555 results match your criteria Tissue Transfer Radial Forearm

Outcomes of Single Anastomoses for Superficial and Deep-System Venous Drainage of Radial Forearm Free Flaps.

OTO Open 2021 Apr-Jun;5(2):2473974X211006927. Epub 2021 Apr 26.

Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

Objective: Venous insufficiency occurs in radial forearm free flaps (RFFFs) when either the deep venous system (DVS) or superficial venous system (SVS) is used as the venous outlet. We report our experience using the antecubital perforating vein (APV) in a single-vessel anastomosis to the median-cubital or cephalic vein to drain both systems.

Study Design: Retrospective review. Read More

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Outcomes and Utility of Intracranial Free Tissue Transfer.

Ann Otol Rhinol Laryngol 2021 Apr 21:34894211008699. Epub 2021 Apr 21.

Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, KS, USA.

Objective: Complications associated with intracranial vault compromise can be neurologically and systemically devastating. Primary and secondary repair of these deficits require an air and watertight barrier between the intracranial and extracranial environments. This study evaluated the outcomes and utility of using intracranial free tissue transfer as both primary and salvage surgical repair of reconstruction. Read More

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Alternatives to free flap surgery for maxillofacial reconstruction: focus on the submental island flap and the pectoralis major myocutaneous flap.

BMC Oral Health 2021 04 19;21(1):198. Epub 2021 Apr 19.

Department of Cranio-Maxillofacial Surgery, University Medical Center Regensburg, 93042, Regensburg, Germany.

Background: Microvascular tissue transfer (MTT) has been established as the gold standard in oral- and maxillofacial reconstruction. However, free flap surgery may be critical in multimorbid elderly patients and after surgery or radiotherapy, which aggravate microsurgery. This study evaluates indications and outcome of the submental island flap (SMIF) and the pectoralis major myocutaneous flap (PMMF) as alternatives to the free radial forearm flap (RFF). Read More

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The Vascular Basis of the Pronator Quadratus Muscle Flap and Its Use in Clinical Cases.

Indian J Plast Surg 2021 Jan 7;54(1):63-68. Epub 2020 Sep 7.

Department of Anatomy and Neurobiology and Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

 Pronator quadratus (PQ) is a deeply situated muscle in the forearm which may occasionally be utilized for soft-tissue reconstruction. The purpose of this anatomical and clinical study was to confirm vascular supply of PQ muscle (PQM) in order to optimize its transfer and confirm its utility in clinical situations.  In Part A of the anatomical study, fresh human cadavers ( = 7) were prepared with an intra-arterial injection of lead oxide and gelatin solution, and PQM and neurovascular pedicle were dissected ( = 14). Read More

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January 2021

Fabricating Flaps in the Forearm Prior to Tracheal Reconstruction.

Indian J Plast Surg 2021 Jan 30;54(1):53-57. Epub 2020 Nov 30.

Department of Head and Neck Surgery, TATA Medical Center, Kolkata, West Bengal, India.

 The process of reconstruction of tracheal defects is complex and still not optimum. Options range from using staged reconstructions, combining flaps with autologous or alloplastic implants, as well as use of tissue-engineered constructs combined with vascularized tissues which are lined with cell cultures. Staged reconstructions using prelaminated epithelium, and prefabricated flaps, help in reconstruction of this complex structure. Read More

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January 2021

Osteocutaneous radial forearm free flap for anterior cranial base reconstruction: Technical note.

Neurochirurgie 2021 Mar 23. Epub 2021 Mar 23.

Département de neurochirurgie, Hôpital Gui-de-Chauliac, Centre hospitalier universitaire de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.

The reconstruction of anterior skull base defects after carcinologic surgery is challenging. Large defects can require the use of autologous free tissue transfer. Currently, most reconstructions use soft-tissue flaps. Read More

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Free tissue transfer for central skull base defect reconstruction: Case series and surgical technique.

Oral Oncol 2021 04 13;115:105220. Epub 2021 Feb 13.

Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, United States. Electronic address:

Objectives: Local reconstruction of central skull base defects may be inadequate for large defects or reoperative cases; free tissue transfer may be necessary. Inset of the flap and management of the pedicle can be challenging. We report our experience and approaches. Read More

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Dynamic Hemitongue Defect Reconstruction With Functional Gracilis Muscle Free Transfer.

Ann Plast Surg 2021 03;86(3):308-316

From the Department of Plastic and Reconstructive Surgery, University of Ulsan, College of Medicine, Seoul Asan Medical Center, Seoul, Korea.

Background: Because the tongue consists of 26 intrinsic and extrinsic muscles, even hemiglossectomy, which preserves some of the tongue and its muscles, leads to functional morbidity in speech and swallowing. Subsequent reconstruction using a conventional fasciocutaneous flap results in limited functional recovery. This study compared the functional recovery of patients who underwent hemiglossectomy based on the fasciocutaneous free flap with or without dynamic gracilis muscle flap reconstruction. Read More

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The Anomalous Radial Artery: A Rare Vascular Variant and Its Implications in Radial Forearm Free Tissue Transfer.

Craniomaxillofac Trauma Reconstr 2020 Sep 7;13(3):215-218. Epub 2020 Apr 7.

Department of Otorhinolaryngology-Head and Neck Surgery, Rochester, MN, USA.

The radial forearm free flap (RFFF) has become a workhorse for soft tissue reconstruction following surgical ablation of head and neck cancer. Given the popularity of the RFFF, it is important to understand potential variants of upper extremity vascular anatomy and the effects of these findings on pre- and intraoperative planning. The purpose of this series is to synthesize the existing literature to raise awareness for potential radial artery aberrations during planned reconstruction. Read More

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September 2020

Microvascular Free Tissue Transfer for Complex Soft Tissue Injuries in Lower Extremities: Brief Report of a Hispanic Population.

P R Health Sci J 2020 12;39(4):336-339

Department of Surgery, University of Puerto Rico Medical Sciences Campus, San Juan Puerto Rico.

Objective: Microvascular free-tissue transfer (M-FTT) is a surgical technique for traumatic injuries that allows tissue reconstruction based on donor tissue composition. The aim of this study is to describe the surgical experiences of M-FTT for reconstruction of complex soft tissue injuries in the lower extremities of a Hispanic population.

Methods: This is a descriptive study of all M-FTT procedures performed by a single plastic surgeon from 2012 to 2016 at Puerto Rico Medical Center. Read More

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December 2020

Microsurgical Reconstruction of the Nose: The Aesthetic Approach to Total Defects.

J Reconstr Microsurg 2021 Mar 17;37(3):272-281. Epub 2020 Nov 17.

Plastic Surgery, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Background:  Reconstruction of complex defects involving nose and close facial units represents an aesthetic and functional challenge. Restoring satisfactory nasal shape, combining aesthetic, nasal function and patent airways is mandatory. In this paper, we describe our approach to total nose defects and we report our 20-year experience in microvascular nose reconstruction. Read More

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Shape-modified radial forearm free tissue transfer in oral cavity reconstruction: Technique and a prospective comparison with the conventional technique.

Head Neck 2020 11 20;42(11):3345-3351. Epub 2020 Jul 20.

Department of Head and Neck, Plastic and reconstructive surgery, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.

Background: Donor site morbidity is a significant drawback of the radial forearm flap. The purpose of this study is to describe a new shape-modified technique. The donor site morbidity was compared to that of the conventional technique, in terms of the esthetic, functional outcomes, and quality of life (QOL). Read More

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November 2020

Recipient vessel selection for head and neck reconstruction: A 30-year experience in a single institution.

Arch Craniofac Surg 2020 Oct 20;21(5):269-275. Epub 2020 Oct 20.

Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Seoul, Korea.

Background: The advance in microsurgical technique has facilitated a proper approach for reconstruction of extensive head and neck defects. For the success of free tissue reconstruction, selection of the recipient vessel is one of the most important factors. However, the vascular anatomy of this region is very complex, and a clear guideline about this subject is still lacking. Read More

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October 2020

Successful free flap salvage surgery with off-label use of Alteplase: A case report, review of the literature and our free flap salvage algorithm.

Int J Surg Case Rep 2020 18;75:398-402. Epub 2020 Sep 18.

Department of Otorhinolaryngology, Head and Neck Surgery, Waldstrasse 1, 91054, Erlangen, University of Erlangen-Nuremberg, Germany. Electronic address:

Introduction: Microvascular free tissue transfer is a technique for reconstruction of large defects in head and neck surgery. Failure due to microvascular thrombosis can lead to microvascular damage or flap loss. Recombinant tissue-type plasminogen activator (Alteplase) is still an off-label use but it can help to rescue free flaps when embedded in a salvage algorithm. Read More

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September 2020

Treatment of Radial Longitudinal Deficiency: An International Survey.

J Hand Surg Am 2021 Mar 17;46(3):241.e1-241.e11. Epub 2020 Sep 17.

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.

Purpose: The treatment of radial longitudinal deficiency (RLD) is highly variable without clear guidelines in the literature. The current study investigated variability among hand surgeons in treatment approaches for RLD patients with anomalies of the thumb and forearm.

Methods: An online survey was distributed to 105 self-identified North American pediatric hand surgeons and 23 international pediatric hand surgeons. Read More

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Metatarsal Transfer Associated with Microsurgical Flap in Exposed Foot Fracture: A Case Report and 10-Year Follow-up.

JBJS Case Connect 2020 Jul-Sep;10(3):e1900604

1Hospital de Base do Distrito Federal and Centro Clinico Orthopectus, Brasília, DF, Brazil 2Centro de Ortopedia e Traumatologia de Brasília, Brasília, DF, Brazil.

Case: A 35-year-old female patient presented with an exposed forefoot fracture with bone and dermal loss after a vehicular accident. There was a bone defect at the level of the second toe and the third metatarsal. She was treated by second toe resection and second metatarsal transfer to augment the third metatarsal diaphysis ray (nonvascularized, without any soft-tissue envelope) and a microsurgical forearm flap. Read More

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Are hand biomechanics affected following radial forearm flap harvest? A systematic review and meta-analysis.

Int J Oral Maxillofac Surg 2021 Jan 19;50(1):21-31. Epub 2020 Jul 19.

Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangdong, Guangzhou, China. Electronic address:

Donor site morbidity following radial forearm flap (RFF) harvest remains a controversial issue. The aim of this meta-analysis was to answer the question "Are the range of wrist movements (range of motion, ROM) and hand strength affected after RFF harvesting?" The PubMed, Embase, Scopus, and Cochrane Library electronic databases were systematically searched (to December 2019). Self-controlled studies evaluating hand biomechanics after RFF harvest were included. Read More

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January 2021

Vasodilation by Verapamil-Nitroglycerin Solution in Microvascular Surgery.

Otolaryngol Head Neck Surg 2021 01 7;164(1):104-109. Epub 2020 Jul 7.

Department of Otolaryngology-Head and Neck Surgery, University of California-Los Angeles, Los Angeles, California, USA.

Objective: Papaverine is a topical vasodilator commonly used during microvascular surgery to inhibit undesired vasoconstriction. A previous national shortage of papaverine prompted evaluation of an alternative, effective vasodilator. This study aims to assess the experience of a solution of verapamil and nitroglycerin (VG) as a potential alternative pharmacologic vasodilator. Read More

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January 2021

Standing on the shoulder of giants: Tubed pedicle radial forearm flap reconstruction for cutis aplasia.

JPRAS Open 2020 Sep 16;25:4-7. Epub 2020 May 16.

Department of Plastic Surgery, Wythenshawe Hospital, Southmoor Rd, Wythenshawe, Manchester M23 9LT, United Kingdom.

Introduction: Aplasia cutis congenita presents a reconstructive challenge. We report the use of a tube pedicle radial forearm flap for scalp resurfacing in a patient who previously had two failed free flaps.

Case Report: A young male patient with cutis aplasia presented with a large full thickness defect of his occiput. Read More

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September 2020

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

Am J Otolaryngol 2020 Jul - Aug;41(4):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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November 2020

Facial Reconstruction Based on Combined Three-Dimensional Printing and Microsurgical Free Transfer.

J Craniofac Surg 2020 Jun;31(4):e426-e428

Department of Plastic and Reconstructive Surgery and Burn Unit, Centro Hospitalar de São João, Porto Medical School, Alameda Professor Hernâni Monteiro, Porto, Portugal.

There are patients with craniofacial deformity that can lead to extensive bone loss and severe disfigurement. Autologous reconstruction may be challenging in these patients, and it is usually associated with flap donor area morbidity and unfavorable aesthetic and functional results. A 51-year-old patient with human immunodeficiency virus infection, developed in the context of immunosuppression a fulminant fungal rhino-sinusitis with the need for surgical debridement, and in consequence extensive destruction of the nasal cavity and upper jaw, resulting in severe disfigurement due to nasal deformity and maxillary collapse. Read More

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Age Is Associated With Pain Experience and Opioid Use After Head and Neck Free Flap Reconstruction.

Laryngoscope 2020 08 15;130(8):E469-E478. Epub 2020 May 15.

Mayo Clinic, Department of Otolaryngology - Head and Neck Surgery, Rochester, Minnesota, U.S.A.

Objectives: To describe pain experience and opioid use after major head and neck reconstructive surgery.

Study Design: Retrospective cohort study.

Methods: Patients undergoing major head and neck surgery with microvascular free tissue transfer (free flaps) at a tertiary academic center were included. Read More

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Treatment of Large and Complicated Scalp Defects with Free Flap Transfer.

Biomed Res Int 2020 10;2020:2748219. Epub 2020 Jan 10.

Department of Spine and Orthopedic Trauma, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, China.

Background: Large scalp defects, especially those complicated by calvarial defects, titanium mesh exposure, or cerebrospinal fluid (CSF) leak, pose a challenge for the neurosurgeon and plastic surgeon. Here, we describe our experience of reconstructing the complex scalp defect with free flap transfer.

Methods: From October 2012 to September 2017, 8 patients underwent free flap transfer for the reconstruction of the scalp or complicated scalp and calvarial defects. Read More

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February 2021

Effects of enhanced cutaneous sensory input on interlimb strength transfer of the wrist extensors.

Physiol Rep 2020 03;8(6):e14406

Rehabilitation Neuroscience Laboratory, University of Victoria, Victoria, BC, Canada.

The relative contribution of cutaneous sensory feedback to interlimb strength transfer remains unexplored. Therefore, this study aimed to determine the relative contribution of cutaneous afferent pathways as a substrate for cross-education by directly assessing how "enhanced" cutaneous stimulation alters ipsilateral and contralateral strength gains in the forearm. Twenty-seven right-handed participants were randomly assigned to 1-of-3 training groups and completed 6 sets of 8 repetitions 3x/week for 5 weeks. Read More

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Long-Term Complications of Osteocutaneous Free Flaps in Head and Neck Reconstruction.

Otolaryngol Head Neck Surg 2020 May 24;162(5):641-648. Epub 2020 Mar 24.

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

Objective: To determine the frequency at which patients with osteocutaneous free flap reconstruction of the head and neck develop long-term complications and identify predisposing perioperative factors.

Study Design: A prospectively maintained database of free flaps performed at a single institution over a 10-year period was queried.

Setting: Single tertiary care referral center. Read More

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A decade of reconstructive surgery: outcome and perspectives of free tissue transfer in the head and neck. Experience of a single center institution.

Oral Maxillofac Surg 2020 Jun 20;24(2):173-179. Epub 2020 Mar 20.

Department of Cranio- and Maxillofacial Surgery, Hospital of the University of Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.

Purpose: Free flaps have become the standard option in reconstructive surgery of the head and neck. Even though many authors have outlined the reliability of free transplants, there is an ongoing discussion about treatment options for patients bearing particular risks as previous irradiation treatment. In this analysis, we aim to address these patients with particular risk profiles by comparing different flap entity outcome parameters. Read More

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Submental island flap vs free tissue transfer in oral cavity reconstruction: Systematic review and meta-analysis.

Head Neck 2020 08 24;42(8):2155-2164. Epub 2020 Feb 24.

Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York.

Background: The submental island flap (SMIF) is frequently utilized as an alternative to free tissue transfer (FTT) in oral cavity reconstruction.

Methods: Studies directly comparing SMIF and FTT for oral cavity defects were included. Data were pooled with random-effects meta-analysis to calculate standardized mean differences and risk differences. Read More

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Tourniquet use and factors associated with hematoma formation in free tissue transfer.

Am J Otolaryngol 2020 May - Jun;41(3):102404. Epub 2020 Jan 17.

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

Purpose: Our objective was to understand which variables are associated with hematoma formation at both the donor and recipient sites in head and neck free tissue transfer and if hematoma rates are affected by tourniquet use.

Methods: Patients were identified who underwent free tissue transfer at three institutions, specifically either a radial forearm free flap (RFFF) or a fibula free flap (FFF), between 2007 and 2017. Variables including use of tourniquet, anticoagulation, treatment factors, demographics, and post-operative factors were examined to see if they influenced hematoma formation at either the free tissue donor or recipient site. Read More

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October 2020

Treatment of end-stage pharyngeal strictures after laryngectomy with fasciocutaneous microvascular reconstruction.

Oral Oncol 2020 Apr 7;103:104556. Epub 2020 Jan 7.

Department of Otolaryngology-Head and Neck Surgery, Michigan Medicine, Ann Arbor, MI, USA. Electronic address:

Pharyngeal strictures can develop after laryngectomy for larynx cancer, particularly in combination with radiation. Some patients develop intractable strictures where conservative swallowing therapy and pharyngeal dilations fail. Secondary reconstruction of these patients has not been described in the literature. Read More

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