Publications by authors named "Vlad Illie"

Article Synopsis
  • The text discusses the challenges of reconstructing near-total to total lower lip defects, focusing on restoring oral function, maximizing mouth opening, and achieving cosmetic appeal.* -
  • A new reconstructive technique utilizing a super-thin superficial circumflex iliac artery perforator (SCIP) free flap is presented as a solution to these challenges, avoiding the issues associated with traditional surgical options.* -
  • The case details a 66-year-old female patient who underwent successful lower lip reconstruction with the SCIP flap, resulting in healing and the resumption of a normal diet within weeks, highlighting the flap's effectiveness and minimal donor site complications.*
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Background: Immediate autologous reconstruction after nipple-sparing mastectomy (NSM) is challenging in the ptotic breast due to the large skin envelope and reduced vascular supply to the nipple areolar complex (NAC). Patients with significant ptosis who want to preserve their NACs are often advised to undergo a two-stage procedure: first, a mammoplasty is performed to lift the NAC, and second, a delayed NSM with autologous reconstruction is performed. Unfortunately, patients with active cancer cannot delay their mastectomy; as such, they are often treated with skin-sparing mastectomy (SSM) instead.

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Background: The aim of the study is to assess the possible predictors of microvascular free flap failure and determine the critical postoperative timing of flap failure, thereby minimizing this adverse outcome.

Methods: This is a retrospective single-institutional review of 1569 free flap operations. All free flaps with outcome status recorded were analyzed for possible predictors in the development of microvascular compromise.

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