1,730 results match your criteria Skin Flaps Design


Keystone Flap Type IIIB: A New Variation for Coverage of Defects at Joint Regions.

Plast Reconstr Surg Glob Open 2021 Mar 23;9(3):e3450. Epub 2021 Mar 23.

Department of Hand, Plastic and Reconstructive Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland.

Soft tissue defect reconstruction at joint regions is a challenging problem due to the sparse excessive tissue and late complication of constrigent scar formation. Priorly irradiated tissue, often the case in sarcoma patients, is especially problematic. The keystone design perforator island flap is safe and reliable. Read More

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[Clinical effects of retrograde anterolateral thigh perforator flaps assisted with CT angiography in repairing skin and soft tissue defects around the knee or in proximal lower leg].

Zhonghua Shao Shang Za Zhi 2021 Mar 24;37:1-7. Epub 2021 Mar 24.

Department of orthopedics, Jizhong Energy Xingtai Mig General Hospital, Xingtai 054000, China.

To investigate the clinical effects of retrograde anterolateral thigh perferator flaps assisted with CT angiography (CTA) in repairing skin and soft tissue defects around the knee or in proxiamal lower leg. A retrospective cohort study was conducted. From May 2015 to October 2019, 17 patients with skin and soft tissue defects around the knee or in proximal lower leg were admitted to Department of orthopedics of Jizhong Energy Xingtai Mig General Hospital, including 12 males and 5 females, aged 16-65 years, with an average age of 35 years. Read More

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Improving reconstructive surgery design using Gaussian process surrogates to capture material behavior uncertainty.

J Mech Behav Biomed Mater 2021 Jun 9;118:104340. Epub 2021 Feb 9.

School of Mechanical Engineering, Purdue University, West Lafayette, IN, USA; Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA. Electronic address:

To produce functional, aesthetically natural results, reconstructive surgeries must be planned to minimize stress as excessive loads near wounds have been shown to produce pathological scarring and other complications (Gurtner et al., 2011). Presently, stress cannot easily be measured in the operating room. Read More

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[Flap design and preliminary clinical experience of the lower trapezius musculocutaneous flap carrying a portion of the latissimus dorsi muscle].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Mar;35(3):349-355

Scar Comprehensive Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100144, P.R.China.

Objective: To explore the reliability and effectiveness of soft tissue defect reconstruction using the lower trapezius musculocutaneous flap carrying a portion of the latissimus dorsi muscle.

Methods: Between December 2014 and December 2019, 13 patients underwent the reconstruction of soft tissue defects in various sites using the lower trapezius musculocutaneous flap carrying a portion of the latissimus dorsi muscle. There were 10 males and 3 females, with an average age of 52. Read More

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Use of Flap Salvage for Lower Extremity Chronic Wounds Occurs Most Often in Competitive Hospital Markets.

Plast Reconstr Surg Glob Open 2021 Feb 12;9(2):e3183. Epub 2021 Feb 12.

Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, D.C.

Wounds in the comorbid population require limb salvage to prevent amputation. Extensive health economics literature demonstrates that hospital activities are influenced by level of market concentration. The impact of competition and market concentration on limb salvage remains to be determined. Read More

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February 2021

Propeller posteromedial thigh perforator flaps for coverage of extensive perineal defects.

Microsurgery 2021 Mar 6. Epub 2021 Mar 6.

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

Background: Reconstruction of perineal defect is challenging. The goal of reconstruction is to maintain normal function with good esthetic outcomes. Coverage of the perineal defect is often difficult with one loco-regional flap when the size of defect is very extensive. Read More

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Free-Style Free Perforator Flaps in Lower Extremity Reconstruction.

Clin Plast Surg 2021 Apr 22;48(2):215-223. Epub 2021 Jan 22.

Division of Plastic Surgery, Department of Surgery, University of California Davis Medical Center, University of California at Davis, 2335 Stockton Boulevard, Room 6008, Sacramento, CA 95817, USA. Electronic address:

Improved knowledge of vascular anatomy has enabled surgeons to preoperatively identify perforators and design free-style flaps based on that perforator. Options for choosing the optimal donor site tissues are increased with the free-style technique. This reduces donor site morbidity while providing the same reconstructive success as traditional free skin flaps. Read More

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Refinements in the design and division of the thenar flap to achieve better functional results.

JPRAS Open 2021 Jun 26;28:10-18. Epub 2021 Jan 26.

Department of Hand & Reconstructive Microsurgery, Singapore General Hospital Singapore.

Though the thenar flap has been described since 1926, its use has not been widespread. The main criticisms are donor site morbidity and proximal interphalangeal joint (PIPJ) stiffness. In this paper, we describe a standard design technique for flap design and division to address these two issues. Read More

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A Training Model for Local Flaps Using Fresh Human Skin Excised During Body Contouring Procedures.

J Surg Res 2021 Jun 16;262:190-196. Epub 2021 Feb 16.

Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital, Frankfurt, Germany.

Background: The safe execution of local flaps tends to be challenging for surgical residents. Thus, the purpose of the study was to evaluate a training model of local flaps based on fresh human skin excised from body contouring procedures.

Materials And Methods: A questionnaire and surgical skills evaluation-analyzing the theoretical and procedural knowledge about local flaps-were held both before and after the surgical skills training. Read More

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Incision and flap design during total auricular reconstruction using a 2-stage strategy.

Ann Transl Med 2021 Jan;9(1):61

Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Background: Total auricular reconstruction is a challenge for plastic surgeons. Expanded flap method and Nagata's method with autologous costal cartilage are two leading techniques for ear reconstruction. And a two-stage strategy of expanded flap method received attention. Read More

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January 2021

[Application of modified V-Y advancement flap for reconstruction of facial defect].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 01;35(1):44-48

Department of Head and Neck Surgery,Cancer Hospital Affiliated to Nantong University,Nantong,226361,China.

To investigate the clinical effect of modified V-Y advancement flap for reconstruction of facial skin defect. Thirty-eight patients with facial skin tumors underwent individual tumor resection according to pathological type and lesion depth. Based on the defect site and size, appropriate V-Y advancement flap was designed to reconstruct the skin defect in one stage. Read More

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January 2021

The pedicled anterolateral thigh flap for trochanteric pressure sore reconstruction: Technical notes to optimize surgical outcomes.

Authors:
Mahmoud A Hifny

Arch Plast Surg 2021 Jan 15;48(1):114-120. Epub 2021 Jan 15.

Department of Plastic Surgery, Qena University Hospital, Faculty of Medicine, South Valley University, Qena, Egypt.

Background: The pedicled anterolateral thigh (ALT) flap has become more popular for the reconstruction of soft-tissue defects in neighboring areas. Nonetheless, few studies in the literature have explored the use of this flap for trochanteric ulcer reconstruction. The aim of our study is to present the author's experience of utilizing the ALT flap, with a focus on technical elements regarding the flap design and the tunneling method to maximize the reach of the flap. Read More

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January 2021

"Zipper" Concept for Designing Expanded Forehead Flap in Facial-Cervical Reconstruction.

J Craniofac Surg 2021 Jan 25. Epub 2021 Jan 25.

Ninth Department of Plastic Surgery, Plastic Surgery Hospital of Peking, Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

Background: Skin defect of the lower part of the face and neck is a severe condition for many patients with burn and traumatic injuries or skin lesions. The expanded forehead flap with anterofrontal temporal vessel pedicles has been widely used in lower cheeks, chin, and neck reconstruction. (In this study, we introduce a new concept- "Zipper concept" of the flap design. Read More

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January 2021

The folded, bipaddled pectoralis major myocutaneous flap for complex oral cavity defects: Undiminished relevance in the era of free flaps.

JPRAS Open 2021 Mar 25;27:108-118. Epub 2020 Nov 25.

Department of Head and Neck Surgery, Unit-2, Christian Medical College, Vellore, Tamil Nadu, 632004 India.

Oral cancer often presents at an advanced stage, requiring extensive resection and complex reconstruction, such as free tissue transfers, which may not be available in a remote or resource-constrained facility. The common alternative in these cases is the use of the workhorse flap, the pectoralis major myocutaneous (PMMC) flap for lining and a second regional flap for cover. The results are variable, increase operative time and cost, and may cause additional donor site morbidity. Read More

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Novel Design of the Chimeric Deep Inferior Epigastric Artery Perforator Flap that Provides for Three-Dimensional Reconstruction of Composite Tissue Defects of the Heel in Children.

Orthop Surg 2021 Feb 15;13(1):216-224. Epub 2021 Jan 15.

Department of Hand and Microsurgery, Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, China.

Objective: The aim of the present study was to report a novel design of the chimeric deep inferior epigastric artery perforator flap (DIEP) to achieve dead space filling, Achilles tendon bridging, and skin resurfacing simultaneously with minimal donor-site morbidity.

Methods: From September 2012 to May 2016, a retrospective study was carried out on six pediatric patients with composite soft tissue defects of the heel that were repaired with the chimeric DIEP flap. The chimeric flap design included a flap of the anterior sheath of the rectus, a block of rectus muscle, and a large skin paddle. Read More

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February 2021

Using Dorsal Metacarpal Artery Perforator Flap in the Soft Tissue Reconstruction of Traumatic Finger Defects: A Single-Center Study.

Ann Plast Surg 2021 02;86(2S Suppl 1):S113-S118

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City.

Introduction: The reconstruction of soft tissue defects of fingers is a challenge due to the limitations of local tissue availability. The dorsal metacarpal artery perforator (DMAP) flap is a vascular island flap raised on the dorsum of the hand, and it is a good option for finger reconstruction by replacing similar-for-similar in a single operation. In this study, we would like to share our experience of using the DMAP flap in cases of various traumatic finger defects. Read More

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February 2021

The "bowtie" reconstruction flap: A unique solution to cervical esophageal discontinuity repair.

Am J Otolaryngol 2021 Mar-Apr;42(2):102890. Epub 2021 Jan 5.

Cleveland Clinic, Head and Neck Institute, Cleveland, OH, USA.

Objectives: Describe a novel technique for repair of cervical esophageal discontinuity.

Study Design: A 66-year-old female underwent hiatal hernia repair with a Nissen fundoplication. This was complicated by ischemic necrosis of the proximal stomach requiring urgent return to the operative suite for partial gastrectomy, esophageal diversion and subsequent esophagectomy repaired with a colonic interposition graft by Thoracic Surgery. Read More

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January 2021

Maxillofacial reconstruction with prefabricated prelaminated osseous free flaps.

ANZ J Surg 2021 03 6;91(3):430-438. Epub 2021 Jan 6.

Department of Head and Neck Surgery, Sydney Head and Neck Cancer Institute, Chris O'Brien Lifehouse, Sydney, New South Wales, Australia.

Background: The prefabricated fibula flap is an advanced method of occlusal-based reconstruction that combines placement of osseointegrated dental implants with prelamination, using a split skin graft on the fibula, weeks prior to the definitive reconstruction. This approach is resource intensive but has several advantages including eliminating the delay from reconstruction to dental rehabilitation.

Methods: A retrospective cohort study of all prefabricated fibula flaps used for mandible and maxillary reconstruction from 2012 to 2020 was performed. Read More

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Musculoseptocutaneous Perforator of Anterolateral Thigh Flap: A Clinical Study.

Plast Reconstr Surg 2021 01;147(1):103e-110e

From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital; and the Department of Plastic and Reconstructive Surgery, Bankstown-Lidcombe Hospital.

Background: The anterolateral thigh flap is one of the most useful workhorse flaps for microsurgical reconstruction. However, it can pose a great challenge to surgeons because of its anatomical variability. As the technology advances, not only septocutaneous or musculocutaneous courses of anterolateral thigh perforators but also a hybrid musculoseptocutaneous perforator pattern have been identified on computerized imaging and on cadaveric study. Read More

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January 2021

The Superficial Inferior Epigastric Artery Based Abdominal Flap for Reconstruction of Extensive Defects of the Hand and Forearm: A Modified Design With Primary Closure of the Donor Site.

Ann Plast Surg 2021 02;86(2):162-170

Department of Plastic Surgery, Sparsh Clinics, Nagpur, India.

Introduction: The reconstruction of the hand and forearm targets the restoration of their function and aesthetic appearance. Inferiorly based abdominal flaps are reliable and versatile flaps that can cover large defects of the forearm and hand. Here we present a modified abdominal flap design based exclusively on the superficial inferior epigastric artery (SIEA) to reconstruct the hand and forearm's extensive defects. Read More

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February 2021

Benefits of pentoxifylline for skin flap tissue repair in rats.

Acta Cir Bras 2020 18;35(11):e301105. Epub 2020 Dec 18.

PhD, Department of Surgery, Medical School, Universidade Federal de Minas Gerais, Belo Horizonte - MG, Brazil. Substantive scientific and intellectual contributions to the study; conception and design; acquisition, analysis and interpretation of data; technical procedures; critical revision; final approval.

Purpose: To assess the action of pentoxifylline, administered by subcutaneous route, on skin flap tissue repair in rats, and to verify the histological aspects and biomarkers.

Methods: Thirty-two male Wistar rats were divided into four groups: control (CT) and treated with pentoxifylline (P1, P3 and P5). Modified McFarlane technique flap was used. Read More

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December 2020

Comparison of the efficacy of the anterolateral thigh flap for perforator localization in the repair of head and neck soft tissue defects patients: A protocol study for a randomized controlled trial.

Medicine (Baltimore) 2020 Dec;99(50):e23080

Department of Otolaryngology Head and Neck Surgery, Affiliated Hospital of Southwest Medical University.

Background: Head and neck tissue defects cause great physical and psychological damage to patients. Therefore, accurate positioning of perforating vessels before operation is of great significance for improving the success rate of flap preparation and avoiding unnecessary incision injury.

Methods/design: A total of 60 patients with laryngeal cancer in otolaryngology, Department of Otolaryngology Head and Neck Surgery, Affiliated Hospital of Southwest Medical University and the Third People's Hospital of Mianyang city from October 2020 to October 2021 will be selected and randomly divided into CT angiogram (CTA) group (n=20), mimics group (n = 20) and CTA + mimics group (n = 20) according to the numerical table. Read More

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December 2020

Use of soleus musculocutaneous perforator-based propeller flap for lower extremity wound coverage after osteocutaneous fibula free flap harvest.

Microsurgery 2021 Mar 16;41(3):233-239. Epub 2020 Dec 16.

DeWitt Daughtry Family Department of Surgery, Division of Oral and Maxillofacial Surgery, Section of Head and Neck Surgical Oncology/Microvascular Reconstructive Surgery, University of Miami, Miller School of Medicine/Jackson Health System, Miami, Florida, USA.

Background: Osteocutaneous fibula free flap (OCFFF) donor sites are often covered with skin grafts, with an additional donor site, more postoperative care, and increased cost. The authors examine posterior tibial artery (PTA) based pedicled propeller flaps (PPF) as an alternative for OCFFF donor site coverage.

Patients And Methods: Retrospective review of 16 consecutive patients from 30 to 79 years old, who underwent OCFFF reconstruction of head and neck defects (11 mandibular, 5 maxillary), with the closure of donor site with PPF based on a perforator from PTA. Read More

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A Modified Design of the Pectoralis Major Myocutaneous Flap for Reconstruction of Head and Neck Defect.

J Craniofac Surg 2020 Nov 25. Epub 2020 Nov 25.

Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Haidian District, Beijing, PR China.

Even though the pectoralis major myocutaneous flap (PMMF) still has an important role in the free flaps ear, it is reported to have drawbacks such as the limited cephalad extension and high incidence of total or partial flap necrosis. Various modifications have been attempted to augment the limited cephalad extension and a stable blood supply.The aim of this study is to describe a modified design of the skin paddle and preparation of the PMMF, to achieve stable blood circulation and sufficient pedicle length. Read More

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November 2020

Superficial temporal artery perforator flaps for reconstruction of intraoral defects.

Microsurgery 2021 Feb 23;41(2):119-123. Epub 2020 Nov 23.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey, USA.

Background: Intraoral defects after tumor resection are often reconstructed with free tissue transfer. However, in patients who are not good candidates for free tissue transfer, regional flaps based on the superficial temporal artery can be utilized. The authors present our technique to reconstruct intraoral defects with the superficial temporal artery perforator (STAP) flap and early outcomes. Read More

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February 2021

How to Maximize Aesthetics in Autologous Breast Reconstruction.

Aesthet Surg J 2020 11;40(Suppl 2):S45-S54

Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine, Houston, TX.

With continuous technical and functional advances in the field of breast reconstruction, there is now a greater focus on the artistry and aesthetic aspects of autologous reconstruction. Whereas once surgeons were most concerned with flap survival and vessel patency, they are now dedicated to reconstructing a similarly or even more aesthetically pleasing breast than before tumor resection. We discuss the approach to shaping the breast through the footprint, conus, and skin envelope. Read More

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November 2020

A novel Design of V-shaped Radial Forearm Free Flap Facilitates the Direct Closure of Donor Site Wound.

J Craniofac Surg 2020 Nov 11. Epub 2020 Nov 11.

Department of Oral and Maxillofacial Surgery.

The radial forearm free flap (RFFF) is one of the commonly used flaps in the repair of head and neck soft tissue defects, especially small and medium-sized defects. The free skin grafts from abdomen are usually used to repair the RFFF donor site wound. This study aims to design a novel V-shaped RFFF, hoping that it might facilitate the direct closure of the forearm donor site wound. Read More

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November 2020

Thoracodorsal Artery Perforator Flap in Partial Breast Reconstruction: A Systematic Review.

Plast Reconstr Surg Glob Open 2020 Oct 26;8(10):e3104. Epub 2020 Oct 26.

Clinica di Chirurgia Plastica e Ricostruttiva, Ospedale Policlinico San Martino e Sezione di Chirurgia Plastica, Dipartimento di Scienze Chirurgiche e Diagnostiche Integrate - DISC, Università degli Studi di Genova, Genova, Italy.

Introduction: Breast conserving surgery followed by radiation therapy represents the standard of care for early stage breast cancer. Oncoplastic breast surgery includes several reconstructive techniques essentially summarized in 2 categories: volume displacement and volume replacement procedures. These latest procedures have evolved over time from the use of the entire latissimus dorsi muscle to the use of pedicled perforator flaps, namely the thoracodorsal artery perforator (TDAP) flap. Read More

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October 2020

Individualized design of double skin paddle anterolateral thigh perforator flaps to repair complex soft tissue defects of the extremities: An anatomical study and retrospective cohort study.

J Plast Reconstr Aesthet Surg 2021 03 22;74(3):530-539. Epub 2020 Oct 22.

Department of Hand and Microsurgery, Xiangya Hospital of Central South University, 87 Xiangya Road, Changsha 410008, Hunan Province, China. Electronic address:

This study describes our experience using individually designed double skin paddle anterolateral thigh perforator (ALTP) flaps to reconstruct complex soft tissue defects. An anatomical study of double skin paddle ALTP flaps was conducted in six fresh cadavers (12 thighs). We also performed a retrospective cohort study of 36 patients who underwent reconstruction using double skin paddle ALTP flaps from January 2009 to June 2019. Read More

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Anterior Pedicled Lateral Nasal Wall Flap for Endonasal Lining: A Radiologic and Anatomical Study.

Laryngoscope 2021 05 3;131(5):E1462-E1467. Epub 2020 Nov 3.

Rhinology Unit and Skull Base, Department of Otorhinolaryngology, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.

Objectives/hypothesis: The objective of this radiological/anatomical study was to evaluate the feasibility of a new endoscopic technique that uses the anterior pedicled lateral nasal flap (APLNW) for the endonasal lining in complex nasal reconstructions.

Study Design: An anatomical study was performed on 20 nasal fossae of cadaverous specimens to measure the area and lengths of the anterior pedicled nasal lateral wall flap. In addition, a radiological analysis with computed tomography was performed in 150 nostrils to determine the potential donor of the simple and extended flap in the nasal fossa floor. Read More

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