listing
April 2019
4 Reads

Use of a sequential chimeric perforator flap for one-stage reconstruction of complex soft tissue defects of the extremities.

Microsurgery 2019 Mar 22. Epub 2019 Mar 22.

Department of Hand & Microsurgery, Xiangya Hospital of Central South University, Changsha, China.

Background: One-stage reconstruction of complex soft tissue defects of the extremities is a challenging problem. Repair of complex soft tissue defects requires adequate skin tissues to cover the large surface wound and special tissues for obliterating the dead space. The chimeric flap is one of the most popular approaches for reconstruction of complex soft tissue defects. Read More

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http://dx.doi.org/10.1002/micr.30450DOI Listing
March 2019
1 Read

Calcaneal reconstruction after total calcanectomy with iliac crest free flap.

Microsurgery 2019 Mar 22. Epub 2019 Mar 22.

Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy.

Introduction: Calcaneal tumors being a rare occurrence, surgical options and outcomes are not well-known. Extensive defects following wide resection, especially in weight-bearing areas, still remain a challenge and different reconstructive techniques have been proposed. The aim of this report was to analyze the clinical and functional long-term outcomes of heel reconstruction using an iliac crest free flap. Read More

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http://dx.doi.org/10.1002/micr.30452DOI Listing
March 2019
2 Reads

An L-shaped retractor to facilitate the superior-edge-of-the-knee incision-method for lympho-venous anastomosis.

Microsurgery 2019 Mar 22. Epub 2019 Mar 22.

Department of Plastic and Reconstructive Surgery, St Marianna University School of Medicine, Kanagawa, Japan.

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http://dx.doi.org/10.1002/micr.30453DOI Listing

Successful treatment of breast cancer-related breast lymphedema by lymphovenous anastomosis in a male patient.

Microsurgery 2019 Mar 19. Epub 2019 Mar 19.

International Lymphedema Center, Hiroshima University Hospital, Hiroshima, Japan.

Men, as well as women may develop breast lymphedema following breast cancer treatment. Microsurgically performed lymphovenous anastomosis (LVA), an effective treatment for lymphedema of the extremities, has also been successfully applied to breast lymphedema. Here we report the first case of breast lymphedema secondary to male breast cancer, treated with supermicrosurgical LVA. Read More

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http://dx.doi.org/10.1002/micr.30447DOI Listing
March 2019
1 Read

Nerve transfer from the median to musculocutaneous nerve to induce active elbow flexion in selected cases of arthrogryposis multiplex congenita.

Microsurgery 2019 Mar 19. Epub 2019 Mar 19.

Department of Pediatric Neurosurgery, Altona Children's Hospital, Hamburg, Germany.

Background: Arthrogryposis multiplex congenita (AMC) is a rare disease which affects mainly upper and lower extremities. Affected patients are not able to eat unassisted due to elbow contracture and nonexistent active elbow flexion. In traumatic brachial plexus palsies, a nerve transfer from either median or ulnar nerve to the musculocutaneous nerve has proved to induce active elbow flexion, and we report our results of such a procedure in a nontraumatic condition, that is, arthrogryposis. Read More

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http://dx.doi.org/10.1002/micr.30451DOI Listing

Supermicrosurgery training model for lymphaticovenous anastomosis in advanced lymphedema by iliolumbar vein and ureter anastomosis in the rat.

Microsurgery 2019 Mar 5. Epub 2019 Mar 5.

Chief of Plastic Surgery Department, Hospital Germans Trias i Pujol, Barcelona, Spain.

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http://dx.doi.org/10.1002/micr.30445DOI Listing
March 2019
1 Read

Expanding the use of internal mammary artery perforators as a recipient vessel in free tissue transfer: An anatomical analysis by computed tomography angiography in breast cancer patients.

Microsurgery 2019 Mar 4. Epub 2019 Mar 4.

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

Background: The internal mammary artery (IMA) perforator has assumed recent prominence as recipient vessels in free autologous breast reconstruction. However, anatomical understanding is unclear, due to limited cadaver and clinical studies. We evaluated the usability of these vessels by evaluating perforator size, dominance, laterality, interspace location, and relationship with breast volume. Read More

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http://doi.wiley.com/10.1002/micr.30446
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http://dx.doi.org/10.1002/micr.30446DOI Listing
March 2019
3 Reads
2.421 Impact Factor

Gracilis musculotendinous free flap for lower extremity reconstruction after surgical removal of malignant tumors: A report of five cases.

Microsurgery 2019 Feb 27. Epub 2019 Feb 27.

Department of Orthopaedic Surgery, The Johns Hopkins School of Medicine, Baltimore, Maryland.

Background: Lower extremity reconstruction is challenging because of the need to restore form and function. Despite the many options for soft-tissue coverage, little research has addressed combined tendon and soft-tissue reconstitution. We present a series of patients undergoing lower extremity tendon reconstruction and wound coverage with a single free gracilis flap and its tendon. Read More

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http://dx.doi.org/10.1002/micr.30444DOI Listing
February 2019
7 Reads

Neurosensory corpuscle research: The life and works of Prof. Jan Boeke, Utrecht, The Netherlands.

Microsurgery 2019 Feb 26. Epub 2019 Feb 26.

Department of Plastic Surgery and Neurosurgery, Johns Hopkins University, Baltimore, Maryland.

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http://dx.doi.org/10.1002/micr.30438DOI Listing
February 2019

A comparison study of deep muscle sparing transverse rectus abdominis musculocutaneous flap for breast reconstruction.

Microsurgery 2019 Feb 25. Epub 2019 Feb 25.

Department of Plastic, Reconstructive and Aesthetic Surgery, Chiba University, Faculty of Medicine, Chiba, Chiba Prefecture, Japan.

Background: Breast reconstruction by deep inferior epigastric perforator flap (DIEP) involves only little rectus abdominis muscle sacrifice. However, the operative procedure may get complicated. We propose here a novel method involving two adjacent perforators and requiring the addition of only the superficial muscle to the flap. Read More

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http://dx.doi.org/10.1002/micr.30443DOI Listing
February 2019
3 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

Postamputation femur reconstruction with an autologous vascularized tibia bone graft.

Microsurgery 2019 Feb 20. Epub 2019 Feb 20.

Department of Burns and Plastic Surgery, University Hospital Brno, Brno, Czech Republic.

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http://dx.doi.org/10.1002/micr.30441DOI Listing
February 2019

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

Topical tacrolimus and steroids modulate T cells in acute rejection of hand allotransplantation: Two case reports.

Microsurgery 2019 Feb 15. Epub 2019 Feb 15.

Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

Acute rejection is not uncommon after vascularized composite allotransplantation. We reported the effects of adjunctive topical immunosuppressant with topical tacrolimus (Protopic®) and steroid cream (Clobetasol®) in the management of acute rejection in two hand transplantation patients. Case 1 is a 45-year-old male with distal forearm deficit 4 years ago and Case 2 is a 30-year-old male with a proximal forearm deficiency 2 years ago, respectively. Read More

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http://dx.doi.org/10.1002/micr.30439DOI Listing
February 2019
1 Read

Post-traumatic lymphedema treatment with superficial circumflex iliac artery perforator lymphatic free flap: A case report.

Microsurgery 2019 Feb 15. Epub 2019 Feb 15.

Department of Plastic Surgery and Burns, Hospital del Trabajador, Santiago, Chile.

Post-traumatic lymphedema is poorly understood. It is rarely considered in limb reconstruction decision-making approach. We report a case of a 41-year-old female who presented with right upper extremity lymphedema after degloving injury and split thickness skin graft, successfully treated with a superficial circumflex iliac artery perforator (SCIP) free flap restoring the lymphatic drainage. Read More

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http://dx.doi.org/10.1002/micr.30437DOI Listing
February 2019
2 Reads

Lymphatic supermicrosurgery for the treatment of recurrent lymphocele and severe lymphorrhea.

Microsurgery 2019 Feb 14. Epub 2019 Feb 14.

International Lymphedema Center, Hiroshima University Hospital, Hiroshima, Japan.

Background: Lymphocele and lymphorrhea are frequent complications after lymph node excision. Recurrent lymphoceles and intractable lymphorrhea are particularly difficult to treat conservatively. We describe the outcomes of four patients with recurrent lymphocele and nine patients with persistent lymphorrhea that were treated by supermicrosurgery. Read More

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http://dx.doi.org/10.1002/micr.30435DOI Listing
February 2019
13 Reads

Elbow flexion reconstruction with nerve transfer or grafting in patients with brachial plexus injuries: A systematic review and comparison study.

Microsurgery 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopaedics and Traumatology, Division of Hand Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

Introduction: Posttraumatic brachial plexus (BP) palsy was used to be treated by reconstruction with nerve grafts. For the last two decades, nerve transfers have gained popularity and believed to be more effective than nerve grafting. The aim of this systematic review was to compare elbow flexion restoration with nerve transfers or nerve grafting after traumatic BP injury. Read More

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http://dx.doi.org/10.1002/micr.30440DOI Listing
February 2019
1 Read

An anatomical variation of the DIEP flap: Left abdominus perforator arising from the right DIEA.

Microsurgery 2019 Feb 11. Epub 2019 Feb 11.

Division of Plastic and Reconstructive Surgery, IdiPaz and University Hospital La Paz, Madrid, Spain.

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http://dx.doi.org/10.1002/micr.30436DOI Listing
February 2019
2 Reads

Functional penile replantation after traumatic avulsion amputation below the pubis: A case report.

Microsurgery 2019 Feb 3. Epub 2019 Feb 3.

Division of Plastic Surgery, Department of Surgery, University of Wisconsin-Madison, Madison, Wisconsin.

Penile amputation is a rare injury with significant posttraumatic ramifications. We present a case of successful immediate replantation after traumatic penile avulsion in a 52-year-old male patient. The patient reported his penis was caught in machinery during a boating accident, and avulsed at the level of the pubis. Read More

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http://dx.doi.org/10.1002/micr.30425DOI Listing
February 2019
1 Read

Microvascular lining options for subtotal and total nasal reconstruction: A scoping review.

Microsurgery 2019 Jan 31. Epub 2019 Jan 31.

Division of Plastic Surgery, McMaster University, Hamilton, Ontario.

Background: Restoration of nasal lining is essential in reconstruction of subtotal/total nasal defects. When local flaps are inadequate, a microvascular flap should be used. The purpose of this scoping review is to map the literature and identify the described flap options for subtotal/total nasal reconstruction. Read More

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http://doi.wiley.com/10.1002/micr.30432
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http://dx.doi.org/10.1002/micr.30432DOI Listing
January 2019
14 Reads

Convergent end-to-end neurorrhaphy: An alternative technique for dual innervation of the gastrocnemius muscle in rats.

Microsurgery 2019 Jan 31. Epub 2019 Jan 31.

Plastic Surgery Department, Hospital das Clínicas, University of São Paulo, São Paulo, São Paulo, Brazil.

Introduction: Muscle contraction generated by electrical impulses simultaneously originating from two different neural sources may be an interesting treatment alternative for long term facial palsy. An experimental model was designed to compare single and dual innervation of the gastrocnemius muscle (GM) in rats.

Methods: Fifty adult Wistar rats underwent transection of their right peroneal nerve and were divided into five groups (n = 10): control (C), tibial nerve section (TS), tibial nerve primary end-to-end neurorrhaphy (PEE), tibial nerve primary repair associated with end-to-side peroneal-to-tibial nerve transfer (PRES), and tibial nerve repair by convergent end-to-end (CEE) neurorrhaphy between the proximal stumps of the tibial and peroneal nerves to the distal stump of the tibial nerve. Read More

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http://dx.doi.org/10.1002/micr.30433DOI Listing
January 2019
2 Reads

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
6 Reads

Role of early postoperative urethroscopy for urethral vitality assessment after penis replantation.

Microsurgery 2019 Jan 25. Epub 2019 Jan 25.

Department of Urology, Faculty of Medicine and Dentistry, Palacky University and University Hospital Olomouc, Olomouc, Czech Republic.

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http://dx.doi.org/10.1002/micr.30430DOI Listing
January 2019
1 Read

Venous bypass grafts versus arteriovenous loops as recipient vessels for microvascular anastomosis in lower extremity reconstructions: A matched-pair analysis.

Microsurgery 2019 Jan 24. Epub 2019 Jan 24.

Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwig-Guttmann-Str. 13, Ludwigshafen, Germany.

Background: Limb salvage in patients with peripheral vascular disease (PVD) and soft tissue defects often requires both a restoration of blood flow to the lower extremity and soft tissue coverage. Outcomes of free tissue transfer may be affected by vein grafts, which can be used for the placement of an autologous venous bypass or an arteriovenous (AV) loop leading to different hemodynamic situations. The purpose of this study was to investigate whether free flap anastomosis to a bypass or an AV loop can be performed with comparable results. Read More

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http://dx.doi.org/10.1002/micr.30428DOI Listing
January 2019
2 Reads

Microsurgical reconstruction of complex maxillofacial gunshot wounds: Outcomes analysis and algorithm.

Microsurgery 2019 Jan 24. Epub 2019 Jan 24.

Department of Plastic Surgery, MetroHealth & Veterans Affairs, Cleveland, Ohio.

Background: Satisfaction with appearance, functional outcomes (speech, swallowing), work status after microsurgical reconstruction for maxillofacial gunshot wounds (GSW) remain largely unknown. The purpose of this study is to report these parameters. By investigating these outcomes, we also aimed to provide microsurgical algorithms for complex maxillofacial GSW. Read More

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http://dx.doi.org/10.1002/micr.30418DOI Listing
January 2019
2 Reads

Risk factors for microvascular free flaps in pediatric lower extremity trauma.

Microsurgery 2019 Jan 23. Epub 2019 Jan 23.

Hansjörg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, New York.

Purpose: There is a dearth of literature dedicated to specifically evaluating the use of free flap reconstruction in pediatric lower extremity traumas. This study aims to identify specific risk factors for flap failure in pediatric lower extremity trauma reconstruction.

Methods: Retrospective review of 53 free flaps in our lower extremity database (1979-2017) identified all free flaps performed for traumatic reconstruction in children <18 years of age at our institution. Read More

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http://dx.doi.org/10.1002/micr.30427DOI Listing
January 2019
2 Reads

Steam burn as a late complication of nonsensate DIEP flap after breast reconstruction.

Microsurgery 2019 Jan 22. Epub 2019 Jan 22.

Department of Plastic, Reconstructive and Aesthetic Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.

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http://dx.doi.org/10.1002/micr.30422DOI Listing
January 2019
7 Reads

Comparison between donor nerves to motorize the free functional gracilis muscle transfer for elbow flexion: Retrospective study of 38 consecutive cases in traumatic adult brachial plexus injuries.

Microsurgery 2019 Jan 22. Epub 2019 Jan 22.

Hand and Microsurgery Unit, Department of Orthopaedic Surgery, São Paulo University, São Paulo, Brazil.

Purpose: Elbow flexion deficit is a frequent problem in traumatic brachial plexus injuries and reestablishment of this function is the primary treatment goal. When management is delayed, or the initial acute approach fails, free functional transfer of the gracilis muscle for elbow flexion is the treatment of choice. In this report, the authors present the results of a comparison study on different donor nerves (spinal accessory and ulnar) in elbow flexion reconstruction with gracilis flap for traumatic adult brachial plexus injuries. Read More

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http://dx.doi.org/10.1002/micr.30426DOI Listing
January 2019
11 Reads

Reconstruction of complex soft tissue defects including tendons with anterolateral thigh flap extended to fascia lata: Long term recovery and functional outcomes.

Microsurgery 2019 Jan 22. Epub 2019 Jan 22.

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

Background: We evaluated composite anterolateral thigh (ALT) flaps including vascularized fascia lata (FL), for stable soft tissue coverage and tendons restoration at various joint levels in a one-stage procedure.

Methods: We performed a retrospective investigation including 21 "functional" ALT flaps between November 2006 and December 2016. In all patients included, FL was shaped to anatomical reproduce a tendon structure. Read More

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http://dx.doi.org/10.1002/micr.30431DOI Listing
January 2019
18 Reads

Simultaneous deep inferior epigastric and bilateral anterolateral thigh perforator flap reconstruction of an extended perineoscrotal defect in Fournier's gangrene: A case report.

Microsurgery 2019 Mar 21;39(3):263-266. Epub 2019 Jan 21.

Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Fournier's gangrene is lethal necrotizing fasciitis that involves the perineum and external genitalia. We describe the case of a 52-year-old man with Fournier's gangrene who underwent reconstruction of an extensive perineoscrotal defect using three pedicled perforator flaps. Three debridement procedures resulted in a skin and soft tissue defect of 36 × 18 cm involving the perineum, scrotum, groin, medial thigh, buttocks, and circumferential perianal area and left the perforating arteries originating from these locations unavailable for reconstruction. Read More

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http://dx.doi.org/10.1002/micr.30409DOI Listing
March 2019
7 Reads

The use of cross-limb venous bridge in extremity reconstruction of soft tissue defects following surgical excision of chronic wound.

Microsurgery 2019 Mar 21;39(3):278-279. Epub 2019 Jan 21.

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

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http://dx.doi.org/10.1002/micr.30416DOI Listing
March 2019
2 Reads

Surgical anatomy of ovine facial and hypoglossal nerves for facial nerve reconstruction and regeneration research: An experimental study in sheep.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas.

Background: The lack of a clinically relevant animal model for facial nerve research is a challenge. The goal of this study was to investigate the anatomy of the ovine facial and hypoglossal nerves to establish a clinically relevant facial nerve research model.

Materials And Methods: Six cadaver female Merino sheep (33. Read More

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http://doi.wiley.com/10.1002/micr.30405
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http://dx.doi.org/10.1002/micr.30405DOI Listing
January 2019
10 Reads

Muscle-splitting approach to thoracoacromial vein for superdrainage in deep inferior epigastric artery perforator flap breast reconstruction.

Microsurgery 2019 Mar 21;39(3):228-233. Epub 2019 Jan 21.

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

Background: Thoracoacromial vein (TAv) is seldomly considered as a secondary outflow recipient option when venous congestion of deep inferior epigastric artery perforator (DIEP) flap is encountered. The purpose of this study was to present a computed tomography (CT)-based anatomy and a method of approaching TAv in performing superdrainage using superficial inferior epigastric vein (SIEV) in DIEP flap breast reconstruction.

Methods: For CT-based anatomical study, 42 thoracoacromial vessels (TAV) of 21 patients who underwent DIEP flap breast reconstruction were analyzed. Read More

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http://dx.doi.org/10.1002/micr.30421DOI Listing
March 2019
3 Reads

Refinement of the chicken wing supermicrosurgical training model: Pre-operative indocyanide green injection highlighting vessels' visualization under 0.4 mm of diameter.

Microsurgery 2019 Mar 21;39(3):280-281. Epub 2019 Jan 21.

Department of Plastic and Reconstructive Surgery, Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan.

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http://dx.doi.org/10.1002/micr.30414DOI Listing
March 2019
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Functional reconstruction of total upper eyelid defects with a composite radial forearm-palmaris longus tenocutaneous free flap: A report of two cases.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Department of Plastic and Reconstructive Surgery, Osaka Medical College, Osaka, Japan.

This report presents reconstruction of wide- and full-thickness upper eyelid defects with a composite radial forearm-splitting palmaris longus tendon flap, which maintains eyelid opening and closing functions and supporting tissue in a Meibomian gland carcinoma in the right upper eyelid (case 1) and Merkel cell carcinoma in the right upper eyelid (case 2). After tumor resection with excisional margins, the defects involved the muscle, tarsal, and mucosa, with defect sizes of 60 × 40 mm and 85 × 40 mm, respectively. A radial forearm flap with the palmaris longus tendon was transferred. Read More

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http://doi.wiley.com/10.1002/micr.30410
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http://dx.doi.org/10.1002/micr.30410DOI Listing
January 2019
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Quadriceps tendon reconstruction using a fascia lata included in a reverse-flow anterolateral thigh flap.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy.

Quadriceps tendon re-rupture after surgical repair is an overall estimated 2% complication. We report a case of reconstruction in a large tendon and soft tissue defect using a reverse-flow anterolateral thigh (ALT) perforator flap including fascia lata in a 75-year-old man presented with septic necrosis of a reconstructed quadriceps tendon. A reverse-flow ALT flap was transferred to the knee defect; the fascia lata was sutured to the residual tendon. Read More

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http://dx.doi.org/10.1002/micr.30420DOI Listing
January 2019
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Reconstruction of digit planer injuries using component transfer of double second toes: A case report.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland.

The purpose of this report is to show that customized component second-toe transfers may improve functional and aesthetic outcomes following bone, soft tissue, and joint destruction of traumatically injured digits. A 22-year-old male sustained a planer injury resulting in loss of the distal volar soft tissues of the middle, ring, and small fingers, along with variable destruction of middle phalanges and distal interphalangeal joints. Simultaneous vascularized second-toe transfers were performed with customized joint and pulp reconstruction of middle and small fingers. Read More

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http://dx.doi.org/10.1002/micr.30411DOI Listing
January 2019
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Lateral thoracic artery as recipient vessel for head and neck free flap reconstruction in the vessel depleted neck: A case report.

Microsurgery 2019 Jan 21. Epub 2019 Jan 21.

Otolaryngology, Head and Neck Surgery Department, University of Kansas Medical Center, Kansas City, Kansas.

Vessel depleted necks present a challenge to identifying suitable recipient vessels for microvascular head and neck reconstruction. Many alternative recipient vessels have been described. The purpose of this report is to describe the feasibility of using the lateral thoracic artery as a recipient vessel for head and neck free flap reconstruction in vessel depleted necks. Read More

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http://dx.doi.org/10.1002/micr.30419DOI Listing
January 2019
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Microsurgical head and neck reconstruction in patients with coronary artery disease: A perioperative assessment algorithm.

Microsurgery 2019 Jan 15. Epub 2019 Jan 15.

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

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

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