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Strategies to Achieve Nontattooed Flap Transfer Where Decorative Tattoos Are Found at Workhorse Donor Sites.
[BACKGROUND] Tattooing in the general population has become increasingly popular in recent years. Tattoo ink may contain carcinogenic chemicals, and long-term health risks remain a concern. When any proposed surgical intervention violates a…
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Delayed Split Anterolateral Thigh Flap as a Versatile Alternative in Head and Neck Malignancy Reconstructions.
[BACKGROUND] Reconstruction of complex head and neck defects using a single flap is challenging in the absence of multiple reliable perforators for immediate splitting. Conventional folding or de-epithelization in the middle often results i…
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Adjustable Single-Osteotomy Fibular Free Flap for Anterior Mandibular Defects in Irradiated Head and Neck Cancers-A Case Series.
: Reconstructing the anterior mandible in patients with irradiated and contracted soft tissues remains challenging despite advances in computer-assisted design and three-dimensional printing. Unpredictable soft-tissue changes reduce the eff…
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A Periareolar Approach for Skin Cancer Adjacent Nipple-Areolar Complex.
The periareolar approach has been successfully used in our cosmetic patients, including cases of mastopexy, breast reduction, and severe gynecomastia surgery, demonstrating its efficacy in achieving favorable cosmetic outcomes. However, so …
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A review of pharyngocutaneous fistula management in head and neck malignancies.
Pharyngocutaneous fistula is a serious complication after head and neck reconstruction and concurrent chemoradiotherapy, yet no consensus or practical protocols regarding the surgical timing and specific procedures could be found in the cur…
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Plantar forefoot reconstruction: A proposal of a management algorithm based on a case series analysis: Plantar forefoot reconstruction.
[BACKGROUND] Several loco-regional flaps have been described for plantar forefoot coverage. We, herein, report our single-centre experience in plantar forefoot reconstruction and propose a decision-making process based on the defect's size.…
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Freestyle Local Island Pedicle Flap in Lower Leg Reconstruction.
The freestyle local perforator flap is an advanced version of the conventional island pedicle flap. Intramuscular dissection can provide a longer pedicle, which allows restoration of defects that are future from the donor site. Without micr…