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    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 Feb 3. Epub 2017 Feb 3.
    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 Jan 3. Epub 2017 Jan 3.
    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

    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

    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

    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

    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

    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

    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

    [APPLICATION OF ONE STAGE VACUUM SEALING DRAINAGE COMBINED WITH BI-PEDICLE SLIDING FLAP TRANSPLANTATION FOR OPEN TIBIOFIBULAR FRACTURE AND SOFT TISSUE DEFECTS OF THE LOWER LEG].
    Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2015 Aug;29(8):955-8
    Objective: To evaluate the effectiveness of one stage vacuum sealing drainage (VSD) combined with bi-pedicle sliding flap transplantation in repairing open tibiofibular fracture and soft tissue defects of the lower leg.

    Methods: Twenty-five patients with open tibiofibular fracture and soft tissue defects of the lower leg were treated by VSD combined with bi-pedicle sliding flap transplantation between January 2012 and July 2014. There were 18 males and 7 females, aged 12-65 years (mean, 35. Read More

    [Postoperatively repair methods of head and facial skin malignancies in the advanced ages].
    Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2015 Sep;29(17):1514-6
    Objective: To investigate postoperatively repairing methods and their clinical effects of the olders over 80 years old with head and facial skin malignancies.

    Method: Eighteen cases of skin cancers in the head and face, whose malignancies were resected with Mohs microscopic surgery, according to the local or systemic condition of patients after surgery we choose different repairing methods: free skin flap grafting in 2 cases, local skin flap transferring 12 cases; including rotation skin flap grafting 6 cases, sliding flap 4 cases, nasolabial flap 2 cases; transposition flap 4 cases.

    Result: Operations of the 18 cases went well without special complications. Read More

    Reconstruction of massive post-sternotomy defects with allogeneic bone graft: four-year results and experience using the method.
    Interact Cardiovasc Thorac Surg 2016 Mar 29;22(3):305-13. Epub 2015 Nov 29.
    Department of Cardiosurgery, University Hospital Olomouc and Faculty of Medicine, Palacky University Olomouc, Olomouc, Czech Republic.
    Objectives: Deep sternal wound infection poses 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 causing respiratory insufficiency and defects of soft tissue healing. Proposals for managing the situation have been published but the complexity of the issue precludes unequivocal resolution. Read More

    Pedicle Internal Limiting Membrane Transposition Flap Technique for Refractory Macular Hole.
    Ophthalmic Surg Lasers Imaging Retina 2015 Nov-Dec;46(10):1045-6
    Background And Objective: To determine the efficacy of the pedicle internal limiting membrane (ILM) transposition flap technique for refractory macular holes (MHs) in which the inverted ILM flap technique cannot be performed.

    Patients And Methods: The pedicle ILM flap transposition technique was conducted by transconjunctival microincision vitrectomy. The authors attempted to peel the remaining ILM inferior from the MH to create an ILM flap. Read More

    [SURGICAL TREATMENT OF THE FACE CAPILLARY MALFORMATION].
    Klin Khir 2015 Aug(8):38-40
    Results of surgical treatment of 37 patients for the head and neck capillary malformations were analyzed. Optimal surgical tactics, depending on the malformation form and localization, was proposed. Restitution of the tissues defect after excision of malformation, using the flaps transposition, have permitted to achieve good esthetic results. Read More

    Two staged modified substitution urethroplasty using appendix-free flap.
    BMJ Case Rep 2015 Nov 20;2015. Epub 2015 Nov 20.
    Department of Pediatric Urology, Mashhad University of Medical Sciences, Mashhad, Iran.
    Reconstruction of long posterior urethra defect is technically challenging. Substitution urethroplasty is used in long, complex, recurrent posterior urethral strictures. This article presents a modified technique and the clinical outcome of two-stage substitution urethroplasty with appendix free flap and microvascular anastomosis. Read More

    Patient-based outcomes following surgical debridement and flap coverage of digital mucous cysts.
    J Plast Surg Hand Surg 2016 5;50(2):111-4. Epub 2015 Nov 5.
    a Department of Orthopedic Surgery , Nara Medical University , Kashihara , Nara , Japan.
    Purpose: The purpose of this prospective cohort study was to evaluate patient-based outcomes and complications following excision of mucous cysts, joint debridement, and closure with one of three types of local flaps.

    Methods: From 2000-2011, 35 consecutive patients with 37 digital mucous cysts were treated surgically. The surgical procedure included excision of the cyst together with the attenuated skin, joint debridement on the affected side including capsulectomy, and removal of osteophytes. Read More

    Surgical treatment of chronic pulmonary aspergillosis using preventive latissimus dorsi muscle flaps.
    J Cardiothorac Surg 2015 Nov 5;10:151. Epub 2015 Nov 5.
    Division of Chest Surgery, Toho University School of Medicine, Tokyo, Japan.
    Background: Surgery for chronic pulmonary aspergillosis is often technically risky. The choice of immediate thoracoplasty or muscle flap plombage to prevent postoperative space problems remains controversial. This study focused on the use of muscle flaps to prevent postoperative complications. Read More

    [Clinical application of expanded flap based on the cutaneous branch of transverse cervical artery].
    Zhonghua Zheng Xing Wai Ke Za Zhi 2015 May;31(3):165-7
    Objective: To investigate the clinical application of expanded flap based on cutaneous branch of transverse cervical artery for reconstruction of cervical cicatricial contracture.

    Methods: Based on the clinical anatomy of cutaneous branch of transverse cervical artery flap, we design the corresponding subclavicular area for expansion. The incision was usually located at the anterior axillary fold, 5-8 cm in length. Read More

    Modified subcutaneously pedicled flap.
    J Dtsch Dermatol Ges 2015 Nov;13(11):1200-3
    Division of Dermatologic Surgery and Laser Surgery, Department of Dermatology, University of Salzburg, Salzburg, Austria.
    The subcutaneously pedicled flap, also known as V-Y flap, belongs to the group of island flaps whose blood supply (unlike the horizontally perfused advancement and transposition flaps) comes from subcutaneous blood vessels perpendicular to the skin surface. Because of the outstanding perfusion of this type of flap, we remove up to one-third of the cranial flap pedicle to form a skin flap (3-4 mm thick), resulting in a significant increase in the defect size able to be covered by the V-Y flap. Moreover, in the infraorbital region - as far as topographically feasible - this flap is pulled further cranially (in the direction of the defect to be closed) by an obliquely placed periosteal suture. Read More

    Safety and Effectiveness of a Small Incision Lateral Eyebrow Ptosis Repair Technique Using a Frontalis Muscle Transposition Flap.
    Ophthal Plast Reconstr Surg 2016 Nov/Dec;32(6):438-440
    Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio, U.S.A.
    Purpose: To evaluate the safety and effectiveness of a frontalis muscle transposition flap for treatment of lateral eyebrow ptosis.

    Methods: The charts of all patients undergoing frontalis muscle transposition flap eyebrow ptosis repair from December 2013 to September 2014 were reviewed. Charts with inadequate photographs were excluded. Read More

    Free Antropyloric Valve Flap for End-Stage Fecal Incontinence as a Substitute to Permanent Colostomy.
    J Reconstr Microsurg 2016 Mar 16;32(3):215-21. Epub 2015 Oct 16.
    Division of Dentistry, Hind Institute of Medical Sciences, Barabanki, Uttar Pradesh, India.
    Background: Surgical removal of the anal canal and sphincter for carcinoma results in end-stage fecal incontinence (ESFI) and requires a permanent colostomy resulting in significant impact on quality of life. Presently, there are limited options for EFSI. The successful use of pedicled antropyloric valve (APV) based on left gastroepiploic artery as an alternative to permanent colostomy has previously been described. Read More

    The Retrograde Transposition of the Remnant Earlobe in Patients With Low-Set Microtia.
    J Craniofac Surg 2015 Oct;26(7):2177-9
    *Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences †Beijing Institute of Genomics, Chinese Academy of Sciences and Key Laboratory of Genome Science and Information, Chinese Academy of Sciences ‡Department of Research Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing, China.
    During auricle reconstruction, lobular transposition has become a routine technique applied by most of surgeons. But to some low-set remnant ears, it is difficult to manipulate the conventional lobule transposition method in clinical application. In this article, the authors introduce a method to retrogradely transpose the remnant ear with the the ratio of length:width of the lobular flap being 4-5:1. Read More

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