피판재건술 Flap Reconstruction

Increasing the thickness of the capsule around the tissue expander, as in breast reconstruction complicates the expansion process and increases the time to achieve the required flap size. The aim of this study was to investigate the effect …

Microvascular reconstruction demands specialized and additional training beyond residency. This study investigates the free flap learning curve at a newly established microsurgery center by analyzing free flap viability rate over 10 years. …

The breast shape changes between reconstructed and native breasts in autologous reconstruction, which is important to achieve symmetry. This study was conducted to clarify chronological changes in the shape and nipple position of the recons…

Tranexamic acid (TXA) has gained popularity across various surgical specialties for reducing perioperative blood loss. However, its role in microsurgery remains underexplored, likely due to concerns that TXA may increase the risk of thrombo…

A 32-year-old man is involved in motorcycle accident and sustained a Gustilo-Anderson type 3b open tibia shaft fracture. He underwent a debridement, nailing, and free flap by the plastic surgery team. After the debridement, there is a 6 cm …

[BACKGROUND] Osteoradionecrosis (ORN) is a severe complication following radiotherapy (RT), particularly after mandibular reconstruction with a fibula free flap. Risk prediction remains challenging due to limited data. [METHODS] We conduct…

[OBJECTIVE] Loss of independence (LOI) is a key concern after head and neck cancer (HNC) surgery, yet its predictors remain unclear. This study aimed to identify perioperative and postoperative factors linked to LOI in geriatric HNC patient…

The "Jaw in a Day®" approach enables simultaneous functional and aesthetic mandibular reconstruction through immediate dental implant placement in osseous free flaps. This retrospective cohort study evaluated the accuracy of immediate denta…

[INTRODUCTION] Reconstruction of the distal lower limb is often complex due to limited local tissues. The pedicled extensor digitorum brevis (EDB) flap is a reliable, loco-regional option for small- to medium-sized ankle and foot defects. T…

We describe a novel reconstructive approach using a free vascularized tibial bone transfer with skin and tibial nerve components to salvage a complex upper extremity injury in the setting of a non-salvageable lower limb. This technique was …

[BACKGROUND] Data addressing health-related quality of life (HRQOL) following maxillary reconstruction with free flaps remain scarce. Insight into these outcomes is essential for clinical decision-making. [METHODS] A systematic review of M…

We present a 48-year-old woman who sustained life threatening polytrauma from a shark attack in New Caledonia, including posterior trunk and thigh crush-avulsion, bilateral upper-limb amputations and a 16 cm segmental sciatic nerve defect. …

[BACKGROUND] In 2018, an initiative at the authors' institution aimed at reducing routine prophylactic tracheostomies for head and neck reconstructions with free flaps was implemented. Discussion between the surgical team and anesthesia abo…

[OBJECTIVES] This study aims to evaluate the results of traumatic soft tissue defects of the forefoot reconstructed using the lateral arm flap and to examine the advantages and disadvantages of this flap. [PATIENTS AND METHODS] Between Jan…

The goal of soft-tissue reconstruction of the chest wall is to provide durable and functional solutions over a dynamic thoracic cavity while protecting vital organs and neurovascular structures. Successful reconstruction is dependent on tho…

[BACKGROUND] Patients undergoing deep inferior epigastric perforator (DIEP) flap breast reconstruction are at increased risk for venous thromboembolism (VTE) due to prolonged operative times, cancer-associated hypercoagulability, and postop…

[BACKGROUND] Extensive thoracoabdominal defects after oncologic resection pose a major reconstructive challenge, particularly when durable soft-tissue coverage must be achieved over prosthetic chest wall reconstruction. Conventional pedicle…

Free flap reconstruction around the knee is challenging given a paucity of suitable recipient vessels. Traditional recipient vessels frequently require specific positioning other than supine (limiting flap selection), have variable anatomy,…

The fibula free flap is a versatile option for reconstructing complex defects, particularly in the head and neck region. However, variations in the vascular anatomy of the skin paddle can pose challenges during flap harvest and inset. We id…

Large chest wall defects may be challenging to reconstruct and requires consideration of skeletal stabilization. Whilst use of synthetic materials has been described, the risks of infection and implant failure resulting in removal are omnip…