28,041 results match your criteria skin flap


Modified surgical reconstruction technique for a rare isolated congenital sternal cleft: In a six -year-old child.

Ann Med Surg (Lond) 2021 May 14;65:102280. Epub 2021 Apr 14.

Department of Surgical Specialties, Maternity and Children Hospital, Dammam, Saudi Arabia.

We report the modified surgical reconstruction technique for correction for a large isolated congenital sternal cleft in 6 years old girl using a methyl methacrylate marlex mesh sandwich plate (MMS). The patient was referred to our tertiary care institution with a sizeable anterior chest wall bony defect. There was a large bulging under the skin due to protrusion of mediastinal viscera and visible cardiac pulsations with breathing. Read More

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Delayed Treatment of a Traumatic Lumbosacral Dislocation With Associated Injuries: A Case Report.

JBJS Case Connect 2021 04 19;11(2). Epub 2021 Apr 19.

Department of Surgery, Sir H.N. Reliance Foundation Hospital, Girgaon, Mumbai, India.

Case: A 41-year-old woman sustained a degloving injury over her lumbosacral and perineal region with fractures of her right tibia and fibula. After diversion colostomy and osteosynthesis for the fractures at a primary center, a missed grade 2 lumbosacral dislocation was diagnosed at a tertiary center and the degloving injury was treated with debridement and skin grafting. After 5 months, the dislocation had progressed to grade 4 and she underwent delayed posterior lumbosacral reduction, interbody fusion, and L4-S1 fixation, with superior gluteal artery perforator flap and subsequent colostomy closure, with good outcomes (Oswestry Disability Index 10%) at the 3-year follow-up. Read More

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Cultural adaptation and reliability of the ISTAP Skin Tear Classification System to Chilean Spanish.

J Wound Care 2021 May;30(Sup5):S16-S22

School of Nursing, University of São Paulo - EEUSP, Brazil.

Objective: The International Skin Tear Advisory Panel (ISTAP) created the ISTAP Skin Tear Classification System with the aim of promoting a common and universal language to describe, classify and document skin tears, and increase awareness of the high prevalence of these wounds. Although there is a Spanish version of the ISTAP Skin Tear Classification System, the authors considered it relevant to have a specific Chilean Spanish version. The aim was to achieve the cultural adaptation of the ISTAP Skin Tear Classification System to Chilean Spanish, and verify its content validity and inter-rater reliability. Read More

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[Anatomical and clinical rationale for the use of a perforant flap from the periauricular region the blood-supplied from pool of the superficial temporal artery].

Khirurgiia (Mosk) 2021 (5):78-88

Medical Research and Education Center University Clinic of the Lomonosov Moscow State University, Moscow, Russia.

There is an urgent desire to use a method for the reconstruction of facial tissues that allows not only to reliably eliminate the defect, but also to recreate all the features of the damaged area, with an inconspicuous scar and minimal trauma. But one of the most difficult issues in microsurgical autotransplantation of tissues of the maxillofacial area is the choice of the donor area and vessels for the safe and adequate isolation and revascularization of flaps.

The Aim Of The Study: Was to increase the efficiency of functional and aesthetic results of surgical treatment by developing new flaps from the STA pool while eliminating limited soft tissue facial defects. Read More

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Comparing Outcomes of Flap-Based Salvage Reconstructions in the Radiated Breast.

Ann Plast Surg 2021 May;86(5S Suppl 3):S403-S408

Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University Medical Center, Stanford, CA.

Introduction: Chest wall irradiation significantly decreases the strength and quality of breast tissue supporting prostheses, increasing the risk of skin breakdown and implant or tissue expander extrusion. Autologous tissue, including the latissimus dorsi (LD) or abdominal-based flaps, including the muscle-sparing transverse rectus abdominis myocutaneous or deep inferior epigastric perforator flaps, may be used to salvage reconstructions. However, data comparing outcomes of the two flap options remains limited. Read More

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Complex nasal reconstruction for skin cancer and posttraumatic deformity using a modified frontonasal flap - Case report.

Int J Surg Case Rep 2021 Apr 30;83:105944. Epub 2021 Apr 30.

Plastic and Aesthetic Surgery, AARE KLINIK, Bern, Switzerland. Electronic address:

Introduction And Importance: Reconstruction of the nasal tip is challenging, especially when large defects are associated with compromised nasal soft tissues and framework. The frontonasal flap is an axial-pattern myocutaneous flap from the glabella and nasal dorsum that allows for various modifications in flap design to cover medium sized defects of the nasal tip.

Case Presentation: A 66-year-old male patient presented with a large and ulcerated squamous cell carcinoma of the nasal tip that was associated with substantial posttraumatic damage of the nasal soft tissue envelope and cartilaginous vault of the dorsum. Read More

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The chimeric medial sural artery perforator flap as the ideal for partial tongue reconstruction: A case series and technical refinements.

J Plast Reconstr Aesthet Surg 2021 Mar 29. Epub 2021 Mar 29.

Section of Plastic Surgery, The University of Chicago Medicine & Biological Sciences, Chicago, IL, USA.

Background: The medial sural artery perforator free flap (MSAP) has gained increasing popularity in head and neck reconstruction. Its slightly bulkier nature than the radial forearm flap, combined with negligible donor site morbidity, makes it an ideal candidate for the reconstruction of partial glossectomy defects. The ability to harvest the MSAP as a chimeric flap with a portion of the medial gastrocnemius muscle gives it greater flexibility in soft tissue reconstruction. Read More

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NF-κB and COX-2 repression with topical application of hesperidin and naringin hydrogels augments repair and regeneration of deep dermal wounds.

Burns 2021 Apr 21. Epub 2021 Apr 21.

Department of Zoology, Mizoram University Aizawl, 796 004, India. Electronic address:

Introduction: Wound injury is common and causes serious complications if not treated properly. The moist dressing heals wounds faster than other dressings. Therefore, we sought to study the effect of hesperidin/naringin hydrogel wound dressing or their combinations on the deep dermal wounds in mice. Read More

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A huge malignant phyllodes tumor of the breast with osteoclast-like giant cells: a case report.

Gland Surg 2021 Apr;10(4):1508-1514

Department of Breast Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.

The malignant phyllodes tumor (PT) of the breasts is a rare type of fibroepithelial neoplasm. Osteoclast-like giant cells (OLGCs) exist in many types of tumors. But malignant PTs with OLGCs were rarely reported. Read More

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Influence of BMI, Age, and Gender on the Thickness of Most Common Thinned Flaps.

Plast Reconstr Surg Glob Open 2021 Mar 30;9(3):e3409. Epub 2021 Mar 30.

Department of Plastic and Reconstructive Surgery, Centro Medico ABC, Mexico City, Mexico.

Background: Since the description of superficial fascia flap harvesting, a new window of opportunity has been open in obese patients, where a higher subcutaneous thickness of tissue is present. To our knowledge, the impact of body mass index on superficial fascial flaps has not been reported.

Methods: We recruited 122 patients from April 2019 to January 2020. Read More

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Skin Necrosis, Diffuse Urticaria, and Cellulitis Due to Presumed Loxosceles Spider Bite.

Wilderness Environ Med 2021 May 6. Epub 2021 May 6.

Department of Dermatology, Faculty of Medicine, Mersin University, Mersin, Turkey.

The clinical manifestations of a recluse spider bite range from local erythema to necrotic skin reactions; bites rarely lead to a systemic disease known as viscerocutaneous loxoscelism. A 29-y-old female patient was admitted to the emergency department with a wound, swelling, and pain on her left leg and a rash on her whole body as a result of a spider bite. On physical examination, a round, hard, black, irregularly shaped necrotic area was found in the bite zone on the lower posterior part of the left thigh, as were lesions in the form of erythematous papules around the area. Read More

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Designing and utilizing 3D-printed skin incision guides during the first Dutch bilateral hand-arm transplantation.

J Plast Reconstr Aesthet Surg 2021 Apr 18. Epub 2021 Apr 18.

Department of Plastic Surgery, Radboudumc, Nijmegen, the Netherlands.

Objective: To preoperatively plan skin incision in the case of the first Dutch bilateral hand-arm transplantation.

Background: A bilateral hand-arm transplantation has been performed for the first time in the Netherlands in 2019. In the context of preparation for this surgical procedure, the optimal patient-specific skin flap was determined. Read More

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A review of the Turned-down Onto Pericapsular-tissue Hemisectioned Amputated Toe (TOPHAT) flap for wound coverage during ray amputations of the toes.

Foot (Edinb) 2021 Apr 20;47:101803. Epub 2021 Apr 20.

Department of Vascular and Endovascular Surgery, Singapore General Hospital, Academia Level 5, Outram Road, 169608, Singapore. Electronic address:

Introduction: Exposure of the adjacent Metatarsal-Phalangeal Joint (MTPJ) commonly occurs after application of Topical Negative Pressure Wound Therapy (TNPWT) for a ray amputation wound. This is due to mechanical soft tissue erosion or trauma to the adjacent digital artery from direct pressure effect. This results in toe gangrene requiring a ray amputation and ultimately a larger wound bed. Read More

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The wandering ventriculoperitoneal shunt and the scope of its salvage.

Childs Nerv Syst 2021 May 8. Epub 2021 May 8.

Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

Purpose: Distal shunt tube migration following ventriculoperitoneal (VP) shunt placement in children is mostly managed by an initial shunt diversion/removal and subsequent replacement. Lately, shunt salvage is being used as an alternative in certain conditions. We have focused on the situations where one can consider or disregard shunt salvage in such cases. Read More

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Immediate Breast Reconstruction in Large Ptotic Breasts Using the Inferior Based Dermal Flap. Indications and Technique.

Chirurgia (Bucur) 2021 Mar-Apr;116(2 Suppl):127-135

Achieving good aesthetic outcomes during immediate reconstruction in women with large ptotic breast presents a unique challenge for the reconstructive surgeon. We present our paradigm regarding immediate reconstruction in patients with large ptotic breasts, using the inferiorly based dermal flap. Ten patients with large ptotic breasts underwent mastectomy and immediate implant reconstruction at the "Prof. Read More

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The Technique of Scarless Latissimus Dorsi in Immediate Breast Reconstruction.

Authors:
Catalin Stingu

Chirurgia (Bucur) 2021 Mar-Apr;116(2 Suppl):120-126

In dealing with the inferior pole coverage of an implant or a tissue expander in the partial submuscular technique, various surgical strategies have been introduced over the years. Among them, ADM and synthetic meshes were intensively studied and performed in order to obtain a good aesthetic result with satisfactory lower pole contouring, create a strong support of the implant and offer flexibility in adapting the volume of a tissue expander to the remaining mastectomy flaps (1,2). However, the viability of the skin from the mastectomy flaps is not always optimal. Read More

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Prelaminated flaps in head and neck cancer reconstructive surgery: A systematic review.

Microsurgery 2021 May 7. Epub 2021 May 7.

Otorhinolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Modena, Italy.

Background: Prelamination is a reconstructive technique providing fasciomucosal or composite flaps with low donor-site morbidity. We conducted a systematic review of retrospective studies to assess the application of prelaminated flaps in reconstructive surgery of head and neck cancer patients, and to evaluate the advantages and disadvantages of this technique.

Methods: This systematic review adhered to the recommendations of the PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-analysis) 2009 guidelines. Read More

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Change in nostril ratio after cleft rhinoplasty: correction of nostril stenosis with full-thickness skin graft.

Arch Craniofac Surg 2021 Apr 20;22(2):85-92. Epub 2021 Apr 20.

Department of Plastic and Reconstructive Surgery, Kangdong Sacred Heart Hospital, Seoul, Korea.

Background: Patients with secondary deformities associated with unilateral cleft lip and nose might also suffer from nostril stenosis due to a lack of tissue volume in the nostril on the cleft side. Here, we used full-thickness skin grafts (FTSGs) to reduce nostril stenosis and various methods for skin volume augmentation. We compared the changes in the symmetry of both nostrils before and after surgery. Read More

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Keratinocyte Skin Cancers in General Surgery: The Impact of Anaesthesia, Trainee Supervision, and Choice of Reconstruction.

J Skin Cancer 2021 13;2021:5537273. Epub 2021 Apr 13.

Caboolture Hospital, 120 McKean Street, Caboolture 4310, QLD, Australia.

Background: Keratinocyte skin cancers are common in Australia, incurring disproportionately high health expenditure in comparison with mortality. General surgeons often excise these lesions as day-surgery. Balancing individual complexities of these cancers with trainee supervision and health expenditure is key to deliver efficacious care and maintain day-surgery volume for patients during a pandemic. Read More

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Negative pressure wound therapy does not decrease postoperative wound complications in patients undergoing mastectomy and flap fixation.

Sci Rep 2021 May 5;11(1):9620. Epub 2021 May 5.

Department of Surgery, Zuyderland Medical Center, Postbus 5500, 6130 MB, Sittard, The Netherlands.

Patients and breast cancer surgeons are frequently confronted with wound complications after mastectomy. Negative pressure wound therapy (NPWT) is a promising technique for preventing wound complications after skin closure in elective surgery. However, a clinical study evaluating postoperative complications following the use of NPWT, focusing solely on closed incisions in patients undergoing mastectomy, has yet to be performed. Read More

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Utility of the Glabellar Flap in the Reconstruction of Medial Canthal Tumors after Mohs Surgery

Turk J Ophthalmol 2021 04;51(2):118-122

Clinic and Provincial Hospital of Barcelona, Department of Ophthalmology, Barcelona, Spain

The goals of periorbital region reconstruction are to obtain both functional and esthetic results. Medial canthus is the second most common periorbital location for basal cell carcinoma. If left untreated, it is locally destructive but rarely metastasizes. Read More

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Persistent Seroma, a Threat to Implant-Based Breast Reconstruction?

Chirurgia (Bucur) 2021 Mar-Apr;116(2):201-208

Seroma is one of the usual postoperative complications after breast and axillary surgery. It is considered as a consequence of prolonged lymphorrhea. Its persistence means a longer healing process, increased risk of infection and in case of implant-based reconstruction, even implant loss which may result in delaying adjuvant oncologic treatment. Read More

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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

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Osteosarcoma of the temporal bone occurring 40 years after radiotherapy: A technical case report presenting resection of intra- and extracranial lesions followed by a one-stage reconstruction.

Surg Neurol Int 2021 14;12:152. Epub 2021 Apr 14.

Department of Pathology, Harasanshin Hospital, Hakata-ku, Fukuoka, Japan.

Background: Osteosarcoma (OS) is a malignant tumor of the bone, which rarely occurs in the head-and-neck regions as a primary or a secondary malignancy. Adequate surgical resection is currently the mainstay of treatment for head-and-neck OS; however, resection and reconstruction can be difficult because the anatomies of these regions are complex. We present a case of an OS arising from the temporal bone 40 years after radiation therapy, which was successfully treated with resection and a one-stage reconstruction using intraoperative tissue expansion technique. Read More

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An Intravital Microscopy Toolbox to Study Mammary Gland Dynamics from Cellular Level to Organ Scale.

J Mammary Gland Biol Neoplasia 2021 May 4. Epub 2021 May 4.

VIB-KULeuven Center for Cancer Biology, Herestraat 49, 3000, Leuven, Belgium.

The architecture of the mouse mammary gland is highly dynamic and constantly remodeled during pubertal development and estrous cycle-driven sprouting and regression of alveolar side branches. During each of these developmental stages, turnover is driven by distinct subsets of mammary epithelial cells. Extensive previous research has shed light on the unique morphological and cell biological characteristics of each stage. Read More

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The significance of biopsy scar excision at the time of skin- or nipple-sparing mastectomy with immediate breast reconstruction.

Jpn J Clin Oncol 2021 May 4. Epub 2021 May 4.

Department of Breast Oncology, Aichi Cancer Center, Nagoya, Japan.

Background: Neoplastic seeding (NS) can occur after tissue biopsy, which is a clinical issue especially in mastectomy with immediate reconstruction. This is because postoperative radiation is not usually given and local recurrence of preserved skin flap may increase. The purpose of this study is to investigate the importance of preoperative evaluation of NS and the validity of biopsy scar excision. Read More

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An Effective Technique for Managing the Calcaneus Osteomyelitis Combined with Soft-Tissue Defect.

Int J Low Extrem Wounds 2021 May 3:15347346211016696. Epub 2021 May 3.

The 70566Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

The treatment of the Cierny-Mader (C-M) type III-IV calcaneus osteomyelitis combining with the soft-tissue defect is sophisticated and difficult. The aim of this study is to introduce the application and availability of the modified distally based sural flap with an adipofascial extension to reconstruct these defects. We retrospectively reviewed the data of 37 patients with C-M type III-IV calcaneus osteomyelitis accompanied with soft-tissue defect between December 2004 and December 2019. Read More

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Snake Bite Management: A Scoping Review of the Literature.

Plast Reconstr Surg Glob Open 2021 Apr 29;9(4):e3506. Epub 2021 Apr 29.

Department of Plastic and Reconstructive Surgery, The Ohio State University College of Medicine, Columbus, Ohio.

Background: Around the world, snake bite envenomation remains an underreported human health hazard. Envenomation can cause local and systemic complications, especially when there is a lack of antivenom availability. Although there are established guidelines regarding snake bite management acute care, there is a paucity of data regarding surgical intervention and the plastic surgeon's role treating this unique patient population. Read More

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Moist wound dressing and its application in distant skin flap in cats.

Vet World 2021 Mar 23;14(3):734-738. Epub 2021 Mar 23.

Program Study of Veterinary Professional, Faculty of Veterinary Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.

Background And Aim: Wound healing is a dynamic and complex process that requires an appropriate environment to promote healing process. The healing of distant flaps in cats is determined by vascularization, nutrient sufficiency for the cells, and stability of skin flaps. This study aims to evaluate the healing of distant flaps treated with moist wound dressing through subjective and objective observation in five cats with wounds in the forelimb and hindlimb area to determine the time to cut the skin flaps from the donor site. Read More

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Reconstruction of Cutaneous Nasal Alar Defects Following Melanocytic Nevus Resection.

J Craniofac Surg 2021 Apr 29. Epub 2021 Apr 29.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Objective: The reconstruction of nasal alar defects after resection of a melanocytic nevus becomes one of the most challenging procedures for surgeons. Choosing the most appropriate technique is still difficult sometimes. The authors reviewed our cases and published experience on choosing optimal surgical methods to repair different types of nasal alar defect following melanocytic nevus resection. Read More

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