1,656 results match your criteria Skin Flaps Design


Supraclavicular Artery Island Flap: Critical Appraisal and Comparison to Alternate Reconstruction.

Laryngoscope 2020 Jun 3. Epub 2020 Jun 3.

USC Caruso Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California, U.S.A.

Objectives/hypothesis: The supraclavicular artery island (SAI) flap may be a good option for selected head and neck reconstruction due to its reliability, ease of harvest, and favorable color match. The objective of this study was to examine the rates of complications for the SAI flap in head and neck oncologic reconstruction, with examination of risk factors and comparisons to alternative flaps often considered the gold-standard soft-tissue flaps for head and neck reconstruction: the pectoralis myocutaneous (PMC), radial forearm free flap (RFFF), and anterolateral thigh (ALT) flaps.

Study Design: Retrospective cohort study. Read More

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http://dx.doi.org/10.1002/lary.28706DOI Listing

Factors associated with skin graft take in fibula and radial forearm free flap donor sites.

Am J Otolaryngol 2020 May 12:102536. Epub 2020 May 12.

Department of Otolaryngology - Head & Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America. Electronic address:

Learning Objectives: Identify factors associated with skin graft take in fibula free flaps (FFF) and radial forearm free flaps (RFFF) donor sites.

Study Objectives: To determine which factors are associated with decreased skin graft take at the donor site in FFF and RFFF in head and neck patients.

Design: Retrospective Chart Review Case Series. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102536DOI Listing

Hard palate defect repair by using haired angularis oris axial pattern flaps in dogs.

Vet Surg 2020 May 26. Epub 2020 May 26.

Brisbane Veterinary Specialist Centre, Brisbane, Queensland, Australia.

Objective: To describe the repair of large hard palate defects with a haired angularis oris axial pattern flap (HAOF) and to report the postoperative outcome.

Study Design: Anatomical cadaver study and short case series.

Animals: One cadaver and three dogs with neoplasia of the caudal hard palate. Read More

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http://dx.doi.org/10.1111/vsu.13435DOI Listing

BILOBED FLAP IN FACIAL RECONSTRUCTION.

Acta Chir Plast 2020 ;61(1-4):10-15

Introduction: The bilobed flap was first described by Esser in 1918. He used it to reconstruct the defects of the nose. It has been used in the reconstructions of trunk and feet defects by many authors since then. Read More

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January 2020

Platelet-Rich Plasma Enhances Distal Flap Viability and Underlying Vascularity in a Radiated Rotational Flap Rodent Model.

Facial Plast Surg Aesthet Med 2020 May/Jun;22(3):181-187. Epub 2020 Apr 15.

Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Autologous platelet-rich plasma (PRP) has received widespread attention due to its physiologic healing properties, augmenting the body's natural healing process through platelet activation and release of growth factors. The effects of PRP on radiated tissue have been inadequately studied in vivo. To determine whether PRP can be used to improve viability of radiated tissue subjected to a clinically meaningful stressor, in this case a rotational skin flap. Read More

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http://dx.doi.org/10.1089/fpsam.2019.0018DOI Listing

Reconstruction for Various Subtypes of Unilateral Buccal Defects After Oncologic Surgery by Using Personalized Anterolateral Thigh Flaps.

J Oral Maxillofac Surg 2020 Mar 14. Epub 2020 Mar 14.

Professor and Department Head, Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, China. Electronic address:

Purpose: Radical resection of buccal carcinoma frequently leads to intraoral or through-and-through buccal defects. Anterolateral thigh (ALT) flaps can be harvested to reconstruct different buccal defect subtypes. The purpose of this study was to investigate clinical outcomes after the application of personalized ALT flaps for the precise reconstruction of unilateral buccal defects. Read More

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http://dx.doi.org/10.1016/j.joms.2020.02.033DOI Listing

Myomucosal Lip Island Flap for Reconstruction of Small to Medium Lower Lip Defects.

Facial Plast Surg Aesthet Med 2020 May/Jun;22(3):200-206. Epub 2020 Apr 6.

Skin Cancer and Reconstructive Surgery Center (SCARS Center), Newport Beach, California, USA.

Reconstruction of small to medium lower lip defects commonly includes mucosal advancement and wedge excision with primary closure, resulting in aesthetic complications such as lip flattening, shortening, and loss of the vermilion roll. The myomucosal lip island flap offers an alternative that preserves lower lip appearance and function. To describe the lateral myomucosal lip island flap and its indications for the reconstruction of small to medium lower lip defects. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0068DOI Listing

Reconstruction of moustache and ala of the nose with a single forehead flap.

Indian J Dent Res 2020 Jan-Feb;31(1):153-156

Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India.

Reconstruction of critical-sized defects of composite facial units is a challenging one. This is amplified when facial hair-bearing areas are included. A case of reconstruction of multiple midfacial defects is presented. Read More

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http://dx.doi.org/10.4103/ijdr.IJDR_100_20DOI Listing

Reconstruction of post-burn anterior neck contractures using a butterfly design free anterolateral thigh perforator flap.

Arch Plast Surg 2020 Mar 15;47(2):194-197. Epub 2020 Mar 15.

Department of Plastic Reconstructive Surgery, European Georges Pompidou Hospital (AP-HP), Paris Descartes University, Paris, France.

Anterior neck burns represent a major reconstructive challenge due to severe sequalae including restriction in movement and poor aesthetic outcomes. Common treatment options include skin grafting with/without dermal matrices, and loco-regional and distant free flap transfers with/without prior tissue expansion. Such variation in technique is largely influenced by the extent of burn injury requiring resurfacing. Read More

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http://dx.doi.org/10.5999/aps.2019.00591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093264PMC

[Clinical application of digital technology in repairing of heel wound with peroneal artery perforator propeller flap].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Mar;34(3):367-372

Department of Orthopedics, the 920th Hospital of Joint Logistic Support Force of Chinese PLA, Kunming Yunnan, 650032, P.R.China.

Objective: To study the effectiveness of digital technique in repairing of heel wound with peroneal artery perforator propeller flap.

Methods: Between March 2016 and March 2019, the heel wounds of 31 patients were repaired with the peroneal artery perforator propeller flaps. There were 21 males and 10 females, with an average age of 36 years (range, 12-53 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201908079DOI Listing

Treatment of congenital syndactyly.

Hand Surg Rehabil 2020 May 3;39(3):143-153. Epub 2020 Mar 3.

Department of Pediatric Orthopedics, Armand-Trousseau Hospital, Sorbonne University, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France.

Defined as the union of two adjacent digits, syndactyly is one of the most common congenital deformities. The severity of the malformation depends on the fusion level, the tissues involved in the union, and whether it is isolated or syndromic. In order to improve the hand's appearance and function, surgery is recommended in the great majority of cases, ideally during early childhood (i. Read More

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http://dx.doi.org/10.1016/j.hansur.2019.12.003DOI Listing

The use of modified keystone flap in periarticular or large superficial tumor resection surgery.

J Surg Oncol 2020 Jun 3;121(7):1090-1096. Epub 2020 Mar 3.

Department of Plastic and Reconstruction, Shanghai Changhai Hospital Affiliated to Second Military Medical University, Shanghai, China.

Background And Objectives: The keystone design perforator island flap (KDPIF) is often used to cover defects in reliable blood supply and similar skin patterns, but its mobility is limited, especially when the wound is large or occurs around joints. Here, we describe a modified KDPIF, boat-shaped flap. We added a V shape along the lateral arc, forming a V-Y flap on KDPIF's outer arc shapes like a sail. Read More

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http://dx.doi.org/10.1002/jso.25879DOI Listing

Reconstruction of periorbital defects using a modified Tenzel flap.

Arch Craniofac Surg 2020 Feb 20;21(1):35-40. Epub 2020 Feb 20.

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

Background: Extensive eyelid defects are extremely challenging to reconstruct. Although numerous procedures for reconstructing periorbital defects have been proposed, no method is universally used. However, the Tenzel flap is the most commonly used technique to reconstruct eyelid defects affecting one-third to two-thirds of the eyelid. Read More

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http://dx.doi.org/10.7181/acfs.2019.00577DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054187PMC
February 2020

[Exploration on the method of aesthetic repair of the donor sites of flaps].

Zhonghua Shao Shang Za Zhi 2020 Feb;36(2):97-105

Department of Burns, Beijing Jishuitan Hosptial, Beijing 100035, China.

To explore the excellent methods for aesthetic repair of the donor sites of flaps. From January 2013 to March 2018, 120 patients (94 males and 26 females, aged from 3 to 60 years) were admitted to the Department of Burns of Beijing Jishuitan Hospital. Wounds areas after debridement or removing scar were ranged from 8. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2020.02.004DOI Listing
February 2020

[Initial exploration of choice of the donor site of flap and its repair strategy].

Zhonghua Shao Shang Za Zhi 2020 Feb;36(2):85-90

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

To explore the choice of the donor site of flap and the repair method of secondary wound of flap donor site in tissue repair and reconstruction operation. From January 2014 to September 2018, 62 cases of scar contracture deformity, 15 cases of skin tumor, 20 cases of skin and soft tissue injury, and 25 cases of chronic wound were admitted to the Burn Center of People's Liberation Army of First Affiliated Hospital of Air Force Medical University, with 84 males and 38 females, aged from 3 to 89 years. Four repair strategies adopted for tissue repair and reconstruction and good repair of the donor site of flap were as follows: designing the flap rationally according to the condition around the wound or the size and shape of wound, choosing pre-expanded technique of the donor site of flap for repair of scar deformity optimally, making full use of the surrounding condition of flap donor site, and repaired with the distal flap, i. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2020.02.002DOI Listing
February 2020

Gaining Large Coverage With Small Island Pedicle Flaps in Tight Cosmetic Subunits: Taking Advantage of Rotation and Pincer Principles on the Nasal Ala.

J Cutan Med Surg 2020 Mar/Apr;24(2):154-160. Epub 2020 Feb 27.

8166 Department of Dermatology and Skin Science, University of British Columbia, Vancouver, Canada.

Background: Island pedicle flaps (IPFs) are widely used in reconstructive surgery due to their versatility, tissue efficiency, and excellent clinical outcomes. While IPF rotations and 'pincer flap' modifications have previously been sparsely described, they are not often discussed in the literature.

Objective: We demonstrate the use of both rotating IPFs and pincer techniques for defects traditionally considered too large for classic IPF design on the nasal ala. Read More

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http://dx.doi.org/10.1177/1203475420902044DOI Listing
February 2020

[Application of computer-assisted design for anterolateral thigh flap in oral and maxillofacial reconstruction].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Feb;52(1):119-123

Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

Objective: To investigate the feasibility and accuracy of using digital technology to design anterolateral thigh flap (ALTF) in oral and maxillofacial defect reconstruction.

Methods: Ten cases underwent oral and maxillofacial defects reconstruction with ALTFs in Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology from June 2019 to Oct. 2019 were enrolled. Read More

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February 2020

Effect of short-term ischemia on microcirculation and wound healing of adipocutaneous flaps in the rat.

Acta Cir Bras 2020 10;34(12):e201901203. Epub 2020 Feb 10.

PhD, DSc, Department of Operative Techniques and Surgical Research, Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary. Conception and design of the study, analysis and interpretation of data, manuscript preparation.

Purpose: Composite flaps used in reconstructive surgery may intra- and postoperatively suffer from hypoperfusion and/or ischemia-reperfusion influencing wound healing. We aimed to follow-up the effect of ischemia on adipocutaneous flaps' wound healing and microcirculation.

Methods: In anesthetized rats groin flaps were formed bilaterally. Read More

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http://dx.doi.org/10.1590/s0102-865020190120000003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011208PMC

Combining Rotation and V-Y Design for Lower Forehead and Temporal Region Reconstruction With Myocutaneous Frontal Flap: Our Experience on 27 Consecutive Cases.

Ann Plast Surg 2020 Feb 7. Epub 2020 Feb 7.

From the Plastic and Reconstructive Surgery Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.

Background: Because of direct sun exposure, lower forehead and temporal area are anatomical regions with frequently observed skin tumors. The resulting defects after oncological ablations are usually treated, especially in older patients, by split thickness skin grafting or A-to-T and O-to-T flaps if facing small defects. On specific sites that expose bone or periosteum as well as when a skin graft is best avoided for cosmetic reasons, alternative reconstructive procedures should be considered. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002256DOI Listing
February 2020
1.458 Impact Factor

Portable Color-Flow Ultrasound Facilitates Precision Flap Planning and Perforator Selection in Reconstructive Plastic Surgery.

Ann Plast Surg 2020 Jun;84(6S Suppl 5):S424-S430

From the Division of Plastic and Reconstructive Surgery, Tulane University.

Background: Precise flap planning and perforator selection are paramount for successful perforator flap surgery. Portable color-flow ultrasound (PCFU) is a convenient, low-cost, easily accessible imaging modality that is pivotal in the planning of perforator flaps where anatomic variability is the rule.

Methods: Perforator mapping was performed using an L12-4 linear-array ultrasound probe connected to an Android tablet. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002203DOI Listing

Laser hair removal following forehead flap for nasal reconstruction.

Lasers Med Sci 2020 Feb 1. Epub 2020 Feb 1.

Department of Plastic and Reconstructive Surgery, Chang Gung Aesthetic Medical Center, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan.

The forehead flap is a dependable option for nasal reconstruction owing to its reliability and anatomic likeness to nasal skin. For patients with low hairlines, the vertical design of the paramedian forehead flap can intrude into the scalp, thus incorporating hair into the nasal reconstruction. The inadequate length of the forehead flap or shift to an oblique design may result in eyebrow elevation and asymmetry. Read More

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http://dx.doi.org/10.1007/s10103-020-02965-9DOI Listing
February 2020

Surgical Treatment and Outcomes of Syndactyly: A Systematic Review.

J Hand Surg Asian Pac Vol 2020 Mar;25(1):1-12

Department of Hand Surgery and Peripheral Nerve Surgery, Royal North Shore Hospital, The Children's Hospital at Westmead, Sydney Medical School (University of Sydney), Sydney, Australia.

Different techniques are used to release simple and complex congenital syndactyly in order to create an adequate web space, and to separate the fingers to allow independent function. This article is a systematic review of the literature, aiming to evaluate the evidence for the different techniques and outcome measures utilised. The studies consisted mainly of retrospective, non-controlled descriptive series and a few retrospective cohort studies. Read More

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http://dx.doi.org/10.1142/S2424835520300017DOI Listing

Reconstructing Forearm Free Flap Donor Sites Using Full-Thickness Skin Grafts Harvested from the Ipsilateral Arm.

Otolaryngol Head Neck Surg 2020 Mar 28;162(3):277-282. Epub 2020 Jan 28.

Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, Portland, Oregon, USA.

Objective: To compare morbidity and aesthetic outcomes of full-thickness skin grafts (FTSGs) and split-thickness skin grafts (STSGs) in the reconstruction of the forearm free flap donor site.

Study Design: Case series, retrospective chart review.

Setting: Institutional microvascular database. Read More

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http://dx.doi.org/10.1177/0194599819901124DOI Listing

The Cutaneous Branch of the Deep Palmar Artery and Blood Supply to the Proximal Hypothenar Skin: An Anatomic Research Oriented to Flap Design.

Hand (N Y) 2020 Jan 22:1558944719895785. Epub 2020 Jan 22.

Buenos Aires University, Argentina.

The distal half of the hypothenar eminence (HE) skin vascularization has been extensively investigated. Different flaps have been described based on these arteries. Similarly, the vascularization of the proximal half of HE has also been investigated, although to a lesser extent. Read More

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http://dx.doi.org/10.1177/1558944719895785DOI Listing
January 2020

Hybrid perforator flaps: Introducing a new concept in perforator flap surgery.

Authors:
Damir Kosutic

J Plast Reconstr Aesthet Surg 2020 Apr 2;73(4):764-769. Epub 2019 Dec 2.

Consultant Plastic and Reconstructive Surgeon, Department of Plastic Surgery, The Christie NHS Foundation Trust, Wilmslow Road, M20 4BX Manchester, United Kingdom. Electronic address:

Introduction: Although perforator propeller flaps provide a safe and reliable reconstructive option, they are often limited in size, reach and degrees of freedom due to venous insufficiency. As a result, partial flap necrosis, particularly at the tip of the flap, may occur in some cases causing the loss of substance. To overcome this problem, we present a new concept of hybrid perforator flaps. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.11.007DOI Listing

Platysma transverse myocutaneous flap: a 21 case series of an overlooked reconstructive method for facial skin defects.

Braz J Otorhinolaryngol 2019 Dec 10. Epub 2019 Dec 10.

Hospital Ana Nery, Head and Neck Surgery Department, Santa Cruz do Sul, RS, Brazil.

Introduction: Since the first report of a platysma transverse myocutaneous flap in 1977, few articles about this flap design have been added to the literature.

Objective: Our aim is to describe our department's experience with platysma transverse myocutaneous flap.

Methods: A retrospective review of all patients undergoing platysma transverse myocutaneous flap reconstruction between 2011 and 2019. Read More

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http://dx.doi.org/10.1016/j.bjorl.2019.10.011DOI Listing
December 2019

Skin Expansion Due to the Dupuytren Cord Allows to Design Local Flaps to Facilitate Skin Closure in Severe Cases: The 3-flap: Surgical Technique and Clinical Evaluation.

Tech Hand Up Extrem Surg 2020 Jun;24(2):89-97

Chirurgie de la Main, Centre Chirurgical Émile Gallé, Nancy, France.

In the serious forms of Dupuytren disease, passive extension during surgery often results in unmasking a loss of skin substance that makes primary closure impossible. Our objective in this study was to describe and assess the therapeutic possibilities of a 3 local flaps surgical approach in serious forms of Dupuytren disease, using the lateral skin expansion because of the cord. A cadaveric study was carried out on 12 adult nonembalmed, fresh frozen hands. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000271DOI Listing

[Application of infrared thermal imaging technology in the design of free anterolateral thigh perforator flap transplantation].

Zhongguo Gu Shang 2019 Nov;32(11):1053-1057

Department of Hand and Foot Surgery, Jinhua Central Hospital, Jinhua 321000, Zhejiang, China.

Objective: To explore clinical effect of infrared thermal imaging technology for the treatment of free anterolateral thigh perforator flap transplantation.

Methods: From June 2014 to June 2018, 31 patients with skin defect at various degrees treated by free anterolateral thigh perforator flap transplantation, including 21 males and 10 females aged from 16 to 59 years old with an average age of(35.3±1. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.11.015DOI Listing
November 2019

Anatomical basis and clinical application of the dorsal perforator flap based on the palmar artery in the first web.

Surg Radiol Anat 2020 Mar 6;42(3):269-276. Epub 2019 Dec 6.

Department of Orthopedics, Xinhua Hospital (Chongming) of Shanghai Jiao Tong University, Shanghai, China.

Purpose: Soft-tissue defects of the thumb and index finger remain a challenge for plastic surgeons. Our purpose was to observe the morphological characteristics of the cutaneous vessels in the first web, to design a dorsal perforator flap based on the palmar artery in the first web and to propose its clinical application.

Methods: Thirty preserved hand specimens were dissected to observe the origin, course, branch and anastomosis of the dorsal perforators in the first web, and the dorsal perforator flap based on the palmar artery in the first web was designed. Read More

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http://dx.doi.org/10.1007/s00276-019-02376-8DOI Listing

Donor-site morbidity after harvesting of radial forearm free flaps-comparison of vacuum-assisted closure with conventional wound care: A randomized controlled trial.

J Craniomaxillofac Surg 2019 Dec 25;47(12):1980-1985. Epub 2019 Nov 25.

Department of Oral, Craniomaxillofacial and Facial Plastic Surgery (Head: Prof. Dr. Dr. B. Lethaus), Faculty of Medicine, University Hospital of Leipzig, Germany. Electronic address:

Introduction: Radial forearm free flaps (RFFF) are often used to replace tissue removed in head and neck surgery. In recent years, many attempts have been made to reduce donor-site morbidity and to prevent common complications such as infection, skin-graft necrosis, tendon exposure and subsequent impairment of hand function. One promising option is the use of vacuum-assisted-closure wound therapy (VAC). Read More

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http://dx.doi.org/10.1016/j.jcms.2019.11.004DOI Listing
December 2019

Fat grafting associated with negative pressure wound therapy.

Acta Cir Bras 2019 28;34(9):e201900907. Epub 2019 Nov 28.

Head, Full Professor, Division of Plastic Surgery, UNIFESP, Researcher 1A-CNPq, Director Medicine III-CAPES, Sao Paulo-SP, Brazil. Critical revision.

Purpose: To describe a case report of FG associated with NPWT in the treatment of complex wound on the distal third of the lower limb with bone exposure.

Case Report: A 59-year-old patient with chronic left tibial osteomyelitis since childhood underwent extensive debridement of the distal tibial diaphysis (40% of bone thickness per 10 cm extension) and placement of bioactive glass S53P4. Distal necrosis occurred in the fasciocutaneous flap used as the primary bone coverage. Read More

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http://dx.doi.org/10.1590/s0102-865020190090000007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889860PMC
January 2020

Identification of cutaneous arteries of the perineal and caudal thigh region: A cadaveric study in 12 cats.

Vet Surg 2020 Feb 18;49(2):304-309. Epub 2019 Nov 18.

Animal Surgical Center of Michigan, Flint, Michigan.

Objective: To describe the location of the dorsal perineal artery in cats and identify landmarks for axial pattern flaps based on this vessel.

Study Design: Anatomic study.

Animals: Twelve feline cadavers. Read More

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http://dx.doi.org/10.1111/vsu.13355DOI Listing
February 2020

Surgical management of lipomas: Proposal of the Z-incision design and surgical algorithm based on tumor size.

Dermatol Ther 2020 01 14;33(1):e13151. Epub 2019 Nov 14.

Department of Dermatology, Seoul National University College of Medicine, Seoul, South Korea.

Surgical excision is the treatment of choice for lipomas. However, linear incision methods or minimal extraction techniques often do not provide a sufficient surgical view. Therefore, removing large lipomas is often difficult. Read More

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http://dx.doi.org/10.1111/dth.13151DOI Listing
January 2020

Bridge Flaps: A Hybrid Family of Bipedicled Flaps for the Forehead, Temple, and Scalp: Experience With 103 Cases.

Authors:
Paul J M Salmon

Dermatol Surg 2019 Nov 6. Epub 2019 Nov 6.

Dermatology Surgery Unit, Skin Cancer Institute, Auckland, New Zealand.

Background: Medium-sized defects of the scalp, temple, and forehead can be challenging to reconstruct in an aesthetic fashion. The author proposes the use of a hybrid flap that is at times bipedicled, perforator, and/or axially supplied.

Objective: To describe the author's experience with the bridge flap and its various subtypes. Read More

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http://dx.doi.org/10.1097/DSS.0000000000002241DOI Listing
November 2019

The inverted love-heart flap: a new island flap design.

J Plast Surg Hand Surg 2020 Feb 9;54(1):55-58. Epub 2019 Nov 9.

Plastic and Reconstructive Surgery Unit, Western Health, Footscray, Australia.

Island flaps are more mobile than local flaps in-continuity and rely on the laxity of the adjacent tissues. We present a new island flap design, called the inverted love-heart flap, used to reconstruct cutaneous defects of the limbs. A retrospective chart review of patients who underwent inverted love-heart flap reconstruction post excision of a cutaneous malignancy during July 2017 to July 2019 was performed. Read More

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http://dx.doi.org/10.1080/2000656X.2019.1688164DOI Listing
February 2020

[Application effects of enhanced computed tomography and three-dimensional reconstruction technology in reconstruction of pediatric post-burn scars with expanded flaps].

Zhonghua Shao Shang Za Zhi 2019 Oct;35(10):715-719

Department of Burns and Plastic Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.

To explore the application effects of enhanced computed tomography (CT) and three-dimensional reconstruction technology in the reconstruction of pediatric post-burn scars with expanded flaps. From May 2016 to March 2019, 19 children with hypertrophic scars after thermal injuries were admitted to our unit, including 10 boys and 9 girls, aged from 4 years and 5 months to 15 years and 11 months. The area of scars ranged from 5 cm×4 cm to 23 cm×9 cm. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.10.003DOI Listing
October 2019

[Single-repair for primary proximal hypospadias. Lessons learned after 196 primary repairs].

Cir Pediatr 2019 Oct 1;32(4):201-206. Epub 2019 Oct 1.

Hospital Sant Joan de Déu. Esplugues de Llobregat (Barcelona).

Purpose: Proximal, scrotal and perineal hypospadias challenge the surgeon. After 40 years devoted to hypospadias surgery, the senior author summarizes her experience, share her tricks and shows that almost any hypospadias can be fully repaired in one surgery.

Methods: Retrospective review and discussions of a large series of consecutive proximal hypospadias treated in one surgery by the same team from 1999 to 2016. Read More

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October 2019
1 Read

[To reconstruct facial defects after removing skin lesions by using local flap].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Oct;33(10):966-969

Department of Otolaryngology,Guangdong Province Hospital of Integrated Traditional Chinese and Western Medicine,Foshan,528200,China.

The aim of this study is to investigate the method and effect of reconstruction of facial skin defects after removing the lesions by applying local flap. Fifty-three patients (30 males and 23 females) with facial skin lesions. Complete surgical resection of the lesion; malignant tumor resection should be strictly non-tumor principle; intraoperative frozen section pathological examination confirmed negative margin; benign lesions can be cut off the lesion. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.10.016DOI Listing
October 2019

Single vertical incision thoracoabdominal flap for chest wall reconstruction following mastectomy of locally advanced breast cancer.

Ann Surg Treat Res 2019 Oct 1;97(4):168-175. Epub 2019 Oct 1.

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

Purpose: Skin grafts have been widely used in managing extensive chest wall defects after mastectomy for advanced breast cancer. However, their durability and tolerability to radiotherapy is still controversial. A thoracoabdominal (TA) flap with a few technical refinements can safely transfer a larger flap while minimizing complications. Read More

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http://dx.doi.org/10.4174/astr.2019.97.4.168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779953PMC
October 2019
1 Read

[Effects of autologous platelet-rich plasma in the repair of soft tissue defects of rabbits with free flap].

Zhonghua Shao Shang Za Zhi 2019 Sep;35(9):683-689

Department of Burns and Plastic Surgery, the 909th Hospital of PLA (Affiliated Southeast Hospital of Xiamen University), Zhangzhou 363000, China.

To explore the effects of autologous platelet-rich plasma (PRP) in the repair of soft tissue defects of rabbits with free flap. Thirty 6-month-old New Zealand white rabbits, male and female unlimited, were used to harvest blood from the heart. PRP was prepared by Aghaloo method, then free flap model with size of 5 cm×3 cm was reproduced on each ear of the rabbit. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.09.007DOI Listing
September 2019
2 Reads

Comparison of Hamra's and Mendelson's Models of Midface Lift.

J Craniofac Surg 2019 Nov-Dec;30(8):2632-2634

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

The aim of this study was to compare Hamra's and Mendelson's models of midface lift.The terms "Hamra ST" and "Mendelson BC" were used to search PubMed, yielding 35 and 48 papers, respectively. Of the 83 abstracts, 55 were excluded and 28 full papers discussing midface lift were reviewed. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005884DOI Listing
January 2020

Tips to Avoid Complications Following Mohs Reconstruction.

Authors:
Andrew J Kaufman

Facial Plast Surg Clin North Am 2019 Nov;27(4):571-579

The Center for Dermatology Care, 267 West Hillcrest Drive, Thousand Oaks, CA 91360, USA; Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.

To avoid complications or bad results following reconstruction of skin cancer defects, there are several factors that can be incorporated into the design and execution of repairs. These techniques not only decrease the need to correct bad results, they improve the final aesthetic and functional outcome. So although one surgeon might focus on standard corrective treatments, another might use elements of flap design and implementation that will decrease the need for such corrective procedures. Read More

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http://dx.doi.org/10.1016/j.fsc.2019.07.012DOI Listing
November 2019

Using the keystone design perforator island flap in large myelomeningocele closure.

Neurosurg Focus 2019 10;47(4):E19

1Neurosurgery Division-Department of Neurology, University of Campinas (UNICAMP); and.

Objective: Many repair techniques have been proposed to treat large myelomeningocele (MMC), and although effective in many cases, some of these techniques can be complex and time consuming, with complications such as cerebrospinal fluid (CSF) leakage, flap loss, tip necrosis, and wound dehiscence. The purpose of this study was to analyze cases of large skin defects and the methods applied and to report the outcomes of the keystone design perforator island flap (KDPIF) technique for large MMC closure.

Methods: The authors performed a retrospective review of all neonatal patients who had undergone KDPIF for MMC closure in the period from 2013 to 2018. Read More

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http://dx.doi.org/10.3171/2019.7.FOCUS19383DOI Listing
October 2019
3 Reads

Customized reconstruction of complex soft-tissue defect in the hand and forearm with individual design of chain-linked bilateral anterolateral thigh perforator flaps.

J Plast Reconstr Aesthet Surg 2019 Dec 7;72(12):1909-1916. Epub 2019 Sep 7.

Department of orthopedic, Xiangya Hospital of Central South University, Changsha 410008, China. Electronic address:

Background: Complex soft-tissue defects of upper extremities still have a high rate of amputation, as the reconstruction of complex soft-tissue defects is always difficult even with the largest conventional free flap. The anterolateral thigh perforator (ALTP) flap is one of the most popular procedures used for the coverage of complex soft-tissue defects of extremities. However, problems associated with donor-site morbidity and inability to repair complex soft-tissue defects in a one-stage procedure persist. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.08.004DOI Listing
December 2019
1 Read

The medial sural artery perforator pedicled propeller flap for coverage of middle-third leg defects.

J Plast Reconstr Aesthet Surg 2019 Dec 7;72(12):1971-1978. Epub 2019 Sep 7.

Department of Plastic and Reconstructive Surgery, E-Da Hospital, Kaohsiung, Taiwan. Electronic address:

Background: Pedicled medial sural artery perforator (MSAP) flap has been described primarily for the coverage of knee and proximal-third leg defects. The technique for reaching the middle third and its use as a retrograde-flow flap were never demonstrated with clarity. This retrospective case-series aimed to report the author's experience in these regards. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.08.006DOI Listing
December 2019
1 Read

The Temporoparietal Fascia Flap is an Effective Strategy for Cochlear Implant Wound Coverage.

Ann Otol Rhinol Laryngol 2020 Feb 27;129(2):135-141. Epub 2019 Sep 27.

Department of Surgery, Division of Otolaryngology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.

Objective: To report the rate of major soft tissue complications after cochlear implantation and to describe the use of the temporoparietal fascia (TPF) flap for such complications.

Study Design: Retrospective case series.

Setting: Tertiary care, University Hospital. Read More

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http://dx.doi.org/10.1177/0003489419877429DOI Listing
February 2020
3 Reads

A Design for the Dual Skin Paddle Circumflex Scapular Artery Perforator Flap for the Reconstruction of Complex Soft-Tissue Defects in Children: Anatomical Study and Clinical Applications.

Ann Plast Surg 2019 10;83(4):439-446

From the Department of Microsurgery and Hand Surgery, Xiangya Hospital of Central South University, Changsha.

Background: The main drawbacks of the use of the circumflex scapular artery perforator (CSAP) flap for complex soft-tissue defect repair are the limitation of skin paddle size, which can be harvested to allow precise wound coverage and primary closure of the donor site. We developed a variant of the dual skin paddle CSAP flap to extend its applications and minimize donor-site morbidity when reconstructing complex soft-tissue defects in children.

Methods: A detailed anatomical investigation of circumflex scapular artery (CSA) branches was conducted using a standardized injection of lead oxide in 25 fresh cadavers. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001814DOI Listing
October 2019
2 Reads

[Application of self-made vacuum sealing drainage device in postoperative fixation and drainage of abdominal pedicled flaps in 8 patients with deep burns of upper limbs].

Zhonghua Shao Shang Za Zhi 2019 Aug;35(8):611-613

Department of Burns and Plastic Surgery, the Affiliated Jiangyin Hospital, Medical College of Southeast University, Jiangyin 214400, China.

From January 2013 to December 2017, 8 patients with deep burns of upper limbs were admitted to our hospital, including 6 males and 2 females, aged 23-48 years. The wound area of full-thickness burns to burns with tendon and bone injury was 4.5 cm×2. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2019.08.011DOI Listing
August 2019
2 Reads

Keystone Flaps in Urethroplasty: Reconstruction in a Complex Case of Panurethral Stricture Disease.

Niger Med J 2019 Mar-Apr;60(2):95-97

Department of Urology, JIPMER, Puducherry, India.

Panurethral strictures are a surgical challenge for a reconstructive urologist more so in situations where local tissue for reconstruction is deficient. Two-stage urethroplasty is the preferred option in such cases. In some complex stricture diseases where patients are not willing for multiple procedures, permanent perineal urethrostomy can give a good functional outcome. Read More

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http://dx.doi.org/10.4103/nmj.NMJ_30_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6688390PMC
August 2019
6 Reads

A new flap combination for reconstruction of lower nasal dorsum and supra-tip skin defects.

Arch Plast Surg 2019 Sep 30;46(5):480-483. Epub 2019 Aug 30.

Department of Oral and Maxillofacial, Estaing Hospital, CHU Clermont-Ferrand, Clermont-Ferrand, France.

Repairing surgical defects of the nose is still challenging due to its tridimensional shape and its aesthetic concern. Difficulty in reconstructing nasal subunits lies in their contour, skin texture and limited availability of adjacent skin. For lower nasal dorsum and supra-tip regions, we design a new combined local flap as existing local flaps may give disappointing results. Read More

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http://dx.doi.org/10.5999/aps.2018.01354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6759455PMC
September 2019
4 Reads