2,286 results match your criteria rotation flap


Reconstruction of a Large Traumatic Medial Cheek Defect Using an Anterior-Based Subcutaneous Cervicofacial Rotation Advancement Flap.

Plast Surg Nurs 2021 Apr-Jun 01;41(2):117-120

Sourabh Shankar Chakraborty, MBBS, DNB, MNAMS, is a Senior Resident, Department of Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

In this article, we describe reconstruction of a large left-side medial cheek defect in a 78-year-old woman using a cervicofacial rotation advancement flap. To our knowledge, this is the second case of reconstruction of a large traumatic medial cheek defect using an anterior-based subcutaneous cervicofacial rotation advancement flap that has ever been reported. We applied retention sutures at the level of the jawline and zygomatic eminence using 3-0 nonabsorbable sutures between the subcutaneous tissue of the flap and the periosteum. Read More

View Article and Full-Text PDF

Single-port laparoscopic extended right hemicolectomy with complete mesocolic excision and central vascular ligation using a right colon rotation technique (flip-flap method).

Surg Endosc 2021 May 12. Epub 2021 May 12.

Department of Gastroenterological Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennoji-ku, Osaka City, Osaka, 543-0035, Japan.

Introduction: Single-port laparoscopic extended right hemicolectomy with complete mesocolic excision and central vascular ligation is technically challenging, and a standardized procedure is needed to minimize technical hazards.

Technique: As a first step, the hepatic flexure is mobilized from the duodenum, and the third part of the duodenum and pancreatic head was exposed. Next, the ileocecal vessels are divided at the root using a medial-to-lateral approach, and the cecum is separated from the retroperitoneal space. Read More

View Article and Full-Text PDF

Clinical Application of the Peroneal Artery Perforator Flap for Reconstruction of Lateral Malleolus Defects.

Int J Low Extrem Wounds 2021 May 5:15347346211015828. Epub 2021 May 5.

Division of Plastic Surgery, Department of Surgery, 63452Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan (R.O.C.).

The reconstruction of defects of the lateral malleolus involving the exposed fibular bone or tendon is challenging. This study aimed to evaluate the clinical application of the peroneal artery perforator flap with or without split-thickness skin grafting for soft tissue reconstruction of the bony defect of the lateral malleolus of the ankle joints. Reconstruction using a peroneal artery perforator flap with or without split-thickness skin grafting was performed for 15 patients (10 men, 5 women) between January 2007 and December 2018. Read More

View Article and Full-Text PDF

The Anatomic Feasibility of a Functional Chimeric Flap in Complex Abdominal Wall Reconstruction.

Ann Plast Surg 2021 05;86(5):557-561

From the Department of Plastic and Reconstructive Surgery, Cleveland Clinic Foundation, Cleveland, OH.

Background: Dynamic and functional abdominal wall reconstruction (FAWR) remains a complex challenge. The ideal flap should have a minimal donor-site morbidity and cover a large surface area with motor and sensory capabilities. The goal was to investigate the feasibility of using a free chimeric flap with anterolateral thigh (ALT) and rectus femoris (RF) components pedicled only on the motor nerve branch. Read More

View Article and Full-Text PDF

Clinical Effectiveness of Dorsal Branch Skin Flap of Proper Palmar Digital Artery with Distal Pedicle in Repairing of Fingertip Soft Tissue Defect: A 1-Year Prospective Study in a Chinese Tertiary Referral Teaching Hospital.

J Hand Surg Asian Pac Vol 2021 Jun;26(2):265-273

Department of Orthopedics, Zhongnan Hospital of Wuhan University, Wuhan, P.R. China.

Digital island flap remains among the most useful types of providing soft-tissues coverage for defect on the fingertip accompanied with underlying structures exposure. Nevertheless, its trends of functional and aesthetic issues such as the limited length of advancement and the limited flap size are the essential disadvantages. The main objective of the study was to assess the clinical effectiveness of dorsal branch skin flap of proper palmar digital artery with distal pedicle in repairing of fingertip soft tissue defect accompanied with underlying structures exposure. Read More

View Article and Full-Text PDF

Postoperative Outcomes of Local Skin Flaps Used in Oncologic Reconstructive Surgery of the Upper Cutaneous Lip: A Systematic Review.

Dermatol Surg 2021 Apr 27. Epub 2021 Apr 27.

Division of Dermatology, Department of Medicine, Women's College Hospital, Toronto, Ontario, Canada; Faculty of Medicine, Medical Sciences Building, University of Toronto, Toronto, Ontario, Canada; Gerstein Science Information Centre, University of Toronto, Toronto, Ontario, Canada; and Department of Dermatology, University of California Davis, Sacramento, California.

Background: Despite many options for upper lip reconstruction, each method's advantages and disadvantages are unclear.

Objective: To summarize complications and functional and aesthetic outcomes of localized skin flaps for oncological reconstruction of the upper cutaneous lip (PROSPERO CRD42020157244).

Methods: The search was conducted in Ovid MEDLINE, Ovid EMBASE, and CENTRAL on December 14, 2019. Read More

View Article and Full-Text PDF

Modified partial penile disassembly repair for improved functional and cosmetic outcome in isolated male epispadias.

J Plast Reconstr Aesthet Surg 2021 Mar 30. Epub 2021 Mar 30.

Department of Urology, Dr. S.N. Medical College Jodhpur, Rajasthan 334003, India.

Introduction And Objective: The objective of the study was to evaluate the functional and cosmetic outcome of single-stage modified partial penile disassembly repair in isolated male epispadias.

Materials And Methods: A retrospective analysis of 15 cases of primary epispadias repair, from June 2015 to December 2018, was performed. Patients were classified by the type of epispadias, urinary incontinence, chordee, and rotation. Read More

View Article and Full-Text PDF

Repair Exposure of the Postauricular Tissue Expander Using the Modified Brent Method: A 7-Year Experience.

Ear Nose Throat J 2021 Apr 29:1455613211007967. Epub 2021 Apr 29.

Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Shijingshan District, Beijing, People's Republic of China.

Objectives: Ear reconstruction is a challenging surgery for the complicated conditions in patients with microtia. The tissue expansion techniques were necessary and relatively safe for patients with insufficient soft tissue. However, complications such as necrosis of expanded flap and exposure of tissue expander limited the popularization of this method. Read More

View Article and Full-Text PDF

Revisiting the Pericranial Flap for Scalp Reconstruction.

J Craniofac Surg 2021 May;32(Suppl 3):1275-1280

Division of Plastic, Aesthetic and Reconstructive Surgery, University of Miami, Miami, FL.

Abstract: Soft tissue deficits of the scalp due to trauma, infection, or tumor resection present a unique challenge to the reconstructive surgeon whose goal is to achieve excellent cosmesis in a hair bearing area without compromising coverage. While extensive undermining for large rotation flaps or free tissue transfer can provide necessary coverage, the pericranial flap is an excellent alternative for less ideal surgical candidates who cannot tolerate more extensive interventions or for patients who require long-term cancer surveillance. Elevation of the pericranial flap limits the need for back cuts through the skin and uses blunt dissection to preserve overlying hair follicles. Read More

View Article and Full-Text PDF

Improved Ilizarov method for management of deformity and ulceration on foot and ankle of spina bifida.

J Orthop Translat 2021 May 7;28:140-147. Epub 2021 Apr 7.

Rehabilitation Hospital of National Research Center for Rehabilitation Technical Aids; Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability; Key Laboratory of Human Motion Analysis and Rehabilitation Technology of the Ministry of Civil Affairs, Beijing, China.

Objective: To analyze the characteristics of foot and ankle deformity with ulceration in patients with spina bifida, to conclude experiences on management with improved Ilizarov method in one stage.

Methods: 77 cases suffering foot and ankle deformity with ulceration of spina bifida were included from January 2008 to June 2019, in which 30 male and 47 female, aged 6-46 years with an average age of 22.86 years. Read More

View Article and Full-Text PDF

Aesthetic utility of addition of nipple-areola recentralization to rotation flap according to nipple tumor distance for patients with lower-outer or upper-inner located breast cancers.

J Plast Reconstr Aesthet Surg 2021 Mar 31. Epub 2021 Mar 31.

Department of Breast and Endocrine Surgery, Osaka University Graduate School of Medicine, 2-2-E10 Yamada-oka, Suita, Osaka 565-0871, Japan.

We aimed to validate the cosmetic utility of addition of nipple-areola recentralization (NAR) to rotation flap according to nipple tumor distance (NTD) as a volume displacement technique after breast conserving surgery (BCS) for lower-outer and upper-inner breast cancers. Twenty breast cancer patients who had been treated with rotation flap with (Group 1; n = 6) or without (Group 2; n = 14) NAR after BCS for lower-outer or upper-inner located tumors, and those who had undergone BCS without oncoplastic surgical technique for tumors in the same area (Control group; n = 43), were retrospectively investigated. Cosmetic outcome was evaluated using Harvard scale and/or BCCT. Read More

View Article and Full-Text PDF

[Clinical effects of axillary propeller flaps in reconstructing the axillary fold scar contracture].

Zhonghua Shao Shang Za Zhi 2021 Apr;37(4):377-381

Department of Burns and Plastic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.

To explore the clinical effects of axillary propeller flaps in reconstructing the axillary fold scar contracture. A retrospective cohort study was conducted. From July 2016 to January 2020, 11 patients with anterior axillary fold or anterior and posterior axillary fold scar contractures after burns were admitted to Xiangya Hospital of Central South University, including 7 males and 4 females, aged 8 to 48 years. Read More

View Article and Full-Text PDF

Redefining the Reconstructive Ladder in Vulvoperineal Reconstruction: The Role of Pedicled Perforator Flaps.

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

Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.

Background:  Gynecological reconstruction is difficult, particularly in cases with recurrence and received previous surgeries and/or radiotherapy and necessitate secondary reconstruction. Perforator flaps can preserve other donor sites for potential later reconstruction, and they also can be better tailored to the defect. We hypothesized that the use of perforator-based flaps can better restore the defect with less complications. Read More

View Article and Full-Text PDF

Reconstructive options for cutaneous dorsal hand defects.

Int J Dermatol 2021 Apr 7. Epub 2021 Apr 7.

Epiphany Dermatology, Dallas, TX, USA.

Background: Moderate to large dorsal hand defects pose reconstructive challenges owing to the small surface area, immobile adjacent finger tissue, and thin, fragile skin.

Objective: To present reconstructive options for moderate to large dorsal hand defects.

Materials And Methods: First, a brief review of dorsal hand reconstructive options is discussed. Read More

View Article and Full-Text PDF

Tissue-engineered vascularized patient-specific temporomandibular joint reconstruction in a Yucatan pig model.

Oral Surg Oral Med Oral Pathol Oral Radiol 2021 Feb 6:4571. Epub 2021 Feb 6.

Pediatric Otolaryngology, Department of Otolaryngology, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA, USA.

Purpose: Current pediatric temporomandibular joint (TMJ) reconstruction options are limited. The aim of this project was to develop a proof-of-principle porcine model for a load-bearing, customized, 3D-printed and bone morphogenic protein 2 (BMP-2)-coated scaffold implanted in a pedicled (temporal) flap as a regenerative approach to pediatric TMJ mandibular condyle reconstruction.

Materials And Methods: Scaffolds were customized, 3D-printed based on porcine computed tomography, and coated with BMP-2. Read More

View Article and Full-Text PDF
February 2021

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

Authors:
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

The Evolution of Unilateral Cleft Lip Repair.

J Craniofac Surg 2021 Mar 22. Epub 2021 Mar 22.

Division of Plastic and Maxillofacial Surgery, Children's Hospital of Los Angeles, Los Angeles, CA Baylor College of Medicine, Houston, TX Division of Plastic and Reconstructive Surgery, Keck School of Medicine University of Southern California, Los Angeles Division of Plastic Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia Division of Plastic Surgery, Shriners Hospital for Children, Pasadena, CA.

Abstract: The understanding of cleft lip etiology and approaches for surgical repair have evolved over time, allowing for improved ability to restore form and function. The variability of cleft lip presentations has necessitated a nuanced surgical approach with multidisciplinary cleft care. The earliest documentation of unilateral cleft lip repair predates the 19th century, with crude outcomes observed before the advent of curved incisions and advancement flaps. Read More

View Article and Full-Text PDF

Cephalic lateral crural advancement flap.

Authors:
Fuat Bulut

Arch Plast Surg 2021 Mar 15;48(2):158-164. Epub 2021 Mar 15.

Department of Otorhinolaryngology, Corlu Private Reyap Hospital, Istanbul Rumeli University, Istanbul, Turkey.

Background: In lower lateral cartilage (LLC) surgery, cephalic trimming poses risks for the collapse of the internal and external nasal valves, pinched nose, and drooping deformity. The cephalic lateral crural advancement (CLCA) technique presented herein was aimed at using a flap to increase nasal tip rotation and support the lateral crus, in addition to the internal and external nasal valves, by avoiding grafts without performing excision.

Methods: This study included 32 patients (18 female and 14 male) and the follow-up period for patients having undergone primer open rhinoplasty was 12 months. Read More

View Article and Full-Text PDF

Dislocation of the mandibular condyle into the middle cranial fossa. A case of temporomandibular joint arthroplasty with resorbable fixation system and temporalis myofascial flap: systematic review and meta-analysis.

Br J Oral Maxillofac Surg 2021 05 19;59(4):389-397. Epub 2020 Aug 19.

General Hospital of Mexico "Eduardo Liceaga".

The aims of the present study were to comprehensively assess all the published cases on dislocation of the mandibular condyle into the middle cranial fossa (DMCCF) in the literature in English and describe the clinical, imaging, and therapeutic variables for this condition. An electronic search was undertaken in March 2020 using PubMed/MEDLINE, Web of Science, ScienceDirect, Springer, and Scopus databases. Eligibility criteria included publications with sufficient information to confirm the diagnosis. Read More

View Article and Full-Text PDF

Improving reconstructive surgery design using Gaussian process surrogates to capture material behavior uncertainty.

J Mech Behav Biomed Mater 2021 06 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

View Article and Full-Text PDF

[Clinical effects of pre-expanded anterior perforator flap of transverse cervical artery and pre-expanded thoracic random flap in reconstructing extensive facial and cervical scar in relay].

Zhonghua Shao Shang Za Zhi 2021 Apr;37(4):350-355

Department of Burns & Plastic Surgery, Institute of Burns, the Fourth Medical Center, PLA General Hospital, Beijing 100048, China.

To explore the clinical effects of pre-expanded anterior perforator flap of transverse cervical artery in extensive facial and cervical scar reconstruction and contralateral pre-expanded thoracic random flap in relay in donor site repair. A retrospective cohort study was conducted. From May 2008 to December 2018, 10 patients with extensive facial and cervical scar after burns were treated in the Fourth Medical Center of PLA General Hospital, including 8 males and 2 females, aged 10-55 years. Read More

View Article and Full-Text PDF

Reconstruction of a Large Oncologic Defect Involving Lower Eyelid and Infraorbital Cheek Using MSTAFI Flap.

Ear Nose Throat J 2021 Mar 17:1455613211000294. Epub 2021 Mar 17.

Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, People Republic of China.

An oncologic defect that includes both the lower eyelid and the infraorbital cheek often results in complex reconstructive problems because its reconstruction involves 2 distinct tissue types and cosmetic subunits. Herein, we first present a novel combination of modified supratrochlear artery forehead island flap and advancement rotation cheek flap enables reconstructing a large oncologic defect of lower eyelid and infraorbital cheek. Although discoid lupus erythematosus affects the skin, the patient had achieved a satisfying color match and an acceptable aesthetic restoration without tumor recurrence. Read More

View Article and Full-Text PDF

Vertical plication: A penile curvature correction technique that reduces the need for urethral plate transection in penoscrotal hypospadias.

J Pediatr Urol 2021 Feb 24. Epub 2021 Feb 24.

Department of Pediatric Surgery, Mugla Sıtkı Kocman University, Faculty of Medicine, Mugla, Turkey. Electronic address:

Introduction: Penile curvature (PC) is a frequent component associated with hypospadias. Medial corporal rotation by interrupted suturing without incising the corporal bodies is well described in patients with epispadias and we think that it is an alternative technique for the management of patients with ventral PC, with or without hypospadias.

Objective: We describe a PC correction technique which reduces the need for urethral plate transection in penoscrotal hypospadias. Read More

View Article and Full-Text PDF
February 2021

Optimal harvest and efficient use of septal cartilage in rhinoplasty.

Arch Craniofac Surg 2021 Feb 20;22(1):11-16. Epub 2021 Feb 20.

Department of Plastic and Reconstructive Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Background: Nasal septal cartilage is used to obtain favorable aesthetic and functional outcomes in rhinoplasty, but is often difficult to harvest or the harvested amount is insufficient. Therefore, the objective of this study is to introduce how to harvest septal cartilage optimally without losing and use harvested cartilage efficiently.

Methods: From March 2015 to January 2020, we tried to harvest as much septal cartilage as possible while maintaining the L-strut in 30 patients. Read More

View Article and Full-Text PDF
February 2021

Taking a step down on the reconstruction ladder for head and neck reconstruction during the COVID-19 pandemic.

BMC Surg 2021 Mar 8;21(1):120. Epub 2021 Mar 8.

Plastic Surgery Department, Shifa International Hospital, Pitras Bukhari Road H-8, Islamabad, Pakistan.

Background: Most of the head and neck cancers are time-critical and need urgent surgical treatment. Our unit is one of the departments in the region, at the forefront in treating head and neck cancers in Pakistan. We have continued treating these patients in the COVID-19 pandemic with certain modified protocols. Read More

View Article and Full-Text PDF

Perforator-Plus Flaps in Lower Extremity Reconstruction.

Clin Plast Surg 2021 Apr 22;48(2):183-192. Epub 2021 Jan 22.

Division of Plastic Surgery, Department of Surgery, University of California Davis Medical Center, University of California at Davis, 2335 Stockton Boulevard, Room 6008, Sacramento, CA 95817, USA. Electronic address:

The perforator-plus flap is a new concept for lower extremity reconstruction. It combines a perforator flap with a traditional skin rotation flap. It can be another option for lower extremity soft tissue defects since the flap has an augmented blood supply. Read More

View Article and Full-Text PDF

A Systematic Review and Overview of Flap Reconstructive Techniques for Nasal Skin Defects.

Facial Plast Surg Aesthet Med 2021 Mar 1. Epub 2021 Mar 1.

Dermatology Division, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Reconstruction of nasal skin defects can be challenging due to limited skin laxity and underlying cartilage and, therefore, often require a complex repair. The aim of this review is to systematically analyze the literature on nasal skin reconstructions with specific detail to flap reconstructions. A systematic literature review of nasal skin reconstruction was performed and focused on flap reconstructions. Read More

View Article and Full-Text PDF

The Role of Pedicled Latissimus Dorsi Flap in Scalp Defect Reconstruction Following Tumour Excision.

Indian J Otolaryngol Head Neck Surg 2021 Mar 24;73(1):129-132. Epub 2020 Aug 24.

Department of Head and Neck Surgery, Mahavir Cancer Sansthan, Patna, Bihar India.

Scalp is a common site for skin tumors mainly squamous cell carcinoma and basal cell carcinoma. It is always challenging to reconstruct the scalp defect following tumor excision. Conventional methods of skin grafting or rotation flap is not always feasible for large scalp defect. Read More

View Article and Full-Text PDF

Management of the temporal bone defect after resection of external auditory canal cancer.

Auris Nasus Larynx 2021 Feb 24. Epub 2021 Feb 24.

Department of Otorhinolaryngology, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8519, Japan. Electronic address:

Objective: To evaluate the surgical procedures used to treat external auditory canal cancer with respect to avoiding postoperative infection of the temporal bone defect.

Methods: Enrolled in the study were 52 patients with external auditory canal cancer surgically treated between July 2015 and October 2020 (38 lateral temporal bone resections, 12 subtotal temporal bone resections and 2 partial resections, accompanied by various combined procedures). Retrospective chart review was conducted taking into consideration postoperative infection, and univariate analysis of prognostic factors was performed. Read More

View Article and Full-Text PDF
February 2021

[Indocyanine green angiography technique assisted brachial artery perforator propeller flap to repair soft tissue defects of trunk and upper limb].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Feb;35(2):200-205

Scar Comprehensive Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100144, P.R.China.

Objective: To explore the feasibility of using indocyanine green (ICG) angiography to detect brachial artery perforators, and the clinical application of brachial artery perforator propeller (BAPP) flaps to repair soft tissue defects of the trunk and upper limbs.

Methods: Between August 2016 and February 2019, ICG angiography was used to detect the perforating vessels of the brachial artery muscle septum, and the BAPP flaps were cut out with the detected perforating vessels as the pedicle to repair 19 cases of trunk and upper limb soft tissue defects. There were 12 males and 7 females, with an average age of 28. Read More

View Article and Full-Text PDF
February 2021