497 results match your criteria Tissue Transfer Radial Forearm


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 Jan 6. 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
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http://dx.doi.org/10.1002/lsm.23054DOI Listing
January 2019
1 Read

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

J Plast Surg Hand Surg 2018 Nov 16:1-5. 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
November 2018

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

Ann Plast Surg 2018 Nov;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
10 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
2 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

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
2 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
2 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
2 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
7 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
3 Reads

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

Head Neck 2018 May 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
2 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
5 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
10 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
24 Reads

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
Publisher Site
http://dx.doi.org/10.1002/micr.30249DOI Listing
February 2018
17 Reads

Combined Direct and Indirect Cerebral Revascularization Using Local and Flow-Through Flaps.

J Reconstr Microsurg 2018 Feb 25;34(2):103-107. Epub 2017 Sep 25.

Division of Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

Background:  Extracranial-intracranial bypass is indicated in ischemic disease such as moyamoya, certain intracranial aneurysms, and other complex neurovascular diseases. In this article, we present our series of local and flow-through flaps for cerebral revascularization as an additional tool to provide direct and indirect revascularization and/or soft tissue coverage.

Methods:  A retrospective review of a prospectively maintained database was performed identifying nine patients. Read More

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http://dx.doi.org/10.1055/s-0037-1606552DOI Listing
February 2018
2 Reads

Conical Modification of Forearm Free Flaps for Single-Stage Reconstruction After Total Orbital Exenteration.

J Craniofac Surg 2017 Nov;28(8):e767-e769

Division of Plastic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.

Background: Orbital exenteration is a significant reconstructive challenge for plastic surgeons. Options described for these defects range from healing by secondary intention to free tissue transfer. The authors present our preferred reconstruction of orbital defects with free forearm-based flaps, which provides quality soft tissue and orbital contouring in 1 stage to consistently allow placement of bone-anchored implants for eventual orbital prosthesis. Read More

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http://dx.doi.org/10.1097/SCS.0000000000003944DOI Listing
November 2017
2 Reads

Venous Complications in One Versus Two Vein Anastomoses in Head and Neck Free Flaps.

Ann Otol Rhinol Laryngol 2017 Oct 1;126(10):722-726. Epub 2017 Sep 1.

3 Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa, USA.

Objective: The purpose of this study was to compare rates of reexploration and flap failure in patients with 1- and 2-vein anastomoses in free flap reconstructions.

Methods: Retrospective chart review of 300 patients undergoing free flap reconstruction to head and neck defects from 2010 to 2014.

Results: One venous anastomosis was performed in 229 patients, and 2 venous anastomoses were performed in 71 patients. Read More

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http://dx.doi.org/10.1177/0003489417728089DOI Listing
October 2017
2 Reads

Functional outcomes and quality of life after total laryngectomy with noncircumferential radial forearm free tissue transfer.

Head Neck 2017 11 24;39(11):2319-2328. Epub 2017 Aug 24.

Portland VA Medical Center, Portland, Oregon.

Background: The purpose of this study was to compare long-term functional and quality of life (QOL) outcomes after total laryngectomy with primary closure and those who underwent reconstruction with noncircumferential radial free forearm tissue transfer (RFFTT).

Methods: Sixty-seven patients were identified by chart review and underwent long-term follow-up using QOL surveys and standardized interviews.

Results: The RFFTT group had significantly higher rates of chemotherapy, gastric tube (G-tube) at surgery, and postoperative stricture. Read More

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http://dx.doi.org/10.1002/hed.24902DOI Listing
November 2017
4 Reads

Osteocutaneous radial forearm free flap in nonmandible head and neck reconstruction.

Head Neck 2017 09 4;39(9):1888-1893. Epub 2017 Jul 4.

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

Background: The osteocutaneous radial forearm free flap (RFFF) is a versatile flap primarily used to reconstruct composite defects involving the mandible. The purpose of this study was to describe our experience with this flap for nonmandible reconstruction.

Methods: All patients undergoing nonmandible osseous reconstruction with free-tissue transfer were reviewed. Read More

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http://dx.doi.org/10.1002/hed.24863DOI Listing
September 2017
10 Reads
2.641 Impact Factor

New aspects in free flap surgery: Mini-perforator flaps and extracorporeal flap perfusion.

Authors:
K-D Wolff

J Stomatol Oral Maxillofac Surg 2017 Sep 19;118(4):238-241. Epub 2017 Jun 19.

Department of oral and maxillofacial surgery, technical university Munich, Klinikum Rechts der Isar, Ismaninger Street 22, 81675 München, Germany. Electronic address:

Background: The scope of microvascular tissue transfer in the Head and Neck reaches from coverage of simple soft tissue defects to complex 3-D reconstructions using multiple or chimeric flaps. This paper summarises the presentation given at the Congress of the French Society of Oral and Maxillofacial Surgery in Marseille 2017. It was the aim of our work to add further elements to this wide spectrum of reconstructive possibilities. Read More

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http://dx.doi.org/10.1016/j.jormas.2017.06.004DOI Listing
September 2017
2 Reads

Current Concepts in Radial Club Hand.

Open Orthop J 2017 28;11:369-377. Epub 2017 Apr 28.

Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Isehara, Kanagawa, Japan.

Radial club hand is a complex congenital abnormality of the radial or pre-axial border of the upper extremity. It has a wide range of phenotypes from hypoplasia of the thumb to complete absence of the radius and the first ray. Centralization with tendon transfer is a popular method for maintaining the correct position of radial club hand. Read More

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http://dx.doi.org/10.2174/1874325001711010369DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5447903PMC

Free tissue transfer for necrotizing fasciitis reconstruction: A case series.

Burns 2017 Nov 20;43(7):1561-1566. Epub 2017 May 20.

Manitoba Firefighters' Burn Unit, Health Sciences Centre, Winnipeg, Manitoba, Canada; Section of Plastic Surgery, Department of Surgery, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada; Section of General Surgery, Department of Surgery, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address:

Background: Necrotizing fasciitis (NF) is a life-threatening infection requiring extensive debridement that may necessitate amputation. Free tissue transfer (FTT) is an option for reconstruction in difficult cases. Currently, only case reports have described FTT in the setting of NF, and comprehensive evidence on flap outcomes is lacking. Read More

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http://dx.doi.org/10.1016/j.burns.2017.04.007DOI Listing
November 2017
23 Reads

Salvage of postcranioplasty implant exposure using free tissue transfer.

Head Neck 2017 08 17;39(8):1655-1661. Epub 2017 May 17.

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

Background: Refractory implant exposure is frustrating after cranioplasty. The purpose of this study was for the authors to present their experience with free tissue transfer for salvage of postcranioplasty implant exposure.

Methods: A retrospective medical chart review was conducted on all free tissue transfers performed for exposed implant coverage after cranioplasty between January 2004 and February 2016. Read More

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http://dx.doi.org/10.1002/hed.24813DOI Listing
August 2017
25 Reads

Microvascular Tissue Transfers for Midfacial and Anterior Cranial Base Reconstruction.

J Craniofac Surg 2017 May;28(3):659-663

Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Reconstruction of a midfacial defect can represent a difficult challenge for the plastic surgeon. Although many midfacial deformities have traumatic or congenital origins, the vast majority of head and neck defects occur after resection of malignant head and neck neoplasms. Autogenous reconstruction is now routinely performed for larger, complex defects resulting from surgical resection or trauma. Read More

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http://dx.doi.org/10.1097/SCS.0000000000003448DOI Listing
May 2017
11 Reads

Reverse Radial Forearm Flap to Provide Arterial Inflow to a Toe Transfer.

Hand (N Y) 2017 03 7;12(2):154-161. Epub 2016 Jul 7.

University of California Irvine Health, Orange, USA.

Toe-to-thumb transfer has become the gold standard for thumb reconstruction, but in badly mutilated hands, additional soft tissue coverage may be required or a suitable recipient artery may not be available. There are only 3 case reports describing the successful use of a reverse radial forearm flap for coverage of a soft tissue defect around the thumb as well as providing arterial inflow for a toe transfer, performed either simultaneously or secondarily. A single surgeon's experience of all toe-to-hand transfers performed in conjunction with a reverse radial forearm flap between 1995 and 2014 was reviewed, including patient demographics, type of toe transfer and vascular pedicle, whether immediate or secondary, follow-up, and complications. Read More

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http://dx.doi.org/10.1177/1558944716643081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349406PMC
March 2017
5 Reads

Effect of Overlapping Operations on Outcomes in Microvascular Reconstructions of the Head and Neck.

Otolaryngol Head Neck Surg 2017 04 21;156(4):627-635. Epub 2017 Mar 21.

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

Objective To compare outcomes after microvascular reconstructions of head and neck defects between overlapping and nonoverlapping operations. Study Design Retrospective cohort study. Setting Tertiary care center. Read More

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http://dx.doi.org/10.1177/0194599817691746DOI Listing
April 2017
8 Reads

Locoregional control of tongue base adenoid cystic carcinoma with primary resection and radial forearm free flap reconstruction.

Ear Nose Throat J 2017 Jan;96(1):37-40

Department of Otolaryngology, Lahey Clinic, Boston, MA, USA.

Adenoid cystic carcinoma of the minor salivary glands can be challenging and marked by high rates of local recurrence despite appropriate surgical resection. Management of this pathology in the base of the tongue is particularly difficult given the poor functional outcomes traditionally associated with an aggressive surgical approach. This article presents a case series of patients who underwent up-front surgical resection followed by free tissue transfer reconstruction. Read More

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January 2017
8 Reads

Characteristics and surgical management of flap compromise caused by thrombosis of the internal jugular vein.

J Craniomaxillofac Surg 2017 Feb 18;45(2):347-351. Epub 2016 Dec 18.

Department of Oral and Maxillofacial-Head and Neck Oncology, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China. Electronic address:

Background: A principal reason for flap compromise in oral and maxillofacial head and neck surgery, and failure of a free flap transfer, is thrombosis of a drainage vein such as the internal jugular vein. This study characterized flap compromise caused by internal jugular vein thrombosis after a free flap transfer, and its management.

Patients And Methods: A retrospective clinical study was conducted of 306 consecutive microvascular free flaps performed for 305 patients with head and neck cancer from March 2003 to March 2013 at the Department of Oral and Maxillofacial Surgery at Beijing Stomatological Hospital, Capital Medical University. Read More

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http://dx.doi.org/10.1016/j.jcms.2016.12.012DOI Listing
February 2017
3 Reads

Endoscopic Adipofascial Radial Forearm Flap Reconstruction of a Clival Defect.

Authors:
Trevor G Hackman

Plast Reconstr Surg Glob Open 2016 Nov 23;4(11):e1109. Epub 2016 Nov 23.

Department of Otolaryngology/Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, N.C.

Skull base surgical defects present unique challenges to anatomic and functional reconstruction. Fortunately, many endonasal skull base defects are successfully managed with a variety of local and regional reconstructive techniques. However, when prior surgery or radiotherapy eliminates the use of these local and regional reconstructive options, more elaborate free tissue transfer techniques are required. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5142483PMC
November 2016

Concurrent carpal tunnel syndrome and pronator syndrome: A retrospective study of 21 cases.

Orthop Traumatol Surg Res 2017 02 25;103(1):101-103. Epub 2016 Nov 25.

Department of Orthopedic Surgery, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan. Electronic address:

Purpose: Concurrent carpal tunnel syndrome and pronator syndrome are rarely considered and the proximal compression sites are easily overlooked. We retrospectively studied 21 concurrent cases in our series from 2009 to 2015 and report the results.

Patients And Methods: The typical symptoms were pain, tingling, and numbness of the radial 3½ digits. Read More

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http://dx.doi.org/10.1016/j.otsr.2016.10.009DOI Listing
February 2017
6 Reads

Free thyroid transfer: Short-term results of a novel procedure to prevent post-radiation hypothyroidism.

Head Neck 2017 06 15;39(6):1234-1238. Epub 2016 Nov 15.

Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.

Background: The incidence of radiation-induced hypothyroidism (RIH) in patients with head and neck cancer is >50%. The purpose of this study was to assess the long-term efficacy of free thyroid transfer (FTT) for prevention of RIH in patients with head and neck cancer.

Methods: Hemithyroid dissection was completed in 10 patients with advanced head and neck cancer undergoing ablation, radial forearm free flap (RFFF) reconstruction, and postoperative radiotherapy (RT). Read More

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http://doi.wiley.com/10.1002/hed.24590
Publisher Site
http://dx.doi.org/10.1002/hed.24590DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484331PMC
June 2017
9 Reads

Reconstruction Outcomes Following Lateral Skull Base Resection.

Otol Neurotol 2017 02;38(2):264-271

*Department of Otolaryngology-Head and Neck Surgery, Roy J. and Lucille A. Carver College of Medicine, The University of Iowa, Iowa City, Iowa †Current addresses: Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina ‡Department of Surgery/Division of Otolaryngology, School of Medicine and Public Health, The University of Wisconsin-Madison, Madison, Wisconsin.

Objective: Compare reconstruction outcomes for various lateral skull base closure techniques.

Study Design: Retrospective medical records review.

Setting: University-based tertiary referral center. Read More

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http://dx.doi.org/10.1097/MAO.0000000000001279DOI Listing
February 2017
8 Reads

Postoperative Physical Therapy Management of Tendon Transfer for Digital/Wrist Extension Due to Multifocal Motor Neuropathy.

Authors:
Steve Volpe

J Orthop Sports Phys Ther 2016 Dec 30;46(12):1071-1079. Epub 2016 Oct 30.

Study Design Case report. Background Multifocal motor neuropathy is a progressive motor nerve disorder characterized by muscle weakness in the extremities. Muscle imbalance and weakness can become so severe that the involved extremity can be rendered nonfunctional. Read More

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http://dx.doi.org/10.2519/jospt.2016.6707DOI Listing
December 2016
1 Read

Secondary free-flap reconstruction following ablation for acute invasive fungal sinusitis.

Laryngoscope 2017 04 12;127(4):815-819. Epub 2016 Oct 12.

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

Objective: Acute invasive fungal sinusitis (AIFS) is a frequently fatal infection for which extensive and debilitating surgical debridement is a mainstay of therapy. Resulting defects are often composite in nature, mandating free tissue-transfer reconstruction. Outcomes data for free flap reconstruction are limited. Read More

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http://dx.doi.org/10.1002/lary.26298DOI Listing
April 2017
6 Reads
2.032 Impact Factor

Free flap rescue using an extracorporeal perfusion device.

J Craniomaxillofac Surg 2016 Dec 23;44(12):1889-1895. Epub 2016 Sep 23.

Department of Oral and Maxillofacial Surgery, Technische Universität München, Klinikum rechts der Isar, Munich, 81675, Germany. Electronic address:

The warm ischaemia time of microvascular free flaps is limited. Incalculable events, such as lack of adequate recipient vessels or intraoperative medical emergencies, can lead to prolonged ischaemia and potentially to flap loss. In this study, critically perfused ischaemic or congested flaps were temporarily perfused with an extracorporeal perfusion system until anastomosis could be commenced. Read More

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http://dx.doi.org/10.1016/j.jcms.2016.09.010DOI Listing
December 2016
1 Read

Osseocutaneous radial forearm flap with beavertail modification; a case report of a novel, single, reconstructive free flap for the tongue, floor of mouth and mandible.

Int J Surg Case Rep 2016 12;28:270-273. Epub 2016 Oct 12.

The Royal Marsden Hospital, Fulham Rd, London SW3 6JJ, United Kingdom. Electronic address:

Introduction: Complex hard and soft tissue defects produced as a result of ablative resection of head and neck malignancy can represent a reconstructive challenge, especially when patients are medically compromised.

Presentation Of Case: We present the case of 72-year-old women presenting with an oral squamous cell carcinoma of the right floor of mouth invading the right mandible. Surgical management of the disease required ablative surgery with complex free tissue transfer reconstruction to provide restoration of form and function. Read More

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http://dx.doi.org/10.1016/j.ijscr.2016.10.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5067296PMC
October 2016

[An original "double-arched" radial forearm flap for soft palate reconstruction. Case report].

Ann Chir Plast Esthet 2016 Dec 21;61(6):892-895. Epub 2016 Sep 21.

EA 4268, IFR 133, Inserm I4S, pôle innovation et technique chirurgicale, CHU Jean-Minjoz, université de Franche-Comté, 25030 Besançon, France; Service de chirurgie ORL, CHU Jean-Minjoz, boulevard Fleming, 25030 Besançon, France.

Introduction: Reconstruction of the soft palate after oncologic resection remains a surgical challenge. Speech and swallowing problems are the consequences of velopharyngeal incompetence following soft palate resection. Free tissue transfer like radial forearm flaps can be used in larger defects for complex reconstruction. Read More

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http://dx.doi.org/10.1016/j.anplas.2016.08.007DOI Listing
December 2016
2 Reads

Effects of Tissue Component Volumes on Vascular Resistance in Free Flaps.

J Reconstr Microsurg 2017 Jan 5;33(1):32-39. Epub 2016 Sep 5.

Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

 A successful free flap transfer is achieved, in part, by having a thorough understanding of vascular anatomy and blood flow dynamics. We previously reported that vascular resistance differs by type of free flap. To test the hypothesis that the difference reflects the proportion of tissue components within free flaps, we calculated blood flow and vascular resistance for free flaps in which we determined the volume of each tissue component. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588004
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http://dx.doi.org/10.1055/s-0036-1588004DOI Listing
January 2017
14 Reads

Peroneal perforator-based peroneus longus tendon and sural neurofasciocutaneous composite flap transfer for a large soft-tissue defect of the forearm: A case report.

Microsurgery 2018 Jan 4;38(1):85-88. Epub 2016 Sep 4.

Division of Plastic and Reconstructive Surgery, National Nagasaki Medical Center, Nagasaki, 856-8562, Japan.

We describe the use of a composite flap composed of a sural neurofasciocutaneous flap and a vascularized peroneus longus tendon for the reconstruction of severe composite forearm tissue defects in a patient. A 43-year-old man had his left arm caught in a conveyor belt resulting in a large soft-tissue defect of 18 × 11 cm over the dorsum forearm. The extensor carpi radialis, superficial radial nerve, and radial artery were severely damaged. Read More

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http://dx.doi.org/10.1002/micr.30104DOI Listing
January 2018

Free Flap Elevation Times in Head and Neck Reconstruction Using the Harmonic Scalpel Shears.

Plast Reconstr Surg Glob Open 2016 May 25;4(5):e718. Epub 2016 May 25.

Division of Plastic and Reconstructive Surgery and Otolaryngology-Head & Neck Surgery, University of Alberta, Edmonton, Alberta, Canada.

Free tissue transfer has become the mainstay of head and neck cancer (HNC) reconstructive surgery. The objective of the study is to examine the efficacy of the Harmonic Scalpel (HS) Shears on free flap elevation time and complication rates after HNC reconstruction compared with traditional electrocautery. A retrospective review of 215 HNC patients undergoing surgical ablation and free flap reconstruction from January 2010 to April 2013 at the University of Alberta Hospital was undertaken. Read More

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http://dx.doi.org/10.1097/GOX.0000000000000740DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4995721PMC
May 2016
8 Reads

Free Thyroid Transfer: A Novel Procedure to Prevent Radiation-induced Hypothyroidism.

Int J Radiat Oncol Biol Phys 2016 09 16;96(1):42-5. Epub 2016 Apr 16.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.

Purpose: The incidence of hypothyroidism after radiation therapy for head and neck cancer (HNC) has been found to be ≤53%. Medical treatment of hypothyroidism can be costly and difficult to titrate. The aim of the present study was to assess the feasibility of free thyroid transfer as a strategy for the prevention of radiation-induced damage to the thyroid gland during radiation therapy for HNC. Read More

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http://dx.doi.org/10.1016/j.ijrobp.2016.04.004DOI Listing
September 2016
4 Reads

Short-stay hospital admission after free tissue transfer for head and neck reconstruction.

Laryngoscope 2016 12 26;126(12):2679-2683. Epub 2016 Jul 26.

Head and Neck Institute, Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic, Cleveland, Ohio, U.S.A.

Objectives/hypothesis: To show that, for patients with few medical comorbidities and at low risk for airway compromise or fistula formation, early discharge after free tissue transfer for head and neck reconstruction is a safe and viable option.

Study Design: Retrospective chart review.

Methods: A cohort of patients who underwent free tissue transfer for head and neck reconstruction between February 2010 and December 2014 and who were discharged from the hospital by postoperative day 3 were reviewed. Read More

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http://dx.doi.org/10.1002/lary.26047DOI Listing
December 2016
1 Read

Defining the Indications of Pedicled Groin and Abdominal Flaps in Hand Reconstruction in the Current Microsurgery Era.

J Hand Surg Am 2016 Sep 19;41(9):917-27. Epub 2016 Jul 19.

Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia.

Three decades ago, pedicled flaps from the groin and abdomen were the workhorses in hand and forearm reconstruction. These pedicled flaps have several disadvantages including patient discomfort, stiffness, the need for flap division, and the inability to elevate the hand after acute trauma. Hence it is not surprising that free flap reconstruction has become the method of choice in coverage of complex hand and forearm defects. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023163023
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http://dx.doi.org/10.1016/j.jhsa.2016.06.006DOI Listing
September 2016
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Immediate pedicled gracilis flap in radial forearm flap phalloplasty for transgender male patients to reduce urinary fistula.

J Plast Reconstr Aesthet Surg 2016 Nov 2;69(11):1551-1557. Epub 2016 Jun 2.

China Medical University Hospital, Department of Plastic Surgery, North District, Taichung City 404, Taiwan.

Background And Aim: Radial forearm phalloplasty is accompanied by high rates of fistula formation. We examined the effect of placing a pedicled gracilis myofascial flap around the urethral anastomosis at the time of radial forearm flap transfer on the development of postoperative urethrocutaneous fistula.

Methods: Fifteen patients underwent phalloplasty with urethroplasty between June 2012 and October 2015, and they met the inclusion and exclusion criteria for the study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815163008
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http://dx.doi.org/10.1016/j.bjps.2016.05.011DOI Listing
November 2016
30 Reads

Microsurgical Reconstruction of Plantar Ulcers of the Insensate Foot.

Authors:
Dinesh Kadam

J Reconstr Microsurg 2016 Jun 24;32(5):402-10. Epub 2016 Feb 24.

Department of Plastic and Reconstructive Surgery, A.J. Institute of Medical Sciences and A.J. Hospital & Research Centre, Mangalore, Karnataka, India.

Background Plantar, neuropathic, or trophic ulcers are often found in patients with decreased sensation in the foot. These ulcers can be complicated by infection, deformity, and increased patient morbidity. Excision results in wider defects and local tissues are often insufficient for reconstruction Methods Total 26 free flaps were used in 25 patients to reconstruct plantar ulcers between years 2007 and 2013. Read More

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http://dx.doi.org/10.1055/s-0036-1579536DOI Listing
June 2016
7 Reads

Restoration of ulnar nerve motor function by pronator quadratus motor branch: an anatomical study.

Acta Neurochir (Wien) 2016 Apr 9;158(4):755-759. Epub 2016 Feb 9.

Department of Hand Surgery, Huashan Hospital, Fudan University, No. 12 Wulumuqizhong Road, Shanghai, 200040, People's Republic of China.

Background: The traditional surgical approach to repair of brachial plexus lesions involves use of whole segment ulnar nerve graft for contralateral seventh cervical (cC7) nerve root transfer, which sabotages the possibility of ulnar nerve recovery. We assessed the anatomical feasibility of a new approach that involves preservation of the motor branch of ulnar nerve (MBUN), for a later stage repair using the recovered pronator quadratus motor branch (PQMB), subsequent to the cC7 transfer procedure.

Methods: Twenty-seven adult cadaver arms and one side of fresh adult cadaver were used in this study. Read More

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http://dx.doi.org/10.1007/s00701-016-2728-1DOI Listing
April 2016
10 Reads

Microsurgical Urethroplasty for Complex Bulbar Urethral Strictures Using the Radial Forearm Free Flap Prelaminated with Buccal Mucosa.

J Reconstr Microsurg 2016 Jun 5;32(5):378-85. Epub 2016 Feb 5.

MURAC Health, East Melbourne, Victoria, Australia.

Background Complex bulbar urethral strictures are a heterogeneous group, including those secondary to radiotherapy, failed previous open urethroplasty, and total bulbar necrosis following pelvic trauma. Traditional urethroplasty techniques in this group are unpredictable. We describe a novel technique of a buccal mucosa-prelaminated radial forearm free flap urethroplasty, which seeks to improve the quality of life for this group of patients. Read More

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http://dx.doi.org/10.1055/s-0036-1571355DOI Listing

Behavior of anastomozed vessels and transferred flaps after anastomosed site infection in head and neck microsurgical reconstruction.

Microsurgery 2016 Nov 21;36(8):658-663. Epub 2016 Jan 21.

Department of Plastic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Objective: This report evaluates the behavior of anastomosed vessels and transferred flaps after anastomosed site infection in head and neck reconstruction.

Patients And Methods: Eleven free-flap cases after infection at the vascular pedicle site were included, the patency of which was observed macroscopically after re-exploration and pus drainage. Location was in the tongue (5 cases), oropharynx (3 cases), mouth floor (1 case), mandible (1 case), and hypopharynx (1 case). Read More

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http://dx.doi.org/10.1002/micr.30025DOI Listing
November 2016
2 Reads

Head and neck reconstructive surgery: what the radiologist needs to know.

Eur Radiol 2016 Oct 20;26(10):3345-52. Epub 2016 Jan 20.

Department of Radiology, University of Michigan, Ann Arbor, MI, USA.

Unlabelled: Head and neck reconstructive surgery after cancer ablative surgery is now commonly performed with closure of the surgical defects by microvascular free tissue transfer. The most common flaps used for reconstruction are the radial forearm flap, the anterolateral thigh flap and fibula flap. Radiographic appearance of these flaps depends on the individual components of the flap, and may consist of skin, fat, muscle and/or bone. Read More

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http://dx.doi.org/10.1007/s00330-015-4184-3DOI Listing
October 2016
4 Reads