532 results match your criteria Tissue Transfer Radial Forearm


Vasodilation by Verapamil-Nitroglycerin Solution in Microvascular Surgery.

Otolaryngol Head Neck Surg 2020 Jul 7:194599820937991. 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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http://dx.doi.org/10.1177/0194599820937991DOI Listing

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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http://dx.doi.org/10.1016/j.jpra.2020.04.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260397PMC
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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http://dx.doi.org/10.1016/j.amjoto.2020.102536DOI Listing
May 2020
1.078 Impact Factor

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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http://dx.doi.org/10.1097/SCS.0000000000006559DOI Listing

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

Laryngoscope 2020 May 15. 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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http://dx.doi.org/10.1002/lary.28713DOI Listing

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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http://dx.doi.org/10.1177/0194599820912727DOI Listing

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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http://dx.doi.org/10.1007/s10006-020-00838-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230044PMC

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

Head Neck 2020 Feb 24. 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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http://dx.doi.org/10.1002/hed.26121DOI Listing
February 2020

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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http://dx.doi.org/10.1016/j.amjoto.2020.102404DOI Listing
January 2020
1.078 Impact Factor

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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http://dx.doi.org/10.1016/j.oraloncology.2019.104556DOI Listing

Free Flap Selection and Outcomes of Soft Tissue Reconstruction Following Resection of Intra-oral Malignancy.

Front Surg 2019 20;6:53. Epub 2019 Dec 20.

Department of Plastic Surgery, Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom.

Surgery to resect intra-oral malignancy is a well-established mode of primary treatment. The tissue requirement in this area is for a thin, pliable flap with minimal bulk and this has historically been provided by free tissue transfer with a radial forearm free flap (RFFF). More recently, a role for the anterolateral thigh free flap (ALTFF) has been described, although in populations with a westernized diet, body habitus may preclude use of an ALTFF due to flap thickness, relative to a radial forearm free flap. Read More

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http://dx.doi.org/10.3389/fsurg.2019.00053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6932995PMC
December 2019

Early discharge after free-tissue transfer does not increase adverse events.

Am J Otolaryngol 2020 Mar - Apr;41(2):102374. Epub 2019 Dec 10.

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

Introduction: Demonstrate that carefully selected free flap patients may be discharged early after surgery without increasing the rates of postoperative complications or readmissions.

Methods: Based on a published article in Laryngoscope 2016 of 51 free-tissue transfers, a retrospective chart review was performed on an expanded cohort who underwent free-tissue transfer for head and neck reconstruction between February 2010 and May 2018 and discharged by postoperative day 3.

Results: 101 patients who underwent 104 free flaps with average age of 56 (3-84) years old were reviewed. Read More

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http://dx.doi.org/10.1016/j.amjoto.2019.102374DOI Listing
December 2019

In vivo perfusion of free skin flaps using extracorporeal membrane oxygenation.

J Craniomaxillofac Surg 2020 Jan 16;48(1):90-97. Epub 2019 Dec 16.

Technical University of Munich, School of Medicine, Department of Oral and Maxillofacial Surgery, Ismaninger Str. 22, Munich, 81675, Germany. Electronic address:

Background: The vessel-depleted, irradiated, and frozen neck, as well as severe atherosclerosis of recipient vessels represent challenging problems in free flap transfer. Extracorporeal free flap perfusion theoretically allows free flap reconstructions in the absence of local donor vessels, but is associated with a number of technical issues. In this study, a novel technique is presented using a commercially available system for extracorporeal membrane oxygenation (ECMO), modified for small blood volumes. Read More

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http://dx.doi.org/10.1016/j.jcms.2019.12.005DOI Listing
January 2020

Preliminary report of the use of a microvascular coupling device for arterial anastomoses in oral and maxillofacial reconstruction.

Br J Oral Maxillofac Surg 2020 Feb 16;58(2):194-198. Epub 2019 Dec 16.

Department of Oral and Maxillofacial Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250000, China. Electronic address:

Our aim was to record our preliminary use of a microvascular coupler for arterial anastomoses with free flap transfer in the reconstruction of oral and maxillofacial defects in 45 patients with defects that were repaired with anterolateral thigh, fibular, and radial forearm flaps. The microvascular coupler was used for both the venous and the arterial anastomoses. The site of the defect, type of flap, recipient artery, duration of operating time for the anastomosis, size of coupler, and survival of the flap were recorded and analysed. Read More

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http://dx.doi.org/10.1016/j.bjoms.2019.11.011DOI Listing
February 2020

Radial Forearm Free Tissue Transfer to Clival Defect.

J Neurol Surg B Skull Base 2019 Dec 31;80(Suppl 4):S380-S381. Epub 2019 Oct 31.

Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States.

 Reconstruction of craniocervical junction (CCJ) defects after endoscopic endonasal skull base surgery (ESBS) remains challenging, despite advancements in vascularized intranasal and regional flaps. Microvascular free tissue transfers have revolutionized reconstruction in open skull base surgery but have been utilized rarely in ESBS. We describe the use of a radial forearm free flap (RFFF) for reconstruction of a recalcitrant CCJ defect after resection of a clival chordoma. Read More

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http://dx.doi.org/10.1055/s-0039-1700890DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6864404PMC
December 2019

Oral recipient site infections in reconstructive surgery - impact of the graft itself and the perioperative antibiosis.

Clin Oral Investig 2020 Apr 23;24(4):1599-1605. Epub 2019 Oct 23.

Department for Oral and Craniomaxillofacial and Plastic Surgery, University of Cologne, Kerpener Strasse 62, 50931, Cologne, Germany.

Objectives: This study was designed to assess the influence of peri/post-operative antibiotic prophylaxis (POABP) and the reconstructive graft itself on recipient sites infections in head and neck surgery.

Materials And Methods: In this retrospective cohort study, 322 consecutive patients with reconstructive surgery were investigated. The primary objective was to analyze the differences of commonly applied reconstructive grafts on the occurrence of oral recipient site infections. Read More

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http://dx.doi.org/10.1007/s00784-019-03078-6DOI Listing

Reconstruction of a Chronic Volkmann Contracture following Forearm Revascularization with Burkhalter's Procedure and Fractional Flexor Tendon Lengthening after a Failed Stiles-Bunnell Transfer.

J Hand Microsurg 2019 Oct 17;11(Suppl 1):S36-S41. Epub 2019 Apr 17.

Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unity, Centro Hospitalar de São João, Porto Medical School, Porto, Portugal.

Volkmann ischemic contracture is a cause of limb dysfunction that can lead to varying amounts of limb deformity, stiffness, and paralysis. Several procedures have been used to improve limb function in these patients. An 11-year-old male patient sustained a domestic accident with a glass door, resulting in a severe soft tissue trauma to his proximal third of the right forearm with damage to flexor muscles and tendons, complete section of median and ulnar nerves, and radial and ulnar arteries. Read More

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http://dx.doi.org/10.1055/s-0039-1683457DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791807PMC
October 2019

Free flap salvage from venous thrombosis by creation of a venocutaneous fistula: Case report and review of the literature.

Head Neck 2019 12 12;41(12):E159-E162. Epub 2019 Sep 12.

Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Background: Venous congestion is the most frequently reported complication of free flap tissue transfer in head and neck patient with cancer. Numerous methods are utilized and prompt correction is necessary to prevent flap failure.

Methods: A 77-year-old woman underwent oral cavity resection and neck dissection for squamous cell carcinoma followed by radial forearm free flap for reconstruction. Read More

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http://dx.doi.org/10.1002/hed.25957DOI Listing
December 2019
3 Reads
2.641 Impact Factor

Submental Island Flap versus Free Flap Reconstruction for Complex Head and Neck Defects.

Otolaryngol Head Neck Surg 2019 12 10;161(6):946-953. Epub 2019 Sep 10.

Department of Plastic Surgery, Odense University Hospital, Odense, Denmark.

Objective: Complex soft tissue reconstruction of the head and neck requires a viable, versatile, and dependable flap. Free flaps, such as the radial forearm and anterolateral thigh flap, have been the mainstay of complex head and neck reconstruction. However, a local pedicled flap, such as the submental island flap (SIF), could be a more effective and less demanding alternative. Read More

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http://dx.doi.org/10.1177/0194599819875416DOI Listing
December 2019
3 Reads

Predictive value of the ACS NSQIP calculator for head and neck reconstruction free tissue transfer.

Laryngoscope 2020 Mar 30;130(3):679-684. Epub 2019 Jul 30.

Cleveland Clinic, Head and Neck Institute, Cleveland, Ohio, U.S.A.

Background: Predictive models to forecast the likelihood of specific outcomes after surgical intervention allow informed shared decision-making by surgeons and patients. Previous studies have suggested that existing general surgical risk calculators poorly forecast head and neck surgical outcomes. However, no large study has addressed this question while subdividing subjects by surgery performed. Read More

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http://dx.doi.org/10.1002/lary.28195DOI Listing
March 2020
7 Reads

Fluorescent indocyanine green angiography: Preliminary results in microsurgery monitoring.

J Stomatol Oral Maxillofac Surg 2019 Sep 18;120(4):297-300. Epub 2019 Jul 18.

Service de chirurgie plastique, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France. Electronic address:

Introduction: Pedicled flaps and free-tissue transfer flaps are used routinely to reconstruct hard and soft tissue defects in head and neck, limb, hand, thoracic and abdominopelvic reconstructive surgery. But failure remains a constant concern, particularly in free-tissue transfers. Usually failure is due to blood supply compromise. Read More

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http://dx.doi.org/10.1016/j.jormas.2019.07.006DOI Listing
September 2019
7 Reads

Shift in the timing of microvascular free tissue transfer failures in head and neck reconstruction.

Laryngoscope 2020 Feb 9;130(2):347-353. Epub 2019 Jul 9.

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

Objective: Analyze the cause and significance of a shift in the timing of free flap failures in head and neck reconstruction.

Study Design: Retrospective multi-institutional review of prospectively collected databases at tertiary care centers.

Methods: Included consecutive patients undergoing free flap reconstructions of head and neck defects between 2007 and 2017. Read More

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http://dx.doi.org/10.1002/lary.28177DOI Listing
February 2020
4 Reads

Incidence of inadequate perforators and salvage options for the anterior lateral thigh free flap.

Laryngoscope 2020 Feb 4;130(2):343-346. Epub 2019 Jul 4.

Oregon Health Sciences University, Portland, Oregon.

Objective: The anterolateral thigh (ALT) free flap is a soft tissue flap used in head and neck reconstruction. Occasionally, its perforators to the skin paddle are absent or too small to support the flap. Salvage options in this scenario have not been well described for head and neck reconstruction. Read More

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http://dx.doi.org/10.1002/lary.28176DOI Listing
February 2020
5 Reads

Microvascular Reconstruction of the Nose with the Radial Forearm Flap: A 17-Year Experience in 47 Patients.

Plast Reconstr Surg 2019 07;144(1):199-210

Orange and Palo Alto, Calif.; and Tucson, Ariz. From St. Joseph's Hospital and the Palo Alto Medical Foundation/Sutter Health.

Background: Microvascular reconstruction of the nose was pioneered in China in the early 1970s using the radial forearm flap. Since then, different flaps, methods, and flap designs have been used to improve outcomes. Microvascular tissue transfer has become the first step of multistage reconstruction, which includes rebuilding the nasal framework, transferring a forehead flap for external skin coverage, and sculpting the nose for improved appearance and breathing. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005777DOI Listing
July 2019
7 Reads

TYPE II HYPOPHARYNGEAL DEFECT RECONSTRUCTION - A SINGLE INSTITUTION EXPERIENCE.

Acta Clin Croat 2018 Dec;57(4):673-680

University of Zagreb, School of Medicine, Department of Otorhinolaryngology and Head and Neck Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

- There are several options for hypopharyngeal reconstruction depending on defect size. Reconstructive options include primary closure, local flaps, regional axial flaps or regional intestinal flaps, and free flap transfer with skin or intestinal free flaps. The preferred method of reconstruction should minimize early postoperative complications that prolong hospital stay and/or become life threatening, ensure early restoration of function and decrease donor site morbidity. Read More

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https://hrcak.srce.hr/index.php?show=clanak&id_clanak_je
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http://dx.doi.org/10.20471/acc.2018.57.04.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6544115PMC
December 2018
14 Reads

Comparison Of Microvascular Free Tissue Transfer In Adult And Paediatric Patients.

J Ayub Med Coll Abbottabad 2019 Apr-Jun;31(2):156-161

Department of Plastic Surgery, Shifa International Hospital, Islamabad, Pakistan.

Background: Free tissue transfer is a routine practice in adults with good success rates. Further advances in techniques and microsurgical skills have proved that free tissue transfer in paediatric population is feasible, reliable and safe.

Methods: This study is conducted to compare anastomosis duration, total general anaesthesia duration, hospital stay and outcomes of flaps (survival, partial loss, complete loss, complications) in paediatric group (age <15 years) and adult group (15-70 years age). Read More

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August 2019
7 Reads

Soft Tissue Microvascular Reconstruction of Orbital Exenteration Defects.

Semin Plast Surg 2019 May 26;33(2):125-131. Epub 2019 Apr 26.

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

The main goal of head and neck reconstruction is the restoration of form and function. Oncologic surgery makes this process more complex, as the preplanned defect can be very different from its intraoperative counterpart. This emphasizes the role of preoperative planning and a diverse reconstructive "tool box" that can accommodate a variety of complicated defects. Read More

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http://dx.doi.org/10.1055/s-0039-1685480DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6486382PMC
May 2019
6 Reads

Secondary free tissue transfer in head and neck reconstruction.

J Plast Reconstr Aesthet Surg 2019 Jul 9;72(7):1129-1134. Epub 2019 Mar 9.

Department of Plastic and Reconstructive Surgery, Charing Cross Hospital Campus, Imperial College Healthcare, Fulham Palace Road, London W6 8RF, UK.

Background: The incidence of head and neck cancer (H&N) continues to increase together with the need for reconstructive surgery. Head and Neck microsurgeons are likely to encounter challenging secondary free flap surgery on the background of failed primary flaps, radiotherapy treatment or recurrence. The aim of this study was to review our experience of treating such cases in a tertiary referral centre in the United Kingdom. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.02.015DOI Listing
July 2019
10 Reads

Free flaps for lower limb soft tissue reconstruction in children: Systematic review.

J Plast Reconstr Aesthet Surg 2019 May 1;72(5):711-728. Epub 2019 Mar 1.

Department of Plastic Surgery, Ghent University Hospital, C. Heymanslaan 10, 9000 Gent, Belgium.

Background: Since the first reports on microsurgery in children, there has been an evolution in the reconstruction of soft tissue defects as evidenced by a shift to free flaps as the first-line treatment.

Methods: The primary objective of this systematic review was to compare the complication rate of free perforator/fasciocutaneous flaps with free muscular/myocutaneous flaps in pediatric lower limb soft tissue reconstructions. The secondary objective was to evaluate the frequency and severity of complications for both reconstructive options. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815193009
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http://dx.doi.org/10.1016/j.bjps.2019.02.028DOI Listing
May 2019
11 Reads

Free Tissue Transfer Penile Reconstruction.

Semin Plast Surg 2019 Feb 8;33(1):24-29. Epub 2019 Mar 8.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.

Phalloplasty can be a challenging plastic surgery procedure associated with complications and unsatisfactory results. Phalloplasty has become an important procedure in the setting of trauma, partial or complete excision of the penis, and gender affirmation. Advances in microsurgery has expanded penile reconstruction through free tissue transfer techniques which include the radial forearm free flap, fibular osteocutaneous flap, anterolateral thigh flap, latissimus dorsi flap, scapular flap, and abdominal flaps. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1677879
Publisher Site
http://dx.doi.org/10.1055/s-0039-1677879DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408249PMC
February 2019
39 Reads

Free Tissue Transfer for Upper Extremity Reconstruction.

Semin Plast Surg 2019 Feb 8;33(1):17-23. Epub 2019 Mar 8.

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

With the advent of the Industrial Revolution, traumatic injuries of the upper extremity increased exponentially. As a result, surgeons began to reevaluate amputation as the standard of care. Following the Second World War, local and regional pedicled flaps became common forms of traumatic upper extremity reconstruction. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1677702
Publisher Site
http://dx.doi.org/10.1055/s-0039-1677702DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408247PMC
February 2019
28 Reads

Outcomes and cost implications of microvascular reconstructions of the head and neck.

Head Neck 2019 04 9;41(4):930-939. Epub 2019 Feb 9.

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

Background: Critical review of current head and neck reconstructive practices as related to free flap donor sites and their impact on clinical outcomes and cost.

Methods: Retrospective multicenter review of free tissue transfer reconstruction of head and neck defects (n = 1315). Variables reviewed: defect, indication, T classification, operative duration, and complications. Read More

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http://dx.doi.org/10.1002/hed.25424DOI Listing
April 2019
14 Reads

Microsurgical head and neck reconstruction in patients with coronary artery disease: A perioperative assessment algorithm.

Microsurgery 2019 May 15;39(4):290-296. Epub 2019 Jan 15.

Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Background: With the rising number of patients in advanced age receiving microsurgical procedures, coronary artery disease (CAD) and its challenging management is of increasing importance. Evidence based data concerning morbidity and mortality are rare. We present our experiences with this highly selected patient population and propose a preoperative assessment algorithm. Read More

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http://dx.doi.org/10.1002/micr.30429DOI Listing
May 2019
14 Reads

Eradication of hairy mouth after oncological resection of the tongue and floor mouth using a diode laser 808 nm. Postoperative pain assessment using thermal infrared imaging.

Lasers Surg Med 2019 08 6;51(6):516-521. Epub 2019 Jan 6.

Department of Morphology, Experimental Medicine and Surgery, University of Ferrara, Ferrara, Italy.

Objectives: Vascularized soft tissue flaps are often harvested from hair-bearing areas, such as the radial forearm or anterolateral thigh, making their use in oral reconstruction problematic due to postoperative hair growth. The presence of intact hair follicles in free tissue transfer and continued hair growth at the recipient site can result in difficulties with oral hygiene, intraoral irritation, food trapping, and patient distress. This study was to evaluate the intraoral efficacy and safety of a diode laser 808 nm when used for hair removal. Read More

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http://doi.wiley.com/10.1002/lsm.23054
Publisher Site
http://dx.doi.org/10.1002/lsm.23054DOI Listing
August 2019
9 Reads
2.619 Impact Factor

Aesthetic improvements of radial forearm flap donor site by autologous fat transplantation.

J Plast Surg Hand Surg 2019 Feb 16;53(1):51-55. Epub 2018 Nov 16.

a Plastic Surgery Unit , Sant'Andrea Hospital, School of Medicine and Psychology, "Sapienza" University of Rome , Rome , Italy.

Despite its reliability, radial forearm (RF) flap is still affected by high donor site morbidity with poor cosmetic and functional outcomes after coverage with skin grafts. Having fat grafting demonstrated promising and effective filling and rejuvenating properties, we considered and tested it as a valuable alternative to dermal substitutes for the aesthetic improvement of RF flap donor site. Thirty-three patients with previous RF free flap reconstruction and poor donor site outcomes after full-thickness skin grafting to RF region were evaluated for secondary fat injection to improve outcomes. Read More

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http://dx.doi.org/10.1080/2000656X.2018.1537977DOI Listing
February 2019
5 Reads

Review of the First 108 Free Flaps at Public Health Concern Trust-NEPAL Hospitals: Challenges and Opportunities in Developing Countries.

Ann Plast Surg 2018 11;81(5):565-570

Department of Anesthesiology and Critical Care, phect-NEPAL, Kirtipur Hospital, Kathmandu, Nepal.

Background: Free tissue transfer is one of the most important and essential techniques in reconstructive surgery. The underlying complexity, steep learning curve, high cost, and fear of failure make it very difficult to establish as a regular service in developing countries such as Nepal.

Methods: A retrospective cohort study design was used to analyze the challenges with and opportunities for reconstructive surgery in Nepal. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001583DOI Listing
November 2018
39 Reads

The median nerve penetrating through the radial head of the flexor digitorum superficialis muscle: Case report.

Folia Med Cracov 2018;58(1):107-111

Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, Kraków, Poland.

The forearm is a body region of numerous anatomical variations. Due to its favorable anatomy flexor digitorum superficialis muscle (FDS) is commonly used in tendon transfer surgeries. In this study a unique combination of abnormalities was found in a single forearm: the flexor digitorum superficialis muscle penetrated by the median nerve, one of the flexor digitorum superficialis tendons early division and absence of the palmaris longus muscle. Read More

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September 2019
7 Reads

Preoperative radiation and complication rates after double free flap reconstruction of head and neck cancer.

Am J Otolaryngol 2018 Sep - Oct;39(5):558-560. Epub 2018 Jun 18.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, TX, USA. Electronic address:

Introduction: In this study, we explore whether preoperative external beam radiation affects complication rates in patients that have undergone double simultaneous free tissue transfer for head and neck defects.

Study Design, Setting, Subjects And Methods: Approval was obtained from the JPS Institutional Review Board. We performed a retrospective analysis of patients who underwent double free flap reconstruction of head and neck defects between August 1997 and April 2017. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.06.015DOI Listing
January 2019
8 Reads

Comparison of Anterolateral Thigh and Radial Forearm Free Flaps in Head and Neck Reconstruction.

In Vivo 2018 Jul-Aug;32(4):893-897

Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland

Background: The radial forearm flap (RFF) and the anterolateral thigh flap (ALT) are commonly used for the reconstruction of head and neck soft-tissue defects. The aim of the study was to investigate and compare the surgical outcomes, complications and systemic condition of the patient after reconstruction of extensive head and neck defects with ALT or RFF following cancer extirpation.

Patients And Methods: Between August 2011 and November 2013, a total of 36 patients affected by head and neck cancer (31 males and five females; mean age=64. Read More

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http://dx.doi.org/10.21873/invivo.11325DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6117772PMC
October 2018
13 Reads

Shorter interval between radiation therapy and salvage laryngopharyngeal surgery increases complication rates following microvascular free tissue transfer.

Am J Otolaryngol 2018 Sep - Oct;39(5):548-552. Epub 2018 Jun 6.

Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, CA, USA. Electronic address:

Purpose: To evaluate how the interval between radiation and salvage surgery for advanced laryngeal cancer with free tissue transfer reconstruction influences complication rates.

Materials And Methods: This is a retrospective series of 26 patients who underwent salvage laryngectomy or laryngopharyngectomy with vascularized free tissue reconstruction (anterolateral thigh or radial forearm) following radiation or chemoradiation between 2012 and 2017 at a single academic center. The primary outcome was incidence of postoperative complications, including pharyngocutaneous fistula. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.06.009DOI Listing
December 2018
9 Reads

Procurement of Extended Vascularized Skin Flaps from the Donor Enables Hand Transplantation in Severe Upper Extremity Burns: An Anatomical Study.

Plast Reconstr Surg 2018 08;142(2):425-437

Cleveland, Ohio From the Plastic Surgery Department and the Orthopedic Surgery Skills Laboratory, Cleveland Clinic Foundation; and the Department of Anatomic Studies, Cleveland Clinic Lerner College of Medicine.

Background: Hand transplantation in patients with severe upper extremity burns can be associated with an increased risk of exposure of vessels, tendons, and nerves because of extensive skin and soft-tissue deficit. This study evaluated how to reliably transfer additional extended skin flaps with a standard hand allograft.

Methods: Twenty-five upper extremities were used. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004575DOI Listing
August 2018
16 Reads

Classification and Microvascular Flap Selection for Anterior Cranial Fossa Reconstruction.

J Reconstr Microsurg 2018 Oct 18;34(8):590-600. Epub 2018 May 18.

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

Background:  Microvascular reconstruction of the anterior cranial fossa (ACF) creates difficult challenges. Reconstructive goals and flap selection vary based on the defect location within the ACF. This study evaluates the feasibility and reliability of free tissue transfer for salvage reconstruction of low, middle, and high ACF defects. Read More

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http://dx.doi.org/10.1055/s-0038-1649520DOI Listing
October 2018
21 Reads

Functional and cosmetic donor site morbidity of the radial forearm-free flap: comparison of two different coverage techniques.

Eur Arch Otorhinolaryngol 2018 May 26;275(5):1219-1225. Epub 2018 Feb 26.

Clinic of Otolaryngology, Head and Neck Surgery and Department of Head Medicine and Oral Health, University Hospital Leipzig, Liebigstr. 12, 04103, Leipzig, Germany.

Background: The use of the radial forearm-free flap is a well-established and reliable reconstruction method in head and neck surgery. Usually, the defect of the donor site is covered with full or split-thickness skin grafts. Since 09/2013, a direct closure of the radial forearm donor site has been performed at the ENT University Hospital Leipzig to avoid secondary donor site morbidity. Read More

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http://dx.doi.org/10.1007/s00405-018-4908-5DOI Listing
May 2018
29 Reads

Derotational Pronation-producing Osteotomy of the Radius and Biceps Tendon Rerouting for Supination Contractures in Neonatal Brachial Plexus Palsy Patients.

Tech Hand Up Extrem Surg 2018 Mar;22(1):10-14

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.

Forearm supination contractures can occur as a result of neurological derangement of the upper extremity. Primarily, this is observed in patients with neonatal brachial plexus birth palsy. The contractures develop slowly over time and become problematic in childhood as the patients begin requiring forearm pronation for activities of daily living including typing on a keyboard and writing. Read More

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http://Insights.ovid.com/crossref?an=00130911-900000000-9983
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http://dx.doi.org/10.1097/BTH.0000000000000181DOI Listing
March 2018
9 Reads

Outcomes after free tissue transfer for composite oral cavity resections involving skin.

Head Neck 2018 05 23;40(5):973-984. Epub 2018 Jan 23.

Department of Otolaryngology - Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas.

Background: Resections involving oral cavity mucosa, bone, and skin present a unique challenge. Optimizing outcomes often requires technically demanding reconstruction. The purpose of this study is to evaluate outcomes of several reconstructive approaches for patients with composite through-and-through defects, with a focus on the osteocutaneous radial forearm free flap (RFFF). Read More

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http://dx.doi.org/10.1002/hed.25062DOI Listing
May 2018
7 Reads

Correction of "Wrist" Deformity in Radial Dysplasia: A Systematic Review and Meta-Analysis.

J Bone Joint Surg Am 2017 Dec;99(24):2120-2126

The Portland Hospital for Women and Children, London, United Kingdom.

Background: Radial dysplasia affects 1 in 6,000 to 8,000 births, classically presenting with a shortened, bowed ulna and radially deviated hand. The optimal treatment remains unclear, with several opposing approaches advocated. This review aims to clarify the long-term outcomes of nonsurgical and surgical treatment of the "wrist" deformity. Read More

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http://dx.doi.org/10.2106/JBJS.17.00164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805276PMC
December 2017
10 Reads

Use of Incisional Negative Pressure Wound Therapy in Skin-Containing Free Tissue Transfer.

J Reconstr Microsurg 2018 Mar 7;34(3):200-205. Epub 2017 Nov 7.

Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Winston Salem, North Carolina.

Background:  Negative pressure wound therapy (NPWT) was initially introduced for wound management, but its benefits have stimulated the investigation of its use in new clinical scenarios. Most recently, incisional NPWT has been shown to be a benefit. Incisional NPWT applied to skin-containing free tissue transfer has not been well defined. Read More

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http://dx.doi.org/10.1055/s-0037-1608621DOI Listing
March 2018
30 Reads

The Effect of Skin Pigmentation on Determination of Limb Ischemia.

J Hand Surg Am 2018 01 2;43(1):24-32.e1. Epub 2017 Nov 2.

Curtis National Hand Center, Baltimore, MD. Electronic address:

Purpose: Timely identification of tissue ischemia is critical, both in the traumatized limb and following free tissue transfer. The purpose of this study was to determine if skin pigmentation affects the ability to detect limb ischemia.

Methods: We conducted a study of healthy controls exposed to limb ischemia. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.09.002DOI Listing
January 2018
34 Reads

Reconstruction of Traumatic Dorsal Loss of the Thumb: Four Different Surgical Approaches.

Hand (N Y) 2019 03 17;14(2):223-229. Epub 2017 Oct 17.

1 University Hospital of Modena, Italy.

Background: This article outlines our methods for thumb reconstruction following dorsal skin loss injury located between the metacarpophalangeal joint (MPj) and the entire nail affecting skin, nail, tendon, and bone in different combinations but with intact sensate palmar skin.

Methods: Between 1990 and 2015, 24 patients were treated for dorsal thumb defects using 4 different surgical techniques. Five cases of dorsal compound traumatic loss were reconstructed by custom-made dorsal great toe transfer. Read More

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http://dx.doi.org/10.1177/1558944717736396DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436130PMC

Reconstruction of a near total ear amputation with a neurosensorial radial forearm free flap prelaminated with porous polyethylene implant and delay procedure.

Microsurgery 2018 Feb 5;38(2):203-208. Epub 2017 Oct 5.

Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unity, Centro Hospitalar de São João, University of Porto, Portugal.

When an auricular defect is caused by high-energy trauma that causes damage to the surrounding tissues, the patient may be not a candidate for reconstruction with local flaps and free tissue transfer may be necessary. Here we present a case of total auricular reconstruction in a 27 year-old man who had total loss of the left ear and traumatized temporal skin and fascia. A radial forearm flap prelaminated by a porous polyethylene implant was employed. Read More

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http://doi.wiley.com/10.1002/micr.30249
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http://dx.doi.org/10.1002/micr.30249DOI Listing
February 2018
39 Reads