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    1713 results match your criteria Transposition Flaps

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    The Transposition Flap for the Reconstruction of Lower Cutaneous Lip Defects.
    J Drugs Dermatol 2017 Apr;16(4):385-387

    The lower cutaneous lip is a highly visible and functionally sensitive unit, and numerous factors must be considered when deciding on the optimal repair for defects in this area. The transposition flap represents an excellent option in the reconstruction of larger lower cutaneous lip defects. We describe the use of random pattern transposition flaps for the repair of lower lateral cutaneous lip defects. Read More

    Chest Wall Reconstruction Without Prosthetic Material.
    Thorac Surg Clin 2017 May 1;27(2):165-169. Epub 2017 Mar 1.
    Division of Thoracic Surgery, The Ohio State University Wexner Medical Center, Doan N-847, 410 West 10th Avenue, Columbus, OH 43210, USA. Electronic address:
    The surgical resection of primary and secondary tumors involving the chest wall often requires reconstruction with prosthetic and soft tissues, such as muscle flaps. There are situations when a soft tissue reconstruction of the chest wall is preferable. Prosthetic material can become infected and require reoperation for removal of the infected material. Read More

    Guitar-String Suture to Facilitate Closure of a Finger-like Flap for Reconstruction of the Nose.
    Actas Dermosifiliogr 2017 Mar 27. Epub 2017 Mar 27.
    Departamento de Dermatología, Clínica Universidad de Navarra, Pamplona, España. Electronic address:
    Introduction: The basic principle of a lobed or finger-like transposition flap is that, after covering the defect with the transposed tissue, the donor site is closed primarily. With large defects, a second lobe may be added to the flap if primary closure of the area left by the first lobe is not possible. The flap can often be made to adapt to the defect, but this maneuver, in combination with primary closure of the adjacent tissue, can sometimes produce excessive tension and compromise the blood supply. Read More

    Biochemical Effects of Exercise on a Fasciocutaneous Flap in a Rat Model.
    JAMA Facial Plast Surg 2017 Mar 9. Epub 2017 Mar 9.
    Department of Otolaryngology-Head and Neck Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
    Importance: An overwhelming amount of data suggest that cardiovascular exercise has a positive effect on the mind and body, although the precise mechanism is not always clear.

    Objective: To assess the clinical and biochemical effects of voluntary cardiovascular exercise on pedicled flaps in a rodent model.

    Design, Setting, And Participants: Eighteen adult Sprague-Dawley male rats were randomized into a resting animal group (RAG) (n=9) and an exercise animal group (EAG) (n=9) for 14 days (July 23, 2013, through July 30, 2013). Read More

    Perforator-based flaps for the treatment of burn scar contractures: a review.
    Burns Trauma 2017 27;5. Epub 2017 Feb 27.
    Burn Center and Department of Plastic, Reconstructive, and Hand Surgery, Red Cross Hospital, Vondellaan 13, 1942 LE Beverwijk, The Netherlands.
    Patients with burn scars often experience functional problems because of scar contractures. Surgical treatment may be indicated for those burn scar contractures. If the contractures are small and linear, the contraction bands can be treated with local transposition flaps like the Z-plasty. Read More

    A New Surgical Technique for Closure of Pilonidal Sinus Defects: Triangular Closure Technique.
    Med Sci Monit 2017 Feb 26;23:1033-1042. Epub 2017 Feb 26.
    Division of Plastic Surgery, Gaziantep University, Gaziantep, Turkey.
    BACKGROUND We present a clinical experience with a new local flap procedure, namely the triangular closure technique, for reconstruction of sacrococcygeal skin defects resulting from excision of the pilonidal sinus. MATERIAL AND METHODS In this technique, the defect is surgically converted to a triangle in shape. Then, the triangular defect is closed by transposition of 2 skin flaps designed in an unequal z-plasty manner. Read More

    Head and neck reconstruction with pedicled flaps in the free flap era.
    Acta Otorhinolaryngol Ital 2016 Dec;36(6):459-468
    Department of Surgery and Translational Medicine, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Italy.
    Nowadays, the transposition of microvascular free flaps is the most popular method for management of head and neck defects. However, not all patients are suitable candidates for free flap reconstruction. In addition, not every defect requires a free flap transfer to achieve good functional results. Read More

    [Treatment of recurrent Dupuytren's disease].
    Orthopade 2017 Apr;46(4):342-352
    Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland.
    Background: The tendency of recurrence or progression is a frequent problem in Dupuytren's disease. The management of recurrence is adapted to the individual situation and the patient's needs. In mild cases a non-operative approach is recommended. Read More

    Surgical approach for ulcerated locally advanced breast cancer. A single Center experience: a retrospective study.
    Ann Ital Chir 2017 Jan 12;6. Epub 2017 Jan 12.
    Aim: The aim of our retrospective study is to analyze surgical possibilities for the extended LABC in those cases not suitable for a neoadjuvant chemotherapy step and to consider various reconstruction techniques.

    Material Of Study: Between 2009 and 2015 we enrolled 11 patients, admitted to the Emergency Department, presenting ulcerated LABC that needed palliative surgical demolitive procedures because of bleeding and anemia and in which was necessary to use natural tissues transposition or synthetic substitutes for the reconstruction of the skin flaps.

    Results: The mean follow up was 12 months. Read More

    The Lateral Proximal Phalanx Flap for Contractures and Soft Tissue Defects in the Proximal Interphalangeal Joint: An Anatomical and Clinical Study.
    Hand (N Y) 2017 Jan 3;12(1):91-97. Epub 2016 May 3.
    Fundación CardioInfantil, Bogotá, Colombia; Instituto de Ortopedia Infantil Roosevelt, Bogotá, Colombia.
    Background: The management of contractures and soft tissue defects in the proximal interphalangeal (PIP) finger joint remains a challenge. We report a transposition flap from the lateral skin of the proximal phalanx that is based on perforating branches of the digital arteries and can be used safely for both palmar and dorsal cover defects. Methods: We first completed an anatomic study, dissecting 20 fingers in fresh cadavers with arterial injections and made the new flap in patients with dorsal or palmar defects in PIP joints. Read More

    Conservative surgery for laryngeal chondrosarcoma: a review of the most recently proposed approaches.
    Curr Opin Otolaryngol Head Neck Surg 2017 Apr;25(2):93-100
    Department of Otorhinolaryngology - Head and Neck Surgery, University of Brescia, Brescia, Italy.
    Purpose Of Review: The aim of this study was to describe the most recent technical nuances for resection and reconstruction of Grade 1 and 2 laryngeal chondrosarcomas, with a special emphasis on those located at the level of the cricoid plate, which is the site of origin of the vast majority of these rare tumours.

    Recent Findings: Even though inherently based on retrospective small clinical series or anecdotal case reports, a number of studies have been recently published focusing on conservative transoral and open-neck surgical procedures aimed at an oncologically sound removal of the tumour together with organ and function preservation. The open-neck conservative approaches herein reported can be roughly distinguished in those achieving a primary airway reconstruction by a tracheo-hyoido-epiglottopexy or an end-to-end crico-tracheal, thyro-crico-tracheal or thyro-tracheal anastomosis, and those requiring a single or double-staged transposition of different microvascular flaps, with or without cartilaginous graft insertion, to reconstruct a subtotal/total cricoidectomy and obtain a rigid and stable subglottic airway. Read More

    [Transplantation of allogeneic bone graft in the therapy of massive post-sternotomy defects - 6 years of experience with the method].
    Rozhl Chir 2016 ;95(11):399-406
    Introduction: Early complications due to deep sternal wound infection pose a serious problem in cardiac surgery, with an up to 40% risk of mortality. Massive loss of sternum bone tissue and adjacent ribs results in major chest wall instability difficult to resolve using classical AO osteosynthesis procedures, causing respiratory insufficiency making the disconnection from artificial pulmonary ventilation difficult, and additional defects of soft tissue healing. Based on orthopaedic experience with bone defect replacement, we used the allogeneic bone graft method to reconstruct the chest wall. Read More

    Microcystic Adnexal Carcinoma of the Nasal Tip Treated With Surgical Excision and Rotational Forehead Skin Flap.
    J Craniofac Surg 2016 Nov;27(8):e756-e758
    *Department of Otorhinolaryngology†Department of Pathology‡Department of Plastic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.
    Microcystic adnexal carcinoma (MAC) is a rare malignant cutaneous adenocarcinoma that typically occurs in the head and neck, particularly at the central face. There are only slightly more than 300 patients reported worldwide, and most patients occur in Caucasians. A 72-year-old man was referred to our hospital for definitive treatment of known MAC from previous biopsy. Read More

    A novel technique for full thickness medial canthal reconstruction; playing with broken lines.
    J Curr Ophthalmol 2016 Dec 2;28(4):212-216. Epub 2016 Sep 2.
    Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
    Purpose: To introduce a new modification of transposition flap technique for reconstruction of the medial canthal region.

    Methods: This prospective study included 58 patients with the full thickness involvement of both upper and lower lid in the medial canthal area. Reconstruction of posterior lamella was performed by utilizing periosteal flaps and tarsoconjunctival grafts, and anterior lamellar reconstruction was performed using transposition of multiple full-thickness skin flaps, a modified form of rhomboid flap technique. Read More

    Active Pedicle Epithelial Flap Transposition Combined with Amniotic Membrane Transplantation for Treatment of Nonhealing Corneal Ulcers.
    J Ophthalmol 2016 17;2016:5742346. Epub 2016 Oct 17.
    Shandong Eye Hospital, Shandong Eye Institute, Shandong Academy of Medical Sciences, 372 Jingsi Road, Jinan 250021, China.
    Introduction. The objective was to evaluate the efficacy of active pedicle epithelial flap transposition combined with amniotic membrane transplantation (AMT) in treating nonhealing corneal ulcers. Material and Methods. Read More

    An axial pattern flap based on the dorsal perineal artery in a cat.
    Aust Vet J 2016 Dec 1;94(12):470-473. Epub 2016 Nov 1.
    AQUIVET, Clinique Veterinaire, Bordeaux, France.
    Case Report: A 3-year-old male neutered Domestic Shorthair cat was evaluated for a skin mass of approximately 2 × 3 cm arising from the right dorsolateral aspect of the tail at the junction between the proximal and middle one-thirds of the tail length. Incisional biopsy sample was consistent with granulomatous inflammation. The granuloma was surgically excised with 5 mm margins of normal skin. Read More

    Long-Term Outcome of Arterial Switch Operation Conversion After Failed Senning/Mustard Procedure.
    Ann Thorac Surg 2016 Nov 2;102(5):1573-1579. Epub 2016 Jun 2.
    Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan.
    Background: We evaluated long-term outcomes of the arterial switch operation (ASO) conversion after a failed Senning/Mustard operation among patients with dextro-transposition of the great arteries.

    Methods: Between 1986 and 2006, 9 patients with dextro-transposition of the great arteries underwent ASO conversion at our institute. All patients had systemic right ventricle failure, 6 had supraventricular tachycardia, and 8 had moderate or severe tricuspid valve regurgitation. Read More

    Safety and efficacy of the keystone and rhomboid flaps for immediate reconstruction after wide local excision of non-head and neck melanomas.
    World J Surg Oncol 2016 Oct 19;14(1):269. Epub 2016 Oct 19.
    Department of Surgery at the Wayne State University School of Medicine, Detroit, MI, USA.
    Background: After wide local excision of cutaneous melanoma, large defects not amenable to simple primary closure are often covered with skin grafts. We report our experience using the rhomboid and keystone flaps to immediately close large axial and extremity wounds after potentially curative surgery for non-head and neck melanomas.

    Methods: Between January 2011 and September 2016, demographic, operative, pathologic, and outcome data were prospectively collected on 60 patients who underwent wide local excision of melanoma followed by immediate flap reconstruction. Read More

    Adipofascial fold-down flaps based on the posterior tibial artery perforator to cover the medial foot and ankle defects.
    J Plast Reconstr Aesthet Surg 2016 Dec 8;69(12):e229-e237. Epub 2016 Sep 8.
    Seoul National University Hospital, Department of Orthopaedic Surgery, 101 Daehak-ro, Jongno-gu, Seoul 03080, South Korea.
    Purpose: We report the clinical outcome after coverage for soft-tissue defect on the medial foot and ankle with an adipofascial fold-down flap based on the posterior tibial artery perforator branch proximal to the defect.

    Materials: Nine patients (five males and four females) with soft-tissue defects on the medial foot and ankle area underwent the procedure from March 2009 to May 2014. The average age of the patients was 54 years (range, 8-82). Read More

    Birhombic Transposition Flap for Repair of Surgical Defects on the Nasal Dorsum.
    Dermatol Surg 2016 Oct;42(10):1229-32
    Dermatology Professionals, Inc., East Greenwich, Rhode Island Department of Dermatology, Cleveland Clinic Foundation, Cleveland, Ohio Dermatology Professionals, Inc., East Greenwich, Rhode Island Division of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts Department of Dermatology, The Warren Alpert Medical School, Brown University, Providence, Rhode Island.

    Lateral Genicular Artery Flap for Reconstruction of a Large Knee Defect, Following Oncological Resection - Case Report.
    Chirurgia (Bucur) 2016 Jul-Aug;111(4):353-7
    This article presents the case of a 53 years old patient, with ulcerated and infected dermatofibrosarcoma, extended on the anterolateral side of the left knee. The postexcisional defect, exposing patella, was covered through a regional cutaneous flap of the distal third of the thigh, upper lateral genicular artery-based, measuring 20/10 cm, together with expanded free skin split grafts, applied in proximal third of the leg and distal third of the left thigh. Surgical stages and favorable postoperative evolution are exposed. Read More

    Surgical correction of lambdoid synostosis - New technique and first results.
    J Craniomaxillofac Surg 2016 Oct 6;44(10):1531-1535. Epub 2016 Aug 6.
    University Hospital Giessen, Dept. for Neurosurgery (Head: Prof. Dr. E. Uhl), Klinikstr. 33, 35385 Giessen, Germany.
    Objective: Premature craniosynostosis of the lambdoid suture is rare. The use of differential diagnosis to rule out positional occipital plagiocephaly is crucial. Nevertheless, once diagnosed, lambdoid craniosynostosis requires corrective surgery to prevent intracranial harm and aesthetic stigma by significant dyscrania. Read More

    Extensive Mine-Shrapnel and Gunshot Wound Closure Using Keystone Island Perforator Flaps.
    Plast Reconstr Surg Glob Open 2016 May 26;4(5):e723. Epub 2016 May 26.
    Burn and Plastic Surgery Centre, Municipal Hospital No 2, Dnipropetrovsk, Ukraine; and General Surgery Department, Dnipropetrovsk State Medical Academy, Dnipropetrovsk, Ukraine.
    Background: During military operations, one aspect of a plastic surgeon's work is to restore extensive and deep wound defects in a short period of time and provide a high degree of functional recovery to the damaged area. Because many injuries caused by military operations cannot be closed using a primary suture, the specialist has to select another surgical approach to close the wound defect. Surgeons must select methods that not only cover the extensive wound defect in 1 step but also allow skin coverage that is anatomically, functionally, and visually similar to the surrounding tissues to reduce the length of the hospital stay and ensure optimal functional recovery of the damaged organ. Read More

    Benefits of using omental pedicle flap over muscle flap for closure of open window thoracotomy.
    J Thorac Dis 2016 Jul;8(7):1697-703
    Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
    Background: Open window thoracotomy (OWT) as well as its closure are challenging. Transposition of omental pedicle and muscle flaps is often performed for OWT closure; however, the better technique among the two is unknown. The purpose of this series was to evaluate the outcomes of using both omental pedicle and muscle flaps for the aforementioned closure. Read More

    Indications and Results of Reconstructive Techniques with Flaps Transposition in Patients Requiring Complex Thoracic Surgery: A 12-Year Experience.
    Lung 2016 Oct 9;194(5):855-63. Epub 2016 Jul 9.
    Faculté de Médecine, Université Paris Descartes, Paris, France.
    Background: Flap transposition is an infrequent but far from exceptional thoracic surgical procedure. The aim of this retrospective study was to report our experience in a referral unit of general thoracic surgery analyzing the early results after flap transposition.

    Methods: We retrospectively analyzed the clinical records, surgical notes, and postoperative results of a cohort of patients who underwent flap transposition in our unit from November 2000 to February 2013. Read More

    Predictors of Complications After Pectoralis Major Transposition for Sternum Dehiscence.
    Ann Plast Surg 2017 Feb;78(2):208-212
    From the *Department of Plastic Surgery, and †Department of Cardio-Thoracic Surgery, University of Groningen and University Medical Center Groningen (UMCG), Groningen, The Netherlands.
    Objectives: Mediastinitis and sternum dehiscence are serious complications after open heart surgery, causing an increase in hospital stay, utilization of health care resources, and mortality. The defect that results after sternal wound debridement frequently necessitates tissue-flap coverage, for which pectoralis major transposition currently is the preferred method. In this study, the postoperative outcome and individual characteristics of patients undergoing pectoralis major transposition were analyzed to identify predictors of complications after wound closure. Read More

    Eyelid Reconstruction with Full Thickness Skin Grafts After Carcinoma Excision.
    Folia Med (Plovdiv) 2016 Mar;58(1):42-7
    Background: Various techniques have been proposed for reconstruction of the eyelid anterior lamella after carcinoma excision: among these are the transposition of skin flaps, and full-thickness skin grafts or combination of these two.

    Aim: To present our experience in eyelid reconstruction with full-thickness skin grafts and to assess the aesthetic and functional outcomes.

    Patients And Methods: The present retrospective study included 39 patients (20 males, 19 females, mean age 71 yrs) with surgically excised eyelid carcinoma, followed by reconstruction using full-thickness skin grafts. Read More

    Facial Nerve Reconstruction With Concurrent Masseteric Nerve Transfer and Cable Grafting.
    JAMA Facial Plast Surg 2016 Sep;18(5):335-9
    Department of Otorhinolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor.
    Importance: Reconstruction of the facial nerve after radical parotidectomy is commonly performed with cable grafting, which is associated with slow recovery of nerve function and synkinesis.

    Objective: To describe facial nerve reconstruction after radical parotidectomy using concurrent masseteric nerve transfer and cable grafting.

    Design, Setting, And Participants: This retrospective medical record review at a tertiary referral hospital included 9 patients who underwent concurrent masseteric nerve transfer and cable grafting for facial nerve reconstruction performed by a single surgeon from January 1, 2014, to October 31, 2015. Read More

    Modification of the Koyanagi Technique for the Single-Stage Repair of Proximal Hypospadias.
    Ann Plast Surg 2016 Jun;76(6):693-6
    From the Department of Plastic and Reconstruction Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
    We describe a modification of the Koyanagi technique for hypospadias in an attempt to reduce complications and improve results. Between January 2005 and July 2012, 21 patients underwent treatment of proximal hypospadias using a modified hypospadias repair. The procedure involved making a U-incision similar to that in a Thiersch-Duplay repair to preserve the blood supply to the tubular neourethra. Read More

    The new focus on epicanthoplasty for Asian eyelids.
    Curr Opin Ophthalmol 2016 Sep;27(5):457-64
    Department of Ophthalmology, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Chulalongkorn University, Bangkok, Thailand.
    Purpose Of Review: Purpose of review is to emphasize the clinical significance of the epicanthal fold when evaluating Asian eyelids. Advances in Asian eyelid research have improved the understanding of the epicanthal fold and highlighted key steps to performing successful epicanthoplasty. Up-to-date epicanthoplasty surgical techniques are also discussed. Read More

    Optimising Aesthetic Reconstruction of Scalp Soft Tissue by an Algorithm Based on Defect Size and Location.
    Ann Acad Med Singapore 2015 Nov;44(11):535-41
    Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.
    Introduction: Scalp soft tissue defects are common and result from a variety of causes. Reconstructive methods should maximise cosmetic outcomes by maintaining hair-bearing tissue and aesthetic hairlines. This article outlines an algorithm based on a diverse clinical case series to optimise scalp soft tissue coverage. Read More

    Long-Term Follow-Up of the Conal Flap Method for Tricuspid Malinsertion in Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis.
    Ann Thorac Surg 2016 Jul 12;102(1):186-91. Epub 2016 Apr 12.
    Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical University Hospital, Tokyo, Japan.
    Background: Rastelli and réparation à l'étage ventriculaire (REV) procedures have been applied for biventricular repair of transposition of great arteries with ventricular septal defects and pulmonary stenosis (TGA III). In some patients with TGA III, whose tricuspid valve (TV) chordae tendineae are attached to the infundibular septum, abnormal TV chorda insertion may cause intracardiac rerouting obstruction. For such cases, we performed a conal flap" (CF) procedure involving mobilization of the infundibular septum including TV chordae as a pedicled flap. Read More

    The efficacy of open partial aponeurectomy for recurrent Dupuytren's contracture.
    Arch Orthop Trauma Surg 2016 Jun 1;136(6):881-9. Epub 2016 Apr 1.
    Department of Orthopaedics and Traumatology, University Hospital Cologne, Kerpener Straße 62, 50937, Cologne, Germany.
    Introduction: To evaluate the efficacy of open partial aponeurectomy for recurrent Dupuytren's contracture.

    Methods: Eighteen patients with recurrent Dupuytren's contracture of 22 fingers were retrospectively assessed with a mean follow-up time of 94 months (range: 70-114 months). Examination parameters included the determination of range of motion (ROM), grip strength, pain and subjective outcome (disabilities of the arm, shoulder and hand (DASH) questionnaire). Read More

    Utility of the quadrilobe flap for repairing defects of the nasal tip.
    Australas J Dermatol 2016 Aug 31;57(3):216-8. Epub 2016 Mar 31.
    Dermatologic Surgery Unit, Skin Cancer Institute, Tauranga, New Zealand.
    The quadrilobe flap allows the mobilisation of the skin of the upper nose and nasofacial sulcus to the distal nose while avoiding unfavourable tension vectors that would distort the free margin of the ala. We report our experience over the past 3 years in the first case series of quadrilobe flaps for repair of surgical defects on the nose. Read More

    Reconstructive Options for Oncologic Posterior Trunk Defects: A Review.
    Front Oncol 2016 8;6:51. Epub 2016 Mar 8.
    Department of Plastic Surgery, BG University Hospital Bergmannsheil Bochum , Bochum , Germany.
    After oncological tumor resections at the back, large defects can remain that depending on the size and location may represent reconstructive challenges to plastic surgeons. Flap selection includes the entire armamentarium of coverage, including transposition flaps, perforator flaps, pedicled muscle flaps, and free flaps. Most defects can be closed and reconstructed with local or pedicled muscle flaps. Read More

    Bilateral Superior Labial Mucosal Transposition Flaps to Correct Stenosis of the Nares Following Bilateral Rostral Maxillectomy Combined with Nasal Planum Resection in a Dog.
    Vet Surg 2016 Apr 23;45(3):402-5. Epub 2016 Mar 23.
    Flint Animal Cancer Center, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado.
    Objective: To describe a technique using labial mucosal flaps to correct stenosis of the nares subsequent to bilateral rostral maxillectomy and nasal planum resection.

    Study Design: Case report

    Animals: Client-owned dog.

    Methods: A 10-year-old, neutered male Golden Retriever developed repeated stenosis of the nares, at first after bilateral rostral maxillectomy and nasal planum resection, and again after revision surgery. Read More

    How I do it: modified Todd's meatoplasty.
    J Laryngol Otol 2016 May 21;130(5):497-500. Epub 2016 Mar 21.
    Department of Otorhinolaryngology and Head and Neck Surgery,Rudolf Magnus Institute of Neuroscience,University Medical Centre Utrecht,the Netherlands.
    Background: Chronic otorrhoea after canal wall down mastoidectomy can be a clinical challenge. Basic principles for canal wall down surgery include establishing a large meatus. Several meatoplasty techniques have been reported. Read More

    Current Practice: The Bilobed Flap from the Classic Indication to Cover a Small Defect on Face to Covering a Large Defect on the Chest.
    J Coll Physicians Surg Pak 2016 Mar;26(3):220-2
    Department of ENT, Helios Clinics Bad Saarow, Clinic for Oto-Rhino-Laryngology, Head and Neck Surgery/Plastic Surgery, Germany.
    A variety of flaps are available to cover skin defects after surgery or trauma in the head and neck area. The bilobed flap is a double transposition flap commonly used in reconstruction of small-to-medium skin defects of the face where skin is less mobile. However, larger defects can also be effectively treated with a bilobed flap in certain cases. Read More

    Aesthetic Unit-Based Reconstruction of Periorbital Defects.
    J Craniofac Surg 2016 Mar;27(2):429-32
    Plastic Reconstructive and Aesthetic Surgery Clinic, Okmeydani Training and Research Hospital, Istanbul, Turkey.
    Purpose: The aim of this study was to perform a retrospective analysis of patients who underwent periorbital area reconstructions, determine their sociodemographic characteristics, analyze the effects of defect etiologies and locations classified according to periorbital subunits on our reconstruction options, and to present our treatment outcomes and clinical experience.

    Methods: A retrospective chart review of 23 patients operated in our department between January 2010 and March 2013 and underwent periorbital area reconstructions, was performed. In addition to the demographic characteristics of the patients; defect etiologies, locations according to Spinelli aesthetic subunits, and the degrees of involvement were determined. Read More

    Fibromatosis in vertical rectus abdominis myocutaneous flap imitating tumor recurrence after surgery for locally advanced rectal cancer: case report.
    World J Surg Oncol 2016 Mar 3;14:63. Epub 2016 Mar 3.
    Departments of Gastroenterological Surgery, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
    Background: Abdominoperineal excision is performed in patients with locally advanced, low rectal carcinoma. Reconstruction of the dorsal vagina and perineum using the vertical rectus abdominis myocutaneous flap following extensive surgery results in favorable surgical outcome and quality of life. However, the rectus abdominis muscle, as part of the anterior abdominal wall, may develop fibrous lesions also as a transplant. Read More

    Repair of a posterior perforation of the trachea following thyroidectomy with a muscle transposition flap.
    Ear Nose Throat J 2016 Feb;95(2):E14-7
    Corresponding author: Dr. Alistair B.J. Escott, Department of Surgery, The University of Auckland, Level 11, Support Building, Auckland City Hospital, Park Road, Grafton, Auckland 1010, New Zealand. Email: From the Department of Surgery, The University of Auckland, Auckland, New Zealand (Dr. Escott); and the Department of Surgery, Nelson Hospital, Nelson, New Zealand (Mrs. Pochin). The case described in this article occurred at Nelson Hospital.
    Tracheal perforation is a rare postoperative complication of total thyroidectomy. While previously documented cases have been reported in the anterior aspect of the trachea after a total thyroidectomy, we report what we believe is the first documented case of a perforation in the posterior aspect of the trachea. Our patient was a 29-year-old woman who presented with symptoms of tracheal impingement in the context of a right-sided goiter that subsequent investigation found to be three benign colloid nodules. Read More

    Adipose Flap Versus Fascial Sling for Anterior Subcutaneous Transposition of the Ulnar Nerve.
    Am J Orthop (Belle Mead NJ) 2016 Feb;45(2):89-94
    Department of Orthopaedic Surgery, Columbia University Medical Center, New York, NY.
    Perineural scarring is a major cause of recurrent symptoms after anterior subcutaneous transposition secured with a fascial sling. Use of a vascularized adipose flap to secure the anteriorly transposed ulnar nerve can help reduce nerve adherence and may enhance nerve recovery. In the study reported here, we retrospectively reviewed the long-term outcomes of ulnar nerve anterior subcutaneous transposition secured with either an adipose flap (16 patients) or a fascial sling (17 patients). Read More

    The contemporary role of 1 vs. 2-stage repair for proximal hypospadias.
    Transl Androl Urol 2014 Dec;3(4):347-58
    Division of Urology, McMaster University, Hamilton, ON, Canada.
    This review discusses the most commonly employed techniques in the repair of proximal hypospadias, highlighting the advantages and disadvantages of single versus staged surgical techniques. Hypospadias can have a spectrum of severity with a urethral meatus ranging from the perineum to the glans. Associated abnormalities are commonly found with proximal hypospadias and encompass a large spectrum, including ventral curvature (VC) up to 50 degrees or more, ventral skin deficiency, a flattened glans, penile torsion and penoscrotal transposition. Read More

    Pedicle muscle flap transposition for chronic empyema with persistent bronchopleural fistula: experience of a single clinical center in China.
    Surg Today 2016 Oct 7;46(10):1132-7. Epub 2016 Jan 7.
    Department of Thoracic Surgery, Fudan University Zhongshan Hospital, Fenglin Road 180, Shanghai, 200032, China.
    Purpose: The management of chronic empyema with persistent bronchopleural fistula (BPF) is a major challenge for surgeons. We report our experience of performing pedicle muscle flap transposition for chronic empyema with BPF in a clinical center in China.

    Methods: The subjects of this study were 13 patients with postoperative chronic empyema and persistent BPF. Read More

    Successful management of gastropulmonary fistula due to invasive fungal infection after chemotherapy and autologous stem cell transplantation: a case report.
    Acta Med Litu 2016 ;23(3):169-174
    Hematology, Oncology and Transfusiology Centre; Vilnius University Hospital Santariškių Klinikos; Vilnius, Lithuania.
    Background: Invasive fungal infections (IFI) contribute significantly to mortality and morbidity in patients receiving myelosuppressive chemotherapy for hematologic malignancies. Acquired gastropulmonary fistula is a rare complication of IFI.

    Material And Methods: We present a case history of a patient with malignant myeloma. Read More

    Use of a Fascial Flap to Stabilize an Unstable Ulnar Nerve in Its Bed During In Situ Decompression.
    J Surg Orthop Adv 2015 ;24(3):193-7
    This case report involves a man with ulnar neuropathy at the elbow, who was to undergo an in situ decompression of the ulnar nerve. When the nerve was noted intraoperatively to sublux partially over the posterior portion of the medial epicondyle, the surgeon stabilized the nerve in situ by using a fascial flap that was secured to the anterior rim of the cubital tunnel and loosely sutured posteriorly to the medial side of the olecranon, rather than performing an anterior transposition or medial epicondylectomy. This method could be considered a middle-ground surgical technique because it allowed the nerve to remain in its bed, did not disturb its blood supply, dealt with the problem of a slightly unstable ulnar nerve with a fascial flap, and avoided methods that could be considered as having greater surgical magnitude. Read More

    The Reverse-Flow Facial Artery Buccinator Flap for Skull Base Reconstruction: Key Anatomical and Technical Considerations.
    J Neurol Surg B Skull Base 2015 Dec 1;76(6):432-9. Epub 2015 Jun 1.
    Department of Otolaryngology-Head and Neck Surgery, University of North Carolina at Chapel Hill, North Carolina, United States ; Department of Neurosurgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.
    Objective To highlight key anatomical and technical considerations for facial artery identification, and harvest and transposition of the facial artery buccinator (FAB) flap to facilitate its future use in anterior skull base reconstruction. Only a few studies have evaluated the reverse-flow FAB flap for skull base defects. Design Eight FAB flaps were raised in four cadaveric heads and divided into thirds; the facial artery's course at the superior and inferior borders of the flap was measured noting in which incisional third of the flap it laid. Read More

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