A multiple logistic regression analysis of complications following microsurgical breast reconstruction.

Background: Although we practice in an era of high flap success rates following microsurgical breast reconstruction, complications can still occur. Several studies have evaluated the impact of risk factors on microvascular outcomes in the setting of a particular type of patient or with a particular type of flap. However, few studies that have evaluated a consecutive series of high-risk patients will all types of microvascular breast reconstruction.

Rapid awakening protocol in complex head and neck reconstruction.

Background: Patients undergoing complex head and neck free flap reconstructions are commonly maintained on mechanical ventilation in an intensive care unit (ICU). This study reviews indications and outcomes of such patients undergoing a rapid awakening protocol (RAP).

Methods: We retrospectively reviewed consecutive patients who underwent head and neck microvascular reconstructions by a single surgeon between 2001 and 2013.

Reduction mammaplasty and mastopexy in previously irradiated breasts.

Background: Little data exist on the safety of elective breast surgery following breast conservation therapy.

Objectives: The authors evaluate their experience performing reduction mammaplasties and mastopexies in previously irradiated breasts.

Methods: A retrospective chart review was conducted of all reduction mammaplasties and mastopexies in previously irradiated breasts performed by the 2 senior authors (MYN and SLS) from 1995 to 2012 (n = 18).

Long-term outcomes of failed prosthetic breast reconstruction.

Introduction: For patients undergoing prosthetic breast reconstruction whose device was removed because of infection or exposure, there is no published information examining long-term outcomes. Despite initial failure, many patients want to pursue breast reconstruction.

Methods: A retrospective review was performed of immediate prosthetic breast reconstruction failures during a 5-year period.

The acellular dermal matrix onlay graft for areolar reconstruction.

Background: Acellular dermal matrix (ADM) has been well described for use in breast reconstruction. The purpose of this study was to describe a novel use for ADM in areolar reconstruction.

Methods: A total of 19 patients and 24 nipple-areolar complexes of breast cancer or BRCA-positive patients status postmastectomy were treated.

Medial femoral condyle flap donor-site morbidity: a radiographic assessment.

Background: The medial femoral condyle has become a reliable source of vascularized bone with many advantages to the reconstructive microsurgeon. The authors examined the donor-site morbidity of medial femoral condyle flap harvest.

Methods: A retrospective review of all patients who underwent medial femoral condyle free flap procedures between April of 2009 and December of 2010 was conducted.

Two-stage prosthetic breast reconstruction using AlloDerm including outcomes of different timings of radiotherapy.

Background: The authors compared the outcomes of two-stage, acellular dermal matrix (AlloDerm)-assisted prosthetic breast reconstruction including different timings of radiotherapy.

Methods: A review of two-stage, AlloDerm-assisted, prosthetic breast reconstructions from 2004 to 2010 was performed. All data were recorded prospectively and the study population was stratified by the timing of radiotherapy.

Lower extremity free flap reconstruction outcomes using venous coupler.

Background: Microvascular anastomotic coupling devices have been available to microsurgeons for over 20 years. Many studies have validated the efficacy of these devices for venous anastomosis. To date, there have been no large reports of their success in the anatomical region with the highest free flap failure rate, the lower extremity.

Unilateral failures in bilateral microvascular breast reconstruction.

Background: As rates of bilateral prophylactic mastectomy and contralateral prophylactic mastectomy have increased over the past decade, bilateral microvascular breast reconstruction has played an increasing role in breast cancer care. Data on unilateral flap failure in bilateral microvascular breast reconstructions have been lacking, and strategies to address the challenges encountered in this situation are needed.

Methods: A retrospective review of all simultaneous bilateral microvascular breast reconstructions performed by the senior author (M.

Outcomes of microvascular reconstruction of single-vessel lower extremities: limb salvage versus amputation.

Many patients with complex wounds on single-vessel lower extremities undergo amputation. Limb salvage using microvascular reconstructive techniques is an alternative in these patients that can preserve ambulatory status, but data focused on reconstruction in the single vessel population have been limited. A retrospective review of all microvascular lower-extremity reconstructions from August 2003 to December 2008 was performed.