피판재건술 Flap Reconstruction

[BACKGROUND] Reconstruction of premaxillary defects remains a surgical challenge due to the region's functional and aesthetic importance. While prosthetic rehabilitation and osteocutaneous free flaps are commonly used, they can be resource-…

[OBJECTIVES] While prior studies have demonstrated favorable aesthetic outcomes using skin grafted free flaps to improve recipient site color match (Epithelial Preservation Including Dermal Resection Microvascular technique: EPIDERM techniq…

[BACKGROUND] The microvascular bone free flap (MBFF) is the preferred reconstruction after mandibular resection as it facilitates secondary dental rehabilitation. [METHODS] In this multicenter study, patients were included if treated betwe…

[BACKGROUND] Medial sural artery perforator (MSAP) flaps are favored in head and neck reconstruction for skin paddle pliability, pedicle length, and low donor site morbidity. We sought to characterize MSA vascular branching patterns based o…

[PURPOSE] Immediate postmastectomy breast reconstruction in patients with history of breast-conserving surgery and radiotherapy presents unique challenges owing to previous surgical and radiation effects. This study evaluated the outcomes o…

Autologous breast reconstruction using donor-site flaps such as the deep inferior epigastric perforator (DIEP) flap, transverse rectus abdominis myocutaneous (TRAM) flap, latissimus dorsi flap, profunda artery perforator (PAP) flap, and aut…

[PURPOSE OF REVIEW] This review addresses the timely and relevant challenge of reconstructing extensive infratemporal fossa defects following composite bucco-alveolar cancer resection. The complexity of these three-dimensional defects, invo…

[BACKGROUND] Multiple perforator deep inferior epigastric perforator (DIEP) flaps demonstrate superior perfusion. The selection of perforators is influenced by several factors, including the number of perforators, the running layer, the ped…

Extensive orbital exenteration requires complex reconstructive strategies to restore both function and aesthetic form while allowing for durable prosthetic rehabilitation. This retrospective study analyzed reconstructive outcomes following …

Head and neck cancer (HANC) patients' health-related quality of life and concerns shape the patient-clinician interaction. Allowing patients to raise concerns that might otherwise be missed affords an opportunity for intervention and signpo…

[BACKGROUND] Nipple-sparing mastectomy (NSM) improves aesthetic outcomes but carries a higher risk of ischemic complications, particularly in patients with large, ptotic breasts. This study evaluates whether reduction mammaplasty prior to N…

[BACKGROUND] Bony nonunion is an important complication in head and neck reconstruction, but its definition, incidence, and treatment are not well-reported. [METHODS] MEDLINE, Embase, CENTRAL, and Web of Science were searched from October …

[OBJECTIVE] To evaluate preventative and corrective techniques for postoperative temporal wasting. [DATA SOURCES] PubMed, Cochrane, Web of Science, and SCOPUS databases. [REVIEW METHODS] Included studies mentioned temporal wasting and its…

Robotic microsurgery has emerged as a promising advancement in plastic and reconstructive surgery, offering enhanced precision through tremor suppression and motion scaling during microvascular anastomosis. This systematic review and single…

[BACKGROUND] Little is known about long-term esthetic outcomes after re-exploration for microvascular compromise in autologous breast reconstruction. We assessed long-term breast volume symmetry and introduced a symmetry-based "true salvage…

[BACKGROUND] Although various dermal substitutes are available, their use in the acute setting or for extensive surface areas is often constrained by high costs and labor-intensive application procedures. Despite these challenges, they have…

[BACKGROUND] Free flap breast reconstruction (FFBR) is a well-established technique for postmastectomy rehabilitation. However, chronic immunosuppressive therapy may compromise wound healing, increase infection susceptibility, and adversely…

[OBJECTIVE] Virtual Surgical Planning (VSP) for tongue reconstruction promises patient-specific optimizations, but its utility is limited by the difficulty of translating a digital plan to a deformable organ. This study evaluated the feasib…

[OBJECTIVE] Limited literature focuses on delays in accessing head and neck cancer (HNC) care across the entire care continuum. This study aims to describe the time to care from symptom onset to treatment completion and identify predictors …