World J Plast Surg 2017 May;6(2):144-151

Department of Plastic Surgery, University California Irvine, 200 South Manchester Ave. Suite 650, Orange CA 92868, USA.

Background: Current teaching suggests increased perfusion in free transverse rectus abdominis myocutaneous (TRAM) flaps over pedicled TRAM flaps, broadening indications for its use in high risk patients. This study compared perfusion analysis of free muscle-sparing versus pedicle TRAM flaps in vivo in the peri-operative and late post-operative periods.

Methods: The SPY-Elite system using indocyanine green dye was used to analyze flap perfusion intra-operatively and at 1 week and 3 months post-operatively. Read More

Facial Plast Surg Clin North Am 2017 Aug 30;25(3):313-321. Epub 2017 May 30.

Department of Otolaryngology, University at Buffalo, 1237 Delaware Avenue, Buffalo, NY 14209, USA. Electronic address:

In many cases of complex facial defects, because of advanced cutaneous malignancies, primary wound closure is impossible. In these instances, ideal results can be obtained through recruitment of adjacent tissue with the use of local flaps. Advances in local flap techniques have raised the bar in facial reconstruction; however, acceptable results to the surgeon and patient require high levels of planning and surgical technique. Read More

Actas Dermosifiliogr 2017 Jun 27. Epub 2017 Jun 27.

Servicio de Dermatología, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, España.

Background And Objectives: A broad range of skin flaps can be used to repair facial surgical defects after the excision of a tumor. The aim of our study was to develop a practical guideline covering the most useful skin grafts for each of the distinct facial cosmetic units.

Material And Methods: This was a multicenter study in which 10 dermatologists with extensive experience in reconstructive surgery chose their preferred technique for each cosmetic unit. Read More

J Dermatol 2017 Jun 21. Epub 2017 Jun 21.

Department of Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan.

Turk J Med Sci 2017 Jun 12;47(3):883-890. Epub 2017 Jun 12.

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

Background/aim: Resection of tumors from the groin and thigh regions with safe margins often results in significant soft tissue defects, which preclude primary closure. This study presents a series of rectus abdominis myocutaneous flaps for irradiated thigh and groin wounds with the purpose of evaluating the efficacy and outcomes of these flaps in this population.

Materials And Methods: From 2008 to 2015, all patients who underwent resection of thigh or groin region tumors and reconstruction with an inferiorly based rectus abdominis myocutaneous flap were retrospectively identified. Read More

Ann Plast Surg 2017 Jun 9. Epub 2017 Jun 9.

From the *University of Maryland Medical System, Baltimore, MD; †Department of Surgery, Drexel University College of Medicine, Philadelphia, PA; and ‡Rothman Institute of Orthopedics; and §The Plastic Surgery Center, The Institute for Advanced Reconstruction, Egg Harbor, NJ.

Background: Small (<30 cm) soft tissue defects of the distal leg, foot, and ankle pose a complicated issue with regard to wound healing. Multiple flaps have been proposed for reconstruction of these wounds with varying levels of success. The medial femoral condyle flap is a free bone flap supplied by the descending geniculate artery. Read More

Ann Plast Surg 2017 May 31. Epub 2017 May 31.

From the Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seongnam, Gyeonggi, Republic of Korea.

Background: Numerous methods exist for repairing unilateral cleft lips and mainly focus on cutaneous design to achieve sufficient rotation of the medial (M) cleft lip and produce a natural Cupid's bow and philtrum. However, precise nasal floor reconstruction has not been described in detail. This is the first study to introduce a technique for repairing complete unilateral cleft lips with a focus on nasal floor reconstruction. Read More

Am J Rhinol Allergy 2017 May;31(3):190-195

Background: Septal perforation closure is still often invasive and complex, with relatively low closure rates.

Objectives: We aimed to provide the first results of a case series of 20 patients with nasal septal perforations who underwent septal perforation repair by both an open and a minimally invasive technique by using a graft that consisted of temporoparietal fascia and a polydioxanone (PDS) plate without mucosal flaps. Between 2014 and 2016, we tested, for the first time, the feasibility of the insertion of this graft via a hemitransfixion incision at our institution. Read More

Plast Reconstr Surg Glob Open 2017 Mar 16;5(3):e1249. Epub 2017 Mar 16.

Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Background: The reconstruction of the posterior trunk, especially with large dead spaces, remains challenging. Regional muscle flaps may lack adequate volume and reach. The purpose of this report was to evaluate the efficacy of deepithelialized free-style perforator-based propeller flaps to obliterate defects with large dead space. Read More

Plast Reconstr Surg Glob Open 2017 Mar 30;5(3):e1234. Epub 2017 Mar 30.

Division of Plastic Surgery, St. Joseph's Medical Center, Paterson, N.J.; and Division of Plastic Surgery, The Warren Alpert Medical School of Brown University, Providence, R.I.

Background: Surgical treatment of pressure ulcers is challenging for high recurrence rates. Deepithelialized flaps have been used previously with the aim to eliminate shearing forces and the cone of pressure (COP) effect. The goal of this study is to adopt a standardized protocol and evaluate if 2 different flap techniques affect outcomes. Read More

Dermatol Surg 2017 Apr 3. Epub 2017 Apr 3.

*All authors are affiliated with the Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

Background: The typical reconstructive option for closing large-sized defects of the distal half of the nose is the paramedian forehead flap. Other alternatives are a melolabial interpolation flap and bilobed or trilobed flaps. The dorsal nasal (Rieger) flap is suitable for closing small-sized defects at this location, especially when they are medially located. Read More

Aesthet Surg J 2017 04;37(4):398-406

Assistant Professor, Department of Plastic, Reconstructive, and Aesthetic Surgery, Pamukkale University Hospital, Denizli, Turkey.

Background: Nasal tip surgery is the most important and most difficult step of an aesthetic rhinoplasty operation. Various suture and grafting techniques have been described for adequate tip rotation and projection in nasal tip surgery.

Objectives: The author describes his technique of "three-dimensional (3D) columellar strut graft" in nasal tip surgery. Read More

J Int Med Res 2017 Jun 27;45(3):1074-1089. Epub 2017 Mar 27.

4 Department of Orthopaedic Surgery, Yangpu Hospital of Tongji University, Shanghai, China.

Objective To describe the characteristics of the perforator vessel in the peroneal artery of the lower leg and to explore the use of perforator pedicle propeller flaps to repair soft tissue defects in the lower leg, heel and foot. Methods This retrospective study enrolled patients with soft tissue defects of the distal lower leg, heel and foot who underwent surgery using peroneal perforator-based propeller flaps. The peroneal artery perforators were identified preoperatively by colour duplex Doppler ultrasound. Read More

Microsurgery 2017 Mar 17. Epub 2017 Mar 17.

Department of Plastic and Reconstructive Surgery, Lapeyronie University Hospital, Montpellier, France.

Introduction: In lower limbs, reliability of propeller perforator flaps (PPF) remains uncertain. The main complication is venous congestion, which can lead to distal necrosis. We aim to highlight if venous supercharging of PPF could substantially limit complications in lower limb coverage. Read More

Cir Cir 2017 Mar 6. Epub 2017 Mar 6.

Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.

Background: The principles of perineal reconstructive surgery comprise adequate filling of the defect along with stable and durable skin coverage, with a low morbidity rate. Two-flap perineal reconstruction is a simple, fast and reliable technique that uses a single donor site. This improves scar position with low morbidity. Read More

Rev Col Bras Cir 2016 Dec;43(6):452-457

Medicine School, Superior School of Health Sciences, Brasilia, Distrito Federal, Brazil.

Objective: to evaluate the immediate reconstruction of face and scalp after canine bites in children.

Methods: we conducted a prospective series of cases treated at the Emergency Unit of the Asa Norte Regional Hospital, Brasília - DF, from January 1999 to December 2014. At the time of patient admission to the emergency, the primary wound closure of the face and scalp bite was performed, regardless of the time or day of the event. Read More

Ann Plast Surg 2017 Jul;79(1):34-38

From the Unit of Plastic Surgery and Dermatology, "Campus Bio-Medico di Roma" University, Rome, Italy.

Background: A-T plasty has long been a workhorse for defects located around the eyebrow or in the upper and lower lip. It allows like-with-like reconstruction with placement of the scars in natural creases or subunit junctions. In this article, the authors describe their refined technique to specifically address moderate to large size defects of the frontotemporal, preauricular, and zygomatic regions. Read More

Int Wound J 2017 Mar 6. Epub 2017 Mar 6.

Department of Plastic & Aesthetic, Reconstructive & Hand Surgery, AGAPLESION Markus Hospital, Johann Wolfgang von Goethe University, Frankfurt am Main, Germany.

Pressure sore rates remain high in both nursing homes as well as in hospitals. Numerous surgical options are available for defect coverage in the sacral region. However, objective data is scarce as to whether a specific flap design is superior to another. Read More

J Foot Ankle Surg 2017 May - Jun;56(3):514-518. Epub 2017 Feb 28.

Lecturer, Plastic and Reconstructive Surgery, Plastic Surgery Department, Tanta Faculty of Medicine, Tanta, Egypt. Electronic address:

Soft tissue defects around the foot and ankle region often present an awkward problem for plastic surgeons. The medial plantar artery flap raised from the non-weightbearing instep of the plantar foot offers a thick, sensorial, durable, and glabrous skin. The reversed sural artery flap offers a reliable option for coverage with the advantages of a wide arc of rotation, adequate dimensions, and a reliable blood supply. Read More

Microsurgery 2017 Feb 24. Epub 2017 Feb 24.

Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, University Hospital Basel, Basel, 4031, Switzerland.

Purpose: The aim is to describe a technique with orthograde dissection of the anterior tibial artery (ATA) used as the recipient vessel for the end-to-end (ETE) anastomosis in defect reconstruction around the knee and for proximal/middle third leg defects with free anterolateral thigh (ALT) and gracilis flaps.

Patients And Methods: Between March 2009 and May 2014, 22 patients undergoing lower extremity reconstruction were evaluated. Of those, 4 patients were included. Read More

Adv Med Educ Pract 2017 8;8:143-147. Epub 2017 Feb 8.

Department of Dermatology.

Background: Surgical reconstructive planning following Mohs surgery can be a difficult subject for dermatology residents to master. Prior research demonstrates that active learning is preferred and more effective compared to passive learning models and that dermatology residents desire greater complexity and volume in surgical training. We present a novel, active, problem-based learning tool for the education of Mohs reconstruction with the goal of improving residents' ability to plan surgical reconstructions. Read More

Int Braz J Urol 2017 Jan-Feb;43(1):155-162

Divisão de Urologia do Departamento de Cirurgia, Universidade de São Paulo, SP, Brasil.

Introduction: The surgical correction of bladder exstrophy remains challenging. In our institution, the repair has evolved from a staged repair to one-stage reconstruction. The one-stage reconstruction includes; bladder closure, Cantwell-Ransley neourethroplasty and abdominoplasty using groin flaps, without the need of pelvic ostheotomies. Read More

Am J Otolaryngol 2017 Mar - Apr;38(2):179-182. Epub 2017 Jan 16.

Department of Otolaryngology - Head and Neck Surgery, Case Western Reserve University, Cleveland, OH, United States; Department of Otolaryngology - Head and Neck Surgery, MetroHealth Medical Center, Cleveland, OH, United States. Electronic address:

Importance: Repair of nasal septal perforations is challenging regardless of surgical technique due to their location and the health of surrounding tissue. There is currently no surgical procedure which is completely effective in the treatment of anteriorly located perforations.

Objective: To report a novel method of closing anterior septal perforations using an inferiorly based mucosal rotation flap and an acellular dermal interposition graft, as well as expand upon a previous series. Read More

Ann Plast Surg 2017 Jul;79(1):53-59

From the Departments of *Plastic Reconstructive Surgery and †Gynecologic Oncology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.

Background And Aim: To date, clinically relevant selection criteria have not been established for the use of the gluteal fold flap after oncological vulvoperineal resection. We prospectively assessed the surgical risk factors of this reconstructive technique in a large series.

Methodology: From April of 2000 through December of 2015, 114 gluteal fold flaps were used for vulvoperineal reconstruction after excision of (pre)malignant skin disorders in 75 women. Read More

Plast Reconstr Surg 2017 May;139(5):1165-1174

Philadelphia, Pa.; Taipei, Taiwan; and Norfolk, Va. From the Division of Plastic and Reconstructive Surgery, Perelman School of Medicine at the University of Pennsylvania; the Division of Trauma, Department of Plastic and Reconstructive Surgery, Chang-Gung University Medical Department, Chang-Gung Memorial Hospital; and Plastic and Reconstructive Surgery, Eastern Virginia Medical School.

Background: Neuropathic symptoms after median nerve repair at the wrist or secondary to refractory carpal tunnel syndrome may become debilitating. These symptoms develop because of perineural adhesions, intraneural fibrosis, and fixation of the nerve to the transverse carpal ligament after surgery, and often require neurolysis. Interposition of vascularized soft tissue over the median nerve at the time of neurolysis prevents recurrence of such adhesions. Read More

J Clin Diagn Res 2016 Nov 1;10(11):PD21-PD23. Epub 2016 Nov 1.

Assistant Professor, Deparment of Surgery, Believers Church Medical College, Hospital , Tiruvalla, Kerala, India .

Many patients present to general surgeons with scalp lesions which require wide local excision with margin, following which the defect is too large to be closed primarily. These lesions can be benign or malignant. Skin grafting of these defects gives poor cosmetic outcome. Read More

Plast Reconstr Surg 2017 Jan;139(1):128-136

Rochester, Minn. From the Department of Orthopedic Surgery, Division of Hand Surgery, the Department of Neurologic Surgery, and the Center for Innovation, Mayo Clinic.

Background: Reconstruction after pan-plexus root avulsions often includes gracilis free functioning muscle transfer. For elbow flexion reconstruction, the free functioning muscle transfer distal tendon is inserted into the biceps tendon or more distally (i.e. Read More

Acta Chir Belg 2017 Apr 8;117(2):84-88. Epub 2016 Dec 8.

a Department of Plastic Surgery , Ghent University Hospital , Ghent , Belgium.

Introduction: Patients requesting body-contouring surgery after massive weight loss often present with abdominal and lumbar skin excess as well as gluteal ptosis and loss of gluteal projection. In order to restore gluteal projection a circular abdominoplasty in combination with an autologous gluteal augmentation (all-in-one technique) can be performed.

Objective: To compare outcomes for patients who underwent a circular abdominoplasty with or without autologous gluteal augmentation. Read More

J Cutan Med Surg 2016 Dec 1:1203475416681760. Epub 2016 Dec 1.

1 The Ottawa Hospital Riverside Campus, Ottawa, ON, Canada.

Background: Lidocaine-allergic patients pose a challenge for cutaneous surgical procedures. We present a case of a successful wide local excision with flap closures on the face using topical tetracaine followed by infiltration with 1% diphenhydramine.

Case Summary: An 84-year-old woman, with a lidocaine intolerance, presented to the Mohs surgery clinic for wide local excision of a nodular basal cell carcinoma on her right medial cheek. Read More

Clin Plast Surg 2017 Jan;44(1):65-72

Division of Plastic Surgery, Baylor Scott & White Health, 2401 South 31st Street, Temple, TX 76508, USA. Electronic address:

Internal mammary artery (IMA)-based pedicled perforator flaps can be used to reconstruct defects of the neck and anterior chest wall. Pre-expansion causes a possible delay phenomenon, improves flap survival, and decreases donor site morbidity. It also increases the area that can be covered. Read More

Eur Arch Otorhinolaryngol 2017 Mar 16;274(3):1521-1525. Epub 2016 Nov 16.

Servicio de Otorrinolaringología, Hospital General Universitario los Arcos del Mar Menor, Pozo Aledo, Murcia, Spain.

Surgical closure of nasal septal perforations is one of the most challenging procedures in nasal surgery. Defects greater than 2 cm are especially difficult to repair with the traditional approaches due to the challenges of mobilizing enough mucosa to close big gaps, and avoiding airway stenosis in the process. We present a new technique to endoscopically close major septal perforations using bilateral Hadad-Bassagasteguy flaps. Read More

J Oral Maxillofac Surg 2017 Jan 14;75(1):222.e1-222.e6. Epub 2016 Sep 14.

Consultant, Department of Oral Maxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital affiliated to Shanghai Jiao Tong University, Shanghai, China.

Purpose: Drawbacks of the conventional supraclavicular overlay of the pectoralis major myocutaneous flap (PMMF) include the resultant unesthetic cervical bulge and the limited cephalad extension that limits its use to mandibular or cervical defects. This study discusses the technique and comparative advantages of a more esthetic subclavicular route through the clavipectoral fascia that allows an increased arc of rotation to reconstruct orofacial defects.

Materials And Methods: Patients with orofacial defects that were reconstructed with a PMMF through the modified subclavicular route were included in this retrospective cohort study, which aimed to compare the gain in extension accorded through the modified subclavicular tunnel over an initial conventional supraclavicular overlay. Read More

Microsurgery 2016 Oct 28;36(7):593-597. Epub 2016 Jul 28.

Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unity, Centro Hospitalar De São João, Faculty of Medicine, University of Porto, 4202-451, Porto, Portugal.

Radial club hand may be congenital or acquired; radial deviation of the hand is usually found, associated with palmar flexion-pronation and treatment of severe forms of radial club hand is often difficult. Here we present a case of reconstruction of a severe postraumatic radial club hand with a free fibular osteoseptocutaneous flap and Sauve-Kapandji procedure in a 28-year-old man. The patient had a radial deviation of the wrist and right upper limb shortening as a result of an infected pseudarthrosis of the radius. Read More

Plast Reconstr Surg Glob Open 2016 Sep 29;4(9):e1049. Epub 2016 Sep 29.

Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.

It is difficult to completely resect huge anterior chest wall keloids and then close the wound directly. We report here our retrospective analysis of our case series of patients with such keloids who underwent reconstruction with internal mammary artery perforator (IMAP) pedicled propeller flaps and then received postoperative high-dose-rate superficial brachytherapy.

Methods: All consecutive patients with large/severe keloids on the anterior chest wall who underwent keloid resection followed by reconstruction with IMAP-pedicled propeller flaps and then high-dose-rate superficial brachytherapy in our academic hospital were identified. Read More

Ann Chir Plast Esthet 2016 Dec 22;61(6):845-852. Epub 2016 Sep 22.

20, quai Claude-Bernard, 69008 Lyon, France. Electronic address:

Aim Of The Study: The coverage of ischiatic pressure ulcers is characterized by a significant recurrence rate (8-64% depending on the series). It therefore seems necessary to introduce the concept of saving in the use of muscle flaps available to avoid being in a situation of therapeutic impasse. The gluteus maximus inferior split-muscle flap allows a tailored coverage to the ischiatic pressure ulcers grade IV with skin defect less than 8cm after surgical debridement. Read More

Zhonghua Shao Shang Za Zhi 2016 Aug;32(8):463-8

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China.

Objective: To explore the classification of massive postburn scars on neck and the reconstruction strategy using pre-expanded perforator flaps from the back.

Methods: Thirty-seven patients with massive postburn scars on neck were admitted from January 2010 to December 2014 and treated by our treatment group. The massive postburn scars on neck were categorized into three types according to their size and location. Read More

J Reconstr Microsurg 2017 Jan 19;33(1):26-31. Epub 2016 Aug 19.

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

Background Freestyle propeller flaps have been widely used as a reconstructive option for both trunk and extremities. It offers the advantage of "like-with-like" reconstruction with an adjacent tissue with no dissection to the source vessels. However, there is the risk of vascular complications. Read More

J Plast Reconstr Aesthet Surg 2016 Oct 30;69(10):e205-11. Epub 2016 Jul 30.

Division of Plastic and Aesthetic Surgery, Dicle University, Diyarbakır, Turkey.

Background: Perforator-based propeller flaps provide adequate soft tissue coverage for leg reconstruction. The aim of this study was to assess the versatility and reliability of the use of propeller flaps for leg reconstruction in pediatric patients.

Method: Seven male pediatric patients ranging in age from 2 to 13 years with a mean age of 6. Read More

Med Pregl 2016 Jan-Feb;69(1-2):48-52

Introduction: Hidradenitis suppurativa is a persistent, inflammatory and recurrent disease of the hair follicles which, in time, results in ugly scars. Inflammation and obstruction of channel of sweat glands used to be thought to be the basis of this disease.

Case Reports: This paper presents the cases of 8 patients operated on in the past 3 years. Read More

J Cataract Refract Surg 2016 Jul;42(7):955-60

From the Department of Cataract and Refractive Lens Services, Narayana Nethralaya, Post Graduate Institute of Ophthalmology, Bangalore, India.

Unlabelled: Scleral fixation of intraocular lenses (IOLs) is traditionally performed after conjunctival dissection and preparation of scleral flaps. The Hoffman pocket technique creates scleral pockets without conjunctival dissection. We describe a technique that uses a Hoffman pocket and 7-0 polytetrafluoroethylene (Gore-Tex) sutures for scleral fixation of a foldable posterior chamber IOL in patients with insufficient capsule support. Read More

J Craniofac Surg 2016 Oct;27(7):1782-1784

Department of plastic and traumatic surgery, School of Stomatology, Capital Medical University, Beijing, China.

The isolated naso-ocular cleft is rare. In this article, the authors report an extremely rare case of unilateral isolated naso-ocular cleft. And a new rotation-advancement technique was used in repair. Read More

Plast Reconstr Surg Glob Open 2016 Jun 7;4(6):e730. Epub 2016 Jun 7.

Department of Hand Surgery, The Affiliated Hospital of Medical College, Ningbo University, Ningbo, Zhejiang, China; and Department of Anatomy, Wenzhou Medical University, Wenzhou University Town, Wenzhou, Zhejiang, China.

Background: The purposes of this article are to introduce and assess the results of a long-term follow-up of using anterograde pedicle flap based on the dorsal branches of proper digital neurovascular bundles from the dorsum of the middle phalanx for the fingertip defect.

Methods: Between February 2011 and December 2012, 31 patients underwent reconstruction of fingertip defects using a homodigital flap based on the dorsal perforator in the middle phalanx. The defect size ranged from 1. Read More

World Neurosurg 2016 Sep 22;93:484.e9-484.e12. Epub 2016 Jul 22.

Department of Otolaryngology, University Hospital Virgen del Rocío, Sevilla, Spain.

Background: Adenoidectomy is one of the most common procedures in the field of pediatric otolaryngology. Postoperative bleeding is one of the most frequent complications (0.4%). Read More

Ann Plast Surg 2016 Feb;77 Suppl 1:S43-8

From the Ninth Department of Plastic Surgery, Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing, China.

Background: The cervical area is well acknowledged as an ideal donor site for aesthetic reconstruction of the cheek, and tissue expansion may play an important role for maximally achieving such a purpose. However, the conventional design of the expanded cervical flap generally results in unsightly morbidity of the donor site. The aim of this study is to evaluate the results of using an improvised cervical expanded flap in aesthetic reconstruction of the cheek. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 Apr;30(4):444-6

Objective: To explore the effectiveness and operation of repairing multiple soft tissue defects in hands with lateral arm lobulated flaps.

Methods: Between October 2013 and September 2015, 13 cases of multiple soft tissue defects in the hand with tendon or bone exposure were treated with lateral arm lobulated flaps. All patients were males with average age of 28 years (range, 23-45 years). Read More

Ann Plast Surg 2016 Oct;77(4):464-8

From the *Department of Plastic Surgery, Telemark Hospital, Skien, Norway; †Department of Plastic Surgery, Southwest Hospital, Esbjerg; and ‡Department of Plastic Surgery, Lllebaelt Hospital, Vejle and Odense University Hospital, Denmark.

Knowledge about perforators and angiosomes has inspired new and innovative flap designs for reconstruction of defects throughout the body. The purpose of this article is to share our experience using color Doppler ultrasonography (CDU)-targeted perforator mapping and angiosome-based flap reconstruction throughout the body. The CDU was used to identify the largest and best-located perforator adjacent to the defect to target the reconstruction. Read More

Breast Cancer 2017 May 5;24(3):362-368. Epub 2016 Jul 5.

Department of Plastic and Reconstructive Surgery, Graduate School of Medical Sciences, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji Kajii-cho 465, Kamigyo-ku, Kyoto, 602-8566, Japan.

Background: Several investigators have evaluated the impaired function of the shoulder after removal of the latissimus dorsi muscle for breast reconstruction. However, a few investigators have studied whether including radiotherapy has a negative effect on functional recovery of the shoulder by a long-term follow-up after surgery. In this study, we compared objective measurements of shoulder function preoperatively and postoperatively for 3 years after latissimus dorsi muscle (LDM) flap transfer and postoperative radiotherapy (PRT). Read More

Burns 2016 Dec 2;42(8):1867-1874. Epub 2016 Jul 2.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, China. Electronic address:

Background: For patients with healthy skin in the cervical region, the expanded cervical flap method is highly recommended for resurfacing facial skin defects. Many methods exist that use an expanded cervical flap. However, a gold standard for selecting the appropriate method for each patient is lacking. Read More

Biomed Res Int 2016 6;2016:8714713. Epub 2016 Jun 6.

Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.

The sacral area is the most common site of pressure sore in bed-ridden patients. Though many treatment methods have been proposed, a musculocutaneous flap using the gluteus muscles or a fasciocutaneous flap is the most popular surgical option. Here, we propose a new method that combines the benefits of these 2 methods: combined V-Y fasciocutaneous advancement and gluteus maximus muscle rotational flaps. Read More