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Successful Abdominal Wall Reconstruction Following Liposuction Catastrophe: A Case Report and Literature Review.
[BACKGROUND] Devastating abdominal injuries may result from liposuction, which can lead to necrotizing fasciitis and loss of abdominal domain. This may necessitate reconstructing the abdominal wall to improve the patient's quality of life. …
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An Unusually Huge Keloid Complicating a Unilateral Otoplasty.
Giant recurrent auricular keloids, particularly those complicated by donor-site involvement, present significant therapeutic challenges due to aggressive fibroblast biology and high recurrence rates. We report a complex case of a 15-year-ol…
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Topical Application of SVF/PRF in Thermal Injuries-A Retrospective Analysis.
: The traditional management of acute burn wounds using eschar debridement followed by split-thickness skin grafting has notable drawbacks. Stromal vascular fraction (SVF), derived from autologous adipose tissue, promotes epithelialization …
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Reconstruction of Tongue Malignancy Defects: A Systematic Review and Treatment Algorithm.
[INTRODUCTION] The tongue is the most common site of oral malignancies, with surgical resection the mainstay of treatment. Tongue cancer resections have significant functional impacts. Ideal reconstruction would restore speech intelligibili…
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Segmental Cylindrical Gracilis Free Flap for Dead Space Obliteration in Chronic Midfoot Osteomyelitis Secondary to Ballistic Injury: A Case Report.
Chronic osteomyelitis of the midfoot, particularly following high-energy trauma such as a landmine injury, presents a formidable challenge due to the region's limited soft tissue envelope, complex anatomy, and the critical need for effectiv…
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Anterolateral Thigh Flap for Acute/Primary Burn Reconstruction.
[INTRODUCTION] The indication for a free flap in acute burn reconstruction is very specific. It should avoid several complications that are more common in the burned patient population. We propose an anterolateral thigh (ALT) flap as a firs…
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Clinical outcomes of closed versus open simple ankle fractures patterns requiring soft tissue reconstruction: A prospective comparative observational study.
[BACKGROUND] Contemporary guidelines advocate for initial debridement and single-stage definitive fixation with immediate soft tissue reconstruction for open fractures. This study aims to evaluate the effectiveness of single-stage stabiliza…
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Two propeller flaps in a distal lower leg with bilateral defects as a single-stage procedure: A case report.
Soft tissue defects in the lower leg often represent a therapeutic challenge. One of the treatment modalities is plastic reconstruction with a propeller flap. In our case report, we would like to present a case of a 75-year-old, multimorbid…
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Donor site in anterolateral thigh (ALT) free flaps: A systematic review of closure techniques and introduction of a management algorithm.
The anterolateral thigh (ALT) free flap is widely used in reconstructive microsurgery for its versatility and reliability, yet donor site management becomes challenging when flap dimensions exceed those for tension-free primary closure. The…
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Autologous Chin Augmentation with Cervico-mental Angle Correction in Burn Scar Contracture.
Microgenia, retrogenia, cervico-mental angle obtusity, and lower lip ectropion are complications of severe burn scar contracture and are associated with functional and psychosocial disturbances. These complications can be managed in several…
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Novel use of plasma pen ablation for the treatment of extensive periocular xanthogranuloma: A case report.
[PURPOSE] This case demonstrates a novel technique for treatment of periocular xanthogranuloma using plasma pen ablation, a non-invasive therapy that stimulates skin regeneration. It is used in various conditions, such as benign skin growth…
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Full-thickness skin graft versus split-thickness skin graft for fasciocutaneous radial forearm free flap donor site closure: a systematic review and meta-analysis.
[BACKGROUND] The radial forearm free flap (RFFF) is widely used in microvascular reconstructions. However, donor site morbidity remains a concern, with complications such as wound healing issues, functional impairments, and aesthetic concer…
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Optimizing Wound Healing in Radial Forearm Donor Sites: A Comparative Study of Ulnar-Based Flap and Split-Thickness Skin Grafting.
The radial forearm free flap (RFFF) is a common technique in head and neck reconstructive surgery. This study aimed to compare the clinical and biochemical outcomes of wound healing following ulnar-based transposition flap (UBTF) versus spl…
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Sepsis 6 Years After Breast Augmentation With Aquafilling: A Case Report and Literature Review.
Aquafilling is a hydrophilic gel composed of 98% physiological saline and 2% polyacrylamide gel, introduced in Japan in 2015 for breast augmentation. Despite its initial popularity, it has been associated with severe complications, includin…
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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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Pre-fabricated Thigh Flaps for Total Thoracic Esophageal Defects after Failed Jejunum Grafting in Esophageal Cancer Surgery.
Three cases of total thoracic esophageal re-reconstruction after failed jejunum grafting for esophageal cancer are described. A prefabricated long skin tube formed by a combination of tensor fascia lata and anterolateral thigh flaps was tra…
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Nationwide clinical practice variation for reconstructive surgery following oral cavity cancer from the Dutch Head and Neck Audit: are we all doing the same?
Quality registries provide real-world data that can drive quality improvement, which often starts with reducing inter-hospital variation. We explored outcomes and the extent of nationwide inter-hospital variation for patients undergoing rec…
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Free vascularized fascia lata flap combined with skin grafting for reconstruction of complex defect of the foot dorsum - A case report.
[INTRODUCTION] The dorsum of the foot has distinct characteristics, including thin skin and minimal subcutaneous tissue. Injuries in this area can expose deeper structures, complicating recovery and increasing the risk of infection and tiss…
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Geographic Region and Insurance Status Predict Access to Salvage Procedures for Diabetic Lower-Extremity Wounds in the United States.
[PURPOSE] The current study assessed factors associated with limb salvage and subsequent amputations for patients with diabetic lower-extremity wounds in the United States. [METHODS] Using national administrative data from 2010 to 2022 (Pe…
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In the Era of Advanced Microsurgery, Is There Still a Place for Pedicled Abdominal Flaps? A Retrospective Analysis.
: Upper extremity reconstruction poses a significant challenge due to the complex anatomical and functional requirements of the hand and forearm. While free flaps have become the gold standard, pedicled abdominal flaps remain a valuable alt…