Search Our Scientific Publications & Authors

Injury 2021 Apr 7. Epub 2021 Apr 7.

Acibadem Mehmet Ali Aydinlar University School of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul, Turkey.

Introduction: Achilles tendon rupture and soft tissue infections with wound dehiscence and tendon exposure following the tendon repair are not infrequent. Various procedures have been described for the reconstruction of soft tissue defects at the Achilles tendon region, yet there is lack of consensus on the ideal method. In this article we report our experience using the distally based peroneal artery perforator flap in reconstruction of combined defects of the Achilles tendon and overlying soft tissue. Read More

Tech Hand Up Extrem Surg 2020 Dec 18. Epub 2020 Dec 18.

*Microsurgery Centre of Latvia †Faculty of Medicine, Riga Stradiņš University, Latvia, European Union.

Cubital tunnel syndrome (CubTS) is one of the most common compression-traction neuropathy in the upper extremity. The gold standard is simple in situ decompression with revision of potential compression sites through skin incision as small as rationally possible. Properly conducted conservative treatment is more effective in CubTS as opposed to carpal tunnel syndrome. Read More

Cureus 2021 Mar 19;13(3):e13992. Epub 2021 Mar 19.

Plastic and Reconstructive Surgery, Surgery Department, King Abdulaziz Medical City, National Guard's Health Affairs, Riyadh, SAU.

An ectopic scrotum (ES) represents a rare developmental anomaly of the male genitalia. The condition usually represents a part of a wide spectrum pathology associated with other anomalies. The different locations in which an ectopic scrotum is found include inguinal, suprainguinal, infrainguinal, and/or perineum. Read More

Khirurgiia (Mosk) 2021 (4):5-14

Petrovsky Russian Scientific Center of Surgery, Moscow, Russia.

Objective: To develop the algorithm for correction of defects following high-voltage electrical trauma with revascularized autografts, to assess the incidence and risk factors of postoperative complications.

Material And Methods: Surgical interventions were performed in 16 men. Autografts were selected considering localization of defect and preoperative ultrasound data on perfusion of donor and recipient areas. Read More

J Mech Behav Biomed Mater 2021 Jun 9;118:104340. Epub 2021 Feb 9.

School of Mechanical Engineering, Purdue University, West Lafayette, IN, USA; Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA. Electronic address:

To produce functional, aesthetically natural results, reconstructive surgeries must be planned to minimize stress as excessive loads near wounds have been shown to produce pathological scarring and other complications (Gurtner et al., 2011). Presently, stress cannot easily be measured in the operating room. Read More

SAGE Open Med Case Rep 2021 24;9:2050313X21993280. Epub 2021 Feb 24.

Goodman Dermatology P.C., Roswell, GA, USA.

The Peng flap was originally described in 1987 as a viable option for re-creation of the convexity of the dorsum and nasal tip in a one step. Defects extending into the sidewall can result in multi-stage procedures. Beustes-Stefanelli in 2015 published a midline-based nasolabial transposition flap utilizing a single-stage repair for large defects of the nasal tip. Read More

Ann R Coll Surg Engl 2021 Mar;103(3):e106-e108

Department of Plastic Surgery, Derriford Hospital, Plymouth, UK.

Transposition scalp flaps are a versatile solution for soft-tissue cover in a multitude of scalp defects. They are frequently used to reconstruct larger skin cancers that involve the outer table of the cranium in addition to covering neurosurgical bony defects and hardware. The transposition flap requires the donor site to be grafted using a split-thickness graft, which results in a secondary wound elsewhere on the body, commonly the lateral thigh. Read More

Ann Plast Surg 2021 03;86(3):317-322

From the Division of Plastic Surgery, Department of Surgery, Mayo Clinic.

Background: Bronchopleural fistula (BPF) is a dreaded complication of pulmonary resection. For high-risk patients, bronchial stump coverage with vascularized tissue has been recommended. The goal of this study was to report our experience with intrathoracic muscle transposition for bronchial stump coverage. Read More

Ann Transl Med 2021 Jan;9(1):61

Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Background: Total auricular reconstruction is a challenge for plastic surgeons. Expanded flap method and Nagata's method with autologous costal cartilage are two leading techniques for ear reconstruction. And a two-stage strategy of expanded flap method received attention. Read More

Ann Med Surg (Lond) 2021 Feb 26;62:369-372. Epub 2021 Jan 26.

Geisel Dartmouth Medical School, Hanover, NH, 03755, USA.

Introduction: and importance: Large cutaneous defects may result from excision of skin malignancies. Typically, skin grafting is used to manage such defects, but the final result may be compromised by inadequate take and poor cosmesis. Accordingly, transposition flaps may be indicated. Read More

Facial Plast Surg 2021 Jan 27. Epub 2021 Jan 27.

Department of Otolaryngology, Columbia University, New York, New York.

This article determines if patient, defect, and repair factors can be used to predict the use of additional treatments to achieve optimal aesthetic results after repair of facial Mohs defects. An electronic chart review of patients undergoing Mohs excision and reconstruction of facial neoplasms from November 2005 to April 2017 was performed, reviewing patient demographics and history, tumor size, defect size and location, method and service of reconstruction, time between resection and repair, complications, and subsequent treatments. A total of 1,500 cases with basal cell and squamous cell carcinoma were analyzed. Read More

Arch Plast Surg 2021 Jan 15;48(1):114-120. Epub 2021 Jan 15.

Department of Plastic Surgery, Qena University Hospital, Faculty of Medicine, South Valley University, Qena, Egypt.

Background: The pedicled anterolateral thigh (ALT) flap has become more popular for the reconstruction of soft-tissue defects in neighboring areas. Nonetheless, few studies in the literature have explored the use of this flap for trochanteric ulcer reconstruction. The aim of our study is to present the author's experience of utilizing the ALT flap, with a focus on technical elements regarding the flap design and the tunneling method to maximize the reach of the flap. Read More

Dermatol Surg 2021 May;47(5):618-622

All authors are affiliated with the Department of Dermatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.

Background: Reconstructing defects on the nose can be challenging. The bilobed transposition flap and the nasalis-based V to Y (NBVY) flaps can be excellent repair options, each with their own advantages and disadvantages.

Objective: To compare bilobed and NBVY flap scar appearances, postoperative complications, scar revision rates, flap sizes, and relative costs. Read More

Vet Surg 2021 Jan 21. Epub 2021 Jan 21.

Department of Surgery, Angell Animal Medical Center, Boston, Massachusetts.

Objective: To describe the use of the upper lip for reconstruction of the external nose and closure of large facial defects in dogs.

Animals: Four dogs with facial defects with exposure of the underlying nasal cavity.

Study Design: Short case series. Read More

J Laparoendosc Adv Surg Tech A 2021 Apr 21;31(4):489-496. Epub 2021 Jan 21.

Division of Pediatric Urology, Department of Pediatric Surgery, Leeds General Infirmary, Leeds, United Kingdom.

Congenital megaprepuce (CMP) is a malformation consisting of redundant inner foreskin, normal penile shaft, and severe phimosis. The excess inner prepuce pushes the penile shaft deeper causing the appearance of a buried penis. We describe a novel surgical technique using dartos fascial flaps to reconstruct the prepuce giving excellent cosmetic and functional results. Read More

BMC Surg 2021 Jan 18;21(1):41. Epub 2021 Jan 18.

School of Medicine, National Yang-Ming University, Taipei, Taiwan.

Background: Scalp reconstruction is a common challenge for surgeons, and there are many different treatment choices. The "crane principle" is a technique that temporarily transfers a scalp flap to the defect to deposit subcutaneous tissue. The flap is then returned to its original location, leaving behind a layer of soft tissue that is used to nourish a skin graft. Read More

Plast Reconstr Surg Glob Open 2020 Dec 18;8(12):e3290. Epub 2020 Dec 18.

Assistant Professor for Plastic Surgery, Department of Plastic Surgery, Faculty of Medicine Kasr Al-Ainy, Cairo University, Cairo, Egypt.

Reconstruction of the distal 3rd of the lower leg requires either local or free flap coverage if tendons or bones are exposed. The distally based, pedicled peroneus brevis (PB) flap has been shown to be a valid option in the management of distal 3rd lower limb injuries. Herein, we present 21 cases treated with distally-based PB muscle flaps between May 2017 and September 2019. Read More

Indian J Plast Surg 2020 Dec 28;53(3):423-426. Epub 2020 Jul 28.

Department of Plastic Surgery, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy.

The development of a tracheocutaneous fistula (TCF) is a well-documented complication after tracheostomy, especially in chronic morbid patients, in whom tubes or cannulas are left in place over time, or in irradiated patients. Surgical treatments are therefore needed which range from simple curettage and dressings to local skin flaps, muscle flaps and, in the more complex cases, microsurgical free tissue transfers. We present a novel combined technique used to successfully treat recurrent TCFs in irradiated patients, involving a superiorly based turnover fistula flap and a sternocleidomastoid transposition flap. Read More

JPRAS Open 2021 Mar 30;27:48-52. Epub 2020 Nov 30.

Department of Orthopaedic Surgery, Yodogawa Christian Hospital, 1-7-50 Kunizima, Higashiyodogawa-ku, Osaka 533-0024, Japan.

Camptodactyly is a condition defined by persistent flexion contracture of the proximal interphalangeal joints of the hand. Surgical treatment requires flaps for the dissection of the skin and the resulting soft tissue defect, soft tissue release, and sometimes reconstruction of the extension mechanism. Z-plasty and transposition flap have been reported as methods used in soft tissue defects. Read More

Sisli Etfal Hastan Tip Bul 2020 4;54(3):380-383. Epub 2020 Sep 4.

Department of Plastic, Reconstructive and Aesthetic Surgery, University of Health Sciences Turkey, Sisli Hamidiye Etfal Teaching and Resarch Hospital, Istanbul, Turkey.

dorsi muscle flap is also among the frequently used flaps for lum-bosacral defects. According to the defect, the latissimus dorsi muscle can be elevated as a major pedi-cle from over the thoracodorsal artery and vein, as well as segmental pedicles from over the intercostal artery perforators. Latissimus dorsi muscle flap elevated as a segmental pedicle is not frequently used; however, it is very useful in closing lumbosacral defects that do not have many alternatives for their closure. Read More

World Neurosurg 2021 Mar 5;147:1-6. Epub 2020 Dec 5.

Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, United Kingdom.

Background: With the advent of modern endoscopes and a better anatomic understanding of the skull base, the indications of endonasal approaches are increasing. These procedures may be complicated by high rates of postoperative cerebrospinal fluid (CSF) leak, and reconstruction of the defect remains challenging. In the anterior skull base, vascularized grafts have been reported as superior in preventing CSF leakage and infection. Read More

Dis Colon Rectum 2020 09;63(9):1328-1333

Clínica Quirúrgica "B," Hospital de Clínicas "Dr. Manuel Quintela," Universidad de la República, Montevideo, Uruguay.

Background: Perineal reconstructive surgery is an effective procedure to decrease the morbidity associated with extensive abdominoperineal resection in the treatment of advanced low rectal and anal malignancies. Rectus abdominis myocutaneous flaps are often utilized in perineal reconstruction with excellent results. However, the main disadvantages are donor-site morbidity and the need for an open procedure after laparoscopic resection, requiring larger incisions with a resultant increase in postoperative pain. Read More

J Reconstr Microsurg 2020 Nov 17. Epub 2020 Nov 17.

Department of Plastic and Reconstructive Surgery, Chang Gung University, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan.

Background:  Patients who undergo total esophagectomy and gastrectomy present a challenging scenario for reconstructive surgeons. Several techniques have been described. However, the best choice is still a matter of debate. Read More

Oper Orthop Traumatol 2020 Dec 13;32(6):477-485. Epub 2020 Nov 13.

Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.

Objective: Reliable wound coverage of the fingertip and palmar aspect of the middle finger with a sensate flap in order to restore early function.

Indications: Palmar, oblique pulp defects or amputations at the distal finger phalange with uncovered bone, tendons, and/or neurovascular structures.

Contraindications: Peripheral perfusion deficiency, size of defect exceeding flap capacity, obliteration of the flap artery, i. Read More

World Neurosurg 2021 Feb 7;146:118. Epub 2020 Nov 7.

Head and Neck Surgery & Forensic Dissection Research Center (HNS&FDRc), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Department of Otorhinolaryngology-Head and Neck Surgery, ASST Lariana, Sant'Anna Hospital, University of Insubria, San Fermo della Battaglia, Como, Italy.

Reconstruction of wide skull base defects resulting from multimodal treatment of cranial base malignancies are challenging. Endonasal pedicled flaps (e.g. Read More

Plast Reconstr Surg 2020 11;146(5):548e-551e

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

The umbilicus offers no functional importance to the adult human but remains a key aesthetic landmark of the anterior abdominal wall, and its absence can be a cause for concern in aesthetic and reconstructive patients. Umbilical reconstruction or transposition for abdominoplasty and abdominally based flap operations is frequently complicated by umbilical death, infections, development of wounds needing prolonged wound care, and generally poor aesthetic outcomes. A multitude of techniques have been described to create the "ideal" neoumbilicus, but none has proven to be superior to the technique that comes before it. Read More

JPRAS Open 2020 Dec 6;26:54-59. Epub 2020 Oct 6.

Department of Orthopaedic Surgery, Nagoya City University.

We report the case of a 95-year-old man with soft tissue deficiency associated with a pubic abscess that occurred 30 years after prostate cancer surgery and radiation therapy. A fistula with purulent discharge without any obvious cause appeared in the midline of the lower abdomen and progressed to a soft tissue defect in which several calcium phosphate stones of 5-8 mm in diameter were found. Computed tomography showed calcium deposits on the surface of the pubis and irregular zonal calcifications extending from the pubis to the medial region of both thighs. Read More

Plast Reconstr Surg Glob Open 2020 Sep 25;8(9):e3095. Epub 2020 Sep 25.

Division of Plastic Surgery, Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard, Riyadh, Saudi Arabia.

Background: Myelomeningocele is the most common phenotype of congenital neural tube defects. Various reconstructive techniques have been described for soft tissue coverage following myelomeningocele repair, one of which is the use of dorsal intercostal artery perforator based flaps. The aim of this study was to describe our experience with the use of a transverse-oblique back flap that can be reliably extended to the anterior axillary line for closure of myelomeningocele defect. Read More

Clin Hemorheol Microcirc 2020 ;76(2):179-189

Institute of Biomaterial Science and Berlin-Brandenburg Center for Regenerative Therapies, Helmholtz-Zentrum Geesthacht, Teltow, Germany.

Background: The pharyngeal reconstruction is a challenging aspect after pharyngeal tumor resection. The pharyngeal passage has to be restored to enable oral alimentation and speech rehabilitation. Several techniques like local transposition of skin, mucosa and/or muscle, regional flaps and free vascularized flaps have been developed to reconstruct pharyngeal defects following surgery, in order to restore function and aesthetics. Read More

Clin Podiatr Med Surg 2020 Oct 13;37(4):671-680. Epub 2020 Aug 13.

Department of Plastic Surgery and Burns, Hospital Universitari i Politecnic La Fe, 106 Avinguda de Fernando Abril Martorell, Valencia E-46026, Spain.

Soft tissue defects to the distal leg and hindfoot are challenging with only the smallest defects closed primarily without tissue transposition. These defects to the distal leg and hindfoot can lead to tendon desiccation, damaged neurovascular structures, and exposed joint surfaces. These wounds can be the result of postoperative dehiscence and exposed orthopedic hardware, with high susceptibility to infection. Read More