1,711 results match your criteria Rotation Flaps


[The application of modified rhomboid flap in repairing facial skin and soft tissue defect].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):207-211

Department of Plastic Surgery, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006, P.R.China.

Objective: To explore the effectiveness of modified rhomboid flap for repairing facial skin and soft tissue defect.

Methods: Between January 2016 and May 2018, 23 patients with facial skin and soft defect were repaired by the modified rhomboid flap. There were 10 males and 13 females with the median age of 27 years (range, 11-72 years). Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201810020
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http://dx.doi.org/10.7507/1002-1892.201810020DOI Listing
February 2019
2 Reads

[One-stage thumb opponensplasty and polygonal flap in congenital spade hand reconstruction].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):199-202

Department of Pediatric Orthopaedics, Wuxi No.9 People's Hospital Affiliated to Soochow University, Wuxi Jiangsu, 214000,

Objective: To explore the effectiveness of one-stage metacarpal osteotomy, thumb opponensplasty and polygonal flap reconstruction in the treatment of congenital spade hand deformity.

Methods: Eight cases of congenital spade hand were treated between January 2013 and March 2017. There were 5 males and 3 females, with an average age of 17. Read More

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http://dx.doi.org/10.7507/1002-1892.201804111DOI Listing
February 2019
1 Read

Novel technique to manage pacemaker exposure with buried flap reconstruction: case series.

Heart Asia 2019 10;11(1):e011086. Epub 2019 Jan 10.

Department of Plastic Surgery, All India Institute of Medical Sciences, New Delhi, India.

Objective: Exposure of implantable electrical devices may increase morbidity and mortality significantly. Usually superficial infections are conservatively managed whereas invasive infections necessitate complete capsulectomy, sub-pectoral placement or implant exchange. Most commonly inadequate soft tissue coverage, soft tissue thinning and scar dehiscence over the edge of the pacemaker are the primary predisposing event. Read More

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http://dx.doi.org/10.1136/heartasia-2018-011086DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340535PMC
January 2019

Capsular plication in the non-deformity hip: impact on post-operative joint stability.

J Exp Orthop 2019 Jan 29;6(1). Epub 2019 Jan 29.

Department of Kinesiology, Faculty of Medicine, Université Laval, Quebec city, QC, Canada.

Purpose And Hypothesis: The aim of this study was to evaluate the hip joint range of motion after different capsular plication. The study hypothesis proposed that capsular plication after hip arthroscopy may reduce hip external rotation and thus prevent the hip joint instability created by arthroscopic capsulotomies.

Methods: Six fresh frozen human cadavers were studied in the intact state (5 males, 1 females) for a total of 12 non-deformity hips tested. Read More

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http://dx.doi.org/10.1186/s40634-019-0172-xDOI Listing
January 2019

The Facial Artery Perforator Flap as a New Option for Reconstruction of Intraoral Defects: Surgical Tips and Clinical Series.

J Craniofac Surg 2019 Jan 19. Epub 2019 Jan 19.

Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unity, Centro Hospitalar de São João, Porto Medical School, Alameda Professor Hernâni Monteiro, Porto, Portugal.

Background: The authors have recently 1st described the use of the facial artery perforator flap (FAP) for intraoral reconstruction. In this study, they discuss technical notes and surgical tips associated with the procedure and the application of this flap in 4 patients with intraoral defects resulting from cancer or osteoradionecrosis.

Methods: A retrospective study of 4 consecutive patients was performed on all patients who underwent reconstruction of an intraoral defect with a FAP flap, over a 12-month period from March 2017 to March 2018. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005347DOI Listing
January 2019
1 Read

Reconstruction of Alar-Perialar Defects with a Combined Subcutaneous and Cutaneous Pedicled Rotation-Advancement Nasolabial Flap.

J Invest Surg 2019 Jan 15:1-7. Epub 2019 Jan 15.

a Department of Dermatology and Allergology , University of Szeged, Szeged, Hungary.

Aim Of The Study: During the reconstruction of alar defects involving the upper lip, reconstructive surgeons face the need for various thicknesses of tissues crucial to preserving the facial sulcus which is important for a cosmetically acceptable result. Our aim was to reconstruct the deep perialar and thinner lateral nasal alar defect in a single step procedure with a suitable flap which is reliable, has appropriate blood supply and provides an esthetically good result.

Materials And Methods: Extended alar defect was reconstructed with a combined flap in 10 cases. Read More

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http://dx.doi.org/10.1080/08941939.2018.1538397DOI Listing
January 2019
1 Read

Commentary on Repair of Apical Triangle Defects Using Melolabial Rotation Flaps.

Dermatol Surg 2019 Jan 7. Epub 2019 Jan 7.

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

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http://dx.doi.org/10.1097/DSS.0000000000001738DOI Listing
January 2019
1 Read

Reconstruction of cutaneous defects of the nasal tip and alar by two different methods.

Arch Craniofac Surg 2018 Dec 27;19(4):260-263. Epub 2018 Dec 27.

Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.

Background: The alar and nasal tip are important subunits of the nose. Determining the optimal procedure for reconstructing a cutaneous defect in a nasal subunit depends on several factors including size, location, and involvement of deep underlying structures. We treated cutaneous defects after tumor ablation in the alar and nasal tip with a local flap, using an S-shaped design and a modified V-Y advancement flap with a croissant shape. Read More

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http://dx.doi.org/10.7181/acfs.2018.02271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325337PMC
December 2018
1 Read

Unusual Complication of Hemodialysis Cuffed Catheter Tunnel Infection and Unconventional Therapeutical Decision: A Report of Two Cases.

Case Rep Surg 2018 19;2018:2405864. Epub 2018 Nov 19.

Department of Nephrology and Dialysis, Medical University, Pleven, Bulgaria.

Introduction: Infectious complications are the most common chronic complications observed in patients undergoing hemodialysis with central venous catheters. However, despite the efforts of a large number of medical professionals, tunnel catheters are increasingly being used for hemodialysis in the everyday practice.

Case Report: We describe two cases of an equal complication of a tunnel infection wherein the catheter becomes naked after self-rupture of the purulent secretion. Read More

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http://dx.doi.org/10.1155/2018/2405864DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276452PMC
November 2018
2 Reads

Reverse turnover pedicled latissimus dorsi muscle flap for lower back reconstruction: Two case reports.

Medicine (Baltimore) 2018 Dec;97(51):e13851

Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Large soft tissue defects on the lower back represent a treatment challenge. Among a variety of reconstructive procedures, the latissimus dorsi (LD) muscle or musculocutaneous flap is one of most frequently used pedicled flaps. However, the pedicled LD flap carries a bulky pivot point and a short arc of rotation. Read More

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http://Insights.ovid.com/crossref?an=00005792-201812210-0013
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http://dx.doi.org/10.1097/MD.0000000000013851DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320210PMC
December 2018
12 Reads

The Reach of the Gastrocnemius Musculocutaneous Flap: How High Is High?

World J Plast Surg 2018 Sep;7(3):319-325

Department of Plastic Surgery, BJG Medical College and Sassoon Hospital, Pune, India.

Background: Gastrocnemius muscle and musculocutaneous flaps are very versatile and one of the commonly used flaps for lower extremity reconstruction. There is significant literature available on the use of these flaps. However, we feel that the potential of the gastrocnemius musculocutaneous (GMC) flaps has not yet been fully explored in terms of increasing their reach, viability and arc of rotation. Read More

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http://dx.doi.org/10.29252/wjps.7.3.319DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290316PMC
September 2018
1 Read

Septal Perforation Repair Utilizing an Anterior Ethmoidal Artery Flap and Collagen Matrix.

Am J Rhinol Allergy 2018 Dec 10:1945892418816959. Epub 2018 Dec 10.

1 Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.

Background: Nasal septal perforation repair remains a challenge with no standard technique for repair recognized.

Objective: To describe the combination of an anterior ethmoidal artery flap with a collagen matrix inlay as a successful technique for nasal septal perforation repair.

Methods: A case series of consecutive patients who underwent nasal septal perforation repair with an anterior ethmoidal artery flap with an inlay collagen graft was conducted. Read More

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http://dx.doi.org/10.1177/1945892418816959DOI Listing
December 2018
7 Reads

A new propeller trapezius muscle flap for reconstruction of posterior trunk defects: An anatomic study and report of three cases.

Microsurgery 2018 Dec 3. Epub 2018 Dec 3.

Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Background: Reconstruction of complex back defects, especially after corrective spine surgery, is a challenging problem. In these patients hardware issues predominate and flap failure has serious consequences. Certain subunits of the back pose even greater problems, specifically the central region between T9 and T12. Read More

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http://dx.doi.org/10.1002/micr.30395DOI Listing
December 2018
3 Reads

Wound Coverage of Infected Open Fracture of Distal Third of Tibia by Distally Based Medial Hemi-Soleus Muscle Flap.

Mymensingh Med J 2018 Oct;27(4):798-804

Dr Md Saiful Islam, Associate Professor, Orthopedic Surgery, Community Based Medical College Bangladesh, Mymensingh.

We conducted a study to evaluate the reliability of the medial hemi-soleus muscle flap for wound coverage of infected open fracture of distal third of tibia. Wound coverage of exposed lower third tibia and ankle region remains a difficult task. Muscle flaps are preferred for infected wounds especially where there are exposed bone, joint and/or tendons. Read More

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October 2018
3 Reads

Multisegmental Lumbar Corporectomy and Transcorporal Fixation for Correction of Extreme Thoracolumbar Kyphosis in Myelomeningocele with Chronic Decubitus.

Pediatr Neurosurg 2018 Nov 27:1-5. Epub 2018 Nov 27.

Department of Neurosurgery, Hannover Medical School, Hannover, Germany.

We introduce a novel technique for the treatment of severe kyphosis in myelomeningocele. A 5-year-old paraplegic boy with myelomeningocele presented with severe thoracolumbar kyphosis and a chronic ulcus at the site of the gibbus. The myelomeningocele had been treated during his first week of life, and an accompanying Chiari type II malformation had been treated by ventriculoperitoneal shunting. Read More

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http://dx.doi.org/10.1159/000494564DOI Listing
November 2018
9 Reads

Reconstruction of the Cheek.

Facial Plast Surg Clin North Am 2019 Feb;27(1):55-66

Department of Otolaryngology, University of Colorado School of Medicine, 12631 East 17th Avenue, B205, Aurora, CO 80045-2527, USA. Electronic address:

The goal of cheek reconstruction is to restore an illusion of "normal." Attention must be directed toward the contralateral cheek skin color, texture, thickness, and contour, because this serves a template for reconstruction. The cheek is a peripheral facial subunit and largely frames the more central subunits (eyelids, nose, lips). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10647406183007
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http://dx.doi.org/10.1016/j.fsc.2018.08.007DOI Listing
February 2019
9 Reads

Rare Median Cleft-Lip Repair With Novel Surgical Procedures Using Bilateral Cleft Margin Flaps.

J Craniofac Surg 2019 Jan;30(1):19-22

Department of Plastic and Reconstructive Surgery, Osaka City General Hospital, Osaka, Japan.

Reports of median cleft lip with nasal anomalies are few, and descriptions of concomitant surgical repair of a median cleft lip and bifid nose deformity are similarly rare. These surgical repair techniques mainly involve the use of normal neighboring structures. Reconstruction of the columella and nasal base is especially important. Read More

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http://Insights.ovid.com/crossref?an=00001665-900000000-9525
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http://dx.doi.org/10.1097/SCS.0000000000004891DOI Listing
January 2019
12 Reads

Outcome following cosmetic rostral nasal reconstruction after planectomy in 26 dogs.

Vet Surg 2019 Jan 9;48(1):64-69. Epub 2018 Nov 9.

Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia.

Objective: To report the outcome and owner satisfaction after planectomy for nasal planum neoplasia with cosmetic reconstruction with bilateral labial mucocutaneous rotation flaps in dogs.

Study Design: Multi-institutional, retrospective case series.

Animals: Twenty-six client-owned dogs. Read More

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http://doi.wiley.com/10.1111/vsu.13120
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http://dx.doi.org/10.1111/vsu.13120DOI Listing
January 2019
23 Reads

Reconstruction of composite defects of the scalp and neurocranium-a treatment algorithm from local flaps to combined AV loop free flap reconstruction.

World J Surg Oncol 2018 Nov 7;16(1):217. Epub 2018 Nov 7.

Department of Plastic and Hand Surgery, University Hospital of Erlangen, Friedrich-Alexander University of Erlangen-Nuernberg, Krankenhausstr. 12, 91054, Erlangen, Germany.

Background: Reconstruction of cranial composite defects, including all layers of the scalp and the neurocranium, poses an interdisciplinary challenge. Especially after multiple previous operations and/or radiation therapy, sufficient reconstruction is often only possible using microsurgical free flap transplantation. The aim of this study was to analyze the therapy of interdisciplinary cases with composite defects including the scalp and neurocranium. Read More

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http://dx.doi.org/10.1186/s12957-018-1517-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223072PMC
November 2018
4 Reads

Lamellar rotation surgery: a new procedure for repairing upper eyelid defects.

Authors:
Qingji Li

BMC Ophthalmol 2018 Nov 7;18(1):291. Epub 2018 Nov 7.

Department of Oculoplastic and Reconstructive Surgery, Tianjin Aier Eye Hospital, No.102, Fukang Road, Nankai District, Tianjin, 300190, People's Republic of China.

Background: To report "Lamellar Rotation Surgery",a new technique for repairing large and moderate full-thickness upper eyelid defects.

Methods: A two-stage technique is described in which a vertical incision is made in the tarsus of the lower eyelid with elevation of the lateral posterior lamella while sparing the lower eyelid orbicularis and skin to be rotated superiorly to form the reconstructed posterior lamella of the upper eyelid. Additionally, a lateral periosteal flap is used to reconstruct the lateral canthal tendon, and a McGregor procedure is used to reconstruct the anterior lamella of the upper eyelid. Read More

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https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12
Publisher Site
http://dx.doi.org/10.1186/s12886-018-0958-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6222999PMC
November 2018
8 Reads

The Modified Keystone Flap for Pressure Ulcers: A Modification of the Keystone Flap With Rotation and Advancement.

Ann Plast Surg 2019 Mar;82(3):299-303

Department of Plastic and Reconstructive Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.

Introduction: The reconstruction of extensive soft tissue defects from pressure ulcers is a great challenge. Resurfacing such defects with like tissues and minimizing morbidities are important. Here we present our surgical experience using a novel modified keystone flap for pressure ulcer patients. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001677DOI Listing
March 2019
2 Reads
1.460 Impact Factor

Clinical efficacy of pelvic autologous tissue reconstruction in treating pelvic organ prolapse in 36 patients.

Medicine (Baltimore) 2018 Oct;97(42):e12765

Department of Gynecology, People's Hospital of Wenzhou, Wenzhou, Zhejiang, China.

This study aims to search for a new, economic, convenient, and low recurrence rate operation for the surgical management of pelvic organ prolapse (POP). The clinical value of the operation for treating POP was determined through retrospective case series. The new operation was called, pelvic autologous tissue reconstruction. Read More

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http://dx.doi.org/10.1097/MD.0000000000012765DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211854PMC
October 2018
4 Reads

Isolated Congenital Cleft of the Nose.

J Craniofac Surg 2018 Nov;29(8):e812-e814

School of Medicine, Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaraş Sütçüimam University, Kahramanmaraş, Turkey.

The intrauterine growth of the face is formed by appropriate fusion of frontonasal, maxillary, and mandibular protrusions. These anomalies are very rare and there may be differences between individuals according to cleft types. In this article, a very rare condition of isolated alar cleft and its treatment method were presented. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004860DOI Listing
November 2018
10 Reads

Adjacent skin rotation flap for large defect in primary breast tumor.

J Surg Oncol 2018 Dec 7;118(7):1199-1204. Epub 2018 Oct 7.

Department of Breast Surgery, Hubei Cancer Hospital, Wuhan, China.

Backgrounds: Surgical resection of large primary breast tumor often results in large chest wall defects. The purpose of this study is to evaluate the feasibility of using adjacent skin rotation (ASR) flap in patients with giant primary breast tumor.

Methods: A total of 26 giant primary breast tumor patients treated with ASR flap were included in this study. Read More

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http://doi.wiley.com/10.1002/jso.25240
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http://dx.doi.org/10.1002/jso.25240DOI Listing
December 2018
15 Reads

Use of a perforator/subcutaneous pedicled propeller flap for reconstruction of lower eyelid defects.

Authors:
Asım Uslu

J Plast Reconstr Aesthet Surg 2019 Jan 20;72(1):119-124. Epub 2018 Sep 20.

Department of Plastic and Reconstructive Surgery(,) Antalya Training and Research Hospital(,) Varlık, Kazım Karabekir Cd.(,) 07100 Antalya(,) Turkey. Electronic address:

Full-thickness skin grafts (FTSGs) and flaps from the upper eyelid or cheek can be used for reconstruction of lower eyelid defects, including the anterior lamella. However, the upper eyelid has a limited and insufficient amount of skin, whereas cheek flaps have a restricted arch of rotation. Here we report the procedure and outcomes of a perforator/subcutaneous pedicled propeller flap for reconstruction of lower eyelid defects including the anterior lamella. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.09.006DOI Listing
January 2019
15 Reads

Use of a helical composite free flap for alar defect reconstruction with a supermicrosurgical technique.

Arch Plast Surg 2018 Sep 15;45(5):466-469. Epub 2018 Sep 15.

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

The highly contoured nature of the nose and the abundant free margin makes it especially difficult to reconstruct. In this report, we describe the use of a new helical rim free flap technique for the reconstruction of full-thickness nasal alar defects via supermicrosurgery. Briefly, after a wide excision with a margin of 0. Read More

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http://e-aps.org/journal/view.php?doi=10.5999/aps.2017.01270
Publisher Site
http://dx.doi.org/10.5999/aps.2017.01270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177631PMC
September 2018
4 Reads

Venous Congestion in Pedicled Frontal Branch Superficial Temporal Artery Flaps Reconstructions for Head and Neck Defects: A Review.

Ann Plast Surg 2019 Mar;82(3):330-336

The superficial temporal artery (STA) flap is a versatile flap for head and neck defect reconstruction. It can be based on the frontal branch of the STA and an islanded 360-degree rotation arc for various defects on the scalp, cheek, and auricular region. It provides a nonmicrosurgical option for reconstructing such defects, which is itself relatively easy to perform. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001602DOI Listing
March 2019
3 Reads
1.460 Impact Factor

Large Scalp Defect Repair with Flap Reconstruction Using Tissue Expander After Combined Bypass in Case of Moyamoya Disease.

World Neurosurg 2018 Dec 7;120:185-189. Epub 2018 Sep 7.

Department of Neurosurgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon-si, Gyeonggi-do, Republic of Korea. Electronic address:

Background: Combined revascularization is the preferred surgical management of adult Moyamoya disease. However, postoperative flap necrosis of the scalp is not an uncommon complication. We investigated the role of scalp incision design on the basis of the course of the superficial temporal artery (STA) to prevent postoperative scalp necrosis. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.08.221DOI Listing
December 2018
6 Reads

Fat necrosis after breast-conserving oncoplastic surgery.

Breast Cancer 2019 Jan 27;26(1):125-130. Epub 2018 Aug 27.

Department of Breast Surgery, Yamanashi Prefectural Central Hospital, Fujimi1-1-1, Kofu, Yamanashi, 400-8506, Japan.

Background: Fat necrosis is a subjective early as well as delayed complication, which sometimes mimics local recurrence and ruins the quality of life by pain and poor cosmetic result. While, the frequency and severity of fat necrosis are important issues that breast surgeons should explain to the patient, these data are not revealed well.

Methods: A total of 1476 patients who underwent breast surgery from January 2000 to December 2012 were enrolled in the present study. Read More

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http://dx.doi.org/10.1007/s12282-018-0901-5DOI Listing
January 2019

Fasciocutaneous flap with perforating branches of peroneal artery repairing soft tissue loss in anterior and middle parts of children's feet: A STROBE-compliant article.

Medicine (Baltimore) 2018 Aug;97(31):e11351

Department of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, China.

Repairing soft tissue loss in feet's anterior and middle parts has become a problem, especially for children. We observed the feasibility and clinical effects of superficial peroneal fasciocutaneous flap pedicled with terminal perforating branches of peroneal artery for repairing children's feet.Between January 2015 and December 2016, soft tissue loss in anterior and middle regions of feet were repaired using superficial peroneal fasciocutaneous flap pedicled with terminal perforating branches of peroneal artery in 8 children with a median age of 6. Read More

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http://dx.doi.org/10.1097/MD.0000000000011351DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081184PMC
August 2018
3 Reads

Basic skin surgery interactive simulation: system description and randomised educational trial.

Adv Simul (Lond) 2018 18;3:14. Epub 2018 Jul 18.

2Simulation and Modelling in Medicine and Surgery, Centre for Engagement and Simulation Science, Imperial College London, London, England.

Background: Learning the skills required for open surgery is essential for trainee progression towards more advanced technical procedures. Simulation supports skill enhancement at a time when exposure to actual surgical procedures and traditional apprentice-based teaching has declined. The proliferation of smartphone and tablet devices with rich, touch sensitive displays and increasing processing power makes a compelling argument for expanding accessibility further by development of mobile virtual simulations for training on demand in any setting, at any time. Read More

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http://dx.doi.org/10.1186/s41077-018-0074-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052699PMC
July 2018
11 Reads

The Surgical Management of Pilonidal Disease is Uncertain Because of High Recurrence Rates.

Cureus 2018 May 14;10(5):e2625. Epub 2018 May 14.

Colorectal Unit, Royal Prince Alfred Hospital.

Background Pilonidal disease is a common condition with no consensus for the best management of chronic disease or current practice in Australia and New Zealand. Methods A survey was distributed among 190 colorectal and 592 general surgeons in Australia and New Zealand. Data was obtained regarding pilonidal surgery volume, procedures performed, non-operative management and recurrence rates. Read More

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https://www.cureus.com/articles/12194-the-surgical-managemen
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http://dx.doi.org/10.7759/cureus.2625DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044486PMC
May 2018
6 Reads

Pedicle Galeo-pericranial Flap Augmentation in Salvage Frontotemporal Cranioplasty: Additional 'Neurosurgeon-friendly' Reconstruction Technique of Aesthetic Neurosurgery in Superficial Temporal Artery Branch Compromised Host.

Neurol Med Chir (Tokyo) 2018 Aug 12;58(8):350-355. Epub 2018 Jul 12.

Department of Neurological Surgery, Nippon Medical School.

This technical note aims to demonstrate the usefulness, indications and its limitations of augmentation technique by bipedicle galeo-pericranial rotation flap and by monopedicle galeo-pericranial flap, both in STA (superficial temporal artery) branch compromised hosts in salvage frontotemporal cranioplasty. Although these flaps are not always idealistically vascularized owing to accidental injuries to the STA branches during previous surgeries, they are properly augmenting after salvage frontotemporal craniotomy when infection is not active. The procedure is indicated for salvage frontotemporal craniotomy when vasculature is needed at the surgical site, such as beneath the skin incision line in a thin injured scalp, onto the titanium plates or beneath the fragile fibrous scar. Read More

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http://dx.doi.org/10.2176/nmc.tn.2017-0252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092603PMC
August 2018
5 Reads

Myelomeningocele closure by unilateral lumbar artery perforator flap: Experience with thirty-eight patients.

Authors:
Murat Ucak

Microsurgery 2018 Oct 28;38(7):752-757. Epub 2018 Jun 28.

Plastic and Reconstructive Surgery, Nevsehir Public Hospital, Nevsehir, Turkey.

Background: Repair of large soft tissue defects in meningomyelocele is difficult and its morbidity is high. By applying unilateral lumbar artery perforator transposition flap for closing these defects, we aimed to investigate effects on the repair procedure, duration of surgery and recovery period, with the rates of bleeding and morbidity.

Patients And Methods: Our report was conducted in 38 patients between the years 2013 and 2017. Read More

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http://dx.doi.org/10.1002/micr.30348DOI Listing
October 2018
3 Reads

Distal major pedicle of sartorius muscle flap: Anatomical study and its clinical implications.

Indian J Plast Surg 2018 Jan-Apr;51(1):40-45

Department of Anatomy, Ramaiah Medical College, Bengaluru, Karnataka, India.

Background: Reconstruction of the popliteal region has limited option in terms of muscle flaps or myocutaneous flaps. Gastrocnemius muscle or the myocutaneous flaps are the option for majority of cases. However, reach of Gastrocnemius is limited if the wound is on the distal one-third thigh or the lateral aspect of knee region. Read More

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http://dx.doi.org/10.4103/ijps.IJPS_127_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992938PMC

Perforator Propeller Flaps for the Coverage of Middle and Distal Leg Soft-tissue Defects.

Plast Reconstr Surg Glob Open 2018 May 2;6(5):e1759. Epub 2018 May 2.

Plastic and Reconstructive Surgery, Plastic Reconstructive Surgery Center Hospital Vivian Pellas, Managua, Nicaragua.

Background: Local propeller flaps preserve the main vascular arteries of the lower extremity and muscle function, avoiding the need for a microsurgical anastomosis and the benefit of providing a "like with like" coverage. Our goal in this study was to demonstrate the versatility, safety, and complications of the local propeller flaps for lower extremity reconstruction.

Methods: We present a series of 28 patients in whom we used local propeller flaps to restore small-to-medium soft-tissue defects of the lower limb in different hospitals of Managua, Nicaragua. Read More

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http://Insights.ovid.com/crossref?an=01720096-201805000-0001
Publisher Site
http://dx.doi.org/10.1097/GOX.0000000000001759DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999436PMC
May 2018
6 Reads

[Propeller facial artery perforator flap for repairing defect after resection of skin malignant tumor at upper lip].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Feb;32(2):210-214

Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563003, P.R.China.

Objective: To explore the effectiveness of propeller facial artery perforator flap to repair the defect after resection of skin malignant tumor at upper lip.

Methods: Between July 2012 and January 2017, 17 cases with skin malignant tumor at upper lip underwent tumor resection and the remained defect was repaired with propeller facial artery perforator flap. Among the 17 patients, 3 were male and 14 were female, with an average age of 57 years (range, 35-82 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201709126DOI Listing
February 2018
5 Reads

[Strategy for wound repair of skin and soft tissue defect and systematic rehabilitation treatment for functional reconstruction of patients with severe burn or trauma on knees].

Zhonghua Shao Shang Za Zhi 2018 May;34(5):266-270

Burn Center of PLA, Department of Burns and Cutaneous Surgery, Xijing Hospital, Air Force Medical University, Xi'an 710032, China.

Strategy for wound repair of skin and soft tissue defect and systematic rehabilitation treatment for functional reconstruction of patients with severe burn or trauma on knees. From January 2015 to October 2016, 26 patients with skin and soft tissue defect on knees after severe burn or trauma were hospitalized in our unit. Among these patients, 14 patients had patellar ligament defect, and 16 patients had knee joint capsule defect. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2018.05.003DOI Listing
May 2018
2 Reads

De-mucosalized pharyngeal flap: a modified technique for selected cases of velopharyngeal insufficiency.

Authors:
Sherif M Askar

Eur Arch Otorhinolaryngol 2018 Jul 26;275(7):1939-1943. Epub 2018 May 26.

Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Background And Purpose: Superiorly based posterior pharyngeal flap is performed via rotation of tissues of the posterior pharyngeal wall anteriorly and anchoring it to the soft palate. Unfortunately, bad healing of the donor site defect might be a considerable cause of morbidity of the surgery. With some modifications of flap elevation we could achieve better surgical outcomes. Read More

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http://dx.doi.org/10.1007/s00405-018-5018-0DOI Listing
July 2018
1 Read

The Use of Pedicled Perforator Flaps in Chest Reconstruction: A Systematic Review of Outcomes and Reliability.

Ann Plast Surg 2018 Oct;81(4):487-494

Department of Plastic, Reconstructive and Aesthetic Surgery, South Hospital, University of Rennes 1, Rennes.

Background: In recent years, pedicled perforator flaps have revolutionized plastic surgery by reducing donor site morbidity and ensuring larger and deeper reconstructions with local pedicled cutaneous flaps. The aim of the study was to make a systematic review of perforator pedicled propeller flaps (PPPFs) in chest reconstruction.

Methods: Pubmed and Cochrane databases were searched from 1989 to October 2016 for articles describing the use of PPPFs in chest reconstruction. Read More

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http://Insights.ovid.com/crossref?an=00000637-201810000-0002
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http://dx.doi.org/10.1097/SAP.0000000000001466DOI Listing
October 2018
5 Reads

Pectoralis Major Musculocutaneous Flap With a Midline Sternal Skin Paddle for Head and Neck Reconstruction: A New Design.

Ann Plast Surg 2018 Aug;81(2):186-191

Otolaryngology, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea.

Purpose: The pectoralis major musculocutaneous (PMMC) flap is a classic flap for head and neck reconstruction, relatively unpopular with the advancement of microsurgery and free flaps. The classic parasternal paddle design provided a thick flap with a small rotation arch leaving objectionable scarring. Our new symmetric midsternal design overcomes these problems. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001453DOI Listing
August 2018
5 Reads

The facial artery perforator flap for intraoral reconstruction of a mouth floor defect.

Microsurgery 2018 Oct 2;38(7):795-798. Epub 2018 May 2.

Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unity, Centro Hospitalar de São João, Porto Medical School, Porto, Portugal.

Facial artery perforator flaps have been recently reported by different authors for perioral, nasal alar and cheek defects, but not for intraoral reconstruction. We have extended the use of the facial artery perforator flap in a 56-year-old man with a squamous cell carcinoma of left mouth floor, who was submitted to tumor resection with marginal mandibulectomy and left supraomohyoid neck dissection. The flap was designed according to the size of the defect (5 × 3 cm), centered on the perforator to create a symmetric flap and was tunnelled intraorally by means of a 90° rotation. Read More

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http://dx.doi.org/10.1002/micr.30333DOI Listing
October 2018
9 Reads

Comparison of Dorsal Intercostal Artery Perforator Propeller Flaps and Bilateral Rotation Flaps in Reconstruction of Myelomeningocele Defects.

Turk Neurosurg 2019 ;29(1):83-89

Mersin University Hospital, Department of Plastic, Reconstructive & Aesthetic Surgery, Mersin, Turkey.

Aim: 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.

Material And Methods: Between January 2005 and February 2017, we studied 47 patients who underwent reconstruction of myelomeningocele defects. Patient demographics, operative data, and postoperative data were reviewed retrospectively and are included in the study. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.23058-18.1DOI Listing
January 2019
10 Reads

Vascularized Spinous Process Graft Rotated on a Paraspinous Muscle Pedicle for Lumbar Fusion: Technique Description and Early Clinical Experience.

World Neurosurg 2018 Jul 17;115:186-192. Epub 2018 Apr 17.

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA. Electronic address:

Background: Vascularized bone grafts (VBGs) are described as having superior osteogenicity, osteoconductivity, and osteoinductivity compared with other graft types and have been used in high-risk patients to augment arthrodesis. Pedicled VBGs are rotated on an intact vascular pedicle and therefore maintain all the benefits of VBGs but avoid many of the challenges and additional morbidity of free-tissue transfer. This study describes a novel surgical technique for rotating vascularized spinous process into the posterolateral space for augmenting arthrodesis in patients undergoing posterolateral fusion (PLF). Read More

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http://dx.doi.org/10.1016/j.wneu.2018.04.039DOI Listing
July 2018
6 Reads

Repeated Use of Gluteal Fold Flaps for Post-Oncologic Vulvoperineal Reconstruction.

Ann Plast Surg 2018 Jun;80(6):648-652

Gynecologic Oncology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.

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

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http://dx.doi.org/10.1097/SAP.0000000000001445DOI Listing
June 2018
2 Reads

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

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September 2018
5 Reads

[Contribution of the scrotal flap for the coverage of ischial and perineal pressure ulcers].

Ann Chir Plast Esthet 2019 Feb 11;64(1):78-85. 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

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http://dx.doi.org/10.1016/j.anplas.2018.03.005DOI Listing
February 2019
5 Reads
0.590 Impact Factor