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Microsurgery

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https://www.readbyqxmd.com/read/29464784/total-nasal-reconstruction-with-3d-custom-made-porous-titanium-prosthesis-and-free-thoracodorsal-artery-perforator-flap-a-case-report
#1
Quentin Qassemyar, Nathaniel Assouly, Yoni Madar, Stéphane Temam, Frédéric Kolb
Total nasal reconstruction is a challenging surgical procedure which usually involves a free flap, forehead flap, and cartilage grafts. In certain failure situations where patients do not accept the idea of anaplastology, possibilities become very limited. We report the case of a patient who underwent several reconstruction steps with multiple failures including free and local flaps and cartilage harvests which showed recurrent episodes of necrosis and infection leading to melting and collapse of reconstructed structures...
February 21, 2018: Microsurgery
https://www.readbyqxmd.com/read/29464780/reply-to-questions-on-serial-two-year-follow-up-after-lymphaticovenular-anastomosis-for-the-treatment-of-lymphedema
#2
LETTER
Kyeong-Tae Lee, Goo-Hyun Mun
No abstract text is available yet for this article.
February 21, 2018: Microsurgery
https://www.readbyqxmd.com/read/29451331/sliding-free-transverse-rectus-abdominis-myocutaneous-flap-for-closure-of-a-massive-abdominal-wall-defect-a-case-report
#3
Annika Senghaas, Thomas Kremer, Volker J Schmidt, Leila Harhaus, Christoph Hirche, Ulrich Kneser, Amir K Bigdeli
Despite considerable advances in reconstructive surgery, massive abdominal wall defects continue to pose a significant surgical challenge. We report the case of a 72-year-old morbidly obese female patient with Clostridium septicum-related gas gangrene of the abdominal wall. After multidisciplinary treatment and multiple extensive debridements, a massive full-thickness defect (40 cm × 35 cm) of the right abdominal wall was present. The abdominal contents were covered with a resorbable mesh to prevent evisceration...
February 16, 2018: Microsurgery
https://www.readbyqxmd.com/read/29451330/simple-methods-to-optimize-the-success-in-microsurgical-submandibular-gland-transplantation-for-the-treatment-of-patients-with-keratoconjunctivitis
#4
LETTER
Pedro Ciudad, Oscar J Manrique, Mouchammed Agko, Wei-Ling Chang, Shao-Yun Hsu, Emilio Trignano, Dimitri Liakos, Chen-Hsiang Kuan, Hung-Chi Chen
No abstract text is available yet for this article.
February 16, 2018: Microsurgery
https://www.readbyqxmd.com/read/29446479/a-quantitative-evaluation-with-an-innovative-wireless-bio-impedance-device-to-check-improvement-of-limb-lymphedema-after-receiving-two-site-vascularized-lymph-node-transfer-simultaneously-in-a-patient
#5
LETTER
Chang-Cheng Chang, Chun-Lin Su, Dai-Ru Xu, Bor-Shyh Lin, Hung-Chi Chen
No abstract text is available yet for this article.
February 15, 2018: Microsurgery
https://www.readbyqxmd.com/read/29427450/reconstruction-of-the-plantar-toe-with-a-distal-reverse-instep-sensory-island-flap
#6
Mohammad Ali Hosseinian, Ali Gharibi Loron, Behzad Nemati Honar
BACKGROUND: Plantar toe ulcers are a challenging surgical problem. There are several methods for reconstruction, but no attention has been given to the preservation of sensation. This report proposes a method to provide protective sensation for the reconstructed area. PATIENTS AND METHODS: The ulcers of seven patients ranged from 2 × 3 to 7 × 3 cm with defects of the plantar first toe and distal metatarsus, including four burns, a trauma, a diabetic ulcer, and a neuropathy injury reconstructed with a distal reverse instep sensory island (DRISI) flap...
February 10, 2018: Microsurgery
https://www.readbyqxmd.com/read/29427442/nose-resurfacing-with-free-fasciocutaneous-flaps-in-burns-patients
#7
Cheng-I Yen, Jui-Yung Yang, Chun-Shin Chang, Jung-Ju Huang, Chih-Wei Wu, Hung-Chang Chen, Shih-Yi Yang, Shu-Yin Chang, Shiow-Shuh Chuang, Yen-Chang Hsiao
BACKGROUND: Nasal reconstruction after burn injury can be challenging due to limited availability of local flaps. We present our experience of free flap reconstruction for full-thickness nasal defect after severe facial burn injury. METHODS: Between August 1998 and September 2015, six patients underwent nasal reconstruction with seven free flaps after burn injury. Among them, flame burn occurred in two patients, chemical burn in two, explosive burn in one, and contact thermal burn in one patient...
February 10, 2018: Microsurgery
https://www.readbyqxmd.com/read/29418025/a-simple-and-effective-method-to-optimize-limb-position-after-complex-lower-limb-free-flap-reconstruction-with-concurrent-external-fixation
#8
LETTER
Pedro Ciudad, Roshan Vijayan, Georgios Pafitanis, Burak Kaya, Luis Parra Pont, Mouchammed Agko, Oscar J Manrique, Kidakorn Kiranantawat, Wei-Ling Chang, Hung-Chi Chen
No abstract text is available yet for this article.
February 8, 2018: Microsurgery
https://www.readbyqxmd.com/read/29418008/double-barrel-vascularized-dual-fibula-transfer-with-epiphyseal-growth-plate-for-hip-reconstruction-a-case-report
#9
Fabio Santanelli di Pompeo, Gennaro Selvaggi, Benedetto Longo, Rosaria Laporta, Vittoria Amorosi, Michail Sorotos
We present a case report of a 10-year-old girl diagnosed with Ewing sarcoma treated with intra-articular wide resection of the right femur and reconstruction with a series-connected double-barrel bilateral vascularized fibula graft (db-BVFG), including fibular head for articulation with the acetabulum of the pelvic bone and preservation of the epiphyseal growth plates for eventual limb growth. No postoperative complications were observed and bone union was achieved with fibular graft hypertrophy, allowing for full weight bearing...
February 8, 2018: Microsurgery
https://www.readbyqxmd.com/read/29418007/blood-reflux-to-the-lymphatic-vessels-after-lymphaticovenous-anastomosis
#10
LETTER
Hisako Hara, Makoto Mihara
No abstract text is available yet for this article.
February 8, 2018: Microsurgery
https://www.readbyqxmd.com/read/29400418/esophageal-reconstruction-after-oncological-total-laryngopharyngoesophagectomy-algorithmic-approach
#11
Tzu-Yen Chang, Jenn-Ren Hsiao, Wei-Ting Lee, Chun-Yen Ou, Yi-Ting Yen, Yau-Lin Tseng, Shin-Chen Pan, Shyh-Jou Shieh, Yao-Chou Lee
BACKGROUND: Reconstruction for total laryngopharyngoesophagectomy is accomplished mainly by gastrointestinal transposition but can be complicated by anastomotic tension or associated neck-skin defect. Here, we present the results of total esophageal reconstruction by gastrointestinal transposition alone or with additional free tissue transfer and propose an algorithm accordingly. METHODS: We reviewed patients who had oncologic total laryngopharyngoesophagectomy between January 2012 and January 2016...
February 5, 2018: Microsurgery
https://www.readbyqxmd.com/read/29385241/optimization-of-breast-reconstruction-results-using-tmg-flap-in-30-cases-evaluation-of-several-refinements-addressing-flap-design-shaping-techniques-and-reduction-of-donor-site-morbidity
#12
Stefanie Nickl, Jakob Nedomansky, Christine Radtke, Werner Haslik, Klaus F Schroegendorfer
BACKGROUND: The transverse myocutaneous gracilis (TMG) flap is a widely used alternative to abdominal flaps in autologous breast reconstruction. However, secondary procedures for aesthetic refinement are frequently necessary. Herein, we present our experience with an optimized approach in TMG breast reconstruction to enhance aesthetic outcome and to reduce the need for secondary refinements. METHODS: We retrospectively analyzed 37 immediate or delayed reconstructions with TMG flaps in 34 women, performed between 2009 and 2015...
January 31, 2018: Microsurgery
https://www.readbyqxmd.com/read/29380892/masseteric-cooptation-and-crossfacial-nerve-grafting-is-it-still-applicable-22%C3%A2-months-after-the-onset-of-facial-palsy
#13
B Bianchi, A Varazzani, G Pedrazzi, V Poddi, S Ferrari, B Brevi, A Ferri
BACKGROUND: Eighteen months is usually considered the cutoff time within which recovery of the mimic muscle remains possible using facial nerve cooptation. Few reports on the use of cooptation after this interval have appeared. Purpose of this study is to investigate the feasibility of this procedure also after 22 months. METHODS: Six patients treated via crossfacial nerve grafting between healthy and paralyzed middle and middle-upper facial nerve branches and masseteric cooptation of the main trunk of the paralyzed facial nerve between 20 and 24 months after the onset of palsy were analyzed...
January 30, 2018: Microsurgery
https://www.readbyqxmd.com/read/29368352/robotic-assisted-deep-inferior-epigastric-artery-perforator-flap-abdominal-harvest-for-breast-reconstruction-a-case-report
#14
Vinay S Gundlapalli, Adeyemi A Ogunleye, Kiandra Scott, Eric Wenzinger, Jason P Ulm, Lance Tavana, Rana C Pullatt, Kevin O Delaney
The deep inferior epigastric perforator (DIEP) flap is a mainstay of autologous breast reconstruction. The da Vinci robot has recently been adapted for an increasing number of reconstructive surgeries. The literature has yet to describe its use for the intra-abdominal harvest of the deep inferior epigastric vessels (DIEV) during DIEP flap breast reconstruction. We show the use of the da Vinci robotic surgical system for the intra-abdominal dissection of DIEV during delayed breast reconstruction with a DIEP flap in a 51-year-old female who had undergone a right modified radical mastectomy...
January 25, 2018: Microsurgery
https://www.readbyqxmd.com/read/29344982/experience-with-pharmacologic-leeching-with-bivalirudin-for-adjunct-treatment-of-venous-congestion-of-head-and-neck-reconstructive-flaps
#15
Aisha Harun, Rachel M Kruer, Andrew Lee, Kofi Boahene, Patrick J Byrne, Jeremy D Richmon
OBJECTIVES: The goal of this study was to review the feasibility of local bivalirudin injection for adjunct treatment of venous congestion of head and neck reconstructive flaps. METHODS: A retrospective chart review of patients who underwent bivalirudin treatment for venous congestion of head and neck reconstructive flaps in a single institution from September 1, 2012 to September 1, 2015 was undertaken. Individuals were treated with variable number of intradermal injections directly into the flap followed by a small skin incision to allow extended passive bleeding...
January 18, 2018: Microsurgery
https://www.readbyqxmd.com/read/29341294/topical-nitroglycerin-for-the-treatment-of-intraoperative-microsurgical-vasospasm
#16
Joseph A Ricci, Dhruv Singhal, Eugene Y Fukudome, Adam M Tobias, Samuel J Lin, Bernard T Lee
BACKGROUND: Papaverine remains a popular agent to treat intraoperative microsurgical vasospasm. However, the recent shortage has forced surgeons to trial antispasmodic agents unproven in microsurgery, but commonly used in other areas. During this shortage we have trialed topical nitroglycerin to break intraoperative vasospasm. This study aims to analyze the outcomes of this medication on flap complications compared with papaverine. METHODS: All consecutive free flaps performed for breast reconstruction at a single institution were reviewed...
January 17, 2018: Microsurgery
https://www.readbyqxmd.com/read/29341249/reconstruction-of-an-upper-posterior-thigh-extensive-defect-with-a-free-split-anterolateral-thigh-s-alt-flap-by-perforator-to-perforator-anastomosis-a-case-report
#17
Mario F Scaglioni, Andrè A Barth, Pietro Giovanoli
The anterolateral thigh (ALT) flap is one of the most commonly used flap worldwide in reconstructive surgery, as both free flap and pedicled local flap. Here, we report the use of a free split anterolateral thigh (s-ALT) flap for reconstruction of a 14 cm × 16 cm soft tissue defect of the left upper posterior thigh region due to sarcoma resection in a patient. The ALT flap was harvested based on two musculocutaneous perforators from the right thigh and anastomosed to the contralateral descending branch of the lateral circumflex femoral artery (LCFA) in perforator-to-perforator manner, in order to gain more pedicle length and being able to cover the posterior thigh defect...
January 17, 2018: Microsurgery
https://www.readbyqxmd.com/read/29322547/improvement-of-the-salvage-rate-of-flap-after-venous-thrombosis-with-intraparenchymatous-venous-pressure-monitoring
#18
Hajime Matsumine, Mariko Mogami, Osamu Fujiwara, Masahiro Hasegawa, Hiroshi Ito, Hiroyuki Sakurai
PURPOSE: Intraparenchymatous venous pressure (IVP) monitoring in flap can measure venous pressure with catheter placement. Among patients with IVP monitoring, this study reviewed postoperative microvascular complications for investigating the transplanted-tissue salvage-rate. PATIENTS AND METHODS: Two hundred and seventy-one patients (male, 132; female, 139; mean age, 52.3 years; age range, 9-82 years) underwent free flap transfer and postoperative continuous IVP monitoring, which performed as follows; a venous catheter was connected to a transducer, and venous pressure in the flap was recorded for three consecutive days postoperatively...
January 11, 2018: Microsurgery
https://www.readbyqxmd.com/read/29315844/local-and-systemic-coagulation-marker-response-to-musculocutaneous-flap-ischemia-reperfusion-injury-and-remote-ischemic-conditioning-an-experimental-study-in-a-porcine-model
#19
Andreas Engel Krag, Christine Lodberg Hvas, Birgitte Jul Kiil, Gete Toft Eschen, Tine Engberg Damsgaard, Anne-Mette Hvas
BACKGROUND: Remote ischemic conditioning (RIC) administered by non-lethal periods of extremity ischemia and reperfusion attenuates ischemia-reperfusion injury. We aimed to investigate the local and systemic coagulation marker response to flap ischemia-reperfusion injury, and the effects of RIC on coagulation markers following flap ischemia-reperfusion injury. METHODS: A musculocutaneous latissimus dorsi flap was subjected to 4 h of ischemia followed by 7 h of reperfusion in 16 female Danish Landrace pigs (39 kg)...
January 8, 2018: Microsurgery
https://www.readbyqxmd.com/read/29315828/a-collagen-coated-pga-conduit-for-interpositional-jump-graft-with-end-to-side-neurorrhaphy-for-treating-facial-nerve-paralysis-in-rat
#20
Yosuke Niimi, Hajime Matsumine, Yuichi Takeuchi, Hironobu Osaki, Satoshi Tsunoda, Mariko Miyata, Masayuki Yamato, Hiroyuki Sakurai
PURPOSE: This study investigated the potential of collagen-coated polyglycolic acid (PGA) tube with interpositional jump graft (IPJG) in rat. MATERIALS AND METHODS: A total of 16 Lewis rats were used in this study. Facial nerve paralysis was created by ligating facial nerve trunk with a ligature clip. The rats were divided into 3 groups. Nerve conduit group (n = 6) were treated by IPJG with collagen-coated PGA tubes between the facial nerve trunks and the hypoglossal nerves...
January 8, 2018: Microsurgery
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