피판재건술 Flap Reconstruction

Performing a hand-sewn microvascular anastomosis is a technically challenging and potentially time-consuming task, the results of which can dramatically impact prolonged ischemia time and clinical outcomes. This scoping review aims to exami…

[BACKGROUND] The submental artery perforator flap (SMAPF) is an important option for reconstructing head and neck tumor defects. Venous injury represents one of the critical factors leading to flap compromise. This study aimed to investigat…

[PURPOSE] Radiation therapy following implant-based reconstruction (IBR) is known to contribute to increased complication rates and aesthetic challenges, particularly breast asymmetry, which often necessitates additional revision procedures…

[OBJECTIVE] The lower trapezius musculocutaneous flap (LTMF) is a workhorse flap for the reconstruction of soft-tissue defects of the head and neck. However, when harvesting a large LTMF to repair massive defects, primary closure of the don…

[PURPOSE] To describe a novel technique of tragal cartilage contouring during facelift surgery and evaluate its effectiveness in preserving tragal contour and preventing postoperative tragal deformities. [METHODS] A retrospective chart rev…

[BACKGROUND] Long-term health-related quality of life (HRQoL) plays an increasingly important role in breast cancer treatment. Women who are not eligible for breast-conserving therapy frequently opt for reconstruction, but data on long-term…

This systematic review examined the use of Indocyanine Green Fluorescence Angiography (ICG-FA) to evaluate flap viability in reconstructive head and neck surgery. PUBMED, Embase, and Cochrane Library were systematically reviewed. Key outcom…

[BACKGROUND] Frailty is a critical determinant of surgical outcomes in head and neck surgery, given that patients often present with multiple comorbidities. Identifying the optimal frailty index for preoperative risk stratification can enha…

Artificial intelligence (AI) is rapidly reshaping head and neck surgical oncology by augmenting decision-making across the full perioperative continuum. This state-of-the-art review aims to provide head and neck surgical oncologists with a …

Defects following total parotidectomy represent a distinctive reconstructive challenge. Restoration of facial volume and contour must be balanced with protection of the preserved facial nerve and reliable healing, particularly after extensi…

[BACKGROUND] Sunken upper eyelids convey an impression of fatigue. Pedicled orbital fat fascia flap (POFFF) transposition has been commonly adopted as an effective technique for augmenting upper eyelid volume. Nevertheless, objective quanti…

[BACKGROUND] To evaluate the anatomical rationale and clinical efficacy of septoaponeurotic junctional thickening (SAJT) fixation technique in Asian upper blepharoplasty. [METHODS] Retrospective analysis of 13,500 consecutive cases (12,150…

The purpose of this study was to assess the safety and efficacy of an open envelope incision (OEI) for closure of the posterior tibial artery free flap (PTAFF) donor site and to compare the functional and aesthetic outcomes with those of cl…

Intraoperative hypothermia is a common yet underrecognized concern in plastic surgery, contributing to increased risks of surgical site infections, coagulopathy, and delayed recovery. This study characterizes intraoperative temperature dyna…

[OBJECTIVE] To evaluate short- and long-term patient outcomes retrospectively, investigate anesthetic and surgical times, and assess clinically relevant surgical wound complications associated with the use of needle-tip monopolar electrocau…

[BACKGROUND] The medial upper arm is a potential donor site for the perforator flaps because of its ideal thickness, pliability, excellent color, and well-hidden donor site scar. Its main vascular supply originates from the cutaneous perfor…

[BACKGROUND] The treatment of scaphoid nonunion is challenging, with one approach aiming to provide vascularized bone to encourage union. While the iliac crest and medial femoral condyle are well-described donor sites for osseous flaps, the…

[BACKGROUND] Medial arterial calcification (MAC) is emerging as a tool to predict adverse limb events, but its effects on microsurgery are unknown. This study evaluates the effects of MAC on microsurgical limb salvage outcomes. [METHODS] P…

[BACKGROUND] We present our experience with free flap reconstruction of the anterior skull base (SB), focusing on complex composite defects in patients undergoing multimodality therapy for SB tumors. [METHODS] Outcomes of patients undergoi…