journal
https://read.qxmd.com/read/39012167/positive-effect-of-ulnar-nerve-fascicle-transfer-to-musculocutaneous-nerve-seeded-with-allogeneic-adipose-tissue-derived-stem-cells-on-nerve-regeneration-for-repairing-upper-brachial-plexus-injury-in-a-rat-model-a-preliminary-study
#1
JOURNAL ARTICLE
Muhammed Nebil Selimoglu, Metin Kocacan, Seçkin Tuncer, Zekeriya Tosun, Ender Erdogan
BACKGROUND: Traumatic peripheral nerve injury, with an annual incidence reported to be approximately 13-23 per 100,000 people, is a serious clinical condition that can often lead to significant functional impairment and permanent disability. Although nerve transfer has become increasingly popular in the treatment of brachial plexus injuries, satisfactory results cannot be obtained even with total nerve root transfer, especially after serious injuries. To overcome this problem, we hypothesize that the application of stem cells in conjunction with nerve transfer procedures may be a viable alternative to more aggressive treatments that do not result in adequate improvement...
July 2024: Microsurgery
https://read.qxmd.com/read/39011824/long-term-outcome-of-fibula-flaps-in-complex-limb-reconstruction-compared-to-alternative-procedures-a-median-follow-up-of-41%C3%A2-months
#2
COMPARATIVE STUDY
Raymond Challita, Alexandra Forli, Jean-Philippe Giot, Denis Corcella
INTRODUCTION: Complex open long bone fractures present a multidisciplinary surgical challenge. Various treatment options are discussed with no consensus. Fibula flaps (FF) are frequently used in maxillofacial surgery, however their use in limb injuries is less common. With the tremendous improvement in microsurgery, orthoplastic surgery gained importance. Our retrospective study aims to assess the long-term results and the quality of life of the patients operated by FF for complex traumatic limb reconstruction...
July 2024: Microsurgery
https://read.qxmd.com/read/38994707/a-comparison-of-postoperative-outcomes-based-on-recipient-vessels-in-scalp-free-flap-reconstruction-a-systematic-review-and-meta-analysis
#3
REVIEW
Asli Pekcan, Idean Roohani, Eloise Stanton, Deborah Choe, Micaela Tomaro, Ishani D Premaratne, Langley G Wallace, Joseph N Carey, David A Daar
PURPOSE: The superficial temporal artery (STA) and facial artery (FA) are two commonly used recipient vessels when performing free tissue transfer to the head and neck. This meta-analysis compares the impact of recipient vessel location on free flap outcomes in scalp reconstruction. METHODS: A systematic review was conducted following PRISMA-P guidelines using six databases. Studies reporting free tissue transfer using the STA or FA as a recipient vessel for reconstructing scalp defects were included...
July 2024: Microsurgery
https://read.qxmd.com/read/38984459/single-staged-revascularization-and-reconstruction-after-crush-injury-of-the-wrist-and-distal-forearm-a-protocolized-approach
#4
JOURNAL ARTICLE
Jianchi Li, Xiang Wu, Songgen Peng, Qiahong Guo, Ming Liu, Shengshan Li, Ellen C Shaffrey, Weifeng Zeng, Xianhua Pan, Xuan Liao, Hongwei Liu
BACKGROUND: Amputation of the wrist or distal forearm after high-energy trauma due to a crushing mechanism is associated with complex tissue defects, making repair, and reconstruction challenging. Given the difficulty of this type of salvage, patients unfortunately experience a high revision amputation rate. However, a higher quality of life has been reported in patients with successful reconstructions. Herein, we described a protocolized approach for revascularization and reconstruction for functional hand salvage after traumatic amputation from a crushing mechanism using an anterolateral thigh flap (ALT)...
July 2024: Microsurgery
https://read.qxmd.com/read/38970406/comparison-of-instep-and-non-instep-flap-in-the-reconstruction-of-the-weight-bearing-portion-of-the-forefoot-and-heel
#5
COMPARATIVE STUDY
Jae Hoon Lee, Ki Hyeok Ku, Jin Hyung Kim, Jong Hun Baek
BACKGROUND: Instep flaps are commonly used for the reconstruction of weight-bearing areas of the foot. However, in cases of large defects or damage to the instep area, non-instep flaps such as reverse sural flaps (RSF) or free anterolateral thigh flaps (ALTF) can be employed. Previous studies have primarily focused on heel reconstruction when comparing different flaps, without considering the forefoot. This study aims to verify the clinical outcomes of these flaps and determine the appropriate donor site for weight-bearing areas of the foot including forefoot reconstruction...
July 2024: Microsurgery
https://read.qxmd.com/read/38943374/long-term-outcomes-in-virtual-surgical-planning-for-mandibular-reconstruction-a-cost-effectiveness-analysis
#6
JOURNAL ARTICLE
Lauren Gardiner, Brandon Smith, Mark Kubik, Mario Solari, Kenneth Smith, John R de Almeida, Shaum Sridharan
OBJECTIVE: This study is an economic evaluation comparing virtual surgical planning (VSP) utilization to free hand mandibular reconstruction (FHR) for advanced oral cavity cancer, for which the cost effectiveness remains poorly understood. The proposed clinical benefits of VSP must be weighed against the additional upfront costs. METHODS: A Markov decision analysis model was created for VSP and FHR based on literature review and institutional data over a 35-year time horizon...
July 2024: Microsurgery
https://read.qxmd.com/read/38895936/reconstruction-with-free-jejunal-flap-in-dystrophic-epidermolysis-bullosa-complicated-with-hypopharyngeal-cancer-a-case-report
#7
JOURNAL ARTICLE
Daiki Matsumoto, Naoya Otani, Shien Seike, Tateki Kubo
Epidermolysis bullosa (EB) encompasses a range of rare genetic dermatological conditions characterized by mucocutaneous fragility and a predisposition to blister formation, often triggered by minimal trauma. Blisters in the pharynx and esophagus are well-documented, particularly in dystrophic EB (DEB). However, there have been few reports of mucocutaneous squamous cell carcinoma (SCC) in the head and neck region, for which surgery is usually avoided. This report presents the first case of free jejunal flap reconstruction after total pharyngolaryngoesophagectomy for hypopharyngeal cancer in a 57-year-old patient with DEB...
July 2024: Microsurgery
https://read.qxmd.com/read/38887961/reconstruction-techniques-using-free-jejunal-transfer-for-total-pharyngolaryngectomy-with-total-glossectomy
#8
JOURNAL ARTICLE
Takeaki Hidaka, Shimpei Miyamoto, Jun Oba, Kiichi Furuse, Azusa Oshima, Kazuto Matsuura, Takuya Higashino
BACKGROUND: Total pharyngolaryngectomy is sometimes combined with total glossectomy for advanced hypopharyngeal or cervical esophageal cancers involving the tongue base. The optimal reconstruction method for total pharyngolaryngectomy with total glossectomy has not been established due to a considerable diameter mismatch between the floor of mouth and the esophageal stump. This report describes two reconstruction methods using free jejunal transfer. METHODS: Five consecutive patients who underwent total pharyngolaryngectomy with total glossectomy were included, with a mean age of 67...
July 2024: Microsurgery
https://read.qxmd.com/read/38887138/the-robotic-assisted-free-jejunal-flap-for-neovaginal-canal-creation-in-gender-affirming-vaginoplasties
#9
JOURNAL ARTICLE
Gabriel A Del Corral, Brian L Chang, Christian X Lava, Karen R Li, David M Lisle
INTRODUCTION: One of the biggest challenges with gender-affirming vaginoplasty was the creation of a long-lasting, durable, patent, and self-lubricating neovaginal canal that allowed for spontaneous, pain-free sexual intercourse. The jejunum was a durable, physiologic, and intestinal option to create the neovaginal canal that minimizes the adverse effects of skin graft, peritoneal, and colonic vaginoplasties. Free jejunal vaginoplasties had been performed in cis females for congenital genitourinary anomalies like Mullerian agenesis or after gynecologic-oncologic surgery but had yet to be reported for gender-affirming vaginoplasties...
July 2024: Microsurgery
https://read.qxmd.com/read/38887104/the-versatility-of-the-scapular-free-flap-a-workhorse-flap-a-systematic-review-and-meta-analysis
#10
REVIEW
Maria J Escobar-Domingo, Valeria P Bustos, Rachel Akintayo, Amir-Ala Mahmoud, James E Fanning, Jose A Foppiani, Amitai S Miller, Ryan P Cauley, Samuel J Lin, Bernard T Lee
BACKGROUND: The scapular free flap (SFF) is essential in complex reconstructive surgery and often indicated in complex defects with compromised or poor local tissue integrity. This review aims to assess the versatility and reliability of the SFF during reconstruction. METHODS: A comprehensive literature review of multiple databases was conducted following the PRISMA guidelines. An analysis of pooled data was performed to evaluate flap failure rate for any anatomical unit using SFF as the primary endpoints...
July 2024: Microsurgery
https://read.qxmd.com/read/38886978/pedicled-scip-based-vascularized-lymphnode-and-lymphatic-vessels-transfer-vlnt-and-vlvt-for-deep-lymphatic-system-reconstruction-and-dead-space-obliteration-after-medial-thigh-sarcoma-resection-a-case-report
#11
JOURNAL ARTICLE
Federica Martini, Matteo Meroni, Mario F Scaglioni
Soft-tissue sarcomas represent a cohort of rare and heterogeneous malignant tumors that could affect various body parts, with a higher incidence in the lower extremity. When these tumors are surgically removed, both the superficial and deep lymphatic pathways could also be damaged and might require immediate reconstruction to prevent lymphatic complications. In the present report, we describe a case of a patient affected by a high-grade (G3) spindle cell pleomorphic rhabdomyosarcoma of the upper medial thigh...
July 2024: Microsurgery
https://read.qxmd.com/read/38886919/reconstruction-of-congenital-pseudarthrosis-of-the-radius-with-a-vascularized-tibial-periosteal-transplant-a-case-report
#12
JOURNAL ARTICLE
Antonio Carlos da Costa, Joao Pedro Farina Brunelli, Juliana Rojas-Neira, Diego Figueira Falcochio, Juan Sevilla-Tirado, Francisco Soldado
Congenital pseudarthrosis of the forearm poses a considerable challenge because of its rarity. The objective of this report is to introduce a novel surgical technique for its treatment. Here, we document a case of congenital pseudarthrosis of the radius in a 3-year-old boy diagnosed with type-1 neurofibromatosis. The surgical treatment involved the excision of approximately 9 cm of native radial periosteum and a bifocal radius osteotomy, which was supplemented with a vascularized tibial periosteal transplant to facilitate bone healing...
July 2024: Microsurgery
https://read.qxmd.com/read/38828556/survival-and-infection-rates-of-microvascular-free-flaps-in-pediatric-mandibular-reconstruction-a-systematic-review-and-meta-analysis
#13
REVIEW
Ryan S Huang, Ali Benour, Karen W Y Wong Riff
BACKGROUND: Vascularized free tissue transfer has been established as an effective method in the reconstruction of mandibular defects. However, a limited understanding of its efficacy in pediatric patients persists due to its infrequent presentation. The aim of this study is to systematically consolidate the survival and infection rates of free flaps in pediatric mandibular reconstruction. METHODS: A systematic literature search was conducted on Ovid Medline, Embase, and Cochrane Library for studies published up to January 2024...
July 2024: Microsurgery
https://read.qxmd.com/read/38828550/pushing-boundaries-anterolateral-thigh-free-flaps-for-extensive-scalp-defects-beyond-previous-limits-leveraging-imaging-modalities-with-ultrasound-and-indocyanine-green
#14
JOURNAL ARTICLE
Tae Hyung Kim, Jong Woo Choi, Woo Shik Jeong
BACKGROUND: Scalp defect reconstruction poses considerable challenges, with ongoing debates regarding the most effective strategies. While the latissimus dorsi (LD) flap has traditionally been favored, the anterolateral thigh (ALT) flap has been well described as a versatile alternative for addressing extensive scalp defects. This study underscores the success of scalp reconstruction using ALT flaps, notably pushing the boundaries of previously reported flap sizes. Our approach leverages the use of indocyanine green (ICG) perfusion to guide precise preoperative planning and vascular modification, contributing to improved outcomes in challenging cases...
July 2024: Microsurgery
https://read.qxmd.com/read/38798147/anatomical-variations-of-the-brachial-plexus-in-adult-cadavers-a-descriptive-study-and-clinical-significance
#15
JOURNAL ARTICLE
Yueyin Han, Mingjie An, Prince L M Zilundu, Zhuokai Zhuang, Junyu Chen, Zhen Jiang, Liqiang Gu, Jiantao Yang, Dong Wang, Dazheng Xu, Li-Hua Zhou
BACKGROUND: Brachial plexus injury is recognized as one of the most severe clinical challenges due to the complex anatomical configuration of the brachial plexus and its propensity for variation, which complicates safe clinical interventions. This study aimed to ascertain the prevalence and characterize the types of brachial plexus variations, and to elucidate their clinical implications. MATERIALS AND METHODS: We conducted meticulous dissections of 60 formalin-fixed cadavers' upper arm, axilla and lower neck to reveal and assess the roots, trunks, divisions, cords, and branches of the brachial plexus...
July 2024: Microsurgery
https://read.qxmd.com/read/38798132/subdermal-dissection-technique-for-pure-skin-scia-and-alt-perforator-flaps-in-burns-and-trauma-defects-clinical-experience
#16
JOURNAL ARTICLE
Zhan Q Lin Wu, Antonio Bulla, Jorge Aguilera Sáez, Jordi Serracanta Domènech, Juan P Barret, Danilo A Rivas Nicolls
BACKGROUND: The pure skin perforator (PSP) flap is gaining popularity for its remarkable thinness. The subdermal dissection technique was recently introduced, allowing for a quicker elevation of a PSP flap. In this report, we present our two-year experience utilizing subdermal dissection for harvesting PSP flaps. METHODS: All patients who had undergone PSP flap reconstruction at our hospital from February 2021 to February 2023 were included. Demographic data, intraoperative variables, flap characteristics, and postoperative outcomes were collected...
July 2024: Microsurgery
https://read.qxmd.com/read/38798128/the-use-of-fibrin-glue-to-stabilize-and-secure-the-lymphovenous-anastomosis
#17
LETTER
Federica Martini, Matteo Meroni, Mario F Scaglioni
No abstract text is available yet for this article.
July 2024: Microsurgery
https://read.qxmd.com/read/38798124/efficacy-and-dosing-of-indocyanine-green-in-pediatric-plastic-and-reconstructive-surgery
#18
LETTER
Ryan Sicard, Olachi Oleru, Jared Doan, Nargiz Seyidova, Peter J Taub
No abstract text is available yet for this article.
July 2024: Microsurgery
https://read.qxmd.com/read/38747121/sequential-free-fibula-transfers-quality-of-life-and-systematic-review
#19
JOURNAL ARTICLE
Robin T Wu, Jennifer An-Jou Lin, Charlie Chun-Lin Su, Fu-Chan Wei
BACKGROUND: Successive osteoseptocutaneous fibula transfers for jaws reconstruction are rare but important options. This study contributes patient-reported and clinical outcomes, as well as systematically reviews all existing reports. METHODS: All sequential fibula transfers performed by the senior author were reviewed from a prospectively managed database, including University of Washington quality of life (UWQoL). Systematic review was conducted in PubMed and Cochrane databases for similar publications...
May 2024: Microsurgery
https://read.qxmd.com/read/38747096/comments-on-evaluation-of-modulation-of-immunity-by-lymph-node-transfer-a-preliminary-histological-evidence-in-lymphedema-patients
#20
LETTER
Natasha Keeraswangporn, Toko Miyazaki
No abstract text is available yet for this article.
May 2024: Microsurgery
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