1,551 results match your criteria Skin Flaps Design


Semilunar Flap for Minimizing the Scar Length in Nipple Reconstruction.

Plast Reconstr Surg Glob Open 2018 Dec 5;6(12):e1947. Epub 2018 Dec 5.

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

Nipple reconstruction is an essential procedure to change an amorphous breast mound to a distinct breast. Various skin flaps have been proposed for nipple reconstruction. In the C-V flap technique, which is one of the most commonly used flaps for nipple reconstruction, the scar that is developed after closure of the donor site of the V-flap frequently extends beyond a new areola area. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001947DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326620PMC
December 2018

The Popliteal Keystone Island Flap for Management of Contracture around Knee Joint: A Report of Two Cases.

Authors:
Mahmoud A Hifny

J Burn Care Res 2019 Jan 14. Epub 2019 Jan 14.

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

Introduction: Flexion contracture affecting the knee joint is considered a challenging obstacle which usually affects patients' quality of life with significant functional disability. Several surgical procedures have been described for proper closure of surgical defects following contracture release over popliteal fossa. Although keystone flap reported for closure of full thickness burns defects, to our knowledge, it has never been used previously in management of hypertrophic scar contracture around the knee joint. Read More

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http://dx.doi.org/10.1093/jbcr/irz011DOI Listing
January 2019

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

Facial Reconstruction After Mohs Surgery: A Critical Review of Defects Involving the Cheek, Forehead, and Perioral Region.

J Craniofac Surg 2018 Dec 14. Epub 2018 Dec 14.

Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Facial defects following Mohs surgery can cause significant functional, cosmetic, and psychologic sequelae. Various techniques for nasal reconstruction after Mohs surgery have been analyzed in the medical literature, yet there has been less attention given to procedures for other crucial facial aesthetic regions. A literature search using PubMed, EMBASE, and ISI Web of Science for studies assessing reconstructive techniques of the forehead, cheek, and perioral regions after Mohs surgery was performed. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005074DOI Listing
December 2018
0.676 Impact Factor

Modified Internal Mammary Artery Perforator Flap in Treatment of Sternal Wound Complications.

Scand Cardiovasc J 2018 Nov 17:1-23. Epub 2018 Nov 17.

a Department of Plastic Surgery , Kuopio University Hospital , Kuopio , Finland.

Objectivs There are multiple treatment strategies and flap options to cover defects after deep sternal wound infections and other similar sternal defects. The choice of flap is made according to surgeons' preferences and the size and location of the defect. Our aim is to introduce a new option to cover these kinds of defects with an internal mammary artery perforator flap combined with a pectoralis major muscle flap mostly raised with a muscle-sparing technique. Read More

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http://dx.doi.org/10.1080/14017431.2018.1546897DOI Listing
November 2018
2 Reads

Extended Use of Chimeric Medial Sural Artery Perforator Flap for 3-Dimensional Defect Reconstruction.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S86-S94

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chiayi Branch, Taiwan.

Background: The medial sural artery perforator (MSAP) flap has become increasingly popular because it is thin and pliable for small to moderate defect soft tissue reconstruction. Furthermore, chimeric MSAP flap, which includes a skin paddle and a separated piece of medial gastrocnemius muscle, allowed more freedom for flap insetting, especially in 3-dimensional defect reconstruction. Here we describe our experience regarding this clinical application. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001697DOI Listing
January 2019
11 Reads

Design of skin islands for a myocutaneous serratus anterior free flap-An anatomical study and clinical implication for pharyngeal reconstruction after laryngopharyngectomy.

Clin Otolaryngol 2018 Nov 9. Epub 2018 Nov 9.

Institute for Head and Neck Diseases, Evangelical Hospital Vienna, Vienna, Austria.

Objectives: The main purpose of this study was to evaluate flap size and flap design of skin islands in myocutaneous serratus anterior free flaps (SAFFs) in fresh cadavers and to further investigate whether myocutaneous SAFFs are suitable flaps for pharyngeal reconstruction after laryngopharyngectomy.

Methods: Dissection and injection of methylene blue were performed in 20 hemithoraces of 13 fresh cadavers to evaluate flap size and location of skin islands. Based on these pre-clinical data, we performed pharyngeal reconstruction with myocutaneous SAFF in five patients after laryngopharyngectomy. Read More

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http://dx.doi.org/10.1111/coa.13257DOI Listing
November 2018
10 Reads

Reconstructions with Different and New Techniques of Large and Extensive Myelomeningocele Defects.

Authors:
Ilteris M Emsen

J Craniofac Surg 2018 Nov 2. Epub 2018 Nov 2.

Department of Plastic Reconstructive and Aesthetic Surgery, Training and Research Hospital, Erzurum, Turkey.

Background: Myelomeningocele and/or meningocele is a defect of spine and spinal cord, and it is congenital. Although meningocele is a mild form of spina bifida, myelomeningocele is a more complex and serious form. There is a sac in both forms at the back. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004879DOI Listing
November 2018
9 Reads

[Application effects of CT angiography and three-dimensional reconstruction technique in repairing scar around the mouth and chin with expanded forehead axial flap].

Zhonghua Shao Shang Za Zhi 2018 Oct;34(10):677-682

Department of Burns, Zhengzhou First People's Hospital, Zhengzhou 450004, China.

To explore application effects of CT angiography (CTA) and three-dimensional reconstruction technique in repairing scar around the mouth and chin with expanded forehead axial flap. From June 2013 to October 2017, 9 patients with hyperplastic scar around the mouth and chin after deep burns on face were admitted to our unit. The sizes of scars of patients ranged from 8 cm×7 cm to 13 cm×8 cm. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1009-2587.2018.10.006DOI Listing
October 2018
4 Reads

Association of Electronic Cigarette Vaping and Cigarette Smoking With Decreased Random Flap Viability in Rats.

JAMA Facial Plast Surg 2018 Oct 18. Epub 2018 Oct 18.

Boston University School of Medicine, Boston, Massachusetts.

Importance: Smoking is a known risk to wound healing, but whether electronic cigarettes present the same risk remains unknown.

Objective: To evaluate the rate of flap necrosis in the e-cigarette vapor-exposed group and the unexposed control and to detect a difference in the rate of flap necrosis between the traditional cigarette smoke-exposed group and the unexposed control.

Design, Setting, And Participants: From March 10, 2018, to May 4, 2018, a cohort study was conducted on 45 male Sprague-Dawley rats at Boston University School of Medicine. Read More

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http://archfaci.jamanetwork.com/article.aspx?doi=10.1001/jam
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http://dx.doi.org/10.1001/jamafacial.2018.1179DOI Listing
October 2018
6 Reads

Anatomical Basis of the Intermediate Dorsal Pedal Neurocutaneous Perforator Pedicled Propeller Flap: A Cadaveric Dissection.

Clin Anat 2018 Oct 14;31(7):1077-1084. Epub 2018 Oct 14.

Bengbu Medical College Fuzhou General Teaching Hospital (Fuzhou General Hospital of PLA) Orthopedics Institute, Fuzhou, China.

Soft tissue defects of the forefoot represent a challenging surgical modality to reconstructive microsurgeons. This study describes the anatomical basis and design of the perforator-based intermediate dorsal pedal neurocutaneous vascular flap. Thirty fresh human lower limb specimens were injected with red latex and used for dissection of the dorsal vascular and neural anatomy of the foot. Read More

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http://dx.doi.org/10.1002/ca.23229DOI Listing
October 2018
1 Read

Lip-to-nose flap for nasal plane reconstruction in dogs: A cadaveric and in vivo feasibility study.

Vet Surg 2018 Nov 10;47(8):1101-1105. Epub 2018 Oct 10.

Clinica Veterinaria Nervianese, Nerviano, Milan, Italy.

Objective: To describe a local interpolation flap based on the upper lip for the reconstruction of the dorsal aspect of the nasal plane in dogs.

Study Design: Ex vivo and in vivo case report.

Animals: A 2-year-old medium-sized spayed female mixed-breed dog and a canine cadaver of a medium-sized mixed-breed dog. Read More

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http://dx.doi.org/10.1111/vsu.12965DOI Listing
November 2018
1 Read

Noncontact speckle contrast diffuse correlation tomography of blood flow distributions in tissues with arbitrary geometries.

J Biomed Opt 2018 Sep;23(9):1-9

University of Kentucky, F. Joseph Halcomb III, M.D. Department of Biomedical Engineering, Lexington,, United States.

A noncontact electron multiplying charge-coupled-device (EMCCD)-based speckle contrast diffuse correlation tomography (scDCT) technology has been recently developed in our laboratory, allowing for noninvasive three-dimensional measurement of tissue blood flow distributions. One major remaining constraint in the scDCT is the assumption of a semi-infinite tissue volume with a flat surface, which affects the image reconstruction accuracy for tissues with irregular geometries. An advanced photometric stereo technique (PST) was integrated into the scDCT system to obtain the surface geometry in real time for image reconstruction. Read More

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http://dx.doi.org/10.1117/1.JBO.23.9.096005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6183314PMC
September 2018
8 Reads
2.860 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

The Boomerang Epicanthoplasty: A Technique That Avoids Hooding.

J Craniofac Surg 2018 Oct;29(7):1813-1816

iWELL Plastic Surgery Clinic, Seoul.

Redraping is an increasingly common epicanthoplasty method. However, hooding usually remains at the medial part of the upper eyelid. The authors innovated a modification of redraping epicanthoplasty using excision, resulting in a boomerang-shaped defect that does not lead to hooding of the medial upper eyelid. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005014DOI Listing
October 2018
8 Reads

Pure Skin Perforator Flaps: The Anatomical Vascularity of the Superthin Flap.

Plast Reconstr Surg 2018 09;142(3):351e-360e

Mie and Tokyo, Japan; Singapore, Republic of Singapore; and London, United Kingdom From the Department of Plastic and Reconstructive Surgery, Mie University, School of Medicine; the Departments of Plastic and Reconstructive Surgery and Otorhinolaryngology, Tokyo University, School of Medicine; the Department of Plastic Surgery, Tan Tock Seng Hospital; and the Academic Plastic Surgery Group, Queen Mary University of London.

Background: Recently, a superthin "pure skin perforator" flap without any subcutaneous tissue was proposed, but the vascularity is still unclear. The authors therefore investigated the vascularity of the proposed superficial circumflex iliac artery-pure skin perforator along with its clinical applications and findings on indocyanine green imaging.

Methods: The locations and dimension of 70 pure skin perforators on 40 flaps were investigated and classified into central-peripheral and mediolateral parts. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004698DOI Listing
September 2018

Lower Eyelid Reconstruction Using a Nasolabial, Perforator-based V-Y Advancement Flap: Expanding the Utility of Facial Perforator Flaps.

Ann Plast Surg 2019 Jan;82(1):46-52

From the Division of Plastic Surgery, Mayo Clinic.

Background: Reconstruction of the lower eyelid represents a unique challenge to the reconstructive surgeon. Studies evaluating the utility of the nasolabial V-Y advancement flap in lower eyelid reconstruction are limited and techniques to optimize outcomes following eyelid reconstruction with this technique are not well described. We seek to evaluate our experience and outcomes with lower eyelid reconstruction using the nasolabial perforator-based V-Y advancement flap. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001576DOI Listing
January 2019
2 Reads

The Boomerang Thigh Flap: Optimizing the Donor Site for an Extended Skin Island Flap.

J Reconstr Microsurg 2018 Oct 24;34(8):658-668. Epub 2018 Jul 24.

Institute for Plastic Surgery, Southern Illinois University School of Medicine, Southern Illinois University, Springfield, Illinois.

Background:  The anterolateral region of the thigh is one of the most used donor areas for flaps. However, there are cases in which large defects require more than the conventional skin island provided by the anterolateral thigh flap (ALT). For an extended skin island flap, we developed a new boomerang thigh flap (BTF), in which a boomerang design includes perforators from multiple branches of the lateral circumflex femoral artery (LCFA), providing a single-pedicle, large, reproducible, and reliable flap. Read More

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http://dx.doi.org/10.1055/s-0038-1667130DOI Listing
October 2018
2 Reads

The efficacy of elongated axillary incision on extended latissimus dorsi flap for immediate breast reconstruction.

Arch Plast Surg 2018 Jul 15;45(4):340-344. Epub 2018 Jul 15.

Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.

Background: In performing extended latissimus dorsi (ELD) flap procedures, a skin paddle design on the bra line helps reduce visible scarring. This improves the patient's satisfaction with the outcome. However, such a design leads to a longer operation time and increased fatigue of the surgeon due to the narrow operative field. Read More

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http://dx.doi.org/10.5999/aps.2017.01683DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062700PMC
July 2018
14 Reads

Intraoperative Mapping of the Subfascial Plexus Using the Transillumination Method for Head and Neck Reconstruction with Free Style Anterolateral Thigh Flaps.

Facial Plast Surg 2018 Aug 28;34(4):407-411. Epub 2018 Jun 28.

Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan.

Without well recognizing the vascular territories of the perforator, surgery might damage the pedicle and diminish flap survival. This study described a transillumination method for intraoperative mapping of the subfascial plexus of the perforator in the head and neck reconstruction with an anterolateral thigh (ALT) flap and also compared the perioperative outcomes and complications of the method with those of the conventional two-pedicle ALT flap. Between January 2011 and December 2017, 26 patients who underwent head and neck reconstruction with ALT flaps were evaluated as follows: 13 underwent the transillumination method (case group), and 13 (age- and sex-matched) underwent standard two-pedicle flap procedures (control group). Read More

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http://dx.doi.org/10.1055/s-0038-1666783DOI Listing

Comparison of perioperative outcomes between endoscope-assisted technique and handheld acoustic Doppler for perforator identification in fasciocutaneous flaps.

Medicine (Baltimore) 2018 Jun;97(22):e10849

Department of surgery.

The endoscopic technique has been utilized to harvest muscle flaps and detect perforators of fasciocutaneous flaps. This study aimed to compare the perioperative outcomes between the endoscope-assisted technique and handheld acoustic Doppler for perforator identification in fasciocutaneous flaps.This retrospective case-control study included patients who underwent fasciocutaneous flap reconstruction for traumatic soft tissue defects. Read More

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http://dx.doi.org/10.1097/MD.0000000000010849DOI Listing

[Effectiveness of modified transsection and longitudinal suture in epicanthoplasty].

Authors:
Jun Wan Huicai Wen

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Mar;32(3):354-357

Department of Plastic Surgery, the First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006,

Objective: To introduce a modified transsection and longitudinal suture in epicanthoplasty and summarize its effectiveness.

Methods: The clinical data of 119 patients underwent epicanthoplasty with modified transsection and longitudinal suture and with a follow-up time over 6 months between February 2014 and December 2016 were retrospectively analyzed. There were 8 males and 111 females with an average age of 22. Read More

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http://dx.doi.org/10.7507/1002-1892.201710016DOI Listing

Assessment of Frontalis Myocutaneous Transposition Flap for Forehead Reconstruction After Mohs Surgery.

JAMA Dermatol 2018 Jun;154(6):708-711

Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

Importance: Forehead reconstruction after Mohs surgery has become a challenge for dermatology surgeons, and achieving an excellent cosmetic and functional result is imperative in this location.

Objective: To highlight the utility of a frontalis myocutaneous transposition flap (FMTF) for forehead reconstruction after Mohs surgery.

Design, Setting, And Participants: Surgical technique case series including 12 patients with large forehead defects recruited between January 2010 and June 2017 at the Dermatology Department of the University Clinic of Navarra, Spain. Read More

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http://dx.doi.org/10.1001/jamadermatol.2018.1213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145651PMC
June 2018
3 Reads

[Reconstruction of oral and maxillofacial soft tissue defects with anterolateral thigh (myocutaneous) flap assisted by computed tomography angiography].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Jun;31(6):702-708

Department of Oral and Maxillofacial Surgery, Southwest Medical University Affiliated Stomatological Hospital, Luzhou Sichuan, 646000,

Objective: To investigate the efficacy of anterolateral thigh (myocutaneous) flap designed with computed tomography angiography (CTA) to reconstruct oral and maxillofacial soft tissue defects.

Methods: Between January 2011 and December 2015, 23 cases of oral and maxillofacial tumors were treated. There were 14 males and 9 females with the age range from 45 to 72 years (mean, 56. Read More

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http://dx.doi.org/10.7507/1002-1892.201612132DOI Listing
June 2017
14 Reads

[Repair of composite tissue defects and functional reconstruction of upper arm with latissimus dorsi Kiss flap].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Aug;31(9):1106-1110

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

Objective: To investigate the effectiveness of latissimus dorsi Kiss flap for repairing composite tissue defects and functional reconstruction of upper arm.

Methods: Between March 2010 and November 2016, 12 cases of composite tissue defects of upper arm were repaired by latissimus dorsi Kiss flap with blood vessel and nerve bunch. There were 8 males and 4 females with a median age of 34 years (range, 21-50 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201704047DOI Listing
August 2017
16 Reads

[Application of digital technology in superficial lateral sural artery perforator flap for tiny hand wounds reconstruction].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 May;31(5):564-569

Department of Orthopedics, Kunming General Hospital of Chengdu Military Region, Kunming Yunnan, 650032, P.R.China.

Objective: To investigate the effectiveness of the digital technology in repairing tiny hand wounds with superficial lateral sural artery perforator flap.

Methods: Between August 2013 and October 2016, 10 cases of tiny hand wounds were treated with the superficial lateral sural artery perforator flap. There were 6 males and 4 females, aged 19 to 47 years (mean, 31. Read More

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http://dx.doi.org/10.7507/1002-1892.201612088DOI Listing

[Clinical application of pedicel frontal flap in reconstruction of the nasal defects].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Feb;32(4):241-243;249

Department of Otorhinolaryngology Head and Neck Surgery, Anhui Province Hospital, Anhui Medical University, Hefei, 230000, China.

The aim of this study is to explorethe application of improving the design of the myocutaneous flap and the transfer mode in nasal facial defect. Six cases with nasal defects were treated by using lateral or median vascular frontal flap which is nourished by supratrochlear and supraorbital arteries. Three patients with basal cell carcinoma of external nose and three patients with cranial base tumor were hospitalized and underwent surgeries. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.04.001DOI Listing
February 2018

[Application of digital 3D imaging technique in flap design before maxillofacial soft tissue reconstruction].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Dec;31(24):1875-1879

Department of Interventional Radiology, Suzhou Municipal Hospital.

Using digital technique to design the preoperative flap of oral and maxillofacial soft tissue defect, to instruct the operation and to provide the basis for making the individual femoral flap. We chosed 7 patients with oral and maxillofacial malignancies to undergo thin-line CT scans of lower extremities and analyzed the data of CTA examination to measure the diameter, shape and length of vascular pedicle. Then selected the appropriate perforation as the source of blood supply for flap. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2017.24.003DOI Listing
December 2017

Modified Design of Anterolateral Thigh Flap for Total Pharyngolaryngectomy Reconstruction: A Single-Center Experience.

Ann Plast Surg 2018 Jul;81(1):62-67

Otolaryngology (ENT), Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

Background: Defects after total pharyngolaryngectomy for hypopharyngeal cancer often require reconstruction via free tissue transfer. Recently, anterolateral thigh (ALT) flap has become the gold standard in many centers because of its advantages with respect to versatility, minimal donor-site morbidity, good speech quality, and relatively low fistula and anastomotic leakage rates. Moreover, ALT allows 2 surgical teams to work simultaneously. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001480DOI Listing
July 2018
2 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
4 Reads

Postburn Neck Reconstruction With Preexpanded Upper Back Perforator Flaps: Free-Style Design and An Update of Treatment Strategies.

Ann Plast Surg 2018 Jul;81(1):45-49

From the Department of Plastic and Reconstructive Surgery, Ninth People's Hospital, Medical School of Shanghai Jiao Tong University, Shanghai, China.

Background: For extensive postburn neck deformities, the preexpanded flaps in the upper back region were used and gained a uniform skin appearance and esthetic contours. Free-style perforator-based free-tissue transfer that represents the most recent advance in reconstructive surgery may provide more versatility of these flaps.

Methods: We retrospectively reviewed 31 patients treated at our institution for postburn neck contracture from March 2010 to May 2016. Read More

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http://Insights.ovid.com/crossref?an=00000637-900000000-9738
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http://dx.doi.org/10.1097/SAP.0000000000001491DOI Listing
July 2018
1 Read

Customized reconstruction with modified keystone flaps.

J Dermatol 2018 Jul 9;45(7):844-849. Epub 2018 May 9.

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

The reconstruction of soft tissue defects with a similar type of tissue and minimizing morbidities are important. Herein, we describe our surgical experience using customized reconstruction with a series of modified keystone flaps. We retrospectively reviewed data of 48 consecutive soft tissue reconstructions using modified keystone flaps between March and December 2017. Read More

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http://dx.doi.org/10.1111/1346-8138.14356DOI Listing
July 2018
17 Reads
2.354 Impact Factor

Computed Tomographic Angiography Perforator Localization for Virtual Surgical Planning of Osteocutaneous Fibular Free Flaps in Head and Neck Reconstruction.

J Oral Maxillofac Surg 2018 Oct 10;76(10):2220-2230. Epub 2018 Apr 10.

Assistant Professor of Surgery and Program Director, Division of Oral and Maxillofacial Surgery, Department of Surgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN.

Virtual surgical planning (VSP), computer-aided design and computer-aided modeling, and 3-dimensional printing are 3 distinct technologies that have become increasingly employed in head and neck oncology and microvascular reconstruction. Although each of these technologies have long been utilized for treatment planning in other surgical disciplines such as craniofacial surgery, trauma surgery, temporomandibular joint surgery, and orthognathic surgery, its widespread use in head and neck reconstructive surgery remains a much more recent advent. In response to the growing trend of VSP being used for the planning of fibular free flaps in head and neck reconstruction, some surgeons have questioned the technology's implementation based upon its perceived inadequacy in addressing other reconstructive considerations beyond hard tissue anatomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02782391183030
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http://dx.doi.org/10.1016/j.joms.2018.04.002DOI Listing
October 2018
3 Reads

Effect of a single prophylactic preoperative oral antibiotic dose on surgical site infection following complex dermatological procedures on the nose and ear: a prospective, randomised, controlled, double-blinded trial.

BMJ Open 2018 04 19;8(4):e020213. Epub 2018 Apr 19.

Centre for Chronic Disease Prevention, James Cook University, Cairns, Queensland, Australia.

Objectives: There is limited published research studying the effect of antibiotic prophylaxis on surgical site infection (SSI) in dermatological surgery, and there is no consensus for its use in higher-risk cases. The objective of this study was to determine the effectiveness of a single oral preoperative 2 g dose of cephalexin in preventing SSI following flap and graft dermatological closures on the nose and ear.

Design: Prospective double-blinded, randomised, placebo-controlled trial testing for difference in infection rates. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-020213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914724PMC
April 2018
4 Reads

Biodynamic Excisional Skin Tension Lines for Excisional Surgery of the Lower Limb and the Technique of Using Parallel Relaxing Incisions to Further Reduce Wound Tension.

Authors:
Sharad P Paul

Plast Reconstr Surg Glob Open 2017 Dec 22;5(12):e1614. Epub 2017 Dec 22.

Department of Skin Cancer, School of Medicine, University of Queensland, Brisbane, Australia; Department of Surgery, University of Auckland, Auckland, New Zealand; and Department of Design and Creative Technologies, Auckland University of Technology, Auckland, New Zealand.

Background: Closing of defects of the lower limb after skin cancer excision poses a challenge in lower limb skin. Although the concept of relaxed skin tension lines has been established as ideal on the face, on the lower limb there remains confusion between Langer's lines and wrinkle lines, and this study was done with the task of identifying and mapping biodynamic excisional skin tension (BEST) lines on the lower limb.

Methods: Following studies on BEST lines elsewhere on the body, the author investigated BEST lines on the lower limb. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001614DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889464PMC
December 2017
16 Reads

Nipple-Areolar Complex Reconstruction: A Review of the Literature and Introduction of the Rectangle-to-Cube Nipple Flap.

Eplasty 2018 19;18:e15. Epub 2018 Mar 19.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Louisville, Ky.

: There are many approaches to nipple-areola complex reconstruction. Tissue quality and thickness, desired nipple location and size, scar position, and surgeon preference all play a role in selecting a technique. We present the rectangle-to-cube nipple flap, a new technique for challenging nipple reconstruction. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5865227PMC
March 2018
10 Reads

Obliquely-arranged double skin paddles: A novel design to reconstruct extensive head and neck defects with a single fibula or peroneal flap.

Microsurgery 2018 Mar 30. Epub 2018 Mar 30.

Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Objective: To reconstruct extensive head and neck defects usually necessitates double free flaps, which require a time-and-manpower-consuming surgical procedure. We present using a single fibula or peroneal flap with the novel design of obliquely-arranged double skin paddles to reconstruct an extensive head and neck defect.

Methods: From 1998 to 2016, eight patients with the age of 52. Read More

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http://dx.doi.org/10.1002/micr.30322DOI Listing
March 2018
7 Reads

The Role of the Visor Flap in Scalp Reconstruction: A Case Series of 21 Patients.

Oper Neurosurg (Hagerstown) 2018 Dec;15(6):651-655

University of Illinois at Chicago, Chicago, Illinois.

Background: Full-thickness scalp defects pose a reconstructive problem, especially in the setting of infection, chemotherapy/radiation, and underlying cranial defects. Current options include dermal matrices, skin grafts, and local flaps. Local flaps often fail, requiring subsequent microvascular free flap reconstruction. Read More

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http://dx.doi.org/10.1093/ons/opy042DOI Listing
December 2018
5 Reads

MRA of the skin: mapping for advanced breast reconstructive surgery.

Clin Radiol 2019 Jan 2;74(1):13-28. Epub 2018 Mar 2.

Radiology, New York-Presbyterian Hospital, Columbia University, NY, USA; Radiology, Weill Cornell Medical Center, NY, USA.

Autologous breast reconstruction using muscle-sparing free flaps are becoming increasingly popular, although microvascular free flap reconstruction has been utilised for autologous breast reconstructions for >20 years. This innovative microsurgical technique involves meticulous dissection of artery-vein bundle (perforators) responsible for perfusion of the subcutaneous fat and skin of the flap; however, due to unpredictable anatomical variations, preoperative imaging of the donor site to select appropriate perforators has become routine. Preoperative imaging also reduces operating time and enhances the surgeon's confidence in choosing the appropriate donor site for harvesting flaps. Read More

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http://dx.doi.org/10.1016/j.crad.2017.12.018DOI Listing
January 2019
1 Read

Ablation of Buccal Cancer and Functionality Buccal Reconstruction Using an Individuation Anterolateral Thigh Flap.

J Craniofac Surg 2018 Jun;29(4):e396-e398

Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China.

The complex area for reconstruction of the head and the neck is the buccal because of difficult anatomy of this region. This article aimed to describe our individualized design for the reconstruction of the buccal using an different categories anterolateral thigh (ALT) flap. Ninety-four patients were involved in this study. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004417DOI Listing
June 2018
6 Reads

Nasolabial propeller perforator flap: Anatomical study and case series.

J Surg Oncol 2018 Apr 26;117(5):1100-1106. Epub 2018 Feb 26.

Universidad de Antioquia, Medellín, Colombia.

Purpose: The previous cadaveric studies of facial artery perforators have frequently reported high variability, and those results remain to be validated in the Colombian population. Thus, we aimed to describe the vascular anatomy of the lateral nasal artery cutaneous branches and their clinical applications using Colombian cadavers.

Materials And Methods: Nine hemifaces from six fresh cadavers were included in the study. Read More

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http://dx.doi.org/10.1002/jso.25013DOI Listing
April 2018
4 Reads

The Pedicled LICAP Flap Combined with a Free Abdominal Flap In Autologous Breast Reconstructions.

Plast Reconstr Surg Glob Open 2018 Jan 12;6(1):e1562. Epub 2018 Jan 12.

Department of Plastic and Reconstructive Surgery, University Hospital of North Norway, Tromsø, Norway; and Medical Imaging Research Group, Institute of Clinical Medicine, UiT, The Arctic University of Norway, Tromsø, Norway.

Background: Previous surgery or slim body configuration can limit the size of the available abdominal flap in autologous breast reconstruction. However, redundant skin and subcutaneous tissue lateral to the mastectomy site can be utilized as the pedicled lateral intercostal artery perforator (LICAP) flap. This study evaluates the combination of a free abdominal flap and a pedicled LICAP flap to achieve increased breast size and improved cosmetic outcome. Read More

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http://Insights.ovid.com/crossref?an=01720096-201801000-0000
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http://dx.doi.org/10.1097/GOX.0000000000001562DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811281PMC
January 2018
5 Reads

Surgical and Oncological Outcomes in Patients After Vascularised Flap Reconstruction for Locoregionally Advanced Penile Cancer.

Eur Urol Focus 2018 Feb 9. Epub 2018 Feb 9.

Department of Urology, Netherlands Cancer Institute, Amsterdam, The Netherlands. Electronic address:

Background: Treatment of locoregionally advanced penile squamous cell carcinoma (LAPSCC) is challenging. The exact role (in terms of oncological benefit) of extensive surgery is not well established. Moreover, surgery invariably leads to large defects requiring reconstructive surgery. Read More

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http://dx.doi.org/10.1016/j.euf.2018.02.002DOI Listing
February 2018
11 Reads

Stem cells enhance reperfusion following ischemia: Validation using laser speckle imaging in predicting tissue repair.

Laryngoscope 2018 06 5;128(6):E198-E205. Epub 2018 Feb 5.

Department of Molecular and Cellular Physiology, LSU Health Sciences Center, Shreveport, Louisiana, U.S.A.

Objectives: The lack of real-time assessment of vascular perfusion changes remains a major weakness in assessing the efficacy of bone marrow stromal cells (BMSC) therapeutic ischemia reperfusion (I/R) injury. This study provides for the first time the real-time in vivo perfusion monitoring in I/R mice with BMSC therapy.

Study Design: Animal model. Read More

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http://dx.doi.org/10.1002/lary.27110DOI Listing
June 2018
4 Reads

Routine closure of the donor site with a second dorsal metacarpal artery flap to avoid the use of a skin graft after harvest of a first dorsal metacarpal artery flap.

J Plast Reconstr Aesthet Surg 2018 Jun 31;71(6):870-875. Epub 2018 Jan 31.

Department of Hand and Plastic Surgery, The Second Affiliated Hospital and Yuying Children's Hopital of Wenzhou Medical University, Wenzhou 325000, China.

Aim: Closure of the donor site on the index finger after raising a first dorsal metacarpal artery (DMA) flap harvest is challenging. The conventional choice is to use a full-thickness skin graft. However, this procedure is associated with several complications and a second donor site to harvest the skin graft is inevitable. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.01.031DOI Listing
June 2018
6 Reads

Distally Based Medial Hemisoleus Flap: Reliable Option for Distal Tibial Wounds.

J Coll Physicians Surg Pak 2018 Feb;28(2):129-132

Department of Plastic Surgery, Jinnah Burn and Reconstructive Surgery Centre, AIMC, Lahore.

Objective: To determine the success (flap survival as a whole without necrosis or dehiscence up to two months as judged clinically) of distally based medial hemisoleus muscle flap for the coverage of distal tibial defects.

Study Design: Case series.

Place And Duration Of Study: Jinnah Burn and Reconstructive Surgery Centre, AIMC, Lahore, from July 2014 to July 2017. Read More

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http://dx.doi.org/10.29271/jcpsp.2018.02.129DOI Listing
February 2018
5 Reads

Extended Islanded Reverse Sural Artery flap for Staged Reconstruction of Foot Defects Proximal to Toes.

J Coll Physicians Surg Pak 2018 Feb;28(2):126-128

Department of Plastic Surgery, Jinnah Burn and Reconstructive Surgery Center, Allama Iqbal Medical College, Lahore.

Obective:To assess the outcome of extended delayed reverse sural artery flap for reconstruction of foot defects proximal to toes in terms of flap survival, complication and extended area.

Study Design: Case series.

Place And Duration Of Study: Jinnah Burn and Reconstructive Surgery Centre, Lahore, from February 2015 to April 2017. Read More

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http://dx.doi.org/10.29271/jcpsp.2018.02.126DOI Listing
February 2018
9 Reads

Using the Reversed Temporal Island Flap to Cover Small Forehead Defects from Titanium Mesh Exposure After Cranial Reconstruction.

World Neurosurg 2018 Apr 31;112:e514-e519. Epub 2018 Jan 31.

Maxillofacial Surgery Department 2, Department No. 16. of Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, P.R. China. Electronic address:

Background: Skin ulcers and alloplastic implant exposure are intractable complications that arise after cranial defect reconstruction. Many methods have been used to repair these defects, including skin grafting, local flaps, and free flaps; however, in most cases, alloplastic implants must be removed to control infections. Here, we describe the use of a reversed temporal island flap to repair exposed titanium mesh without removing it. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.01.070DOI Listing
April 2018
11 Reads

Unit Advancement Flap for Lower Lip Reconstruction.

J Craniofac Surg 2018 May;29(3):668-670

Department of Plastic and Reconstructive Surgery, Toho University Omori Medical Center, Tokyo, Japan.

Background: Lower lip reconstruction requires consideration of esthetic and functional outcome in selecting a surgical procedure, and reconstruction with local tissue is useful. The authors reconstructed full-thickness defects with a unit advancement flap.

Methods: Reconstruction was performed using this method in 4 patients with lower lip squamous cell carcinoma in whom tumor resection with preservation of the mouth angle was possible. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004217DOI Listing
May 2018
6 Reads