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    Comparison of Dorsal Intercostal Artery Perforator Propeller Flaps and Bilateral Rotation Flaps in Reconstruction of Myelomeningocele Defects.
    Turk Neurosurg 2018 Apr 9. Epub 2018 Apr 9.
    Mersin University Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Mersin, Turkey.
    Aim: Bilateral rotation flaps are considered the workhorse flaps in reconstruction of myelomeningocele defects. Since the introduction of perforator flaps in the field of reconstructive surgery, perforator flaps have been used increasingly in the reconstruction of various soft tissue defects all over the body because of their appreciated advantages. The aim of this study was to compare the complications and surgical outcomes between bilateral rotation flaps and dorsal intercostal artery perforator (DICAP) flaps in the soft tissue reconstruction of myelomeningocele defects. Read More

    Repeated Use of Gluteal Fold Flaps for Post-Oncologic Vulvoperineal Reconstruction.
    Ann Plast Surg 2018 Apr 17. Epub 2018 Apr 17.
    Background And Aim: Because of the associated high recurrence rate, future reconstructive options should be reckoned with during surgical treatment of primary or recurrent (pre)malignant vulvoperineal lesions. One of the claimed advantages of the gluteal fold flap is the possibility of repeated use of the flap in case of recurrence. We present our experience with such reuse of gluteal fold flaps to illustrate this possibility. Read More

    Gait changes in patients after reconstruction of facial bones with fibula and iliac crest free vascularized flaps.
    Acta Bioeng Biomech 2018 ;20(1):185-190
    Department Rehabilitation, The Children's Memorial Health Institute The Children's Memorial Health Institute, Warsaw, Poland.
    Purpose: Patients with malignant tumours of the oral cavity require its surgical removal and reconstruction of the bone and soft tissues. The grafts are obtained either from leg (fibula) or pelvis (iliac crest). The removal of grafts from the locomotor apparatus can impair the gait. Read More

    [Contribution of the scrotal flap for the coverage of ischial and perineal pressure ulcers].
    Ann Chir Plast Esthet 2018 Apr 11. Epub 2018 Apr 11.
    Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalier Saint-Joseph Saint-Luc, 20, quai Claude-Bernard, 69007 Lyon, France.
    Introduction: The ischiatric pressure sore is a common pathology in rehabilitated spinal cord injured people, despite careful prevention. Medical treatment by discharge and directed healing is not always sufficient and surgery using local musculocutaneous flaps is often essential. Unfortunately, recidivism is frequent and the availability of local flaps is limited. Read More

    Mixed facial reanimation technique to treat paralysis in medium-term cases.
    J Craniomaxillofac Surg 2018 May 14;46(5):868-874. Epub 2018 Mar 14.
    Maxillo-Facial Surgery Department. (Head: Professor C. Marchetti), Sant'Orsola-Malpighi Hospital, University of Bologna, via Albertoni 15, Bologna, Italy.
    Recent facial paralyses, in which fibrillations of the mimetic muscles are still detectable by electromyography (EMG), allow facial reanimation based on giving new neural stimuli to musculature. However, if more time has elapsed, mimetic muscles can undergo irreversible atrophy, and providing a new neural stimulus is simply not effective. In these cases function is provided by transferring free flaps into the face or transposing masticatory muscles to reinstitute major movements, such as eyelid closure and smiling. Read More

    Nipple-Areolar Complex Reconstruction: A Review of the Literature and Introduction of the Rectangle-to-Cube Nipple Flap.
    Eplasty 2018 19;18:e15. Epub 2018 Mar 19.
    Division of Plastic and Reconstructive Surgery, Department of Surgery, Louisville, Ky.
    : There are many approaches to nipple-areola complex reconstruction. Tissue quality and thickness, desired nipple location and size, scar position, and surgeon preference all play a role in selecting a technique. We present the rectangle-to-cube nipple flap, a new technique for challenging nipple reconstruction. Read More

    A Systematic Review and Meta-analysis of Free-style Flaps: Risk Analysis of Complications.
    Plast Reconstr Surg Glob Open 2018 Feb 8;6(2):e1651. Epub 2018 Feb 8.
    Department of Plastic and Aesthetic Surgery, Peking University People`s Hospital, Beijing, PR China.
    Background: Free-style flaps allow surgeons to overcome anatomical variations and raise perforator flaps wherever a pulsatile signal can be detected. We performed a systematic review and meta-analysis to identify the risk factors for complications and indications for free-style flaps in soft-tissue defect reconstructions.

    Methods: This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Read More

    Forehead reconstruction using modified double-opposing rotation-advancement flaps for severe skin necrosis after filler injection.
    Arch Craniofac Surg 2018 Mar 20;19(1):64-67. Epub 2018 Mar 20.
    Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine, Busan, Korea.
    Varying degrees of complications can occur after hyaluronic acid filler injections. Tissue necrosis due to interruption of the vascular supply is an early complication that can be severe. If the site of tissue necrosis due to the filler injection is the forehead, successfully reconstructing the region without distorting the key landmarks is challenging. Read More

    Functional and aesthetic reconstruction of a large upper lip defect using combined three local flaps: A case report.
    Medicine (Baltimore) 2018 Mar;97(12):e0191
    Department of Plastic and Aesthetic Surgery, Peking Union Medical College Hospital, Beijing, China.
    Rationale: A significant clinical issue for treating patients with large upper lip defects is how to reconstruct the lip functionally and aesthetically. Traditional methods usually lead to asymmetry of the nasal base, philtrum and the lips.

    Patient Concerns: A 22-year-old lady presented with a large congenital nevus on her upper lip which involved the cutaneous, vermilion, and the philtrum. Read More

    Retrospective study of freestyle perforator-based peninsular flaps: A simple, fast, and safe technique for pressure sore reconstruction.
    Medicine (Baltimore) 2018 Mar;97(12):e0168
    Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center, Daejeon, Korea.
    This study aimed to present a simple, fast, and safe technique, called freestyle perforator-based peninsular flap (FPBPF), for pressure sore reconstruction.Among the 21 patients who underwent pressure sore reconstruction between May 2013 and October 2016, 12 patients (Group A) and 9 patients (Group B) were subjected to perforator-based island flap (PBIF) and FPBPF, respectively. We retrospectively reviewed and statistically analyzed the data of both groups. Read More

    Propeller flaps in eyelid reconstruction.
    Eye (Lond) 2018 Mar 14. Epub 2018 Mar 14.
    South Australian Institute of Ophthalmology, Royal Adelaide Hospital, North Terrace, Adelaide, SA, Australia.
    Purpose: Propeller flaps are island flaps that reach the recipient site through an axial rotation. The flap has a subcutaneous pedicle on which it pivots, thereby resembling a helicopter propeller. We present our series of propeller flaps for the reconstruction of large eyelid defects. Read More

    Nasolabial propeller perforator flap: Anatomical study and case series.
    J Surg Oncol 2018 Feb 26. Epub 2018 Feb 26.
    Universidad de Antioquia, Medellín, Colombia.
    Purpose: The previous cadaveric studies of facial artery perforators have frequently reported high variability, and those results remain to be validated in the Colombian population. Thus, we aimed to describe the vascular anatomy of the lateral nasal artery cutaneous branches and their clinical applications using Colombian cadavers.

    Materials And Methods: Nine hemifaces from six fresh cadavers were included in the study. Read More

    Coverage of the dorsal surface of a digit based on a pedicled free-style perforator flap concept.
    J Plast Reconstr Aesthet Surg 2018 Feb 13. Epub 2018 Feb 13.
    Yotsuya Medical Cube Hand Surgery and Microsurgery Center, Tokyo, Japan.
    Background: Reconstruction of the finger and thumb dorsum has been considered difficult because of the need for a thin and flexible flap, and the surrounding tissue is sometimes insufficient for a local flap. The purpose of this report is to describe our concept for finger and thumb dorsum reconstruction with free-style perforator flaps and our clinical experience with transfer of various perforator flaps.

    Methods: Thirty-two finger dorsum defects in 32 patients were covered with pedicled free-style perforator flaps. Read More

    Topology, Geometry, and Mechanics of Z-Plasty.
    Phys Rev Lett 2018 Feb;120(6):068101
    Paulson School of Engineering and Applied Sciences, Harvard University, 29 Oxford Street, Cambridge, Massachusetts 02138, USA.
    Reconstructive surgeries often use topological manipulation of tissue to minimize postoperative scarring. The most common version of this, Z-plasty, involves modifying a straight line cut into a Z shape, followed by a rotational transposition of the resulting triangular pedicle flaps, and a final restitching of the wound. This locally reorients the anisotropic stress field and reduces the potential for scarring. Read More

    IschioPubic Osteotomy, A Simple and Effective Technique for Pelvic Ring Closure in Repair of Classic Exstrophy Bladder.
    J Indian Assoc Pediatr Surg 2018 Jan-Mar;23(1):27-31
    Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
    Aim: The aim of this study is to report the technique and outcome of ischiopubic (IP) osteotomy for pelvic ring closure in classic exstrophy bladder.

    Methods: A total of 85 male classic exstrophies were selected based on trapezoid-shaped space between IP ramus on three-dimensional computed tomography pelvis. Using midline scroto-perineal approach, after bladder plate mobilization and radical corporal detachment; the pelvic surface of superior pubic ramus (SPR) was exposed. Read More

    Reconstruction of surgical defect of the dorsum of the hand.
    An Bras Dermatol 2017 ;92(5 Suppl 1):132-134
    Dermatological Surgery Outpatient Clinic of the Department of Tropical Dermatology of Hospital Central do Exército (HCE) - Rio de Janeiro (RJ), Brazil.
    In some cases, keratoacanthomas can be indistinguishable from squamous cell carcinoma, making the gold standard treatment surgical excision with histopathological evaluation. The surgical defects created on the back of the hand can be challenging to repair. We describe the use of bilateral rotation flap as an option in this area, and discuss the indications and contraindications of some of the possible surgical techniques for reconstruction of the dorsum of the hand. Read More

    Anterior internal impingement of the shoulder in rugby players and other overhead athletes.
    Asia Pac J Sports Med Arthrosc Rehabil Technol 2017 Apr 21;8:13-17. Epub 2017 Jan 21.
    Department of Orthopaedics, CLINTEC, Karolinska University Hospital, Stockholm, Sweden.
    Background/objective: Impingement syndromes are a common cause of shoulder pain in overhead athletes. Anterior internal impingement is a recently suggested mechanism for activity-related pain of the shoulder. Impingement syndromes were initially described to occur due to repetitive or excessive contact between the rotator cuff and other structures in the shoulder. Read More

    Lip reconstruction technique: A modified Abbe-Estlander with a myomucosal advancement flap.
    J Stomatol Oral Maxillofac Surg 2017 Nov 26. Epub 2017 Nov 26.
    Oral and Maxillofacial Surgery Department, Hospital Universitario La Princesa, 28006 Madrid, Spain.
    Lip cancer represents between 12-15% of all oral cavity cancers; 95% affect the lower lip. The main objectives in lip reconstruction after tumoral mass resection are functionality and esthetics. We present the case of an 81-year-old male with a past medical history of squamous cell carcinoma of the maxilla. Read More

    Double inlay plus ventral onlay buccal mucosa graft for simultaneous penile and bulbar urethral stricture.
    Int Braz J Urol 2017 Nov 17;43. Epub 2017 Nov 17.
    Seção de Urologia, Hospital Federal da Lagoa - Rio de Janeiro, RJ, Brasil.
    Objectives: Buccal mucosa grafts and fascio-cutaneous flaps are frequently used in long anterior urethral strictures (1). The inlay and onlay buccal mucosa grafts are easier to perform, do not need urethral mobilization and generally have good long-term results (2-4). In the present video, we present a case where we used a double buccal mucosa graft technique in a simultaneous penile and bulbar urethral stricture. Read More

    Defining the Role of Free Flaps in Partial Breast Reconstruction.
    J Reconstr Microsurg 2018 Mar 12;34(3):185-192. Epub 2017 Nov 12.
    Division of Plastic Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
    Background:  Free flaps have a well-established role in breast reconstruction after mastectomy; however, their role in partial breast reconstruction remains poorly defined. We reviewed our experience with partial breast reconstruction to better understand indications for free tissue transfer.

    Methods:  A retrospective review was performed of all patients undergoing partial breast reconstruction at our center between February 2009 and October 2015. Read More

    Reconstructive options for large back free flap donor sites.
    ANZ J Surg 2017 Nov 9. Epub 2017 Nov 9.
    Department of Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia.
    Background: Reconstruction of posterior thoracic and trunk defects can prove challenging even to the most seasoned surgeons. Many commonly used techniques for closing back defects include primary closure and split skin grafts. Often times, however, other techniques are needed in order to give the patient the best aesthetic and functional outcome. Read More

    Modified toe pulp fillet flap coverage: Better wound healing and satisfactory length preservation.
    Arch Plast Surg 2018 Jan 27;45(1):62-68. Epub 2017 Oct 27.
    Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
    Background: Amputation is commonly performed for toe necrosis secondary to peripheral vascular diseases, such as diabetes mellitus. When amputating a necrotic toe, preservation of the bony structure is important for preventing the collapse of adjacent digits into the amputated space. However, in the popular terminal Syme's amputation technique, partial amputation of the distal phalanx could cause increased tension on the wound margin. Read More

    Innovation in the planning of V-Y rotation advancement flaps: A template for flap design.
    Arch Plast Surg 2018 Jan 27;45(1):85-88. Epub 2017 Oct 27.
    Department of Plastic Surgery, Ankara Training and Research Hospital, Ankara, Turkey.
    Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. Read More

    Low recurrence rate of anchored conjunctival rotation flap technique in pterygium surgery.
    BMC Ophthalmol 2017 Oct 10;17(1):187. Epub 2017 Oct 10.
    Department of Ophthalmology, Dongguk University, Ilsan Hospital, 814, Siksadong, Ilsan-dong-gu, Goyang, Kyunggido, 410-773, South Korea.
    Background: To report the recurrence rate for an anchored conjunctival rotation flap technique in primary pterygium surgery.

    Methods: Primary pterygium surgeries performed using anchored conjunctival rotation flap techniques (110 eyes in 110 patients) with a minimum follow-up of 12 months were reviewed. In this technique, a conjunctival flap is rotated to cover the bare sclera and suture-fixated with either 8-0 polyglactin (41 eyes) or 10-0 nylon (69 eyes). Read More

    A Comparative Study of the Aesthetic Outcome of Two Techniques for Unilateral Complete Cleft Lip Repair.
    Plast Reconstr Surg 2017 Oct;140(4):757-764
    Oxford and Salisbury, United Kingdom From Spires Cleft Centre, Oxford University Hospitals NHS Trust, John Radcliffe Hospital; and the Spires Cleft Centre, Salisbury Foundation NHS Trust.
    Background: Cleft lip repair aims to create symmetric nasolabial morphology with minimal scarring. Poor aesthetic outcomes may have damaging psychosocial implications. Determining the optimal method of recreating lip symmetry is a major goal of applied cleft clinical research. Read More

    Reconstruction of a Complex Scalp Defect after the Failure of Free Flaps: Changing Plans and Strategy.
    Arch Craniofac Surg 2017 Jun 26;18(2):112-116. Epub 2017 Jun 26.
    Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea.
    The ideal scalp reconstruction involves closure of the defect with similar hair-bearing local tissue in a single step. Various reconstructions can be used including primary closure, secondary healing, skin grafts, local flaps, and microvascular tissue transfer. A 53-year-old female patient suffered glioblastoma, which had recurred for the second time. Read More

    The Versatility of Cheek Rotation Flaps.
    Arch Craniofac Surg 2016 Dec 23;17(4):190-197. Epub 2016 Dec 23.
    Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.
    Background: The cheek rotation flap has sufficient blood flow and large flap size and it is also flexible and easy to manipulate. It has been used for reconstruction of defects on cheek, lower eyelid, or medial and lateral canthus. For the large defects on central nose, paramedian forehead flap has been used, but patients were reluctant despite the remaining same skin tone on damaged area because of remaining scars on forehead. Read More

    [Approach of the unilateral cleft lip with Meara's cheiloplasty technique].
    Cir Pediatr 2017 04 20;30(2):111-116. Epub 2017 Apr 20.
    Cirugía Maxilofacial. Hospital Universitari Sant Joan de Déu. Barcelona.
    Introduction: Isolated cleft lip is the mildest form of the cleft lip and palate spectrum; however those patients are often treated with the same surgical techniques that are used for the more severe cases (advancement-rotation flaps, quadrangular flaps). Meara's cheiloplasty technique may be a less aggressive option for lip repair in isolated cleft lip or whenever the gap between labial segments is not wide.

    Material And Methods: All children that had their cleft lip repaired following Meara's cheiloplasty between May 2014 and December 2015 were retrospectively reviewed. Read More

    Classification of chronic radiation-induced ulcers in the chest wall after surgery in breast cancers.
    Radiat Oncol 2017 Aug 15;12(1):135. Epub 2017 Aug 15.
    Department of Plastic Surgery, The Affiliated Hospital of Academy of Military Medical Sciences, Beijing, 100043, China.
    Background And Purpose: To explore the methods of clinical classification in chronic radiation-induced ulcers in the chest wall (CRUCWs).

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

    Capsule-Fixated Intraocular Lens Implantation in Small Pupil Cases.
    J Refract Surg 2017 Aug;33(8):568-570
    Purpose: To describe a new technique for implantation of capsule-fixated intraocular lenses (IOLs) (FEMTIS; Oculentis, Berlin, Germany) in patients with small pupils.

    Methods: In 4 eyes with small pupils, an anterior capsule-fixated IOL was implanted into the capsular bag after femtosecond laser treatment. The two large and two small flaps of the IOL were elevated to the front of the iris and the anterior capsule. Read More

    The Modification of Rotation - Advancement Flap Made in 1950.
    Acta Stomatol Croat 2017 Mar;51(1):60-64
    Professor,DM, MSc, PhD at the School of Medicine, University of Zagreb, Department of Oral and Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia.
    The early techniques of cleft lip repair involved the straight-line technique, the triangular flap technique or some kind of geometric line (triangular, quadrangular closure). A turning point in cleft lip surgery was in 1955 when doctor. Millard presented his method: the rotation-advancement technique or flap, at the First International Congress of Plastic Surgery in Stockholm. Read More

    Comparative Perfusion Analysis of Free Muscle-Sparing Versus Pedicle Transverse Rectus Abdominis Myocutaneous (TRAM) Flaps in the Peri-Operative and Late Post-Operative Periods.
    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 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

    Flap Basics I: Rotation and Transposition Flaps.
    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

    Surgical correction of cryptotia combined with an ultra-delicate split-thickness skin graft in continuity with a full-thickness skin rotation flap.
    J Plast Reconstr Aesthet Surg 2017 Nov 9;70(11):1620-1623. Epub 2017 Jun 9.
    7th Department, Peking Union Medical College, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100144, China.
    Background: Cryptotia is a common congenital ear deformity in Asian populations. In cryptotia, a portion of the upper ear is hidden and fixed in a pocket of the skin of the mastoid. Here we describe our method for cryptotia correction by using an ultra-delicate split-thickness skin graft in continuity with a full-thickness skin rotation flap. Read More

    Reconstruction Techniques of Choice for the Facial Cosmetic Units.
    Actas Dermosifiliogr 2017 Oct 27;108(8):729-737. 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

    Groin and thigh reconstructions with pedicled rectus abdominis myocutaneous flaps.
    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

    The Periosteal Medial Femoral Condyle Free Flap: A New Option for Soft Tissue Reconstruction of the Distal Lower Extremity.
    Ann Plast Surg 2017 Oct;79(4):372-376
    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

    Anatomical Reconstruction of the Nasal Floor in Complete Unilateral Cleft Lip Repair.
    Ann Plast Surg 2017 Oct;79(4):365-371
    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

    Closure of nasal septal perforations with a polydioxanone plate and temporoparietal fascia in a closed approach.
    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

    Free-style Deepithelialized Propeller Flaps: An Ideal Local Flap to Obliterate Wounds with Dead Space.
    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

    Improving Pressure Ulcer Reconstruction: Our Protocol and the COP (Cone of Pressure) Flap.
    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

    The Nasal Tip Rotation Flap for Reconstruction of the Lateral Nasal Tip, Anterior Ala, and Soft Triangle: The Authors' Experience With 55 Patients.
    Dermatol Surg 2017 Oct;43(10):1221-1232
    *Dermatology Specialists of Boulder PC, Boulder, Colorado; †Department of Dermatology, Stanford University Medical Center, Redwood City, California; ‡Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.
    Background: Defects of the lateral nasal tip, anterior ala, and soft triangle subunits lack reconstructive options that are consistently satisfactory. For such defects, the novel anterior-based nasal tip rotation flap provides functional and aesthetic results in a single operative session.

    Objective: To describe the authors' experience with the nasal tip rotation flap, including patient selection and design modifications to enhance aesthetic success. Read More

    Elongated Dorsal Nasal Flap to Reconstruct Large Defects of the Nose.
    Dermatol Surg 2017 Aug;43(8):1036-1041
    *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

    Three-Dimensional (3D) Columellar Strut Graft in Rhinoplasty.
    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

    Peroneal perforator pedicle propeller flap for lower leg soft tissue defect reconstruction: Clinical applications and treatment of venous congestion.
    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

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