keyword
MENU ▼
Read by QxMD icon Read
search

Microsurgical reconstruction

keyword
https://www.readbyqxmd.com/read/29218849/reconstruction-of-full-thickness-cheek-defect-with-chimeric-facial-artery-free-flap-a-case-report
#1
Olindo Massarelli, Luigi Angelo Vaira, Roberta Gobbi, Giovanni Dell'aversana Orabona, Giacomo De Riu
Full-thickness cheek defects represent a difficult challenge for reconstructive surgeons. Multiple techniques have been described, including local, regional, and free flaps. In this report, the reconstruction of a through and through left cheek defect, resulting from a self-inflicted gunshot injury, with a chimeric facial artery free flap is presented. The patient underwent reconstruction with a chimeric full-thickness facial artery free flap, with 9 × 3 cm diameter skin paddle and a 6 × 5 cm myomucosal paddle, was harvested on the contralateral cheek with a 7-cm length of facial pedicle...
December 8, 2017: Microsurgery
https://www.readbyqxmd.com/read/29204037/staged-multimodality-treatment-of-a-large-ruptured-fusiform-supraclinoid-internal-carotid-artery-aneurysm-microsurgical-clip-assisted-endovascular-coiling
#2
Dale Ding, Thomas J Buell, Ching-Jen Chen, Daniel M Raper, Kenneth C Liu, Dennis G Vollmer
In the contemporary era of aneurysm management, large fusiform aneurysms presenting with subarachnoid hemorrhage (SAH) remain particularly challenging lesions to successfully manage. We describe a staged, multimodal treatment strategy for a 71-year-old patient who presented with a large ruptured fusiform aneurysm of the supraclinoid internal carotid artery (ICA) and a fetal posterior communicating artery which originated from the inferomedial aspect of the aneurysm. In the first stage, we performed a partial microsurgical clip reconstruction of the fusiform aneurysm and secured its rupture site, which was identified intraoperatively...
October 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/29198319/a-technique-for-tripartite-reconstruction-of-fingertip-injuries-using-the-thenar-flap-with-bone-and-nail-bed-grafts
#3
REVIEW
Vishal Thanik, Ajul Shah, David Chiu
Fingertip amputation is the most common amputation encountered by hand surgeons. Treatment decisions are multifactorial, based on mechanism, level of injury, tissue loss, associated injuries, and patient preference, among others. In this article, we present use of the thenar flap in combination with bone graft and split-thickness nail bed graft to address the tripartite loss of distal phalanx, soft tissue, and nail bed. This method allows for a full-length and functional reconstructed fingertip that is aesthetically satisfactory and does not require microsurgical techniques...
December 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29193942/-perioperative-management-protocol-of-patients-undergoing-microsurgical-flaps-in-main-healthcare-centers
#4
Alejandro Cruz-Segura, Pedro Grajeda-López
Microsurgery is one of the most fertile and innovative area in reconstructive surgery. Today it is considered an indispensable technique in plastic surgery with flaps survival rates over 95% in main healthcare centers. The factors involved in achieving these results are: the improvement of the surgical technique, adequate patient selection and careful perioperative care. Perioperative care starts at the initial assessment of the patient where it's very important to consider the indications and contraindications of these procedures...
September 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29191526/clinical-application-of-an-open-source-3d-volume-rendering-software-to-neurosurgical-approaches
#5
Bruno Fernandes de Oliveira Santos, Marcos Devanir Silva da Costa, Ricardo Silva Centeno, Sergio Cavalheiro, Manoel Antônio de Paiva Neto, Michael T Lawton, Feres Chaddad-Neto
OBJECTIVE: Preoperative recognition of the anatomic individualities of each patient can help in achieving more precise and less invasive approaches. Moreover, this may help with anticipating potential complications and intraoperative difficulties. To describe the use, accuracy, and precision of a free tool for planning microsurgical approaches using three-dimensional reconstructions from magnetic resonance images. METHODS: We used the 3D Volume Rendering tool of an open source and free software program for three-dimensional reconstruction of images of surgical sites obtained by MRI volumetric acquisitions...
November 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29191500/3t-non-injected-phase-contrast-mri-sequences-for-the-mapping-of-the-external-carotid-branches-in%C3%A2-vivo-radio-anatomical-pilot-study-for-feasibility-analysis
#6
Jérémie Bettoni, Gwénaël Pagé, Anne-Virginie Salsac, Jean-Marc Constans, Sylvie Testelin, Bernard Devauchelle, Olivier Balédent, Stéphanie Dakpé
An essential stage in head and neck microsurgical reconstruction is the choice of recipient vessels. To make relevant choices, surgeons must rely on accurate imaging techniques. The objective of the study was to examine the feasibility of Phase-Contrast sequences to conduct the pre-operative tests without injection and provide precise radio-anatomical data over the entire vessel region. The challenges were the large velocity range, the lack of contrast, and the large spatial resolution needed to image vessels below 5 mm in diameter...
October 16, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29184730/outcomes-comparison-for-microsurgical-breast-reconstruction-in-specialty-surgery-hospitals-versus-tertiary-care-facilities
#7
Rahul Vemula, Matthew J Bartow, Matt Freeman, Cameron Callaghan, Tim Matatov, David Jansen, Bob Allen, Hugo St Hilaire, Oren Tessler
Background: Postoperative monitoring is crucial in the care of free flap breast reconstruction patients. Tertiary care facilities (TCFs) provide postoperative monitoring in an ICU after surgery. Specialty surgery hospitals (SSHs) do not have ICUs, but these facilities perform free flap breast reconstruction as well. Are outcomes comparable between the 2 facilities in terms of flap reexploration times and overall success? Methods: Retrospective study including 163 SSH and 157 TCF patients...
October 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29174239/the-efficiency-and-safety-of-the-autologous-fat-graft-in-reconstruction-of-skull-base-defects-after-resection-of-skull-base-meningiomas
#8
Hussam Metwali, Venelin Gerganov, Breno Nery, Ahmed Aly, Rodrigo Avila-Cervantes, Madjid Samii
INTRODUCTION: reconstruction of skull base after resection of skull base meningioma is of paramount importance. We are presenting a safe and effective method of skull base reconstruction METHODS: a retrospective analysis of patients operated for skull base meningioma from 2007 to 2014. We analyzed the surgical technique, efficiency and safety as well as the graft-related complications. RESULTS: Autologous free fat graft had been used in 55 patients. Thirty nine patients had posterior fossa meningioma related to the petrous bone, and sixteen patients had anterior fossa meningiomas related to the paranasal sinuses...
November 23, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29162296/early-outcomes-of-vein-grafting-for-reconstruction-of-brachial-arterial-injuries-in-children
#9
Kristin Alves, Hillard Spencer, Carol E Barnewolt, Peter M Waters, Donald S Bae
PURPOSE: We postulated that, with microsurgical technique, vascular reconstruction with interpositional vein grafts in the pediatric population is safe and results in sustained vascular patency and excellent midterm outcomes. METHODS: Twenty children with brachial artery injuries were treated with interpositional vein grafting at a tertiary pediatric hospital from 1995 to 2013. Medical records were evaluated for demographic, clinical, and radiographic data. Ten patients were available for longer-term follow-up...
November 18, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29146958/third-repeat-microvascular-reconstruction-in-head-and-neck-cancer-patients-aged-65-years-and-older-a-longitudinal-and-sequential-analysis
#10
Jonas Löfstrand, Kai-Ping Chang, Jennifer An-Jou Lin, Charles Yuen Yung Loh, Hsuan-Yu Chou, Huang-Kai Kao
Performing a sequential third free flap for reconstruction of a head and neck defect after cancer resection can be challenging, and the problem is further compounded in elderly patients. The outcomes in this clinical scenario are currently unknown and this study aims to compare the results in elderly patients with younger patients in a high-volume microsurgical unit. A retrospective review of 126 consecutive patients who had undergone three sequential free flap reconstructions after head and neck cancer was performed...
November 16, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29132254/reverse-flow-intrinsic-fasciocutaneous-island-flaps-in-foot-reconstruction
#11
Sujin Bahk, GyeongHyeon Doh, Ki Yong Hong, SooA Lim, SuRak Eo
Reconstruction of soft tissue defects in the foot remains a challenge due to its specialized tissue for weightbearing and ambulation. Considering the principle of replacing "like with like," adjacent soft tissues would be a best option for a donor site. Although several kinds of reverse-flow island flaps for the lower leg have been well described, intrinsic foot reverse flow flaps have been rarely reported. We describe 3 kinds of reverse-flow intrinsic fasciocutaneous flaps (RIFFs) for foot reconstruction. From September 2012 to August 2015, a retrospective study was done on case notes of all patients who had a RIFF for coverage of soft tissue defects within the foot following trauma or tumor ablation...
November 1, 2017: International Journal of Lower Extremity Wounds
https://www.readbyqxmd.com/read/29118790/rescue-treatment-with-pipeline-embolization-for-postsurgical-clipping-recurrences-of-anterior-communicating-artery-region-aneurysms
#12
Li-Mei Lin, Rajiv R Iyer, Matthew T Bender, Thomas Monarch, Geoffrey P Colby, Judy Huang, Rafael J Tamargo, Alexander L Coon
Background: Postsurgical clipping aneurysm recurrences or residuals can be difficult to manage with either traditional open microsurgical approaches or endosaccular coiling. Endoluminal parent vessel reconstruction with flow diversion may be an ideal method for treating these recurrences by avoiding reoperative surgery or intraprocedural aneurysm rupture with aneurysm access. Method: We retrospectively reviewed a single-center aneurysm database identifying all anterior communicating artery (ACom) region aneurysms with recurrences after microsurgical clipping...
October 2017: Interventional Neurology
https://www.readbyqxmd.com/read/29117833/management-of-the-pediatric-patient-following-upper-extremity-replantation-or-revascularization-a-suggested-protocol
#13
Alec Sundet, Kyros Ipaktchi, Claudia Kunrath, Rodrigo N Banegas
BACKGROUND: Traumatic pediatric amputations of the hand and upper extremity can have long-term financial, psychological, developmental, and functional consequences that readily extend beyond the realm of that which is normally encountered in comparatively injured adults. These factors, along with a paucity of medical comorbidities, have guided a more liberal and aggressive approach to treating pediatric amputations in hopes of optimizing psychosocial, aesthetic, and developmental outcomes...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29105820/the-radial-forearm-free-flap-as-a-vascular-bridge-for-secondary-microsurgical-head-and-neck-reconstruction-in-a-vessel-depleted-neck
#14
Pedro Ciudad, Mouchammed Agko, Shivprasad Date, Wei-Ling Chang, Oscar J Manrique, Tony C T Huang, Federico Lo Torto, Emilio Triganano, Hung-Chi Chen
BACKGROUND: In a vessel-depleted neck, distant recipient sites may be the only option for secondary free flap reconstruction. While interposition vein grafts and arteriovenous loops can bridge the gap between the recipient and donor pedicle, they are not without risks. In these scenarios, we examinate the reliablity of a radial forearm free flap (RFFF) as an alternative vascular conduit. PATIENTS AND METHODS: A retrospective review of cases between March 2005 and May 2016 was performed...
November 4, 2017: Microsurgery
https://www.readbyqxmd.com/read/29100881/pedicled-posteromedial-thigh-ppmt-perforator-flap-and-its-application-in-loco-regional-soft-tissue-reconstructions
#15
Mario F Scaglioni, Alberto Franchi, Pietro Giovanoli
INTRODUCTION: The posteromedial thigh (PMT) perforator flap is a valuable reconstructive option. In its pedicled form, the experience is currently limited to a few case reports. The purpose of this article is to describe various clinical applications of the pedicled posteromedial thigh (pPMT) flap for reconstruction of loco-regional soft tissue defects. PATIENTS AND METHODS: From 2014 to 2016, 15 patients underwent reconstruction with 15 pPMT flaps. The locations of the defects included the inguinal region (4 cases), the perineal and genital region (3 cases), the proximal and distal medial thigh (3 and 2 cases, respectively), and the popliteal fossa (3 cases)...
October 16, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29090196/does-low-dose-heparin-have-a-significant-role-in-free-flap-surgery
#16
Mun-Young An, Jin Yong Shin, Young-Keun Lee, M Diya Sabbagh, Si-Gyun Roh, Nae-Ho Lee
BACKGROUND: It is controversial issue that heparin decreases thrombosis for microsurgical anastomosis, and its effective role is under discussion. This study is for proving whether low-dose heparin is preventing thrombosis in free flap reconstruction. METHODS: Through chart reviews of 134 patients, using low-dose heparin for free tissue transfer from 2011 to 2016, retrospective analysis was performed. 33 patients received low-dose heparin therapy after surgery. And 101 patients received no-heparin therapy...
September 2017: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/29078225/effect-of-preoperative-medical-status-on-microsurgical-free-flap-reconstructions-a-matched-cohort-analysis-of-969-cases
#17
Denis Ehrl, Paul I Heidekrueger, Milomir Ninkovic, P Niclas Broer
No abstract text is available yet for this article.
October 27, 2017: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29071492/sensation-of-the-autologous-reconstructed-breast-improves-quality-of-life-a-pilot-study
#18
Anouk J M Cornelissen, Jop Beugels, Sander M J van Kuijk, Esther M Heuts, Shai M Rozen, Aldona J Spiegel, René R W J van der Hulst, Stefania M H Tuinder
PURPOSE: The number of breast cancer survivors continues to grow. Due to refinements in operating techniques, autologous breast reconstruction has become part of standard care. Impaired sensation remains a debilitating side effect with a significant impact on the quality of life. Microsurgical nerve coaptation of a sensory nerve has the potential to improve sensation of the reconstructed breast. This study investigates the effect of improved sensation of the reconstructed breast on the quality of life in breast cancer survivors...
October 25, 2017: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29068940/not-all-gustilo-type-iiib-fractures-are-created-equal-arterial-injury-impacts-limb-salvage-outcomes
#19
John T Stranix, Z-Hye Lee, Adam Jacoby, Lavinia Anzai, Tomer Avraham, Vishal D Thanik, Pierre B Saadeh, Jamie P Levine
BACKGROUND: Open tibia fractures are commonly stratified by the Gustilo classification, an orthopedic grading system that does not incorporate the presence of arterial injury when limb perfusion is intact. In the authors' experience, however, the presence of arterial injury appears to negatively impact microsurgical outcomes. METHODS: In a retrospective review of 806 lower extremity reconstructions between 1979 and 2016, 361 soft-tissue flaps performed for Gustilo type IIIB/C coverage met inclusion criteria...
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29064917/current-trends-in-postmastectomy-breast-reconstruction
#20
REVIEW
Hina Panchal, Evan Matros
Postmastectomy immediate breast reconstruction in the U.S. continues to experience an upward trend owing to heightened awareness, innovations in reconstructive technique, growing evidence of improved patient-reported outcomes, and shifts in mastectomy patterns. Women with unilateral breast cancer are increasingly electing to undergo contralateral prophylactic mastectomy, instead of unilateral mastectomy or opting for breast conservation. The ascent in prophylactic surgeries correlates temporally to a shift toward prosthetic methods of reconstruction as the most common technique...
November 2017: Plastic and Reconstructive Surgery
keyword
keyword
113905
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"