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    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, 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

    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 2017 Oct 27. Epub 2017 Oct 27.
    Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, 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 2017 Oct 27. Epub 2017 Oct 27.
    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 Vivo 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 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

    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

    Comparison of propeller perforator flap and venous supercharged propeller perforator flap in reconstruction of lower limb soft tissue defect: A prospective study.
    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

    [Perineal reconstruction: Salvage surgery with 2flaps technique].
    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

    Reconstruction of face and scalp after dog bites in children.
    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

    Aesthetic Reconstruction of the Frontotemporal Region: The Extended A-T Plasty, A Workhorse Revisited.
    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

    Comparison of fasciocutaneous V-Y and rotational flaps for defect coverage of sacral pressure sores: a critical single-centre appraisal.
    Int Wound J 2017 Dec 6;14(6):945-949. 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

    Foot and Ankle Reconstruction Using the Distally Based Sural Artery Flap Versus the Medial Plantar Flap: A Comparative Study.
    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

    Extending the limits of the anterior tibial artery as the recipient vessel for around the knee and proximal lower extremity defect reconstruction using the free anterolateral thigh and gracilis flap.
    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

    Mohs Surgical Reconstruction Educational Activity: a resident education tool.
    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

    One - staged reconstruction of bladder exstrophy in male patients: long - term follow-up outcomes.
    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

    Endonasal septal perforation repair using posterior and inferiorly based mucosal rotation flaps.
    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

    A Prospective Assessment of Surgical Risk Factors in 114 Gluteal Fold Flap Reconstructions After Oncological Vulvoperineal Resection.
    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

    Anatomical Basis and Clinical Application of Synovial Flaps in the Wrist and Distal Forearm.
    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

    Rotation Flap Closure of Moderate Size Scalp Defects - Technique and Outcome.
    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

    Free Functioning Gracilis Muscle Transfer for Elbow Flexion Reconstruction after Traumatic Adult Brachial Pan-Plexus Injury: Where Is the Optimal Distal Tendon Attachment for Elbow Flexion?
    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

    Heterotopic Intracranial Skin Presenting as Chronic Draining Sinus After Remote Craniotomy.
    World Neurosurg 2017 Feb 27;98:882.e9-882.e14. Epub 2016 Oct 27.
    Division of Plastic Surgery, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA. Electronic address:
    Background: Craniotomies for trauma are associated with a significant risk of wound complications. We report a case in which a chronic nonhealing draining sinus was caused by an ectopic epidermal lining deep to the craniotomy bone flap, adherent to the underlying dura.

    Case Description: A 61-year-old man was examined for a 3-year-old, nonhealing scalp wound resulting after a traumatic brain injury. Read More

    Abdominoplasty and gluteoplasty after massive weight loss: an all-in-one technique.
    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

    Injectable Diphenhydramine Used as Anaesthetic for Wide Local Excision With Flap Closure.
    J Cutan Med Surg 2017 May/Jun;21(3):256-257. Epub 2016 Dec 5.
    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

    Pre-expanded Internal Mammary Artery Perforator Flap.
    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

    Endoscopic closure of large septal perforations with bilateral Hadad-Bassagasteguy flaps.
    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

    Extending the Arc of Rotation of the Pectoralis Major Myocutaneous Flap for Orofacial Reconstruction via a Modified Subclavicular Route Through the Clavipectoral Fascia.
    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

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