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J Plast Reconstr Aesthet Surg 2022 May 2. Epub 2022 May 2.

Department of Orthopedic Surgery, Kurashiki Central Hospital, Kurashiki, Japan.

Radial artery superficial palmar branch harvesting is technically challenging, especially for inexperienced hand surgeons. The short pedicle and a damaged recipient digital artery require proximal digital artery dissection and relatively long pedicles. Herein, we describe a facilitated flap elevation technique and its application in various cases. Read More

J Craniofac Surg 2022 May 3;33(3):910-912. Epub 2021 Aug 3.

Department of Neurosurgery and Gamma Knife Radiosurgery.

Background: Late-onset, extracranial soft tissues dehiscence in the spheno-temporal region after major neurosurgical procedures might represent a potentially life-threatening complication.Due to surgery-related galeal/pericranial and myofascial temporal atrophy, classical regional flaps are often unavailable, enforcing potential indication for free vascularized flaps.Nevertheless, in elderly multioperated patients, who are not eligible for major surgery, it becomes mandatory to consider less invasive options for reconstruction. Read More

J Craniofac Surg 2022 May 26;33(3):892-894. Epub 2021 Oct 26.

Ningbo City First Hospital, Ningbo, China.

Background: Large benign and malignant tumors in the scalp cannot be sutured directly after resection. Instead, skin grafting or skin flap repair is the most commonly used techniques. Local tissue depression and lack of hair growth are some of the drawbacks associated with these techniques. Read More

Microsurgery 2022 Jun 18. Epub 2022 Jun 18.

Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, Vietnam.

Background: Treatment for large defects in the non-weight-bearing Achilles tendon and soft tissues remains a reconstructive challenge. The free composite anterolateral thigh flap (ALT) with fascia lata (FL) has been indicated in the single-stage reconstruction of the Achilles tendon and soft tissue defect and this technique remain some disadvantages, such as the inability to perform primary flap thinning, requiring secondary flap thinning, and the delayed normalization of the range of motion of the ankle joint. The free chimeric ALT flap with FL was introduced as a novel alternative with many advantages in reconstructing the Achilles tendon and soft tissue defects. Read More

Ann Plast Surg 2022 Jun 11. Epub 2022 Jun 11.

From the Human Anatomy and Embryology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Background: Specific perforator-based flaps are a new era in plastic reconstruction. They have replaced many of the traditional paradigms in plastic surgery. The anteromedial thigh flap is a versatile flap that can be used as a primary choice for many reconstructive purposes or as a secondary choice for the anterolateral thigh flap. Read More

Handchir Mikrochir Plast Chir 2022 Jun 10;54(3):223-235. Epub 2022 Jun 10.

Rhön-Klinikum AG Klinik für Handchirurgie.

Therapeutic options to treat Dupuytren`s disease vary considerably. Nevertheless, limited fasciectomy remains the method of choice in advanced disease. Correct incisions are of crucial importance in this kind of surgery. Read More

JPRAS Open 2022 Sep 12;33:32-36. Epub 2022 May 12.

Plastic and Reconstructive Surgery Department, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK.

The choice between skin graft and local flap reconstruction depends upon the surgeon's experience and the facilities available. For skin cancers, our main objective is clear, oncologic clearance with preservation of function. For some patients, aesthetic outcome is often equally important. Read More

Injury 2022 Jul 24;53(7):2550-2556. Epub 2022 May 24.

Department of Microsurgery and Hand Surgery, Xiangya Hosipital of Central South University, Changsha, 410008, China. Electronic address:

Background: Multi-lobed perforator flap was one of popular approaches for one-stage reconstruction of complex soft tissue defects because of its minimal donor-site morbidity. However, the area of skin island that can be harvested on the donor site is limited on the angiosome distribution, Moreover, large defects require more than the conventional skin island provided by a traditional multi-lobed perforator flap. For further extended skin paddles, this study presented a novel design of waveform-arranged skin paddles to elevated a modified multi-lobed perforator flap for the reconstruction of complex soft tissue defects in the extremities. Read More

Injury 2022 Jul 19;53(7):2588-2594. Epub 2022 May 19.

Department of Orthopedic Hand Surgery, the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Chunhui Avenue, Longma Tan District, Luzhou 646000, People's Republic of China. Electronic address:

Background: Historically, the degloved finger with the total loss of nail and skin had been resurfaced with an expanded great toe wrap-around flap transfer for better outcomes. The purpose of this study aims to present our experience with a related modified design, with total preservation of a weight-bearing plantar skin.

Method: From April 2016 to September 2019, nine fingers (5 index and 4 middle fingers) in nine cases, with skin loss to the base of the proximal phalangeal or metacarpophalangeal (MCP) joint level, were reconstructed with combined great toe dorsal nail-skin flap and medial plantar artery perforator (MPAP) flap. Read More

Dermatol Surg 2022 Jul 16;48(7):716-719. Epub 2022 May 16.

All authors are affiliated with the Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada.

Background: Paramedian forehead flaps (PMFFs) are commonly used for reconstruction of nasal defects. The classic PMFF is vertically oriented while the modified PMFF is designed with a 90-degree angle. No study has compared outcomes between these PMFF designs. Read More

Br J Oral Maxillofac Surg 2022 Mar 18. Epub 2022 Mar 18.

School of Physics and Astronomy, University of Glasgow, Glasgow G12 8QQ, United Kingdom. Electronic address:

Currently, free flaps and pedicled flaps are assessed for reperfusion in postoperative care using colour, capillary refill, temperature, texture, and Doppler signal (if available). While these techniques are effective, they are prone to error due to their qualitative nature. In this research, different wavelengths of light were used to quantify the response of ischaemic tissue. Read More

J Coll Physicians Surg Pak 2022 May;32(5):652-657

Department of Pediatric Surgery, Health Sciences University, Adana Medical Faculty, Adana City Training and Research Hospital, Adana, Turkey.

Objective: To compare the results of commonly used treatments (Karydakis Flap method and crystallized phenol application) in the treatment of pilonidal sinus.

Study Design: Comparative study.

Place And Duration Of Study: Adana Seyhan State Hospital, Adana City Hospital, and Hisar Intercontinental Hospital Pediatric Surgery Clinic, from January 2016 to December 2020. Read More

Ann Plast Surg 2022 Jul 3;89(1):59-62. Epub 2022 Apr 3.

Department of Oral and Maxillofacial Surgery.

Objective: Tai Chi is an ancient philosophy used to explain the universe. The Tai Chi symbol is represented by Yin/Yang fishes. The authors describe a novel radial forearm flap (RFF) design for the reconstruction of circular defects based on the Tai Chi symbol. Read More

Ann Plast Surg 2022 Jul 20;89(1):34-41. Epub 2022 Apr 20.

Department of Dermatology, Hospital Virgen Arrixaca (Murcia), Spain.

Background: Most skin flaps are designed to repair circular surgical defects after skin tumor excisions, but few flaps have been described to reconstruct triangular defects.

Objective: The aim of this study was to describe new skin flaps for triangular surgical defects using an innovative experimental model.

Methods: We tested new flap designs in an experimental pig skin model using a tension sensor to measure maximum tension and tension augmentation when the flap is performed in an area of increased basal tension. Read More

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

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

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

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

JAMA Otolaryngol Head Neck Surg 2022 Jun;148(6):547-554

Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee.

Importance: Surgical site infections (SSIs) after vascularized reconstruction of the upper aerodigestive tract (UADT) are associated with considerable morbidity. The association between perioperative prophylaxis practices, particularly topical antisepsis, and SSIs remains uncertain.

Objective: To assess the association between perioperative topical antisepsis and SSIs in patients undergoing vascularized reconstruction of the UADT. Read More

J Biophotonics 2022 Apr 26:e202200061. Epub 2022 Apr 26.

Department of Orthopedics Trauma and Microsurgery, Zhongnan Hospital of Wuhan University, Wuhan, China.

The use of skin flaps to fill large defects is a key surgical technique in reconstructive surgery, effective real-time in vivo imaging for flap design and use is urgent. Currently, fluorescent imaging in the second NIR window (NIR-II; 1000-1700 nm) is characterized by non-radiation, less expensive and higher resolution in comparisons with the first NIR window (NIR-I; 700-900 nm) and other traditional imaging modalities. In this article, we identified the location and numbers of perforators and choke zone via NIR-II imaging. Read More

J Pediatr Urol 2022 Jun 18;18(3):366.e1-366.e9. Epub 2022 Apr 18.

Department of Urology, Zagazig University, Faculty of Medicine, Zagazig, Sharkia Governorate, 44519, Egypt.

Introduction: In re-operative hypospadias repair, scarred urethral plate, and deficient unhealthy penile skin are usually problematic. Difficulties are not only in urethroplasty but also in penile skin coverage. Penile skin coverage after urethroplasty with good viable skin decreases the complication rate and increases the satisfaction with repair. Read More

J Plast Reconstr Aesthet Surg 2022 Mar 14. Epub 2022 Mar 14.

Plastic Surgery, Chang Gung Memorial Hospital and University, Taiwan.

Real-time intraoperative computed tomography created the accuracy of less than 1 mm deviation in virtual surgical planning double barrel fibular flap for mandibular reconstruction-the symbiosis of intelligent technology in a digital OR.

Background: With the intelligent technology of virtual surgical planning, CAD/CAM, and intraoperative CT(iCT) in a digital OR, the secondary mandibular defect or primary amelobalstoma mandibulectomy can be restored using double barrel fibula and be achieved precision medicine purpose.

Material And Method: A series of 7 patients underwent free flap for oral cancers who sustained 5 osteoradionecrosis, 2 segmental mandibular defect, and 2 ameloblastoma. Read More

Zhonghua Shao Shang Za Zhi 2022 Apr;38(4):306-312

Department of Plastic Surgery, State Key Laboratory of Trauma, Burns and Combined Injury, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China.

The surgical reconstruction strategy for scar contracture deformity in chin and neck was explored, aiming to obtain better aesthetic outcome. A retrospective observational study was conducted. From December 2017 to April 2021, 34 patients with scar contracture deformity in chin and neck after burns were hospitalized in the Department of Plastic Surgery of the First Affiliated Hospital of Army Medical University (the Third Military Medical University), aged 12-54 years, including 13 males and 21 females, 4 cases with chin affected only, 7 cases with neck affected only, and 23 cases with both chin and neck affected. Read More

Plast Reconstr Surg Glob Open 2022 Apr 8;10(4):e4234. Epub 2022 Apr 8.

Department of Plastic and Reconstructive Surgery, Mie University, Tsu, Japan.

Large cranial vault defects are challenging to manage due to the need to balance infection control, skin coverage, and restoration of the protective mechanical rigidity of the skull while also ensuring good head and neck aesthetic results. Conventional-staged treatment requires a long time period that includes debridement and scalp skin defect coverage with flaps as a first step, followed by definitive plate reconstruction 3-9 months later after infection control and flap atrophy resolution. We report a case of successful early cranioplasty in a factory worker who developed a large full-thickness cranial skull defect following artificial dura infection. Read More

J Pediatr Urol 2022 Jun 22;18(3):365.e1-365.e8. Epub 2022 Mar 22.

Department of Urology, Kanagawa Children's Medical Center, 2-138-4 Mutsukawa, Minami-ku, Yokohama, 232-8555, Japan. Electronic address:

Introduction And Objectives: Proximal hypospadias repair is a challenge in the pediatric urology field. Although the previous reports showed that the Belt-Fuqua staged procedure is reliable with a low complication rate for midshaft hypospadias, this procedure has not been generally applied to more proximal hypospadias with severe ventral curvature due to technical limitations. To solve these technical limitations, we developed a modified Belt-Fuqua procedure using an asymmetric long skin sleeve looking like a Japanese long-sleeved Kimono called a "furisode". Read More

Auris Nasus Larynx 2022 Oct 20;49(5):862-867. Epub 2022 Mar 20.

Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, Daehakro 101, Jongno-gu, Seoul 03080, South Korea. Electronic address:

Objectives: The objectives of this study were to evaluate the reliability of a strip design as a monitoring flap in buried flap and to investigate whether strip design of radial forearm free flap (RFFF) could affect donor site morbidity in East Asian.

Methods: Patients with externalized flap in buried RFFF were consecutively included in this study. For cases with mucosal defect repair, a skin strip with a 1. Read More

Ann Plast Surg 2022 Jul 10;89(1):54-58. Epub 2022 Mar 10.

From the Department for Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany.

Abstract: Free flap transfer for reconstruction of intraoral defects is a common procedure in oral and maxillofacial surgery. For tumor-related defects, the radial forearm flap is widely used for soft tissue restoration. However, transfer of free skin grafts to the donor site region is often required for wound closure after free flap harvesting, resulting in esthetic disturbances due to shrinkage of the grafted skin, attendant scarring, or mismatches in skin texture or color. Read More

Ann Med Surg (Lond) 2022 Mar 7;75:103328. Epub 2022 Feb 7.

Geisel Dartmouth Medical School, Hanover, NH, 03755, USA.

Introduction And Importance: Local skin flap techniques, including rhomboid flap, have been developed to reconstruct cutaneous defects. Rhomboid flap advantages include easy design, excellent contour, texture, thickness, color match, and long-term good cosmesis. There is no patient reported outcome study in literature detailing patients' perception of appearance and satisfaction of scar appearance. Read More

Vet Surg 2022 May 1;51(4):658-664. Epub 2022 Mar 1.

Department of Surgery, Animal Surgical Center of Michigan, Flint, Michigan, USA.

Objective: To determine the dominant arterial supply to the scrotum.

Study Design: Experimental anatomic study.

Animals: Intact male canine cadavers (n = 10). Read More

Otol Neurotol 2022 04;43(4):e421-e426

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Rochester, Minnesota.

Objective: To determine if temporoparietal scalp thickness assessed via preoperative imaging predicts retention events in patients who have cochlear implants with diametric magnets and various sound processor types.

Study Design: Retrospective chart and radiological review.

Setting: Tertiary referral center. Read More

Otolaryngol Head Neck Surg 2022 Feb 22:1945998221082533. Epub 2022 Feb 22.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Utah Hospital, Salt Lake City, Utah, USA.

Objective: The objective of this study is to describe the operative success of completely buried free flaps and to determine the safety/reliability of using implantable dopplers for postoperative monitoring in completely buried free flaps.

Study Design: A retrospective chart review was conducted from 2014 to 2020. Patients were included who had implantable dopplers placed for monitoring a completely buried free flap without a visible skin paddle. Read More

Plast Reconstr Surg Glob Open 2022 Jan 25;10(1):e4040. Epub 2022 Jan 25.

Maxillofacial Surgery Operative Unit, University Hospital of Sassari, Sassari, Italy.

Composite oromandibular defects involving jaw bones, intraoral and skin/soft tissues, or dynamic structures such as the tongue, soft palate, and pharynx are real reconstructive challenges even today. Despite improvements in oral dental rehabilitation, another complex task to deal with in young patients with dentate or nonatrophic mandible is correcting a too large vertical occlusal dimension, which makes the prosthodontic rehabilitation very challenging. Instead of using more complex and time-consuming methods such as simultaneous free flaps and to avoid further bone graft and second-stage revision procedures, an innovative double-barrel shaped chimeric fibula free flap with lateral supramalleolar artery perforator flap is used to fulfill all of the reconstructive requisites in one-stage. Read More

Zhonghua Zhong Liu Za Zhi 2022 Feb;44(2):192-196

The 2nd Department of Head and Neck Surgery, Department of Oncoplastic Surgery, Hunan Cancer Hospital & the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China.

To evaluate the effect of trifoliate flap design of radial forearm flap in reconstruction of defects after mouth floor cancer resection. From June 2016 to December 2019, 12 patients with defect after resection of mouth floor cancer were treated with trifoliate flap design of radial forearm flap. All of these patients were T2 stage, included 9 well-differentiated squamous cell carcinoma (SCC) and 3 moderate differentiated SCC. Read More