1,814 results match your criteria Rotation Flaps


Pedicled flap from the first dorsal branch of the proper palmar digital artery of the fingers: An anatomy study.

Hand Surg Rehabil 2020 May 11. Epub 2020 May 11.

Service de chirurgie de la main - chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Emile-Gallé, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France. Electronic address:

The pedicled flap from the first dorsal branch of the proper palmar digital artery (FBPPDA) of the fingers is an option for reconstructing digital skin defects. It has the advantage of being innervated by the dorsal branch of the proper palmar digital nerve (DBPPDN) associated with the artery. However, no studies on the anatomical variations of the neurovascular pedicle have been performed yet. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.hansur.2020.03.008DOI Listing

Requirement of the Preservation of Mental Nerve During the Transfer of Depressor Anguli Oris Composite Flap.

Sisli Etfal Hastan Tip Bul 2019 26;53(3):256-262. Epub 2019 Aug 26.

Department of Plastic Reconstructive and Aesthetic Surgery, Uludag Faculty of Medicine, Bursa, Turkey.

Objectives: Reconstruction of wide lower lip defects is still a challenging subject in terms of obtaining functional and aesthetically acceptable results. Lower lip reconstruction with depressor anguli oris muscle was first described by Tobin in 1983. Since the sensory innervation of this composite muscle flap is provided by the mental nerve, it has been advocated that the mental nerve should be preserve during flap elevation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14744/SEMB.2019.04578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192271PMC

Vulvar cancer: surgical management and survival trends in a low resource setting.

J Egypt Natl Canc Inst 2020 Jan 14;32(1). Epub 2020 Jan 14.

Department of Surgical Oncology, Dr. BRA-IRCH, All India Institute of Medical Sciences, New Delhi, India.

Background: This study aims to analyze risk factors, clinical profiles, treatment protocols, and disease outcomes in histologically proven resectable vulvar cancer (VC) patients according to tumor stage. This is a retrospective analysis of a prospectively collected database of 20 VC patients from May 2014 to June 2019.

Results: The mean age of VC diagnosis was 55 years, with a range of 38-84 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s43046-019-0015-yDOI Listing
January 2020

Pedicled perforator flaps for mid-tibial soft tissue reconstruction in medically compromised patients.

JPRAS Open 2020 Jun 25;24:47-55. Epub 2020 Feb 25.

Department of Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Wuerzburg, Oberduerrbacherstr. 6, DE-97080 Wuerzburg, Germany.

Background: The soft tissue of the central pretibial area is difficult to reconstruct often requiring free tissue transfer. Especially medically compromised patients are not ideal candidates for free tissue transfer and may benefit from expeditiously harvested local flaps with limited donor site morbidity. As muscle flaps are rare, pedicled flaps based on lateral perforators represent an alternative as the arc of rotation can often be limited to 90°. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpra.2020.02.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182687PMC

Pedicled perforator-based flaps: Risk factor analysis, outcomes evaluation and decisional algorithm based on 130 consecutive reconstructions.

Microsurgery 2020 Apr 16. Epub 2020 Apr 16.

Department of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, Rome, Italy.

Introduction: Pedicled perforator flaps are widely used for soft tissue reconstruction, but evidence in literature about risk factors associated with complications is still controvert. The aim of this study is to evaluate risk factors and outcomes associated with pedicled perforator-based flaps harvested at different anatomical sites.

Patients And Methods: Seventy-one propeller and 59 V-Y advancement flaps were performed to reconstruct defects of the face (24 cases), trunk (47 cases), and extremities (59 cases). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/micr.30590DOI Listing

Closure of Persistent, Small, Posterior Elbow Soft Tissue Defects Using a Rotation Flap: A Retrospective Study.

Wound Manag Prev 2020 Mar;66(3):40-47

Chungbuk National University Hospital, Cheongju, Korea.

Treating soft tissue defects occurring over the posterior elbow is challenging.

Purpose: This study aimed to evaluate the long-term outcomes of using rotation flaps for soft tissue defects over the posterior elbow.

Methods: A retrospective study was conducted among patients who had sustained posterior elbow defects and underwent rotation flap under local anesthesia between January 2, 2011, and December 31, 2014. Read More

View Article

Download full-text PDF

Source

Rotation Flaps in Series: Simple Innovation for Complex Scalp Defects.

J Craniofac Surg 2020 Apr 7. Epub 2020 Apr 7.

Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

A 42-year-old man presented with 2 full thickness defects in left parieto-temporal and right temporo-occipital regions with normal intervening scalp tissue. These 2 adjacent but discontinuous defects were covered in one stage with an innovative rotation flap design that provided 1 flap each for these 2 defects. This innovative flap design permitted one stage reconstruction with primary closure of the donor sites. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000006289DOI Listing

Commentary on Antihelical Rotation Flaps for the Repair of Surgical Defects of the Auricular Antihelix.

Dermatol Surg 2020 Apr 6. Epub 2020 Apr 6.

Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000002411DOI Listing

Modification of the position of the angulus oris with a rotation flap and a YV flap in lip reconstruction.

Arch Plast Surg 2020 May 8;47(3):277-280. Epub 2020 Apr 8.

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

Functionally, the lip serves to prevent food and drink from spilling out of the beginning of the gastrointestinal tract, and it is also used for vocalization. In addition, the lip has cosmetic importance as part of the face involved in making expressions, and in many cultures, it is considered to be sexually appealing. The results of lip reconstruction procedures must therefore be both functionally and cosmetically satisfactory. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5999/aps.2019.01382DOI Listing

Alternative Methods to Local Flap Applications in Large Tissue Losses Caused by Gunshot Injuries in the Syrian War.

Authors:
Murat Uçak

J Craniofac Surg 2020 Mar 27. Epub 2020 Mar 27.

Department of Plastic and Reconstructive Surgery, Defne Research State Hospital, Hatay, Turkey.

Purpose/object/background: In gunshot injury (GSI), the distance, ballistic properties, and the site of injury of lead or scattering gain importance. The authors investigated alternative methods to local flap applications in large tissue losses on facial regions caused by GSI in the Syrian War at the light of our approaches and outcomes.

Materials And Methods: The study was designed as a cross-sectional retrospective clinical cohort analyze. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000006347DOI Listing

Supraclavicular Flap Reconstruction in Head and Neck Oncologic Surgery.

Authors:
Burak Karabulut

J Craniofac Surg 2020 Mar 13. Epub 2020 Mar 13.

Otolaryngology Department, Kartal Dr. Lütfi Kirdar Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Free flaps have been considered as the gold standard for reconstruction of head and neck region after ablative oncologic surgery. However, the reconstructive surgeon's armamentarium should also involve pedicled flaps for certain situations such as patients having comorbid diseases necessiating shorter duration of surgical procedure. The supraclavicular flap is a pedicled thin fasciacutaneous flap used to reconstruct the defects in head and neck area. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000006315DOI Listing

Evolution and refinements of a dorsal adipofascial digital artery perforator flap.

Injury 2020 Mar 9. Epub 2020 Mar 9.

Department of Plastic Surgery, Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Background: Soft tissue defects to the dorsum of fingers are quite demanding for the reconstructive surgeon especially in the cases that bone and extensor tendons are exposed. The purpose of our study was to describe a new adipofascial island flap by a single dorsal digital perforator (dorsal adipofascial digital artery perforator, DADAP).

Materials: Methods: In 8 patients (7 male, 1 female), 12 soft tissue defects to the dorsum of the fingers (3 index, 6 middle, 2 ring, 1 little finger), ranging from 1 × 2 cm to 2 × 4 cm, were reconstructed using the DADAP flap. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2020.03.023DOI Listing

Experience with various reconstructive techniques for meningomyelocele defect closure in India.

JPRAS Open 2019 Sep 13;21:75-85. Epub 2019 Jul 13.

Department of Burns, Plastic & Reconstructive Surgery, PGIMER & Dr. R.M.L Hospital, New Delhi 110001, India.

Background: The estimated incidence of spina bifida is 1-2 cases per 1000 population. In earlier literature, the global prevalence of meningomyelocele (MMC) is reported as 0.8-1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpra.2019.07.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061542PMC
September 2019

Role of Local Flaps to Achieve Primary Wound Closure in Medication-Related Osteonecrosis of the Jaws Osseous-Resective Surgery.

J Craniofac Surg 2020 Mar 6. Epub 2020 Mar 6.

Department of Biomedical, Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.

The aim of the present work is to evaluate the most suitable surgical technique in relation to location and extent of medication-related osteonecrosis of the jaws (MRONJ) through comparison of success rate between the routinely used mucoperiostal flaps and different local flaps designs and propose a standardization of surgical procedures according to MRONJ stage and localization with 2 objectives: to provide the surgeon with an algorithm of treatment according to MRONJ localization and extension; to maximize the success of surgical treatment.Thirteen consecutive patients affected by focal MRONJ were surgically treated with radical osteotomy at the Center for Treatment of the Osteonecrosis of the Jaws (University of Messina, Italy).Initial defects were classified according to the classification of the Italian Societies of Oral Medicine and Maxillofacial Surgery (the SICMF-SIPMO staging system) which consider not only bone exposure but also radiological bone involvement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000006288DOI Listing

Conservative Sinusectomy vs. excision and primary off-midline closure for pilonidal disease: a randomized controlled trial.

Int J Colorectal Dis 2020 Mar 6. Epub 2020 Mar 6.

Department of Surgery, Regional Hospital of Lugano, Lugano, Switzerland.

Purpose: Pilonidal sinus disease (PD) is a common acquired disease, responsible for discomfort and time off work. There is currently no consensus on the best surgical therapy. We aimed at comparing conservative sinusectomy (S) to excision and paramedian primary closure (PC). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00384-020-03551-9DOI Listing

Modified Anterior Tibial Artery Perforator-Pedicled Propeller Flap for Soft-Tissue Coverage of the Ankle and Heel.

World J Surg 2020 Jul;44(7):2237-2242

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.

Background: The ankle and heel are challenging regions to reconstruct functionally. Here, we explored the feasibility and clinical outcomes of a modified anterior tibial artery perforator-pedicled propeller flap for the repair of soft-tissue defects of the ankle and heel.

Patients And Methods: Between January 2013 and December 2015, 12 patients with soft-tissue defects of the ankle and/or heel underwent reconstructive surgery that included our flap technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00268-020-05452-yDOI Listing
July 2020
2.642 Impact Factor

The surgeon’s perspective: a retrospective study of wide local excisions taken to healthy subcutaneous fat in the management of advanced hidradenitis suppurativa

Can J Surg 2020 Feb 28;63(2):E94-E99. Epub 2020 Feb 28.

From the Department of Medicine, Women’s College Hospital, and the Department of Surgery, CIBC Breast Centre, St. Michael’s Hospital, University of Toronto, Toronto, Ont.

Background: Hidradenitis suppurativa (HS) is a chronic debilitating folliculopilosebaceous disease that affects the skin most commonly in the axilla, groin, inframammary, genital and buttock areas. Surgical intervention may be an appropriate option in selected cases, but there is a risk of recurrence. The purpose of this study was to assess the results of wide local excision (WLE) to healthy subcutaneous fat with secondary intention healing in patients with HS who were under concurrent surgical and dermatologic care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1503/cjs.003119DOI Listing
February 2020

Gaining Large Coverage With Small Island Pedicle Flaps in Tight Cosmetic Subunits: Taking Advantage of Rotation and Pincer Principles on the Nasal Ala.

J Cutan Med Surg 2020 Mar/Apr;24(2):154-160. Epub 2020 Feb 27.

8166 Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Canada.

Background: Island pedicle flaps (IPFs) are widely used in reconstructive surgery due to their versatility, tissue efficiency, and excellent clinical outcomes. While IPF rotations and 'pincer flap' modifications have previously been sparsely described, they are not often discussed in the literature.

Objective: We demonstrate the use of both rotating IPFs and pincer techniques for defects traditionally considered too large for classic IPF design on the nasal ala. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1203475420902044DOI Listing
February 2020

Use of the Propeller Lumbar Perforator Flap: A Series of 32 Cases.

Plast Reconstr Surg Glob Open 2020 Jan 24;8(1):e2522. Epub 2020 Jan 24.

Department of Plastic, Reconstructive, Aesthetic Surgery and Burns, CHRU Rangueil, Toulouse, France.

Lumbosacral substance defect is a challenge in reconstructive surgery because few coverage solutions are available in this anatomical region. Lumbar artery perforator flaps (LAPs) have been progressively developed and make it possible to solve very complex situations. We report a multicenter study on LAP performed to treat medium and low lumbar defects of various etiologies, to highlight the versatility of this flap as well as its robustness and reproducibility. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/GOX.0000000000002522DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015594PMC
January 2020

Three-dimensional modeling and comparison of nasal flap designs.

Arch Dermatol Res 2020 Feb 14. Epub 2020 Feb 14.

Department of Dermatology, University of Minnesota, 516 Delaware St. SE, Mail Code 98, Philips-Wangensteen Building, Suite 4-420, Minneapolis, MN, 55455, USA.

Few studies exist that compare local flap repair designs either mathematically or clinically. Previous mathematical studies use a two-dimensional modeling approach, which is not suited to complex structures like the nose. To quantitatively analyze and compare flap designs for nasal repair using three-dimensional, photographic models. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00403-020-02039-4DOI Listing
February 2020

[Pedicled vascularized iliac bone graft for treatment of osteonecrosis of the femoral head].

Oper Orthop Traumatol 2020 Apr 12;32(2):127-138. Epub 2020 Feb 12.

Hand- und funktionelle Mikrochirurgie, Universitätsmedizin Greifswald, Greifswald, Deutschland.

Objective: Illustration of a nowadays only rarely performed operative procedure for the treatment of osteonecrosis of the femoral head to prevent or at least delay advanced arthrosis and the need for a total hip replacement. The pedicled vascularized iliac bone graft is raised without the need for special microsurgical techniques and has less vascular complications often seen in free vascularized grafts.

Indications: Early stages of osteonecrosis of the femoral head stages II and III according to the Association Research Circulation Osseous (ARCO) up to the detection of fracture lines (crescent sign) but without mechanical insufficiency. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00064-020-00650-2DOI Listing

Perfusion in Upper Eyelid Flaps: Effects of Rotation and Stretching Measured With Laser Speckle Contrast Imaging in Patients.

Ophthalmic Plast Reconstr Surg 2020 Feb 7. Epub 2020 Feb 7.

Department of Ophthalmology and.

Purpose: The aim of this study was to investigate how the blood perfusion in human upper eyelid skin flaps is affected by the length of the flap and the degree of stretching and rotation of the flap.

Methods: Twenty-nine upper eyelids were dissected as part of a blepharoplastic procedure in patients. The 1-cm wide proximal end of the flap remains attached, to mimic a random pattern skin flap (hereafter called a "skin flap"). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/IOP.0000000000001614DOI Listing
February 2020

Antihelical Rotation Flaps for the Repair of Surgical Defects of the Auricular Antihelix.

Dermatol Surg 2020 Feb 11. Epub 2020 Feb 11.

DermSurgery Associates, Houston, Texas DermSurgery Associates, Houston, Texas Department of Medicine, Houston Methodist Hospital, Houston, Texas DermSurgery Associates, Houston, Texas Department of Medicine, Houston Methodist Hospital, Houston, Texas Department of Dermatology, Weill Cornell Medical College, New York, New York.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000002346DOI Listing
February 2020

Combining Rotation and V-Y Design for Lower Forehead and Temporal Region Reconstruction With Myocutaneous Frontal Flap: Our Experience on 27 Consecutive Cases.

Ann Plast Surg 2020 Feb 7. Epub 2020 Feb 7.

From the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.

Background: Because of direct sun exposure, lower forehead and temporal area are anatomical regions with frequently observed skin tumors. The resulting defects after oncological ablations are usually treated, especially in older patients, by split thickness skin grafting or A-to-T and O-to-T flaps if facing small defects. On specific sites that expose bone or periosteum as well as when a skin graft is best avoided for cosmetic reasons, alternative reconstructive procedures should be considered. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SAP.0000000000002256DOI Listing
February 2020
1.458 Impact Factor

Buried Penis Surgical Correction: Midline Incision Rotation Flaps.

Urology 2020 Apr 30;138:174-178. Epub 2020 Jan 30.

Urology Department of Sechenov First Moscow State Medical University, Moscow, Russia.

Objective: To improve cosmetic and functional results of buried penis correction in boys using a modified universal surgical approach - Midline Incision Rotation Flaps.

Materials And Methods: We retrospectively analyzed results of 18 patients who underwent buried penis surgical treatment according to the Midline Incision Rotational Flaps technique from 2013 to 2016. The results were assessed by the surgeon 1, 3, 6 months after surgery, then yearly. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.urology.2020.01.021DOI Listing

Lip Reconstruction after Mohs Cancer Excision: Lessons Learned from 615 Consecutive Cases.

Plast Reconstr Surg 2020 Feb;145(2):533-542

Dallas, Texas From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Background: The lips provide key functional and aesthetic features of the face. From social interactions and speech to swallowing and oral competence, a functional dynamic structure is required. This interaction with surrounding landmarks presents a challenge for reconstruction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRS.0000000000006509DOI Listing
February 2020

Reconstruction of Congenital Cranial Defect Using Autologous Bone Graft in Aplasia Cutis Congenita.

J Craniofac Surg 2020 May/Jun;31(3):e245-e247

Department of Plastic and Reconstructive Surgery, Medical School of Chonbuk National University.

Many methods have been devised to repair cranial defects. Here, we report the use of a simple technique for the repair of a congenital cranial defect associated with aplasia cutis congenita (ACC).A newborn baby at 39 weeks of gestation was consulted with a scalp and cranial defect at the vertex measuring 3 × 1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000006175DOI Listing
January 2020

Reverse-Flow Versus Perforator Propeller Lateral Arm Flap for Elbow Reconstruction.

Ann Plast Surg 2020 May;84(5):535-540

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

Background: The lateral arm flap (LAF) represents an attractive option for elbow reconstruction, due to low donor site morbidity and a consistent surgical anatomy. It has been described as reverse-flow and as perforator propeller flap (radial collateral artery perforator [RCAP]). We compared the 2 techniques in terms of immediate- and long-term outcomes, together with functional and aesthetic evaluation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SAP.0000000000002143DOI Listing

Hybrid perforator flaps: Introducing a new concept in perforator flap surgery.

Authors:
Damir Kosutic

J Plast Reconstr Aesthet Surg 2020 Apr 2;73(4):764-769. Epub 2019 Dec 2.

Consultant Plastic and Reconstructive Surgeon, Department of Plastic Surgery, The Christie NHS Foundation Trust, Wilmslow Road, M20 4BX Manchester, United Kingdom. Electronic address:

Introduction: Although perforator propeller flaps provide a safe and reliable reconstructive option, they are often limited in size, reach and degrees of freedom due to venous insufficiency. As a result, partial flap necrosis, particularly at the tip of the flap, may occur in some cases causing the loss of substance. To overcome this problem, we present a new concept of hybrid perforator flaps. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjps.2019.11.007DOI Listing

Blood Perfusion in Rotational Full-Thickness Lower Eyelid Flaps Measured by Laser Speckle Contrast Imaging.

Ophthalmic Plast Reconstr Surg 2020 Mar/Apr;36(2):148-151

Department of Clinical Sciences Lund, Ophthalmology.

Purpose: Large upper eyelid defects can be repaired by rotational full-thickness lower eyelid flaps. The aim was to measure the blood perfusion in such flaps, and how it is affected by the length of the flaps, and the degree of rotation and stretching.

Methods: Nine patients underwent the Quickert procedure for entropion repair in which a full-thickness eyelid flap of approximate width 0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/IOP.0000000000001496DOI Listing
December 2019

Effect of Botulinum Toxin-A Injected to Muscle Tissue on Perfusion and Survival of Fasciocutaneous Single Perforator-pedicled Propeller Flap in Rats

Balkan Med J 2020 02 10;37(2):84-90. Epub 2019 Dec 10.

Department of Nuclear Medicine, Cumhuriyet University School of Medicine, Sivas, Turkey

Background: In plastic surgery practice, fasciocutaneous single-perforator-pedicled propeller flap is a preferred procedure; however, its survival rate is below than expected, especially in flaps with a big rotation arc. When botulinum toxin-A is injected into the muscle tissue that the perforator pedicle is arisen, the tonus of pertinent muscle can reduce and the blood flow of its perforator pedicle can increase. Therefore this procedure can improve the survival rate of single-perforator-pedicled propeller flap. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4274/balkanmedj.galenos.2019.2019.9.44DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094189PMC
February 2020

Think big - Plastic surgical treatment of complicated large sacral ulcerations: A case comparison.

Hell J Nucl Med 2019 Sep-Dec;22 Suppl 2:27

Clinic of Plastic, Hand Surgery and Burn Care Unit, University Hospital Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.

Objective: Large pressure ulcers are a well know problem occurring frequently on immobilized patients. They can develop rapidly especially over bony prominences on the elderly, ICU patients and on patients after spinal cord injury. Plastic surgical treatment can be challenging if the defects are large and complications occur like affection of anal region or development of a Marjolin's scar ulcer. Read More

View Article

Download full-text PDF

Source

[Introduction to tissue movements - Principles of flaps].

Authors:
D Lebas J-M Amici

Ann Dermatol Venereol 2019 Dec 25;146(12):832-846. Epub 2019 Nov 25.

Service de dermatologie, Hôpital Saint-André, Centre hospitalier universitaire de Bordeaux, 1, rue Jean-Burguet, 33000 Bordeaux, France.

The practice of surgical dermatology allows the dermatologist to take overall management of patients, particularly in the domain of skin cancer. It is the dermatologist who makes a diagnosis based on his expertise and his understanding, determines the tumour edges and the surgical margins to be applied, carries out the excision and repair procedures, and performs monitoring. Such comprehensive management requires knowledge of fundamental principles that allow for repair procedures suited to specific sites. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.annder.2019.09.011DOI Listing
December 2019

Inset Guide for the Osteocutaneous Fibula Flap with Endosseous Implants in Oncologic Jaw Reconstruction.

Plast Reconstr Surg Glob Open 2019 Oct 10;7(10):e2475. Epub 2019 Oct 10.

Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.

Reconstruction of segmental maxillary or mandibular defects with osteocutaneous free flaps can be reliably accomplished; however, buccal or lingual rotation of the fibula during rigid fixation can render immediate endosseous implant position unusable for functional dental rehabilitation. To address this issue, a custom inset guide is introduced which utilizes surface topography of the immediately placed dental implant abutments and the patient's dentition to orient the fibula segments during inset. Use of this technique facilitates successful endosseous implant position to optimize postoperative functional rehabilitation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/GOX.0000000000002475DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846313PMC
October 2019

Adipofascial, Transposition, and Rotation Flaps.

Hand Clin 2020 Feb;36(1):9-18

Department of Plastic Surgery, Hand, and Reconstructive Microsurgery, Ganga Hospital, 313, Mettupalayam Road, Coimbatore 641043, Tamilnadu, India.

Soft tissue loss over the dorsum of the finger could potentially expose critical structures like extensor tendon, bone, and joint. These exposed structures often require flap coverage. Local flap is one of the available options to cover most small-sized defects on the dorsum of fingers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.hcl.2019.08.002DOI Listing
February 2020

Hand Doppler flowmetry for surgical planning of pedicled flap in extensive full-thickness scalp reconstruction.

Surg Oncol 2020 Mar 25;32:49-56. Epub 2019 Oct 25.

Department of Maxillofacial Surgery, University Federico II, Via Pansini 9, 80100, Naples, Italy.

Reconstruction of scalp defects can be performed with local flaps for medium to large defects (2-25 cm) and microvascular free flaps for extensive full-thickness scalp reconstruction greater than 25 cm. Doppler flowmetry with its ability to exactly mark the course of arteries on the overlying skin, is a useful tool for the surgical planning of large local flaps. In our retrospective study conducted on 38 patients (all patients had malignancies or post-traumatic scalp defects), consisting of 39 total surgical procedures, we studied the impact of doppler ultrasonic flowmetry in the surgical planning for pedicled flaps in extensive full-thickness scalp reconstruction (>25 cm) by evaluating overall flap survival rate. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.suronc.2019.10.016DOI Listing

Reconstruction of a scalp defect due to cochlear implant device extrusion using a temporoparietal fascia flap and a split-thickness skin graft from the scalp.

Arch Craniofac Surg 2019 Oct 20;20(5):319-323. Epub 2019 Oct 20.

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

Cochlear implant extrusion, which is a common complication of cochlear implants, is generally repaired by a well visualized soft-tissue flap. A 61-year-old female patient with a medical history of schizophrenia who had a skin ulcer that caused cochlear implant extrusion, but that would be a stronger statement was referred to our department for removal of the implant and reconstruction of the resultant scalp defect. Accordingly, the broad defect was covered via rotation of a temporoparietal fascia flap (TPFF) using the superficial temporal artery, with the pedicle in the preauricular region as the pivot point. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7181/acfs.2019.00353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6822073PMC
October 2019
1 Read

Novel Technique to Increase the PMMC Flap Pedicle Length by Coplanar Rotation Along the Pedicle Axis.

J Maxillofac Oral Surg 2019 Dec 23;18(4):637-639. Epub 2019 Jan 23.

Department of Head and Neck Surgical Oncology, Tata Medical Center, Kolkata, West Bengal 700 156 India.

Pectoralis major myocutaneous flap (PMMC) continues to be a prime tool in the armamentarium for the reconstruction of head and neck malignancies even though free flaps have proved their versatility in functional and cosmetic outcomes. It still holds significance in both primary reconstruction and salvage procedures in head and neck malignancies. Inadequate infrastructure and resources make PMMC a preferred choice in many high-volume centres of developing countries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12663-019-01184-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795666PMC
December 2019
1 Read

Single vertical incision thoracoabdominal flap for chest wall reconstruction following mastectomy of locally advanced breast cancer.

Ann Surg Treat Res 2019 Oct 1;97(4):168-175. Epub 2019 Oct 1.

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

Purpose: Skin grafts have been widely used in managing extensive chest wall defects after mastectomy for advanced breast cancer. However, their durability and tolerability to radiotherapy is still controversial. A thoracoabdominal (TA) flap with a few technical refinements can safely transfer a larger flap while minimizing complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4174/astr.2019.97.4.168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779953PMC
October 2019
1 Read

A Study of Clinical Applications of Perforator-Based Propeller Flaps in Leg Reconstructive Surgery: A Single-Center Experience of 40 Cases.

Int J Low Extrem Wounds 2020 Mar 15;19(1):70-77. Epub 2019 Oct 15.

Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Soft tissue management in lower limb poses a considerable challenge to a reconstructive plastic surgeon. Perforator-based propeller flaps can cover large wounds without sacrificing a major vascular axis and allows reconstruction using nearby similar tissues, thereby following the principle of replace like with like. This study was undertaken with the objective to look for the results of propeller flap in lower limb reconstruction and how the results can be improved. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1534734619876797DOI Listing
March 2020
2 Reads

Optimising Results of Nasal Tip Rotation Applying Combination of Nasolabial Angle and Lip-Columellar Angle in Tandem in Patients Operated by "Cock-up" Alar Cartilage Flaps Technique.

Indian J Plast Surg 2019 May 10;52(2):183-194. Epub 2019 Sep 10.

Department of Plastic Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, Maharashtra, India.

 Setting the angle of tip rotation is of utmost importance in achieving satisfactory results in rhinoplasty. Conventionally the upward rotation of the tip requires shortening of the septum by caudal resection and shortening of the lateral walls by cephalic trim of the alar cartilages. The results are usually assessed subjectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1695804DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785327PMC
May 2019
1 Read

The Utility of Strap Muscle in Complex Type I Thyroplasties.

J Voice 2019 Sep 20. Epub 2019 Sep 20.

Department of Otolaryngology - Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, Pennsylvania; Director of Otolaryngology and Communication Sciences Research, Lankenau Institute for Medical Research, Wynnewood, Pennsylvania. Electronic address:

Introduction: Type I thyroplasty is a common procedure used to improve dysphonia secondary to glottic insufficiency caused by vocal fold paralysis, paresis, or bowing. Revision often involves more complex procedures that can be complicated by mucosal violation, hemorrhage, infection, and shifted or extruded implants. Intraoperative challenges can be managed successfully using autologous strap muscle rotation flaps. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jvoice.2019.08.025DOI Listing
September 2019
3 Reads

Salvage of Exposed Cardiac Implants Using Fasciocutaneous Rotation Flaps.

Ann Plast Surg 2020 01;84(1):85-89

Department of Plastic, Reconstructive and Aesthetic Surgery, Konur Hospital, Bursa, Turkey.

Introduction: Implantation rates of cardiac implantable electrophysiological devices (CIEDs) are rising, mainly because of the expansion of implantable cardioverter-defibrillators indications for primary prevention. As the CIED usage increases, CIED-related complications are also in rise. Transvenous approach and laser utilization techniques are replacing the open heart surgeries, for removal of CIED systems that are suspected to be infected. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SAP.0000000000001985DOI Listing
January 2020
3 Reads

Anatomical study of the perforator flap based on the acromial branch of the thoraco-acromial artery (abTAA flap): a cadaveric study.

Surg Radiol Anat 2019 Nov 6;41(11):1361-1367. Epub 2019 Sep 6.

Department of Orthopedic Surgery, Rouen University Hospital, 1 rue de Germont, 76031, Rouen, France.

Purpose: The aim of this anatomical study was to describe a local perforator flap, for covering shoulder defects, by determining the features of the acromial branch of the thoraco-acromial artery (abTAA), and the supplied cutaneous area.

Methods: Thirteen fresh cadaveric thoraxes were dissected bilaterally. A precise and reproducible protocol was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00276-019-02322-8DOI Listing
November 2019
3 Reads

Secondary healing strategy for difficult wound closure in invasive vulvar cancer: a pilot case-control study.

Clinics (Sao Paulo) 2019 2;74:e1218. Epub 2019 Sep 2.

Disciplina de Ginecologia, Departamento de Ginecologia e Obstetricia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.

Objectives: Despite the number of surgical advances and innovations in techniques over time, radical vulvectomy frequently results in substantial loss of tissue that cannot be primarily closed without tension, the mobilization of surrounding tissues or even the rotation of myocutaneous flaps. The aim of this study was to evaluate the feasibility of leaving the surgical vulvar open wound for secondary healing in situations where primary closure of the vulvar wound is not possible.

Methods: This case-control pilot study analyzed 16 women with a diagnosis of squamous cell carcinoma of the vulva who first underwent inguinofemoral lymphadenectomy, 6-week sessions of chemotherapy and 25 daily sessions of radiotherapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.6061/clinics/2019/e1218DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6711258PMC
March 2020
2 Reads

Propeller perforator flaps for coverage of soft tissue defects in the middle and distal lower extremities.

Ann Chir Plast Esthet 2020 Feb 30;65(1):54-60. Epub 2019 Aug 30.

Plastic surgery Department, faculty of medicine, Qena university hospital, South Valley University, Qena, Egypt. Electronic address:

Introduction: The middle and distal leg coverage is demanding procedure for reconstructive surgeon until evolution of local perforator flaps which becomes as valuable options in lower limb reconstruction. The goal of our study was to assess the results, reliability, safety, and possible complications of the local propeller perforator flaps in lower extremity reconstruction.

Patients And Methods: We demonstrate a case series of 11 patients in whom we cover small-to-medium soft-tissue defects of the middle and distal leg by application of local propeller perforator flaps. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anplas.2019.04.002DOI Listing
February 2020
1 Read

A new flap combination for reconstruction of lower nasal dorsum and supra-tip skin defects.

Arch Plast Surg 2019 Sep 30;46(5):480-483. Epub 2019 Aug 30.

Department of Oral and Maxillofacial, Estaing Hospital, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Repairing surgical defects of the nose is still challenging due to its tridimensional shape and its aesthetic concern. Difficulty in reconstructing nasal subunits lies in their contour, skin texture and limited availability of adjacent skin. For lower nasal dorsum and supra-tip regions, we design a new combined local flap as existing local flaps may give disappointing results. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5999/aps.2018.01354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6759455PMC
September 2019
4 Reads

Penoscrotal reconstruction with superficial circumflex iliac artery perforator propeller flap.

Microsurgery 2019 Nov 21;39(8):688-695. Epub 2019 Aug 21.

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

Background: Successful penoscrotal reconstruction requires proper resurfacing of the defect and maintenance of the original shape of the penis and scrotum. We examined the feasibility of using the superficial circumflex iliac artery perforator (SCIP) propeller flap to effectively reconstruct penoscrotal defects.

Methods: Eleven male patients with an average age of 62. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/micr.30506DOI Listing
November 2019
1 Read

Superficial inferior epigastric artery-supercharged deep inferior epigastric artery perforator flap-based breast reconstruction for a thin patient: A case report.

Microsurgery 2019 Oct 19;39(7):651-654. Epub 2019 Aug 19.

Department of Plastic and Reconstructive Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon-si, Gyeonggi-do, South Korea.

Although a bipedicled deep inferior epigastric artery perforator (DIEP) flap is widely accepted for slim patients with large breasts, we suggest DIEP flap-based breast reconstruction in which the superficial inferior epigastric artery (SIEA) is supercharged to the branch of thoracodorsal vessel as an alternative, which has not previously been well described. We report the case of a 48-year-old breast cancer patient who had a normal body mass index of 23.01 and relatively thin abdominal tissue, with large and ptotic (grade II ptosis) breasts. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/micr.30503DOI Listing
October 2019
3 Reads

Application of the pinwheel flap for closure of a large defect of the scalp.

BMJ Case Rep 2019 Aug 13;12(8). Epub 2019 Aug 13.

Plastic Surgery, BodySculpture, Thessaloniki, Greece.

A 74-year-old man had a resultant large oval scalp defect of 12×6 cm (72 cm) following an excision of a stage IIIA melanoma. We decided to cover the defect with the pinwheel flap, with the aim to provide a good cosmetic result, preservation of hair follicles and minimal donor-site morbidity. This local flap has been traditionally used for much smaller defects. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2019-229420DOI Listing
August 2019
2 Reads