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Dermatol Surg 2022 May 10. Epub 2022 May 10.

Zitelli & Brodland Skin Cancer Center, University of Pittsburgh Medical Center, Shadyside Hospital, Pittsburgh, Pennsylvania.

Dermatol Online J 2021 Dec 15;27(12). Epub 2021 Dec 15.

Division of Dermatology, University of Kansas Medical Center, Kansas City, Kansas, USA.

Background: Reconstruction of surgical defects on the dorsal finger can be challenging because of a lack of adjacent tissue reservoirs, poor laxity, and often thin, atrophic skin surrounding the defect.

Objective: To present reconstructive options for cutaneous dorsal finger defects.

Methods: We describe our five preferred approaches to reconstructing cutaneous dorsal finger defects based on the amount of available underlying tissue and location of the defect on the finger. Read More

J Mech Behav Biomed Mater 2022 Apr 9;131:105215. Epub 2022 Apr 9.

Institute of Biomechanics, Graz University of Technology, Stremayrgasse 16/II, 8010 Graz, Austria.

The complex procedures involved in the reconstructive surgery of human skin to minimize post-operative scarring are here modeled by means of an automated computational tool. A finite strain no-compression membrane model accounting for the tendency to develop wrinkling regions in the skin is presented. The constitutive behavior of the material is then described by a suitable hyperelastic incompressible potential. Read More

Cleft Palate Craniofac J 2022 Apr 21:10556656221095389. Epub 2022 Apr 21.

Department of Plastic and Reconstructive Surgery, 13753Yamaguchi Prefectural Grand Medical Center, Hofu, Japan.

One of the most common complications of total auricular reconstruction is exposure of the ear framework. Various reconstruction methods have been reported depending on the location and size of exposed cartilage. This report describes a safe reconstruction method for each exposed part of the grafted ear framework. Read More

Clin Ophthalmol 2022 6;16:1069-1084. Epub 2022 Apr 6.

Ophthalmology Department, "Fondazione Policlinico Universitario A. Gemelli, IRCCS", Rome, 00168, Italy.

Pars plana vitrectomy has become the standard procedure for primary macular holes (MHs) repair, including the removal of the posterior cortical vitreous, the stripping of eventual epiretinal membranes, and finally an intraocular gas tamponade. During this procedure, peeling the internal limiting membrane (ILM) has been proven to increase closure rates and avoid postoperative reopening in several researches. In fact, even in large MHs more than 400 µm, the advantage of peeling off the ILM was highlighted by better anatomical closure rates. Read More

J Pediatr Urol 2022 Mar 22. Epub 2022 Mar 22.

Department of Urology, Kanagawa Children's Medical Center, 2-138-4 Mutsukawa, Minami-ku, Yokohama, 232-8555, Japan. Electronic address:

Introduction And Objectives: Proximal hypospadias repair is a challenge in the pediatric urology field. Although the previous reports showed that the Belt-Fuqua staged procedure is reliable with a low complication rate for midshaft hypospadias, this procedure has not been generally applied to more proximal hypospadias with severe ventral curvature due to technical limitations. To solve these technical limitations, we developed a modified Belt-Fuqua procedure using an asymmetric long skin sleeve looking like a Japanese long-sleeved Kimono called a "furisode". Read More

Plast Reconstr Surg 2022 Mar;149(3):742-749

From the Division of Plastic, Reconstructive, Maxillofacial, and Oral Surgery, Duke University Medical Center; Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center; and Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center.

Summary: Vein grafts enable soft-tissue reconstruction in cases of insufficient pedicle length, a lack of nearby recipient vessels, and a wide zone of injury caused by trauma or radiation therapy. The purpose of this article is to provide a comprehensive review of vein grafts in free flap reconstruction focusing on the timing of arteriovenous loops, complications, and surgical technique. Vein graft indications, types of vein grafts, and location-specific considerations are also reviewed. Read More

Eur Ann Otorhinolaryngol Head Neck Dis 2022 Feb 4. Epub 2022 Feb 4.

Chirurgie plastique, IUCT Toulouse Oncopole, Institut Claudius Regaud, 1, avenue Irène-Joliot-Curie, 31059 Toulouse cedex 9, France.

The advent of free flaps has made it possible to undertake increasingly complex reconstructive surgeries. Many of the patients have already undergone extensive prior surgery, primary free flap reconstruction and/or cervical irradiation. These treatments strongly impact anatomy and tissue quality. Read More

Updates Surg 2022 Apr 6;74(2):467-478. Epub 2022 Feb 6.

Dept. of Molecular Medicine and Surgery, Karolinska Institutet and Dept. of Pelvic Surgery, Unit for Coloproctology, Karolinska University Hospital, Anna Steckséns gata 30A, D2:05, 171 76, Stockholm, Sweden.

The purpose of this study is to present and evaluate a surgical method using gluteal flap for combined perineal and vaginal reconstruction after abdominoperineal excision (APE) with partial vaginectomy for anorectal malignancy. The method is a two-centre study of consecutive patients undergoing APE including partial vaginectomy for anorectal tumours, with immediate combined perineal and vaginal reconstruction using gluteal flaps. Follow-up data were retrieved via retrospective review of medical records, questionnaires and gynaecological examinations. Read More

Dermatol Ther 2022 Apr 14;35(4):e15357. Epub 2022 Feb 14.

Plastic Reconstructive and Aesthetic Surgery, Medical Center ASD Consult, Sofia, Bulgaria.

Congenital melanocytic nevi (CMN) are quite common benign proliferations of cutaneous melanocytes. They are present at birth or arise during the first few weeks of life being upper and lower extremities one of the most common locations. To date, consistent guidelines for clinical management of CMN do not yet exist and the main reasons for removing them are medical and cosmetic. Read More

Plast Surg (Oakv) 2022 Feb 16;30(1):68-75. Epub 2020 Jul 16.

Department of Plastic and Aesthetic Surgery, the First Hospital of Shanxi Medical University, Taiyuan City, Shanxi Province, China.

Background: Various methods of landmark reconstruction have been discussed in medical literature, but few describe defects involving the rim of the landmark. For landmark malposition, such as eyelid ectropion, borders are abnormally elongated by scar contracture. The reconstruction should thus restore both the cutaneous defect and the anatomical structure. Read More

Case Reports Plast Surg Hand Surg 2022 17;9(1):37-40. Epub 2022 Jan 17.

Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Auricular reconstruction can pose a challenge for any well-trained plastic surgeon, especially with the COVID-19 pandemic and pressure to decrease stages and office visits. The case report involves a single-stage reconstruction of the auricular upper-third in an elderly male using a unique combination of pre-auricular fasciocutaneous transposition and chondrocutaneous advancement flaps. Read More

Mil Med Res 2022 01 4;9(1). Epub 2022 Jan 4.

Department of Urology, Acıbadem Mehmet Ali Aydınlar University, Istanbul, 34684, Turkey.

Background: After renal trauma, surgical treatment is vital, but sometimes there may be loss of function due to fibrosis. This study aimed to evaluate the effect of autologous omentum flaps on injured renal tissues in a rat model.

Methods: A total of 30 Wistar albino rats were included and randomly divided equally into a control group and four intervention groups. Read More

Indian J Ophthalmol 2022 Jan;70(1):281-286

Department of Ophthalmology, Medical University Pleven, Pleven, Bulgaria.

Facial skin defect reconstruction in medial-canthal area of the lids can be a challenge even when performed by a skilled surgeon. The excision of large tumors in this area leads to significant surgical defects that cannot be repaired by merely closing the wound. The glabellar area provides a source of redundant skin with similar characteristics to that of the medial-canthal lid area. Read More

Dermatol Surg 2022 Feb;48(2):191-194

Cutaneous Oncology Unit, The Skin Centre, Tauranga, New Zealand.

Background: Bilobed transposition flaps are prone to pincushioning (trapdooring), whereby contraction of the flap over the wound bed may produce an unsatisfactory functional and aesthetic outcome. There are several proposed methods to prevent this, but there is currently no clear consensus on the ideal technique.

Objective: To compare primary lobe pexing sutures versus intraoperative triamcinolone (TAC) injection as methods to prevent pincushioning in bilobed transposition flaps. Read More

Ann Dermatol Venereol 2021 Dec 28;148(4):241-245. Epub 2021 Oct 28.

Service de dermatologie, hôpital Saint-Vincent-de-Paul, groupe hospitalier de l'institut catholique de Lille, boulevard de Belfort, 59000 Lille, France; Université Catholique de Lille, France.

Background: Skin tumors commonly occur on the legs and are treated in first line by surgery. Several techniques are available to repair lower limb defects: secondary-intention healing, partial closure, primary closure with or without an s-plasty, or a skin graft. The lack of tissue laxity of the surrounding skin does not allow several local flaps (advancement, rotation, or transposition). Read More

Aesthetic Plast Surg 2022 Apr 22;46(2):686-693. Epub 2021 Oct 22.

Plastic and Reconstructive Surgery Department, Ahmed Maher Teaching Hospitals, Cairo, Egypt.

Background: Revision augmentation-mastopexy is a complex procedure that aims to correct the complications of a previous surgery. The purpose of this study was to evaluate the reliability of the inferior-based dermoglandular flap with partial subpectoral implant coverage to correct implant- and tissue-related complications associated with primary subglandular breast augmentation and its influence on improving outcomes.

Methods: This was a retrospective study in which a total of 53 patients (106 breasts) underwent revision augmentation-mastopexy using the double coverage technique for an implant with an inferior-based dermoglandular flap and superior-based pectoralis major muscle (biplane) as the first layer and a nipple-areolar flap with breast pillars as the second layer. Read More

Aesthetic Plast Surg 2022 Apr 19;46(2):694-696. Epub 2021 Oct 19.

, 1021 Park Avenue, New York, NY, 10028, USA.

Int J Surg Case Rep 2021 Oct 22;87:106432. Epub 2021 Sep 22.

Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, University of Padjajaran - Hasan Sadikin General Hospital Bandung, Bandung, Jawa Barat, Indonesia.

Introduction: Craniofacial Tessier Cleft type 3 as a common craniofacial cleft with nasolabial region soft tissue defect, forced surgeons to find their ways of reconstructing using localregional flaps to provide defect closure. The cleft may occur in existence with other constriction band syndrome entity such as the ADAM complex. The effort to repair and give back the basic function for daily activity, put surgeons to find ways and one among them are soft tissue reconstruction using most reliable are forehead and melolabial flaps. Read More

J Cutan Aesthet Surg 2021 Apr-Jun;14(2):233-237

Department of Oral and Maxillofacial Surgery, MGM Dental College and Hospital, Navi Mumbai, Maharashtra, India.

Cicatricial lower lid ectropion is characterized by vertical shortening and/or scarring of the anterior lamella of eyelid and can be the result of thermal or chemical burns, mechanical or surgical trauma/scars, medications, sun damage, chronic inflammation, and involutional changes. Ectropion repair presents a challenge to the surgeon. The surgical management of cicatricial ectropion depends on the situation after the release of the scar traction in the lower lid area. Read More

J Craniofac Surg 2021 Sep 22. Epub 2021 Sep 22.

Department of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shijingshan Department of Stomatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

Abstract: Infantile hemangiomas are the most common benign childhood tumors and can occur on any part of the human body. Sclerosing agents are used in the early stage of treatment of infantile hemangioma. Sometimes a lip defect remains after sclerosing agent treatment. Read More

Microsurgery 2022 Feb 18;42(2):125-134. Epub 2021 Sep 18.

Department of Plastic Reconstructive and Aesthetic Surgery, China Medical University Hospital, Taichung, Taiwan.

Background: Unintentional swallowing of corrosive agents cause problems in the pediatric population. Swallowing dysfunction can be seen after injuring the pharynx and/or epiglottis which leads to the obstruction of esophagus. An algorithm was established taking into account the injury to the epiglottis and restoring gastrointestinal continuity with isolated or combine free and or supercharged jejunum flap, or supercharged colon transposition flap. Read More

Microsurgery 2021 Nov 9;41(8):743-752. Epub 2021 Sep 9.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.

Background: Anterolateral thigh (ALT) free flap is one of the most popular options for surgeons when reconstructing head and neck defects. When the recipient vessels are located in a remote site, a flap with adequate pedicle length is essential. The conventional methods of either pedicle elongation or fabricating combined flap increase the total surgical time. Read More

Dermatol Reports 2021 Aug 5;13(2):9087. Epub 2021 Aug 5.

Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, Indonesia.

Defects resulting from surgical procedure may be challenging to reconstruct depending on the size and location. In case of large defects, primary closure is often not possible and thus requires skin flap or graft. In such cases, skin flap is advantageous as it produces a similar color and texture with the surrounding tissue. Read More

Oral Oncol 2021 10 2;121:105481. Epub 2021 Sep 2.

Department of Otorhinolaryngology Head and Neck Surgery, Son Espases University Hospital, Palma de Mallorca, Spain.

Severe pharyngeal stricture is an uncommon complication that may occur afer laryngectomy especially in irradiated patients. Its management is a challenge and high risk of recurrence after reconstruction exists. We present two patients with severe end-stage pharyngoesophageal stricture after several failed attempts of reconstruction with regional and free flaps, in which a right colon transposition was performed. Read More

J Card Surg 2021 Nov 2;36(11):4083-4089. Epub 2021 Sep 2.

Department of Cardiovascular Surgery, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada.

Objective: The optimal management of deep sternal wound infection (DWSI) remains controversial. Our objective was to evaluate outcomes of patients with DSWI managed with transposition of laparoscopically harvested omentum (LHO).

Methods: Between 2000 and 2020, a total of 38,623 adult patients who underwent full median sternotomy for cardiac surgery were analyzed retrospectively at our institution. Read More

BMJ Case Rep 2021 Aug 25;14(8). Epub 2021 Aug 25.

CÚRAM, National University of Ireland, Galway, Galway, Ireland.

We present a 54-year-old Caucasian woman, who presented with acute symptomatic type B aortic dissection with deteriorating renal function. She was a known smoker with a 2-year history of dysphagia. CT angiography documented the artery of lusoria arising from the mid-thoracic aorta, aneurysmal dilation of her descending aorta, and kinetic and static flaps around her visceral ostia. Read More

Indian J Ophthalmol 2021 Sep;69(9):2406-2411

Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.

Purpose: This study aimed to evaluate the surgical outcomes of pterygial excision for primary and recurrent pterygia by a single method of pterygia excision combined with two conjunctival flaps.

Methods: This retrospective study divided 193 cases of pterygium into the primary (140 cases) and recurrent (53 cases) pterygium groups. Following double-sliding conjunctival transposition flap operation and surgical excision of the pterygium, the success and recurrence rates of pterygial surgery were assessed based on visual acuity and corneal and total astigmatism during follow-up at least 6 months. Read More

Dermatol Surg 2021 09;47(9):1205-1213

Department of Dermatology, University of California Davis, Sacramento, California.

Background: Despite numerous options for nasal ala reconstruction, advantages and disadvantages of each method are unclear.

Objective: To summarize reported outcomes of local flaps without the use of grafts for nasal ala oncologic reconstructive surgery.

Methods: A nasal ala-specific protocol was adapted from a previous head- and neck-specific PROSPERO submission (CRD42017071596). Read More

Int J Mol Sci 2021 Jul 25;22(15). Epub 2021 Jul 25.

Institute of Pharmacology, College of Medicine, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong St., Taipei 11217, Taiwan.

Background: Spinal cord injury (SCI) causes a primary injury at the lesion site and triggers a secondary injury and prolonged inflammation. There has been no definitive treatment till now. Promoting angiogenesis is one of the most important strategies for functional recovery after SCI. Read More