Search Our Scientific Publications & Authors

Ann Plast Surg 2022 Apr 2. Epub 2022 Apr 2.

Department of Plastic and Reconstructive Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Republic of Korea.

Introduction: Myelomeningocele is the most common form of neural tube anomalies. Early reliable skin coverage should be achieved to reduce central nervous system infections. The keystone flaps are gaining popularity for myelomeningocele defect reconstruction. Read More

Dermatol Online J 2021 Dec 15;27(12). Epub 2021 Dec 15.

Division of Dermatology, University of Kansas Medical Center, Kansas City, Kansas, USA.

Background: Reconstruction of surgical defects on the dorsal finger can be challenging because of a lack of adjacent tissue reservoirs, poor laxity, and often thin, atrophic skin surrounding the defect.

Objective: To present reconstructive options for cutaneous dorsal finger defects.

Methods: We describe our five preferred approaches to reconstructing cutaneous dorsal finger defects based on the amount of available underlying tissue and location of the defect on the finger. Read More

Front Surg 2022 13;9:739250. Epub 2022 Apr 13.

Department of Plastic and Burn Surgery, The Second Affiliated Hospital of Chengdu Medical College, China National Nuclear Corporation 416 Hospital, Chengdu, China.

Background: Decubitus ulcers are common skin injuries in plastic and burn surgery departments, usually occur in patients with a long disease course and poor underlying health. Designing a reconstruction procedure with safety blood supply to a large volume soft tissue and resulting in minimal trauma is a priority for surgeons.

Methods: The free-style perforators on the potential donor sites surrounding the ulcers were detected by Doppler, and the area of the ulcer was divided into several sections based on the location of pre-design perforator flaps. Read More

Int Urol Nephrol 2022 Apr 24. Epub 2022 Apr 24.

Pediatric Surgery Department, Al-Azhar University, Al-Houssain University Hospital, Darrasa, Cairo, Egypt.

Background: The preputial onlay island flap technique has been popularized for hypospadias repair as a result of offering a consistent combination of acceptable functional and cosmetic results. Like other techniques, urethrocutaneous fistulae and stricture continues to be the most common complications, in addition to other complications, which could be attributed to the compromise in flaps vascularity. Some authors describe a technique that resolves some of these problems by combining the unique benefits of the double faced preputial flaps. Read More

Acta Chir Plast 2022 ;64(1):6-11

Background: The anterolateral thigh (ALT) flap was described as the fasciocutaneous flap. It can be harvested as a pedicled and/or free flap. Majority of the free flaps are harvested as a fasciocutaneous flap. Read More

J Pers Med 2022 Mar 9;12(3). Epub 2022 Mar 9.

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Plastic and Hand Surgery, University of Heidelberg, Ludwig-Guttmann-Str. 13, D-67071 Ludwigshafen, Germany.

Introduction: Deep sternal wound infections (DSWI) after cardiac surgery pose a significant challenge in reconstructive surgery. In this context, free flaps represent well-established options. The objective of this study was to investigate the clinical outcome after free myocutaneous tensor fasciae latae (TFL) flap reconstruction of sternal defects, with a special focus on surgical complications and donor-site morbidity. Read More

Microsurgery 2022 May 17;42(4):333-340. Epub 2022 Mar 17.

Department of Plastic & Reconstructive Surgery, Monash Health, Clayton, Victoria, Australia.

Background: The radial forearm fasciocutaneous flap (RFFF) is a workhorse flap, however concerns with donor site morbidity include tendon exposure, delayed wound healing, impaired sensitivity, and poor cosmesis, have seen it fall out of favor. We present a method of using an arterialised saphenous flow through flap to reconstruct the RFFF donor site.

Method: A cohort study of six patients (five male, one female; mean age 59 [range 19-90]) who had their RFFF donor site reconstructed with an arterialised saphenous flow through flap is presented. Read More

Cleft Palate Craniofac J 2022 Mar 4:10556656211062040. Epub 2022 Mar 4.

Department of Otorhinolaryngology - Head and Neck Surgery, 6915Mayo Clinic, Rochester, Minnesota, USA.

Oronasal fistula (ONF) is a common complication encountered after palatoplasty. Repair is indicated when symptoms impact speech and swallowing. In spite of the variety of surgical approaches described to repair these defects, recurrence rates remain high. Read More

Laryngoscope 2022 Feb 28. Epub 2022 Feb 28.

Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota, U.S.A.

Objective: While pedicled intranasal flaps, such as the nasoseptal flap (NSF), successfully reduce postoperative CSF leaks following endoscopic endonasal approaches (EEA) to the skull base, morbidity remains prevalent. This study describes the first cadaveric description and radiographic analysis of the posterior septal nasal floor mucosal flap (PSNF) designed to reduce pedicled nasal flap morbidity. A case series is also detailed. Read More

Plast Reconstr Surg 2022 Mar;149(3):511e-514e

From the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine.

Summary: Regional flaps are an important component of the reconstructive ladder and represent a versatile option in reconstructing various oral cavity defects. An axial buccal flap based on the facial artery, the facial artery musculomucosal flap, was first described by Pribaz et al. and has been shown to have good functional outcomes with minimal morbidity. Read More

Plast Reconstr Surg Glob Open 2022 Feb 9;10(2):e4107. Epub 2022 Feb 9.

Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson, MS.

Coverage of knee wounds with exposure or violation of the joint capsule has long been a challenge to plastic surgeons. Wide resection and radiation treatment for soft-tissue sarcomas further this difficulty due to resultant diminished vascularity and soft tissue fibrosis. Traditional muscle flaps such as the gastrocnemius may be within the radiated field, limiting their arc of rotation to the knee. Read More

Plast Reconstr Surg 2022 Apr;149(4):669e-678e

From private practice.

Background: Rhinoplasty is one of the most common and challenging surgeries in the field of aesthetic surgery. For obtaining an aesthetically pleasing nose, it is extremely important to control nasal tip projection and rotation as much as possible. Since the last decade, septocolumellar suture techniques have been most frequently used for modifying and controlling nasal tip rotation and projection and for obtaining a better columellar-labial angle during rhinoplasty. Read More

Arch Plast Surg 2022 Jan 15;49(1):80-85. Epub 2022 Jan 15.

Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan.

The instep flap and medialis pedis flap are both originate based on the medial plantar artery. The medialis pedis flap is based from the deep branch and the instep flap is based from the superficial branch. To increase the axial rotation, it is acceptable to ligate the lateral plantar artery. Read More

Arch Plast Surg 2022 Jan 15;49(1):39-42. Epub 2022 Jan 15.

Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, Korea.

Bilateral pectoralis major myocutaneous (PMMC) flaps are commonly used to reconstruct large chest wall defects. We report a case of large chest wall defect reconstruction using bilateral PMMC flaps augmented with axillary V-Y advancement rotation flaps for additional flap advancement. A 74-year-old male patient was operated on for recurrent glottic squamous cell carcinoma. Read More

Microsurgery 2022 Jan 18. Epub 2022 Jan 18.

Department of Orthopedics, Peking Union Medical College Hospital, Beijing, China.

Background: Perforator propeller flaps (PPFs) have been widely used due to their numerous advantages; however, they were also associated with various complications. Herein, we analyzed the risk factors for complications of PPFs used for soft tissue reconstruction after malignant tumor resection.

Methods: We searched databases for articles on soft tissue reconstruction using PPFs after malignant tumor resection published between January 1991 and April 2021. Read More

J Plast Surg Hand Surg 2022 Jan 17:1-4. Epub 2022 Jan 17.

Department of General Surgery, La Fe University Hospital, Valencia, Spain.

The extended vertical rectus abdominis myocutaneous (eVRAM) flap has been proposed for reconstruction of large pelviperineal defects where traditional VRAM flap could be insufficient. To compare the dimensions of VRAM and eVRAM flaps an anatomical study was performed. Ten VRAM and ten eVRAM flaps were dissected in ten fresh adult cadavers. Read More

J Craniofac Surg 2022 Jan 14. Epub 2022 Jan 14.

Department of Oncological, Reconstructive Maxillofacial Surgery, Umberto I Polyclinic, "La Sapienza University of Rome" Department of Shoulder Surgery, Concordia Hospital for Special Surgery, Rome, Italy.

Abstract: The authors sought correlations between harvesting of the scapular bone tip free flap used for head-and-neck reconstruction and any shoulder function deficit, particularly at the level of the rotator cuff. The flap permits reconstruction of large and diverse regions of the head and neck, but long-term harvest morbidity has not been investigated extensively. The authors analyzed the clinical records of all patients who underwent head-and-neck reconstructions using free scapular tip flaps in our department over the past 5 years. Read More

Ann Chir Plast Esthet 2022 Feb 12;67(1):42-48. Epub 2022 Jan 12.

Plastic & Reconstructive Surgeon, Department of Plastic & Reconstructive Surgery, Institut Gustave-Roussy, Villejuif, France; Department of plastic and reconstructive surgery, UC San Diego Health, California, USA.

Background: Reconstruction of the auricle is challenging to surgeons as a result of its complex anatomy. Defects including the conchal bowl and the external auditory canal (EAC) do not accept imperfection as functional consequences may add to aesthetic ones. Local flaps that are relying mainly on posteriorly based auricle flaps do not represent ideal solutions. Read More

Ann Plast Surg 2022 Feb;88(2):173-179

From the Department of Plastic and Reconstructive Surgery, Tokushima University Graduate School of Medical Science, Tokushima, Japan.

Background: Nasal reconstruction is challenging because of the difficulty in balancing superior aesthetic outcomes and less invasive surgery. The use of the lateral nasal artery (LNA) perforator flap has been reported for nasal reconstruction. However, few reports have described appropriate applications of nasal reconstruction and assessments of nasal deformity. Read More

Plast Reconstr Surg Glob Open 2021 Dec 27;9(12):e3989. Epub 2021 Dec 27.

Wayne State University School of Medicine, Detroit, Mich.

Background: Foot soft tissue coverage represents a challenge to reconstructive surgeons due to a lack of donor sites for this specialized skin. This glabrous tethered thick skin is designed to withstand weight bearing stress and is hard to replace. The limited arch of rotation of foot local flaps contributes to further difficulties. Read More

Indian J Ophthalmol 2022 Jan;70(1):281-286

Department of Ophthalmology, Medical University Pleven, Pleven, Bulgaria.

Facial skin defect reconstruction in medial-canthal area of the lids can be a challenge even when performed by a skilled surgeon. The excision of large tumors in this area leads to significant surgical defects that cannot be repaired by merely closing the wound. The glabellar area provides a source of redundant skin with similar characteristics to that of the medial-canthal lid area. Read More

J Plast Reconstr Aesthet Surg 2022 03 14;75(3):1246-1252. Epub 2021 Nov 14.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Department of Plastic and Reconstructive Surgery, Chang Gung University, College of Medicine, Taoyuan, Taiwan. Electronic address:

Background And Objectives: Postoperative short nose is one of the most difficult problems encountered in plastic surgery. We propose a technique of lining rotation flaps combined with composite chondrocutaneous auricular graft from the triangular fossa to reconstruct the lining defect and improve surgical results.

Methods: Twenty patients were operated on between 2016 and 2019 for postoperative short nose. Read More

J Plast Reconstr Aesthet Surg 2022 Feb 22;75(2):753-760. Epub 2021 Oct 22.

Department of Plastic and Reconstructive Surgery, Skåne University Hospital, Sweden; Department of Clinical Sciences in Malmö, Lund University, Sweden.

Background: The scapular osseous free flap (SOFF) has become an important reconstructive option for complex head and neck defects. Postoperative donor site function is, however, an important consideration. The objective of this study was to prospectively investigate SOFF donor site morbidity and to relate the findings to hand dominance and neck dissection. Read More

Microsurgery 2022 May 19;42(4):366-371. Epub 2021 Nov 19.

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

Lateral lumbar defects are rarely encountered and difficult to manage because of the limited reach of loco-regional flaps and the unfavorable position of recipient vessels for microsurgical transfer. The purpose of this report is to describe the innovative application of an extended latissimus dorsi (LD) flap with propeller ascending design in the field of lumbar reconstruction, reviewing current reconstructive options accepted for lateral lumbar defect. A 68-year-old male patient underwent wide full thickness resection for a solitary hepatocellular carcinoma metastatic lesion arising in the left lumbar region, resulting in an extensive soft-tissue defect (20 x 13 cm) with deep structures exposure. Read More

Ann Palliat Med 2021 10;10(10):11067-11073

Department of Hand and Foot Surgery, The Second Affiliated Hospital of Soochow University, Suzhou, China.

Background: This study was to investigate the clinical effect of a sural nerve nutrition flap with peroneal artery perforator for repairing tophus wound of the heel.

Methods: Over a 5-year period, 7 elderly male patients with tophus ulceration of the heel were admitted with exposed Achilles' tendon, and a chronic unhealed wound. Debridement, expansion and vacuum sealing drainage (VSD) lavage were performed initially, with simultaneous uric acid-lowering treatment. Read More

Ann Dermatol Venereol 2021 Dec 28;148(4):241-245. Epub 2021 Oct 28.

Service de dermatologie, hôpital Saint-Vincent-de-Paul, groupe hospitalier de l'institut catholique de Lille, boulevard de Belfort, 59000 Lille, France; Université Catholique de Lille, France.

Background: Skin tumors commonly occur on the legs and are treated in first line by surgery. Several techniques are available to repair lower limb defects: secondary-intention healing, partial closure, primary closure with or without an s-plasty, or a skin graft. The lack of tissue laxity of the surrounding skin does not allow several local flaps (advancement, rotation, or transposition). Read More

Dermatol Surg 2022 Jan;48(1):61-66

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

Background: The infraorbital cheek is a common location for cutaneous malignancy and thus surgical defects. Reconstruction in this region must maintain nearby free margins to ensure optimal cosmetic and functional outcomes. Large defects may require a flap using lateral or inferior tissue reservoirs. Read More

J Spine Surg 2021 Sep;7(3):364-375

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Ludwigshafen, Germany.

Background: Chronic prevertebral soft tissue defects with exposed metal hardware following spinal surgery represent a challenging complication. Frequently patients underwent multiple previous operations due to wound complications. Surrounding soft tissues are often compromised due to malperfusion, severe subcutaneous scarring, previous local advancement flaps and therefore impair stable wound closure. Read More

Arch Craniofac Surg 2021 Oct 20;22(5):268-275. Epub 2021 Oct 20.

Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine, Busan, Korea.

Background: The study aimed to evaluate nasal reconstruction techniques customized for Asians. The currently available nasal reconstruction guidelines are based on Caucasian patients, and their applicability is limited in Asian patients due to differences in anatomical and structural features.

Methods: A retrospective analysis was performed of the medical records of 76 patients who underwent nasal reconstruction at a single center between January 2010 and June 2020. Read More

Plast Reconstr Surg 2021 Nov;148(5):837e-840e

From the Division of Plastic and Reconstructive Surgery, McGill University Health Center; and Faculty of Medicine, McGill University.

Summary: The teaching and assessment of ideal surgical markings for local flaps required for optimal aesthetic and functional outcomes remain a challenge in the present era of competency-based surgical education. The authors utilized the bilobed flap for nasal reconstruction as a proof of concept for the development of an innovative objective assessment tool based on statistical shape analysis, with a focus on providing automated, evidence-based, objective, specific, and practical feedback to the learner. The proposed tool is based on Procrustes statistical shape analysis, previously used for the assessment of facial asymmetry in plastic surgery. Read More