11,928 results match your criteria total flap

Various wound closure ways after impacted lower wisdom teeth removal: A review.

Stomatologija 2020 ;22(4):107-115

Department of Maxillofacial, Faculty of Dentistry, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161 Kaunas Lithuania.

Objective: Evaluate the influence of different wound closure methods in terms of pain, swelling, trismus, infection and healing time after third molar extraction.

Material And Methods: A literature analysis was performed according to PRISMA guidelines in search of clinical trials published between 2015 and 2020. Databases were searched using different combinations of the following keywords: mandibular impacted OR retained wisdom teeth OR third molar removal OR extraction AND surgical removal AND discomfort OR pain OR trismus OR swelling AND drain OR drainage. Read More

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January 2020

Lateral approach improves surgical access to the superior pole in giant endemic goiters.

Gland Surg 2021 Mar;10(3):973-979

Department of Otolaryngology Head and Neck Surgery, Tufts University Medical Center, Boston, Massachusetts, USA.

Background: Surgical management of mega-goiters in endemic areas with extreme iodine deficiency presents unique challenges. Based on our initial 5-year experience (2007 to 2011) operating on mega-goiters in Gitwe, Rwanda, Africa, we modified our technique to a lateral approach which affords better exposure of the superior pole vessels and other vital neurovascular structures, thereby improving safety. We describe this lateral approach technique and review outcomes compared to the standard technique. Read More

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Innovative adaptation of the "spare tissues concept" applied for olecranon coverage of a severe burn patient: A case report.

Ann Chir Plast Esthet 2021 Apr 7. Epub 2021 Apr 7.

Department of Maxillo-Facial Surgery, Purpan University Hospital, Toulouse, France.

Background: The management of bone exposure in patients with extensive burns could be a challenge due to the lack of healthy tissue. In such cases, it could be interesting to use any still healthy tissue initially destined for amputation and use it to cover up another site. We present the case of a sever burn patient for whom we used the only healthy palmar hand skin to cover an olecranon exposure. Read More

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Reconstruction of mutilating hand injuries by microsurgical free tissue transfers from the foot.

Injury 2021 Mar 30. Epub 2021 Mar 30.

Emot Hospital 1418 sok No14 Kahramanlar. İzmir, Turkey.

Introduction: The aim of this study is to present various hand reconstruction methods and provide technical notes regarding the treatment of mutilating hand injuries using free-tissue transfers from the foot and to investigate whether these transfers provide patients with a usable hand or not.

Patients And Methods: Ninety patients with mutilating hand injuries were included in the study. A total of 101 procedures were performed. Read More

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Feasibility of modified radical mastectomy with nipple-areola preservation combined with stage I prosthesis implantation using air cavity-free suspension hook in patients with breast cancer.

World J Surg Oncol 2021 Apr 10;19(1):108. Epub 2021 Apr 10.

Department of Second Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, China.

Background: Mastoscopic surgery is proven to have lower incidence of postoperative complications and better postoperative recovery than traditional breast cancer surgery. This study aimed to examine the feasibility of mastoscopic modified radical mastectomy (MRM) with skin nipple-areola preservation under air cavity-free suspension hook and stage I silicone prosthesis implantation (SMALND) compared with routine MRM.

Methods: This was a retrospective study of patients who underwent MRM for breast cancer at the Shengjing Hospital Affiliated to China Medical University between January 1, 2019, and June 30, 2019. Read More

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A case report of reconstruction of ocular and complete upper eyelid avulsion with severe facial soft tissue injuries using anterolateral thigh free flap.

Int J Surg Case Rep 2021 Apr 1;82:105856. Epub 2021 Apr 1.

Reconstructive Microsurgery Section, Division of Plastic Surgery, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia.

Introduction And Importance: Ocular injury is second mostly caused by motor vehicle accident (MVA) and often leads to severe ocular injury even to visual loss and various aesthetic problems. The outcome is determined by the magnitude of the initial damage and treatment availability. Treating ocular and facial injury due to MVA is challenging given the scope of the damage and may result in various outcomes. Read More

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[Salvage laryngectomy after primary radio- and radiochemotherapy : A retrospective study. German version].

HNO 2021 Apr 9. Epub 2021 Apr 9.

Hals-Nasen-Ohrenklinik, Kopf- und Hals-Chirurgie, Universitätskliniken Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Waldstraße 1, 91054, Erlangen, Deutschland.

Background: Recurrent and residual laryngeal cancer after organ-preserving radio- or radiochemotherapy is associated with a poor prognosis. Salvage surgery is the most important therapeutic option in these cases.

Objective: The study assessed rates of recurrence and residual tumor as well as survival and complication rates after salvage laryngectomy at the authors' academic cancer center. Read More

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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

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The Coverage of Soft-Tissue Defects Around the Foot and Ankle Using Free or Local Flaps: A Comparative Cohort Study.

Ann Plast Surg 2021 Mar 18. Epub 2021 Mar 18.

From the Department of Orthopedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Key Laboratory of Orthopedics of Zhejiang Province, Wenzhou Department of Orthopedics, Ningbo Hangzhou Bay Hospital, Ningbo, Zhejiang, China Joseph M. Still Burn and Reconstructive Center, Jackson, MS.

Background: The purpose of this study was to compare the reconstructive outcomes of soft-tissue defects around foot and ankle with local or free flaps and attempt to provide an optimal strategy for these patients in comparison with the conventional guidelines.

Methods: A retrospective review of all continuous patients with foot and ankle reconstruction using different flaps from 2010 to 2018 was performed. Based on the flap types, the patients were divided into 2 groups: local flap group and free flap group. Read More

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Does the Use of Intraoperative Angiography Reduce the Incidence of Postoperative Wound and Flap Complications in Complex Lower Extremity Oncologic Reconstruction?

Ann Plast Surg 2021 Mar 18. Epub 2021 Mar 18.

From the Division of Plastic and Reconstructive Surgery, Department of Surgery Division of Orthopedic Oncology, Department of Orthopedics, Rutgers-New Jersey Medical School, Newark, NJ.

Introduction: Intraoperative laser angiography via indocyanine green (ICG) has become a valuable tool in objectively assessing tissue perfusion in reconstructive procedures. Studies have demonstrated the utility of ICG angiography (ICGA) for decreasing both mastectomy skin flap necrosis and wound healing complications in abdominal wall reconstruction. This tool has not been studied in lower extremity oncologic reconstruction. Read More

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Expanding the Utilization of Low-Dose Computed Tomography in Plastic and Reconstructive Surgery Based on Validated Practices Among Surgical Specialties.

Ann Plast Surg 2021 Mar 24. Epub 2021 Mar 24.

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Montefiore Medical Center, Bronx, NY.

Introduction: As computed tomography (CT) usage increases, so have concerns over radiation-induced malignancy. To mitigate these risks, low-dose CT (LDCT) has emerged as a versatile alternative by other specialties, although its use in plastic surgery remains sparse. This study aimed to investigate validated uses of LDCT across surgical specialties and extrapolate these insights to expand its application for plastic surgeons. Read More

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Orbital Volumetric Analysis in Patients With Unicoronal Craniosynostosis: A Comparison Between Distraction Osteogenesis and Fronto-Orbital Advancement.

Ann Plast Surg 2021 Mar 24. Epub 2021 Mar 24.

From the School of Medicine Division of Plastic and Reconstructive Surgery, University of California, San Diego, La Jolla Rady Children's Hospital San Diego, San Diego Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, Los Angeles, CA.

Background: Unicoronal craniosynostosis is associated with orbital restriction and asymmetry. Surgical treatment aims to both correct the aesthetic deformity and prevent the development of ocular dysfunction. We used orbital quadrant and hemispheric volumetric analysis to assess orbital restriction and compare the effectiveness of distraction osteogenesis with anterior rotational cranial flap (DO) and bilateral fronto-orbital advancement and cranial vault remodeling (FOAR) with respect to the correction of orbital restriction in patients with unicoronal craniosynostosis. Read More

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Utilization of a Newly Designed Asymmetric Dorsal Gull Wing Flap for the Treatment of Postoperative Web Creep After Syndactyly Surgery.

Ann Plast Surg 2021 Apr 5. Epub 2021 Apr 5.

From the Department of Burns and Plastic Surgery, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders; Chongqing Key Laboratory of Pediatrics, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China.

Background: Web creep is the most common long-term complication requiring revision after syndactyly surgery; however, few methods have been reported. The aim of this study was to introduce a newly designed asymmetric dorsal gull wing flap to reconstruct web for the postoperative web creep.

Methods: A retrospective analysis was performed for 20 patients from January 2016 to May 2019. Read More

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The application of chimeric deep circumflex iliac artery perforator flap for oromandibular reconstruction: A case report.

Medicine (Baltimore) 2021 Apr;100(14):e25458

Department of Head and Neck Cancer Center.

Rationale: The free fibular flap is considered the gold standard, particularly for a mandibular defect combined with a significant soft tissue defect. However, the fibular flap has the disadvantages of a lack of height for postoperative dental restoration and donor site skin graft if the skin paddle is wider than 5 cm. The larger bone and soft tissue defects tend to be reconstructed using either a scapula or a combination of iliac artery and radial free flap. Read More

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Aortic Intimo-intimal Intussusception: A Pooled Analysis of Published Reports.

Ann Vasc Surg 2021 Apr 5. Epub 2021 Apr 5.

Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, P.R.China. Electronic address:

Aim: Aortic intimo-intimal intussusception (AoII) is a rare manifestation of aortic dissection with high mortality. This study aimed to obtain a comprehensive understanding of AoII.

Methods: Three databases (Pubmed, Scopus, Embase) were searched with predefined search terms ["intimal intussusception", "aortic intussusception", "(circumferential) AND (intimal dissection)" and "(circumferential) AND (aortic dissection)"]. Read More

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A bibliometric analysis of researches on flap endonuclease 1 from 2005 to 2019.

BMC Cancer 2021 Apr 7;21(1):374. Epub 2021 Apr 7.

Department of Medical Oncology, The First Hospital of China Medical University, Shenyang, 110001, China.

Background: Flap endonuclease 1 (FEN1) is a structure-specific nuclease that plays a role in a variety of DNA metabolism processes. FEN1 is important for maintaining genomic stability and regulating cell growth and development. It is associated with the occurrence and development of several diseases, especially cancers. Read More

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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

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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

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Modified Coronally Advanced Tunnel Technique with Site-Specific Application of Connective Tissue Graft for the Treatment of Multiple Adjacent Maxillary Gingival Recessions: A Case Series.

Int J Periodontics Restorative Dent 2021 Mar-Apr;41(2):253-259

The aim of the present case series was to evaluate the outcomes of the modified coronally advanced tunnel technique (MCAT) using the width of keratinized tissue (KTW) as an indicator to apply the connective tissue graft (CTG) specifically. Seven patients requiring treatment for the presence of multiple gingival RT1 recession defects in the maxilla were enrolled in the study. A total of 36 recessions were treated with MCAT, and the CTG was applied in 16 sites presenting < 2 mm of KTW at baseline. Read More

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Clinical Efficacy of Gingival Thickening Following the Use of Allogeneic Acellular and Xenogeneic Collagen Matrix: A 12-Month Randomized Clinical Trial.

Int J Periodontics Restorative Dent 2021 Mar-Apr;41(2):e63-e71

This randomized controlled clinical trial with a 1-year follow-up evaluated gingival thickness changes around teeth after use of dermal allograft and xenograft matrix. A total of 116 teeth (19 patients) were separated into two groups. One group received xenogeneic collagen matrix (n = 48), while the other received allogeneic acellular dermal matrix (n = 68) via a coronally advanced flap (CAF). Read More

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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

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February 2021

Flap Fixation as a Technique for Reducing Seroma Formation in Patients Undergoing Modified Radical Mastectomy: an Institutional Experience.

Indian J Surg Oncol 2021 Mar 23;12(1):48-53. Epub 2020 Sep 23.

Department of General Surgery, Mysore Medical College and Research Institute, Mysore, Karnataka 570001 India.

Formation of seroma most frequently occurs after mastectomy and axillary surgery. This study is intended at creating data on whether flap fixation has any role in reducing the seroma formation in patients undergoing the modified radical mastectomy. A prospective comparative study was conducted among 61 patients scheduled for modified radical mastectomy from 1st of January 2017 to 31st of December 2017. Read More

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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

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Multidisciplinary Approach to the Management of Extensive Dermato-fibro-sarcomas Involving the Chest Wall.

Indian J Plast Surg 2021 Jan 20;54(1):82-85. Epub 2020 Aug 20.

Department of Surgery, University of Nairobi, Nairobi, Kenya.

Dermato-fibro-sarcomas are known for high-recurrence rates. The gold standard of management is surgical excision with clear margins. Such margins on the chest results in large defects which require complex reconstructive procedures. Read More

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January 2021

Evaluation of Role of Arterialization of Venous Flaps in Abdomen in Rats.

Indian J Plast Surg 2021 Jan 10;54(1):69-74. Epub 2021 Mar 10.

Department of Plastic Surgery, King George Medical College, Lucknow, Uttar Pradesh, India.

 Reconstruction forms the primary tenet in plastic surgery. Venous flaps are a known option but the survival is limited. Arterialization of venous flap can enhance its survival. Read More

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January 2021

Perioperative Risk Factors for One-Year Mortality in Patients With Free-Flap Reconstruction Due to Cancer of the Head and Neck.

J Oral Maxillofac Surg 2021 Mar 6. Epub 2021 Mar 6.

Professor and Head of Anesthesiology Department, University of Oulu, Medical Research Center, Research Group of Surgery, Anaesthesia and Intensive Care and Department of Anaesthesiology, Oulu University Hospital, Oulu, Finland. Electronic address:

Purpose: Head and neck cancer requiring free-flap reconstruction is associated with relatively high mortality. We aimed to evaluate perioperative risk factors for 1-year mortality in this patient group.

Methods: This is a single-center retrospective analysis of 204 patients operated during 2008 to 2018. Read More

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Age and Overweight Are Not Contraindications for a Breast Reconstruction with a TMG-Flap-A Risk and Complication Analysis of a Retrospective Double Center Study Including 300 Patients.

J Clin Med 2021 Mar 1;10(5). Epub 2021 Mar 1.

Department of Plastic, Reconstructive and Aesthetic Surgery Hospital of the Brothers of St. John of God (Barmherzige Brüder), Paracelsus Medical University Salzburg, Kajetanerplatz 1, 5020 Salzburg, Austria.

Introduction: The transverse myocutaneous gracilis (TMG) flap has become a popular and reliable alternative for autologous breast reconstruction. Initially described as a valuable tissue source for women with low body-mass index, indications nowadays have widely expanded. The Western civilization demographic development with its aging population and the steady growing average BMI has led to increasing breast reconstructions with TMG flaps in overweight and aged individuals. Read More

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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

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Outcomes and Quality of Life Measures after Endoscopic Endonasal Resection of Kadish Stage C Olfactory Neuroblastomas.

World Neurosurg 2021 Mar 30. Epub 2021 Mar 30.

Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. Electronic address:

Objective: The Endoscopic Endonasal Approach (EEA) has been applied in the treatment of olfactory neuroblastoma (ONB). However, there is a lack of research examining the impact of EEA on locally advanced ONB. This study assessed the outcomes of EEA in patients with locally advanced ONB and its impact on the quality of life (QOL). Read More

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Columella reconstruction using double nasolabial flap and costal cartilage: A case report.

Ann Med Surg (Lond) 2021 Apr 13;64:102213. Epub 2021 Mar 13.

Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Airlangga University, Surabaya, East Java, Indonesia.

Total loss of columella causes significant aesthetic and functional deformities due to its important functions which provides assistance and extension to the nose pointer. Noma is described as one of the developed sources of total columellar loss, and is also contagious, with the ability to intensely damage facial tissues and immediate structures. However, the condition is predominantly suffered in Africa, with an estimation of 20 instances per 100,000 individuals. Read More

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