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http://dx.doi.org/10.1097/01.prs.0000300216.00324.9e | DOI Listing |
JPRAS Open
March 2025
Department of Plastic and Reconstructive Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Objective: This study evaluated the effectiveness of laser Doppler flowmetry (LDF) in detecting perfusion disturbances during microvascular free tissue transfer.
Methods: Conducted at a single centre from December 2020 to September 2022, this prospective study involved 71 patients mainly undergoing head and neck free flap reconstructions, using the Pocket LDF™ for continuous perfusion monitoring.
Results: Out of the 71 cases, data from 69 cases were analysed after excluding those with significant noise or sensor detachment.
J Plast Reconstr Aesthet Surg
November 2024
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.
Background: Previous computed tomography studies have reported that the superior mesenteric artery is often located ventrally to the superior mesenteric vein; however, the precise location of the peripheral jejunal arteriovenous system is unknown. This study investigated the arteriovenous positioning of the free jejunal flaps during reconstructive surgery.
Methods: This retrospective cohort study included 78 patients who underwent free jejunal flap reconstruction between June 2021 and May 2023.
Head Neck
December 2024
Department of Otolaryngology - Head & Neck Surgery, Tufts Medical Center, Boston, Massachusetts, USA.
Objective: To identify current airway management practice patterns during free tissue transfer (FTT) reconstruction of head and neck defects.
Methods: A 27-question survey distributed to American Head and Neck Society (AHNS) members. Correlation between surgeon and patient variables with likelihood to perform tracheotomy and tracheotomy technique were evaluated.
Maxillofac Plast Reconstr Surg
December 2024
Tanta University, Tanta, Egypt.
Background: Although more than 200 techniques have been reported for the reconstruction of the upper and lower lip defects since 1000 BC, none of them is ideal. Local flaps may result in extra skin incisions and in some cases, the surgeon may be confronted with the lack of sufficient tissues for the reconstruction of large defects. Several techniques have been described for near-total lip reconstruction.
View Article and Find Full Text PDFMalays Orthop J
November 2024
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, India.
Free fibula flap has been a workhorse for head, neck, and extremity long bone defects. We discuss the reconstruction challenge in an unusual hand injury case involving the loss of multiple metacarpals and soft tissue with surprising preservation of finger vascularity. The reconstructive goals were addressed with a microvascular osteocutaneous fibula flap transfer with multiple osteotomies to create spitting images of metacarpals and soft tissue defects restored with the skin paddle.
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