Search Our Scientific Publications & Authors

J Cardiothorac Surg 2020 May 29;15(1):120. Epub 2020 May 29.

Department of Cardiovascular Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Background: Thoracic aortic graft infection (TAGI) is a rare and serious complication after surgery for which the treatment is controversial and challenging. Rather than following the traditional surgical strategy of graft replacement and extensive debridement, we have chosen to preserve the graft and cover it by a laparoscopic omental flap. In this article, we describe the clinical manifestation, diagnostic modalities, and treatment of this disease and analyze the role of laparoscopic omental flaps in its treatment. Read More

Zhonghua Shao Shang Za Zhi 2020 May;36(5):363-369

Department of Plastic Surgery, the First Affiliated Hospital, Air Force Medical University, Xi'an 710032, China.

To explore the clinical effect of pre-expanded deltopectoral flap in the repair of faciocervical lesion and defect. From July 2004 to August 2018, 355 patients with faciocervical lesion and defect were admitted to the First Affiliated Hospital of Air Force Medical University, including 200 males and 155 females aged 4 to 48 years with major conditions including thermal burn scars, and type Ⅲ and Ⅳ facial-cervical deformities. During the stage Ⅰ skin soft tissue expander implantation surgery, according to the size and location of lesion and defect, expanders with appropriate volume were placed to expand the deltopectoral area. Read More

Facial Plast Surg 2020 Apr 15;36(2):148-157. Epub 2020 May 15.

Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.

There is considerable variation in the surgical management of patients with large facial defects after excision of skin malignancy. The surrounding facial subunits as well as local, regional, and distant soft-tissue flaps can be considered in more complicated facial defects. We place an emphasis on the versatility of adjacent tissue advancement and transposition flaps in the treatment of these defects. Read More

Cent European J Urol 2020 31;73(1):74-79. Epub 2019 Dec 31.

Department of Plastic, Reconstructive and Esthetic Surgery and Burn Unit, Centro Hospitalar de São João, Porto, Portugal.

Introduction: Fournier's gangrene is a rapidly progressive necrotizing fasciitis of the genital and perineal tissues with a high mortality rate. Early diagnosis and treatment with fluid resuscitation, surgical debridement and wide-spectrum antibiotics are essential in the management of Fournier's gangrene. After primary treatment, reconstructive surgery is often necessary for coverage of soft-tissue defects. Read More

J Craniofac Surg 2020 Mar 27. Epub 2020 Mar 27.

Department of Plastic and Reconstructive Surgery, Defne Research State Hospital, Hatay, Turkey.

Purpose/object/background: In gunshot injury (GSI), the distance, ballistic properties, and the site of injury of lead or scattering gain importance. The authors investigated alternative methods to local flap applications in large tissue losses on facial regions caused by GSI in the Syrian War at the light of our approaches and outcomes.

Materials And Methods: The study was designed as a cross-sectional retrospective clinical cohort analyze. Read More

Plast Reconstr Surg 2020 Apr;145(4):829e-838e

Rochester, Minn. From the Divisions of Plastic Surgery and General Thoracic Surgery, Department of Surgery, Mayo Clinic; and the Mayo Clinic Alix School of Medicine.

Background: Intrathoracic fistulas pose unique challenges for thoracic and reconstructive surgeons. To decrease the incidence of fistula recurrence, pedicled flaps have been suggested to buttress the repair site. The authors aimed to report their experience with muscle flap transposition for the management of intrathoracic fistulas. Read More

Oral Oncol 2020 May 24;104:104637. Epub 2020 Mar 24.

Otorhinolaryngology Unit, University Hospital AOUI Borgo Trento, Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy.

The simultaneous use of two different free flaps, harvested from distinct donor sites, has demonstrated a reasonable degree of safety and success rates in head and neck composite defects reconstruction. Unfortunately, their relatively low frequent use, together with the lack of proper statistics on their management strategies, make their indications weak of robust conclusions to better define their role in common practice. The aim of the present study was to review the literature of the last 15 years regarding simultaneous free flap transposition, presenting advantages, disadvantages, and results of this technique, with the final purpose to propose an up-to-date panorama for the use of double free flap for complex head and neck defects reconstruction. Read More

Acta Dermatovenerol Alp Pannonica Adriat 2020 Mar;29(1):27-29

Department of Dermatology, Trás-os-Montes e Alto Douro Central Hospital, Vila Real, Portugal.

As a central and prominent structure of the face, the nose has particular aesthetic and functional importance and constitutes a true reconstructive challenge. Subcutaneous transposition flaps are rarely used in this region, but the surgical technique can be modified for the use of a simple flap with good aesthetic results, thereby gaining a prominent place in the range of options available for nasal ala reconstruction. We present a unique case report of a modified subcutaneous pedicle transposition flap for nasal ala defect reconstruction, showing that this flap can be applied on this area with good aesthetic results and a simple technique. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Mar;34(3):367-372

Department of Orthopedics, the 920th Hospital of Joint Logistic Support Force of Chinese PLA, Kunming Yunnan, 650032, P.R.China.

Objective: To study the effectiveness of digital technique in repairing of heel wound with peroneal artery perforator propeller flap.

Methods: Between March 2016 and March 2019, the heel wounds of 31 patients were repaired with the peroneal artery perforator propeller flaps. There were 21 males and 10 females, with an average age of 36 years (range, 12-53 years). Read More

Ann R Coll Surg Engl 2020 Mar 11:1-2. Epub 2020 Mar 11.

Derriford Hospital, Plymouth, UK.

JPRAS Open 2019 Sep 13;21:75-85. Epub 2019 Jul 13.

Department of Burns, Plastic & Reconstructive Surgery, PGIMER & Dr. R.M.L Hospital, New Delhi 110001, India.

Background: The estimated incidence of spina bifida is 1-2 cases per 1000 population. In earlier literature, the global prevalence of meningomyelocele (MMC) is reported as 0.8-1. Read More

Curr Opin Otolaryngol Head Neck Surg 2020 Apr;28(2):129-135

Department of Oral and Maxillofacial Surgery, Queen Elizabeth Hospital, Birmingham, United Kingdom.

Purpose Of Review: The vessel-depleted neck is the ultimate challenge for the head and neck reconstructive surgeon. In patients who have had previous neck dissections or radiotherapy, the arterial and venous options for future reconstruction can be very limited, and it is important for the surgeon to consider alternative options for vessels.

Recent Findings: Appropriate preoperative planning is crucial in these patients with a thorough history including previous operation notes, details of previous treatments, and previously used vessels for reconstruction. Read More

Arch Dermatol Res 2020 Feb 14. Epub 2020 Feb 14.

Department of Dermatology, University of Minnesota, 516 Delaware St. SE, Mail Code 98, Philips-Wangensteen Building, Suite 4-420, Minneapolis, MN, 55455, USA.

Few studies exist that compare local flap repair designs either mathematically or clinically. Previous mathematical studies use a two-dimensional modeling approach, which is not suited to complex structures like the nose. To quantitatively analyze and compare flap designs for nasal repair using three-dimensional, photographic models. Read More

J Craniofac Surg 2020 Mar/Apr;31(2):436-439

Department of Otorhinolaryngology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Introduction: Traditionally, galeal flap or cranialization was often used to reconstruct the skull base defect caused by trauma or tumor removal. However, in the case of huge skull base defect, galeal flap is not enough to block the communication between nasal cavity and intracranial space. In this study, authors suggest combination flap of galea and reverse temporalis muscle as a method for reconstruction of huge skull base defect. Read More

J Coll Physicians Surg Pak 2020 Feb;30(2):197-200

Department of Thoracic Surgery, Combined Military Hospital, Kharian, Pakistan.

Objective: To determine the outcome of muscle flap to cover the bronchial stump in the resectional surgery for bronchiectasis for prevention of bronchopleural fistula.

Study Design: Case series.

Place And Duration Of Study: Combined Military Hospitals of Quetta, Lahore, and Rawalpindi from January 2006 to August 2017. Read More

Atlas Oral Maxillofac Surg Clin North Am 2020 Mar 2;28(1):17-22. Epub 2020 Jan 2.

Division of Plastic and Reconstruction Surgery, Department of Surgery, University of Nebraska Medical Center, 984125, Specialist surgery pavilion - Room 2018, Nebraska Medicine, Omaha, NE 68198-4125, USA; Division of OMFS-Head and Neck Surgery, Head and Neck Oncology and Microvascular Reconstructive Surgery, Department of Surgery, University of Nebraska Medical Center, Fred & Pamela Buffett Cancer Center, Omaha, NE, USA. Electronic address:

Plast Reconstr Surg 2020 Feb;145(2):378-389

Istanbul, Turkey From private practice.

Background: The current literature on rhinoplasty focuses mainly on the nasal profile (sagittal plane); however, the nose is a three-dimensional structure, and alignment of the nose in consideration of other aspects is important to achieve an aesthetic result. The author aimed to introduce the fix down concept, which includes fix down technique and the adjunct maneuvers for achieving alignment of the nose in three anatomical planes and improving the results of rhinoplasty in terms of symmetry.

Methods: Between March of 2017 and December of 2017, a total of 102 patients (78 women and 24 men), 13 revision and 89 primary cases, underwent septorhinoplasty with the fix down concept. Read More

Aesthet Surg J 2020 Jan 21. Epub 2020 Jan 21.

Background: Excessive concavity of the lower lateral crura can cause significant aesthetic problems for the nasal tip and can be associated with significant functional problems, such as insufficiencies in the external nasal valve.

Objectives: The author presents a novel technique for the improvement of several alar concavities that preserve the scroll area.

Methods: In this retrospective study, 51 primary rhinoplasty patients with unoperated alar concavity deformities were assessed. Read More

Dermatol Surg 2020 Jan 9. Epub 2020 Jan 9.

Department of Dermatology, Cleveland Clinic Foundation, Cleveland, Ohio.

Background: Bilobed transposition flaps are versatile random pattern flaps used in nasal and extranasal reconstruction as they preserve free margins, access distal tissue reservoirs, and reliably repair dynamic defects.

Objective: We highlight the utility of extranasal bilobed flaps to encourage surgeons to consider these flaps for Mohs micrographic surgery defects.

Methods: A two-institution retrospective chart review of patients reconstructed using an extranasal bilobed flap after Mohs micrographic surgery was performed. Read More

Indian J Cancer 2020 Jan-Mar;57(1):62-69

Department of Head and Neck Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.

Purpose: In India, head and neck cancer contributes to about 35% of all malignancies. Among head and neck squamous cell cancers, buccal mucosa and tongue are the most common subsites. Reconstruction of defects after resection of primary in these subsites with acceptable cosmetic and functional outcomes remains a challenging task. Read More

Br J Neurosurg 2019 Dec 26:1-5. Epub 2019 Dec 26.

Department of Plastic Surgery, King's College Hospital, Denmark Hill, London, UK.

Spinal surgical wound infection can lead to tissue voids between the spine and skin that can be difficult to reconstruct. Previously described techniques include myocutaneous flaps or perforator based fasciocutaneous flaps. However, these procedures can be time-consuming and surgically challenging. Read More

Ann Dermatol Venereol 2019 Dec 25;146(12):832-846. Epub 2019 Nov 25.

Service de dermatologie, Hôpital Saint-André, Centre hospitalier universitaire de Bordeaux, 1, rue Jean-Burguet, 33000 Bordeaux, France.

The practice of surgical dermatology allows the dermatologist to take overall management of patients, particularly in the domain of skin cancer. It is the dermatologist who makes a diagnosis based on his expertise and his understanding, determines the tumour edges and the surgical margins to be applied, carries out the excision and repair procedures, and performs monitoring. Such comprehensive management requires knowledge of fundamental principles that allow for repair procedures suited to specific sites. Read More

Tech Hand Up Extrem Surg 2020 Jun;24(2):102-106

Division of Plastic Surgery.

Purpose: Recent evidence demonstrates that in situ decompression has comparable outcomes to other surgical techniques for cubital tunnel syndrome. However, this technique does not address the instability of the ulnar nerve, a common indication to transpose the ulnar nerve. Transposition of the ulnar nerve can potentially devascularize the ulnar nerve, stabilizing flaps block subluxation of the ulnar nerve and thereby negate the need for transposition. Read More

Hand Clin 2020 Feb;36(1):9-18

Department of Plastic Surgery, Hand, and Reconstructive Microsurgery, Ganga Hospital, 313, Mettupalayam Road, Coimbatore 641043, Tamilnadu, India.

Soft tissue loss over the dorsum of the finger could potentially expose critical structures like extensor tendon, bone, and joint. These exposed structures often require flap coverage. Local flap is one of the available options to cover most small-sized defects on the dorsum of fingers. Read More

Hand Clin 2020 Feb;36(1):75-83

Department of Surgery, Division of Plastic Surgery, Baylor Scott and White, 2401 South 31st Street, Temple, TX 76508, USA. Electronic address:

Dorsal metacarpal artery flaps have evolved with our knowledge of vascular anatomy of the hand. Since the description of the first transposition flap likely based on the first dorsal metacarpal artery in the 1950s until today, the indications and modifications of these flaps have greatly expanded. Reverse flow flaps have allowed coverage of the dorsum of each digit with vascularized tissue with minimal donor site morbidity and harvest of veins, bone, and tendon with them. Read More

Surg Oncol 2020 Mar 25;32:49-56. Epub 2019 Oct 25.

Department of Maxillofacial Surgery, University Federico II, Via Pansini 9, 80100, Naples, Italy.

Reconstruction of scalp defects can be performed with local flaps for medium to large defects (2-25 cm) and microvascular free flaps for extensive full-thickness scalp reconstruction greater than 25 cm. Doppler flowmetry with its ability to exactly mark the course of arteries on the overlying skin, is a useful tool for the surgical planning of large local flaps. In our retrospective study conducted on 38 patients (all patients had malignancies or post-traumatic scalp defects), consisting of 39 total surgical procedures, we studied the impact of doppler ultrasonic flowmetry in the surgical planning for pedicled flaps in extensive full-thickness scalp reconstruction (>25 cm) by evaluating overall flap survival rate. Read More

Medicine (Baltimore) 2019 Nov;98(46):e18021

Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, South Korea.

Background: Local flap surgery is commonly performed to cover defects with appropriate skin color and texture match. The purpose of this study was to present an algorithm for choosing an appropriate flap when reconstructing a midface defect using a local flap.

Methods: Between February 2013 and February 2019, 38 patients with midface defects underwent local flap surgery. Read More

J Craniofac Surg 2020 Jan/Feb;31(1):257-260

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

Excisions of scalp nevus sebaceous (NS) presents a unique challenge due to limited soft tissue laxity, hair-bearing skin, and convex surfaces which often leave the surgeon and patient underwhelmed with the reconstructive outcome. In this study, the authors conducted an institutional review board-approved retrospective review of patients who underwent excision of pathologically proven scalp primary NS from 2003 to 2017 at our institution to better define the reconstructive outcomes and options for treatment of pediatric scalp NS. 92 patients were included in the study, 54 males (58. Read More

Injury 2019 Dec 25;50 Suppl 5:S95-S98. Epub 2019 Oct 25.

Department of Plastic Surgery and Reconstructive Microsurgery, University of Medicine Iuliu Hatieganu, Cluj Napoca, Romania; Clinic of Plastic Surgery and Reconstructive Microsurgery, Clinical Hospital of Recovery, Str. Viilor 46-50, 400347 Cluj Napoca, Romania. Electronic address:

Aim: The aim of this paper is to demonstrate the advantages of using local resources in the coverage of such defects. Our approach in fingers' defects is the use of local perforator flaps, both as propeller flaps or bi-lobed pedicled flaps.

Patients And Methods: After performing an anatomical study on cadaver segments injected with latex followed by transparentation, 81 local perforator flaps in 80 patients during a period of 10 years (2007-2016), i. Read More

Ann Plast Surg 2019 12;83(6):e50-e54

Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Korea.

Introduction: The lateral malleolar region is a prominent anatomic structure vulnerable to repetitive trauma and ulcer formation. The abductor digiti minimi (ADM) muscle flap offers a promising treatment option for the reconstruction of small- to moderate-sized defects that have exposed bone, joint, or tendons in the lateral malleolar area.

Methods: Between 2013 and 2016, 8 patients with foot ulcers were reconstructed with ADM muscle flap. Read More

BMC Urol 2019 Oct 29;19(1):104. Epub 2019 Oct 29.

Department of Urology, Shanghai 9th People's Hospital, Shanghai JiaoTong University School of Medicine, NO.369, ZhiZaoJu Road, HuangPu District, Shanghai, 200011, China.

Background: Male genital skin loss is a common disease in urology. However, male genital skin loss accompanying a penile urethra defect is rarely reported. Herein, we describe a novel surgical technique using a composite local flap and oral mucosal graft to reconstruct the penis, which may provide a new solution for patients with similar conditions. Read More

Ann Plast Surg 2020 May;84(5):580-587

From the Department of Orthopedic Surgery, Yangpu Hospital, School of Medicine, Tongji University, Shanghai, People's Republic of China.

Backgrounds: Distally based perforator propeller flap from the lower leg region is a versatile local reconstructive technique for the foot and ankle defects. However, flap venous congestion remains a tough nut to crack. We hypothesize that raising an adipofascial flap with turnover mode of transposition can improve venous drainage and enhance flap safety. Read More

Facial Plast Surg Clin North Am 2019 Nov;27(4):571-579

The Center for Dermatology Care, 267 West Hillcrest Drive, Thousand Oaks, CA 91360, USA; Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.

To avoid complications or bad results following reconstruction of skin cancer defects, there are several factors that can be incorporated into the design and execution of repairs. These techniques not only decrease the need to correct bad results, they improve the final aesthetic and functional outcome. So although one surgeon might focus on standard corrective treatments, another might use elements of flap design and implementation that will decrease the need for such corrective procedures. Read More

Laryngorhinootologie 2019 Sep 9;98(9):608-611. Epub 2019 Sep 9.

Klinik und Poliklinik für Dermatologie und Allergologie, Hauttumorzentrum, Abteilung für Dermatochirurgie, Technische Universität München.

Classic transposition flaps (TF) consist of a single random pattern lobe, which is elevated (rotated) over an area of normal skin to reach the primary defect. Frequently mentioned modifications are the rhombic flaps according to Limberg and Dufourmentel as well as the unilateral multi lobed ("bilobed" and "trilobed") flaps 1, 2, 3, 4, 5, 6. The contralateral double TF presented here is a modification rarely mentioned in the literature 4. Read More

Plast Reconstr Surg 2019 09;144(3):528e-530e

Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center, New York, N.Y.

J Craniofac Surg 2020 Jan/Feb;31(1):e1-e4

Department of Otorhinolaryngology Head & Neck Surgery, Ain Shams University, Egypt.

The authors present a modified technique of temporalis muscle transposition technique in cases of longstanding facial paralysis. Slips of the temporalis fascia were passed through the tunnels to reach the contralateral para-median plane. The procedure provides 2 point of fixation to the transferred muscle. Read More

J Craniomaxillofac Surg 2019 Oct 19;47(10):1557-1562. Epub 2019 Jul 19.

Department of Neonatology and Pedriatic Intensive Care, Martin-Luther-University Halle-Wittenberg, (Head: PD Dr R. Haase), Ernst-Grube-Straße 40, 06120 Halle, Germany.

Objectives: This study describes a modified method for secondary correction of whistling deformities in patients with unilateral and bilateral cleft lip/palate (CL/P), using a horizontal double transposition vermilion flap, including parts of the orbicularis oris muscle. The pre- and postoperative results were objectively evaluated.

Study Design: 34 patients with a whistling deformity who underwent secondary reconstruction between 07/2013 and 11/2018 were included in this study (mean age 20. Read More

Chirurg 2019 Sep;90(9):722-730

Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsmedizin der Johannes-Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland.

Background: Esophagotracheal and esophagobronchial fistulas are pathological communications between the airway system and the digestive tract, which often lead to major pulmonary complications with a high mortality. Endoscopic treatment is the primary therapeutic approach; however, in cases of failure early surgical treatment is obligatory.

Methods: This article describes the clinical course of patients with esophagotracheal and esophagobronchial fistulas treated in this hospital over a period of 10 years. Read More

Khirurgiia (Mosk) 2019 (7):5-9

Vishnevskiy Institute of Surgery of Ministry of Health of Russia, Moscow, Russia.

Objective: To present our experience in the treatment of patients with bronchopleural fistula and chronic non-specific pleural empyema after pneumonectomy.

Material And Methods: There were 25 patients with chronic pleural empyema following bronchopleural fistula after pneumonectomy. All patients were examined in standard fashion and divided into two groups depending on length of bronchial stump: more or equal to 20 mm and less than 20 mm. Read More

Dermatol Surg 2020 01;46(1):9-19

All authors are affiliated with the Department of Dermatology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.

Background: The large number of transposition flap geometries available for cutaneous reconstruction often makes the design of these flaps difficult for less experienced dermatologic surgeons.

Objective: To present a conceptual approach to designing transposition flaps based on 2 elementary angles.

Materials And Methods: First, a simplified framework for designing transposition flaps is presented, based on: (1) the takeoff point of the flap, (2) the angle between the primary limb and the primary defect (Angle A), and (3) the angle between the secondary limb and the primary limb (Angle B). Read More

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2019 May;44(5):562-570

Department of Plastic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.

Objective: To discuss clinical practice, efficacy and surgical techniques for ear reconstruction with Medpor.
 Methods: Medpor ear reconstructions were used to treat 19 microtia in 17 patients (including 2 bilateral patients) in Xiangya Hospital, Central South University from January 2011 to December 2015. Reconstructions included 2 patients with one-stage ear reconstruction with temporoparietal fascial flap, 2 patients with one-stage operation implanting Medpor directly into skin pocket, and 13 patients with two-stage ear reconstruction. Read More

Ann Chir Plast Esthet 2019 Nov 8;64(5-6):540-551. Epub 2019 Jul 8.

Clinique des nations unies, rue Abou Derr, Agdal, Rabat, Maroc. Electronic address:

The unfavorable results in scalp defects treatment are represented essentially by: local flap necrosis; cicatricial alopecia - calvarial contour defects; wide and poorly positioned scalp's scars. The secondary surgeries dealing with the new scalp defect (necrosis or alopecia) include: readvancement of prior flaps-raising a new local flap-tissu expansion - skin grafts - free flaps, bringing skin, muscle or vascularized bone. Their indications depend on the size of this defect, the presence of pericranium, the vascular condition of the scalp and the general condition of the patient. Read More

JAMA Facial Plast Surg 2019 09;21(5):463-464

TOC Eye and Face, Austin, Texas.

JAMA Facial Plast Surg 2019 09;21(5):464-465

Department of Dermatology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.

J Cardiothorac Surg 2019 Jun 10;14(1):103. Epub 2019 Jun 10.

Surgery IV Discipline, M5 Department, University of Medicine and Pharmacy from Tirgu-Mures, 540091 Bujorului 2A, Tirgu-Mures, Romania.

Background: The intrathoracic transposition of the omentum (ITO) has been reported with more or less good results in various clinical circumstances but with no clear guidelines or indications.

Methodology And Review: This article reviews the main clinical situations in which omento-plasty (OP) may be taken into consideration by the thoracic surgeons: mediastinitis and deep sternal infections after median sternotomy, reinforcement of the eso-gastric anastomosis after esophagectomy, prevention and treatment of the bronchial fistula after pulmonary resection, space-filling procedures for empyema, mediastinal tracheostomy, management of the infected intrathoracic vascular grafts / ventricular assist devices and heart OP. For each clinical situation we have performed a literature review with analysis of the most relevant published papers searching for an evidence-based approach for the use of the ITO/OP in thoracic surgery. Read More

J Plast Surg Hand Surg 2019 Aug 22;53(4):240-246. Epub 2019 May 22.

a Department of Burn and Plastic Surgery, Children's Hospital of Chongqing Medical University , Chongqing , China.

Various techniques have been performed for repairing transverse facial clefts. This study aimed to investigate an optimal method for repairing transverse facial clefts. Twenty-seven patients from 2008 to 2017 were evaluated. Read More

Eur J Dermatol 2019 Apr;29(2):240-241

Department of Dermatology, Centro Hospitalar,, Instituto de Ciências Biomédicas Abel Salazar,, Dermatology Research Unit, Centro Hospitalar Universitário do Porto, Porto, Portugal.

Acta Otorhinolaryngol Ital 2019 Feb;39(1):28-39

Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, ASST Sette Laghi, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.

Plast Reconstr Surg 2019 04;143(4):1179-1183

Chicago, Ill. From the Division of Plastic Surgery, Lurie Children's Hospital of Northwestern Feinberg School of Medicine.

Furlow palatoplasty is increasingly used both for primary palatoplasty and for secondary correction of velopharyngeal insufficiency. Although Furlow palatoplasty offers the advantage of lengthening the palate, the most tenuous component of the oral mucosal repair is anterior transposition of the oral mucosal Z-plasty flap, with superficial separation of the oral mucosa observed in up to 53 percent of cases of secondary Furlow palatoplasty. To mitigate this problem, the authors prophylactically placed pedicled buccal fat pad flaps to provide an additional vascular layer to promote healing of the overlying oral mucosal Z-plasty flap. Read More

Hand (N Y) 2019 Mar 21:1558944719837694. Epub 2019 Mar 21.

2 INTEGRIS Baptist Medical Center, Oklahoma City, Oklahoma, USA.

Background: There are several congenital hand differences that cause thumb-index (TI) web space deficiency. There is a knowledge gap in the literature about the hand differences that are associated with TI web space deficiency. We aimed to identify these congenital differences and the various specific reconstructive surgical procedures that are used for these conditions. Read More