6,111 results match your criteria partial flap

Free Flap Reconstruction of Traumatic Pediatric Foot and Ankle Defects: An Analysis of Clinical and Functional Outcomes.

J Reconstr Microsurg 2021 Apr 14. Epub 2021 Apr 14.

Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri.

Background:  Traumatic lower extremity injuries involving the foot and ankle can have devastating consequences and represent a complex reconstructive challenge. To date, there are limited reports on microsurgical reconstruction for foot and ankle defects in children. This study aims to evaluate clinical and functional outcomes of free flaps for pediatric foot and ankle injuries. Read More

View Article and Full-Text PDF

The PAP Flap Breast Reconstruction: A Practical Option for Slim Patients.

J Reconstr Microsurg 2021 Apr 14. Epub 2021 Apr 14.

Department of Plastic and Reconstructive Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Seoul, Korea.

Background:  The posterior thigh-based profunda artery perforator (PAP) flap has been an emerging option as a secondary choice in breast reconstructions. However, whether a PAP flap could consistently serve as the secondary option in slim patients has not been investigated.

Methods:  Records of immediate unilateral breast reconstructions performed from May 2017 to June 2019 were reviewed. Read More

View Article and Full-Text PDF

Use of Dorsal Nasal Flap in Combination With Nasolabial Perforator Propeller Flap for Reconstruction of Nasal Skin Defects of Medium to Large Size; A Simpler Alternative to Frontal Flap.

J Craniofac Surg 2021 Mar 25. Epub 2021 Mar 25.

Department of Plastic, Reconstructive and Aesthethic Surgery, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine Department of Plastic, Reconstructive and Aesthethic Surgery, University of Health Sciences, Bakirköy Sadi Konuk Education and Research Hospital Department of Plastic, Reconstructive and Aesthethic Surgery, Memorial Atasehir Hospital, Istanbul Department of Plastic, Reconstructive and Aesthethic Surgery, University of Health Sciences, Izmir Bozyaka Education and Research Hospital, Izmir Department of Plastic, Reconstructive and Aesthethic Surgery, Kirsehir Education and Research Hospital, Kirsehir.

Abstract: Nasal reconstruction is one of the most challenging procedures in plastic surgery. To get optimal aesthetic and functional results, the surgeon should know all the options well. Forehead flap is the gold standard technique for closure of medium to large defects of the nose. Read More

View Article and Full-Text PDF

[Evaluation of secondary refinement procedures following free microvascular tissue reconstruction of the upper extremity].

Handchir Mikrochir Plast Chir 2021 Apr 13. Epub 2021 Apr 13.

BG Klinik Ludwigshafen, Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, Plastische Chirurgie und Handchirurgie der Universität Heidelberg.

Background:  The primary cosmetic and functional outcome following successful upper limb salvage using free tissue transfer can often be unfavourable, which may motivate patients to undergo secondary procedures. In this study, we sought to identify predictors for secondary procedures and to analyse the type and number of these procedures.

Patients And Methods:  Patients who underwent free tissue transfer to the upper extremity between 2010 and 2017 were included in a retrospective cohort study: patients with secondary procedures to optimise the functional and aesthetic flap design (S cohort) vs. Read More

View Article and Full-Text PDF

Clinical application and accuracy analysis of 3D printing guide plate based on polylactic acid in mandible reconstruction with fibula flap.

Ann Transl Med 2021 Mar;9(6):460

Department of Stomatology, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.

Background: Due to the special anatomy morphology and physiological function of the mandible, it has always become a challenge to accurately reconstruct the mandibular defect in maxillofacial surgery. Digital three dimensions (3D) printing surgical guide, as the effective method for individual and accurate surgery, is a hotspot of clinical research at present. In this study, 3D printing PLA surgical guide plate was applied to reconstruct the mandibular defect with fibula flap, its clinical effect and accuracy were evaluated, which aimed to improve the accurate reconstruction of mandibular defects. Read More

View Article and Full-Text PDF

The penis transposed to the perineum with penile-prostatic anastomotic urethroplasty for the treatment of a long segment complex urethral strictures.

Transl Androl Urol 2021 Mar;10(3):1040-1047

Department of Urology, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

Background: To present our experience of transposing the penis to the perineum, with penile-prostatic anastomotic urethroplasty, for the treatment of complex bulbo-membranous urethral strictures.

Methods: Between January 2002 and December 2018, 20 patients with long segment urethral strictures (mean 8.6 cm, range 7. Read More

View Article and Full-Text PDF

Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty.

Int Braz J Urol 2021 Jul-Aug;47(4):861-867

Division of Urology, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogota, Colombia.

Introduction: 46,XX Congenital adrenal hyperplasia (CAH) remains the first cause of genital virilization and current surgical techniques aim to restore female aspect of genitalia while preserving dorsal neurovascular bundle but not at the expense of not preserving erectile tissue. We aim to report our experience with a new surgical technique for clitoroplasty, completely preserving corporeal bodies, neurovascular bundles without dismembering the clitoris, in four patients with over a year follow up.

Materials And Methods: After IRB approval four patients with 46,XX CAH and Prader 5 and 3 external genitalia, underwent feminizing genitoplasty. Read More

View Article and Full-Text PDF
September 2020

Perioperative management of cranial diabetes insipidus in a patient requiring a tracheostomy.

BMJ Case Rep 2021 Apr 9;14(4). Epub 2021 Apr 9.

Department of Otolaryngology and Head and Neck Surgery, Guy's and Saint Thomas' NHS Foundation Trust, London, UK.

Cranial diabetes insipidus (DI), which can cause life-threatening dehydration, is treated with desmopressin, often intranasally. This is challenging in patients whose nasal airflow is altered, such as those requiring tracheostomy. We report the case of a patient, taking intranasal desmopressin for cranial DI, who underwent partial glossectomy, free-flap reconstruction and tracheostomy. Read More

View Article and Full-Text PDF

Endonasal resection of orbital cavernous venous malformations with septal preservation.

Am J Otolaryngol 2021 Apr 5:103021. Epub 2021 Apr 5.

Department of Otolaryngology - Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA. Electronic address:

Purpose: Multiple surgical approaches have been described to maximize visualization and accessibility for resection while minimizing morbidity in the patient with orbital intraconal tumors. Transnasal endoscopic approaches have become increasingly standard in select orbital cavernous venous malformations but often require a partial septectomy. The purpose of this manuscript is to communicate a septal preserving modified transseptal approach. Read More

View Article and Full-Text PDF

Safety and efficacy of secondary mandibular reconstruction using a free osteo-cutaneous fibula flap after segmental mandibular resection: a retrospective case-control study.

BMC Surg 2021 Apr 9;21(1):189. Epub 2021 Apr 9.

Division of Plastic and Reconstructive Surgery, Faculty of Medicine Shimane University, 89-1 Enya-cho, Izumo, Shimane, 693-8501, Japan.

Background: Free osteocutaneous fibula flap (FFF) is currently considered the best option for segmental mandibular reconstruction; however, there are only a few reports comparing secondary with primary reconstructions using FFF. This study aimed to evaluate the safety and efficacy of secondary mandibular reconstruction using FFF when compared with primary mandibular reconstruction.

Methods: From October 2018 to February 2020, patients who underwent mandibular reconstruction using FFF after segmental mandibulectomy were retrospectively reviewed. Read More

View Article and Full-Text PDF

Clinical Outcomes and Complications of Primary Fingertip Reconstruction Using a Reverse Homodigital Island Flap: A Systematic Review.

Hand (N Y) 2021 Apr 9:15589447211003179. Epub 2021 Apr 9.

Royal North Shore Hospital, St Leonards, NSW, Australia.

Background: Reverse homodigital island flaps (RHIFs) are increasingly used to reconstruct traumatic fingertip injuries, but there is limited evidence on the efficacy of this technique. We performed a systematic review of the literature to establish the safety and functional outcomes of RHIF for traumatic fingertip injuries.

Methods: Electronic searches were performed using 3 databases (PubMed, Ovid Medline, Cochrane CENTRAL) from their date of inception to April 2020. Read More

View Article and Full-Text PDF

Single Stage Reconstruction of Large Calvarial Exposure after Tumor Resection: A 3-Year Experience.

Wael H Mahmoud

World J Plast Surg 2021 Jan;10(1):30-36

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.

Background: We aimed to review the treatment and outcome of patients' undergone reconstruction of large full thickness scalp defects with exposed calvarium after oncologic resection with the combined local flap and split-thickness skin graft (STSG) technique.

Methods: A retrospective review of 45 patients with scalp defects secondary to tumor extirpation was performed at the Plastic Surgery Department, Tanta University Hospital, Tanta, Egypt from Nov 2016 to Nov 2019. Patients, with large (>50 cm2) and full-thickness (exposed calvarium) scalp defects, who underwent scalp reconstruction with the combined local flap and STSG technique and had completed their medical records were enrolled. Read More

View Article and Full-Text PDF
January 2021

Supraclavicular Artery Flap versus Skin Graft: Which Is a Better Reconstructive Tool for Managing Post-Burn Contractures in the Neck.

Muhammad Saaiq

World J Plast Surg 2021 Jan;10(1):15-21

Department of Plastic Surgery and Burns, National Institute of Rehabilitation Medicine (NIRM), Islamabad, Pakistan.

Background: Burn in developing countries still has high burden of inadequately managed severe burns. This study compared supraclavicular artery flap and skin graft in managing neck post-burn contractures.

Methods: In National Institute of Rehabilitation Medicine and Pakistan Institute of Medical Sciences, Islamabad, Pakistan, 30 patients with neck post-burn contractures were enrolled. Read More

View Article and Full-Text PDF
January 2021

Cardiovascular Considerations in Anesthetic Management for a Patient With Antiphospholipid Syndrome and Decreased Cardiac Function: A Case Study.

Anesth Prog 2020 Mar;68(1):33-37

Department of Dental Anesthesiology, Faculty of Dental Medicine and Graduate School of Dental Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.

This case report describes the prolonged general anesthetic management of a 41-year-old woman with antiphospholipid syndrome (APS), systemic lupus erythematosus, and previously undiagnosed decreased cardiac function who underwent planned partial resection of the left tongue, tracheostomy, neck dissection, and pedicled flap reconstruction. This was immediately followed by emergent surgery to salvage the flap, and 1 month later, revision of the soft tissue flap was performed. A preoperative echocardiogram was performed because of her various risk factors, which identified lateral wall hypokinesis and reduced left ventricular ejection fraction of 40%, despite no known cardiovascular disease. Read More

View Article and Full-Text PDF

Tracheostomy in free-flap reconstruction of the oral cavity: can it be avoided? A cohort study of 187 patients.

ANZ J Surg 2021 Apr 6. Epub 2021 Apr 6.

Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, New South Wales, Australia.

Background: Head and neck surgeons are moving away from routine tracheostomy in free-flap reconstruction. We reviewed prophylactic tracheostomy use in patients undergoing oral cavity or oropharynx free-flap reconstruction to identify patient groups who avoided tracheostomy. Secondary aims were to describe complications associated with and without tracheostomy. Read More

View Article and Full-Text PDF

Enhanced Recovery Pathways for Flap-Based Reconstruction: Systematic Review and Meta-Analysis.

Aesthetic Plast Surg 2021 Apr 5. Epub 2021 Apr 5.

Blizard Institute, Barts and The London School of Medicine and Dentistry, Centre for Cutaneous Research, 4 Newark Street, London, E1 2AT, UK.

Background: Enhanced Recovery After Surgery (ERAS) pathways are known to improve patient outcomes after surgery. In recent years, there have been growing interest in ERAS for reconstructive surgery.

Objectives: To systematically review and summarise literature on the key components and outcomes of ERAS pathways for autologous flap-based reconstruction. Read More

View Article and Full-Text PDF

Effect of root surface conditioning on gingival recession coverage with a connective tissue graft. A retrospective comparative study of three different agents.

J Esthet Restor Dent 2021 Apr 5. Epub 2021 Apr 5.

Department of Periodontology and Dental Implantology, School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.

Objective: Different root modifiers have been proposed in the literature with an attempt to improve the healing process and the success rate of root coverage procedures. The aim of the present retrospective study was to evaluate the effect of three different types of root surface conditioning, namely, tetracycline (TTC), ethylene-di-amino-tetra-acetic acid (EDTA) and saline, on the outcome of root coverage procedures applying the same surgical technique.

Materials And Methods: Twenty-nine patients with 60 Classes I, II, or III recession defects were treated using connective tissue with a partial-thickness double-pedicle graft. Read More

View Article and Full-Text PDF

Nuts and bolts of PMMC flap in oral cancer and its clinical outcome in 168 indian patients: A retrospective analysis.

J Oral Biol Craniofac Res 2021 Apr-Jun;11(2):361-364. Epub 2021 Feb 8.

Department of Oral and Maxillofacial Surgery, C.S.M.S.S. Dental College, Aurangabad, Maharashtra, India.

Introduction: The gold standard for reconstruction is the microvascular free flaps, whereas pedicled flaps are generally employed as a rescue procedure. Pectoralis major myocutaneous flap (PMMC) flap being a reliable flap is associated with high rate of complication. So, the purpose of this study was to check and assess the predictability of PMMC Flap and its clinical outcome in 168 Indian patients. Read More

View Article and Full-Text PDF
February 2021

Bilobed PMMC in Females: Our Challenging yet Meritorious Experience.

Indian J Surg Oncol 2021 Mar 8;12(1):39-47. Epub 2020 Oct 8.

Department of Surgical Oncology, Gujarat Cancer and Research Institute, Ahmedabad, Gujarat India.

The gold standard reconstructive options for full-thickness defect of the oral cavity after resection of malignant lesions are the free flaps. But in developing nations due to resource constraints, it cannot be offered to all. Hence, pectoralis major myocutaneous (PMMC) flap as bilobed flaps is most commonly used. Read More

View Article and Full-Text PDF

Partial Anomalous Pulmonary Venous Connection Repair: Customized Approach and Outcomes.

Pediatr Cardiol 2021 Apr 2. Epub 2021 Apr 2.

Division of Pediatric Cardiothoracic Surgery, Methodist Children's Hospital Heart Institute, 4410 Medical Drive, Suite 540, San Antonio, TX, 78229, USA.

Alternative options for the correction of partial anomalous pulmonary venous connection (PAPVC) have been proposed. Each can be associated with variable risk for dysrhythmias, caval or pulmonary venous (PV) obstruction. A selective customized strategy to address PAPVC taking into account atrial shunt (AS) and growth potential was pursued. Read More

View Article and Full-Text PDF

Custom-Made 3D-Printed Implants as Novel Approach to Reconstructive Surgery after Oncologic Resection in Pediatric Patients.

J Clin Med 2021 Mar 4;10(5). Epub 2021 Mar 4.

Orthopedic Department, University of Pisa, Via Paradisa 2, 56124 Pisa, Italy.

Recently, custom-made 3D-printed prostheses have been introduced for limb salvage surgery in adult patients, but their use has not been described in pediatric patients. A series of 11 pediatric patients (mean age 10.8 years; range 2-13) with skeletal tumors treated with custom-made implants for the reconstruction of bony defects is described. Read More

View Article and Full-Text PDF

Overall Complication Rates of DIEP Flap Breast Reconstructions in Germany-A Multi-Center Analysis Based on the DGPRÄC Prospective National Online Registry for Microsurgical Breast Reconstructions.

J Clin Med 2021 Mar 2;10(5). Epub 2021 Mar 2.

Department of Plastic and Aesthetic Surgery, Hand Surgery, Helios Hospital Emil von Behring, 14165 Berlin, Germany.

While autologous breast reconstruction has gained momentum over recent years, there is limited data on the structure and quality of care of microsurgical breast reconstruction in Germany. Using the breast reconstruction database established by the German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRÄC), the presented study investigated the overall outcomes of deep inferior epigastric perforator (DIEP) flap reconstructions in Germany. Data of 3926 patients and 4577 DIEP flaps performed by 22 centers were included in this study. Read More

View Article and Full-Text PDF

Assessment of Outcomes After Limberg Flap Reconstruction for Scrotal Defects in Patients With Fournier's Gangrene.

Wounds 2021 Mar;33(3):65-69

Necmettin Erbakan University, Konya, Turkey.

Background: Fournier's gangrene (FG) is a rarely encountered necrotizing fasciitis principally affecting skin and subcutaneous tissues of the genital region, perineum, and abdominal wall. The overall incidence of FG is 1.6 cases per 100 000 per year; the incidence in males is higher. Read More

View Article and Full-Text PDF

Association of Virtual Surgical Planning With External Incisions in Complex Maxillectomy Reconstruction.

JAMA Otolaryngol Head Neck Surg 2021 Apr 1. Epub 2021 Apr 1.

Department of Anatomic Modeling, Mayo Clinic, Rochester, Minnesota.

Importance: Maxillectomy can commonly be performed through a transoral approach, but maxillectomy defect reconstruction can be difficult to precisely design, contour, and inset through this approach.

Objective: To evaluate whether the use of virtual surgical planning (VSP) and 3-dimensional (3-D) modeling is associated with a decrease in the requirement of lateral rhinotomy (LR) for patients undergoing total and partial maxillectomy reconstruction.

Design, Setting, And Participants: This retrospective cohort study was conducted among patients undergoing subtotal or total maxillectomy with microvascular free flap reconstruction with or without VSP and 3-D modeling at a single tertiary care academic medical center between January 1, 2008, and October 3, 2019. Read More

View Article and Full-Text PDF

Reconstruction of burn scar contracture deformity of the extremities using thin thoracodorsal artery perforator free flaps.

ANZ J Surg 2021 Apr 1. Epub 2021 Apr 1.

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

Background: Severe burn scar contracture of the extremities, especially the joint areas, causes aesthetic problems and functional limitation. Release of burn scar contractures requires complete removal of the scars and resurfacing of the resulting defects. Here, we describe thoracodorsal artery perforator (TDAP) free flaps for reconstructing burn scar contractures. Read More

View Article and Full-Text PDF

Free Tissue Transfer after Open Transmetatarsal Amputation in Diabetic Patients.

J Reconstr Microsurg 2021 Mar 31. Epub 2021 Mar 31.

Department of Plastic Surgery, Asan Medical Center, University of Ulsan, Seoul, Korea.

Background:  Transmetatarsal amputation (TMA) preserves functional gait while avoiding the need for prosthesis. However, when primary closure is not possible after amputation, higher level amputation is recommended. We hypothesize that reconstruction of the amputation stump using free tissue transfer when closure is not possible can achieve similar benefits as primarily closed TMAs. Read More

View Article and Full-Text PDF

A novel application of superior thyroid artery perforator flaps for medium-sized intraoral reconstructions: A retrospective analysis of 12 cases.

Head Neck 2021 Mar 30. Epub 2021 Mar 30.

Department of Oral Maxillofacial-Head Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, China.

Background: To describe the indications, technique, and preliminary experience in the application of the superior thyroid artery perforator flap (STAPF) for the reconstruction of various medium-sized intraoral defects.

Methods: From September 2018 to September 2019, 12 consecutive cases of oral squamous cell carcinoma underwent reconstruction with a STAPF. Clinical details were collected, and postoperative function was analyzed. Read More

View Article and Full-Text PDF

Comparison of pedicled versus free flaps for reconstruction of extensive deep sternal wound defects following cardiac surgery: A retrospective study.

Microsurgery 2021 Mar 29. Epub 2021 Mar 29.

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Hand and Plastic Surgery, University of Heidelberg, Heidelberg, Germany.

Background: Myocutaneous pedicled flaps are the method of choice for sternal reconstruction after deep sternal wound infection (DSWI) following cardiac surgery. We set out to investigate whether free flaps provide a superior alternative for particularly extended sternal defects.

Methods: Between October 2008 and February 2020, 86 patients with DSWI underwent sternal reconstruction with myocutaneous flaps at our institution. Read More

View Article and Full-Text PDF

Fasciocutaneous Elliptical Rotation Flap for Pilonidal Sinus Disease and Its Outcomes.

Emre Gündoğdu

Turk J Surg 2020 Sep 28;36(3):310-316. Epub 2020 Sep 28.

Liv Hospital Ankara, General Surgery, Ankara, Turkey.

Objectives: Sacrococcygeal pilonidal sinus is a common disease especially in the Caucasians of the Middle East. It has been reported in the incidence of 12-26 in a 100.000 population. Read More

View Article and Full-Text PDF
September 2020

Pedicled Abdominal Flaps for Hand Reconstruction in Adults: Physiotherapy of the Attached Hand.

Plast Reconstr Surg Glob Open 2021 Mar 24;9(3):e3474. Epub 2021 Mar 24.

Department of Orthopaedic Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

Hand reconstruction using pedicled abdominal flaps has several disadvantages, including delayed hand therapy leading to stiffness.

Methods: This is a retrospective study of 70 cases of pedicled abdominal flaps used for hand reconstruction in adults in whom physiotherapy of the attached hand was implemented. The review aims to investigate the rate of flap dehiscence, infection, hematoma, and flap edge necrosis in our cases, and to establish that physiotherapy of the attached hand is not associated with an increased risk of complications. Read More

View Article and Full-Text PDF