Denis Ehrl
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View article: Sensory Recovery After Free Muscle Flap Reconstruction—A Clinical Study of Protective and Discriminative Function of Free Gracilis and Latissimus Dorsi Muscle Flaps Without Neurotization
Sensory Recovery After Free Muscle Flap Reconstruction—A Clinical Study of Protective and Discriminative Function of Free Gracilis and Latissimus Dorsi Muscle Flaps Without Neurotization Open
Background/Objectives: Free gracilis (GM) and latissimus dorsi muscle (LDM) flaps are reliable options for complex defect coverage, but long-term sensory outcomes remain underexplored. Sensory impairment, especially the loss of protective …
View article: Systemic Effects of Enzymatic Necrosectomy in Minor Burn Wounds Using NexoBrid®
Systemic Effects of Enzymatic Necrosectomy in Minor Burn Wounds Using NexoBrid® Open
Background/Objectives: Enzymatic debridement with NexoBrid® is an effective alternative to surgical debridement in burn care, but its potential systemic effects remain unclear. In the context of personalized burn care, understanding indivi…
View article: Platelet‐Rich Fibrin Mediates Beneficial Effects on Adipose‐Derived Stem Cells via Increased Levels of Key Cytokines
Platelet‐Rich Fibrin Mediates Beneficial Effects on Adipose‐Derived Stem Cells via Increased Levels of Key Cytokines Open
Recent studies showcased the regenerative potential of Platelet‐Rich Fibrin (PRF) combined with Adipose‐Derived Stem Cells (ASC). PRF enhances cellular proliferation through sustained growth factor secretion which are continuously released…
View article: Changes in the Microcirculation and Physiologic Perfusion Dynamics of Free DIEP Flaps in the First 72 h After Breast Reconstruction
Changes in the Microcirculation and Physiologic Perfusion Dynamics of Free DIEP Flaps in the First 72 h After Breast Reconstruction Open
Background/Objectives: The autologous reconstruction of the female breast using a microsurgical DIEP flap is a reliable and safe method. To detect impairments early and preserve the microvascular flap through timely revision, a better unde…
View article: Epidemiological Characteristics and Prognostic Scoring in Toxic Epidermal Necrolysis and Stevens–Johnson Syndrome: Insights from a 17-Year Burn Center Experience
Epidemiological Characteristics and Prognostic Scoring in Toxic Epidermal Necrolysis and Stevens–Johnson Syndrome: Insights from a 17-Year Burn Center Experience Open
Background and Objectives: Toxic epidermal necrolysis (TEN) and Stevens–Johnson syndrome (SJS) are rare yet life-threatening dermatologic conditions characterized by severe skin and mucous membrane involvement. Accurate prognostic systems …
View article: Impact of Postoperative Norepinephrine Administration on Free Flap Flow
Impact of Postoperative Norepinephrine Administration on Free Flap Flow Open
Background/Objectives: The perioperative interplay between blood pressure, vasopressors, and macrocirculation is well established. However, in the context of free flap surgery, the potential impact of these factors on microvascular flow re…
View article: What about the donor site morbidity – how invasive is the free latissimus dorsi flap?
What about the donor site morbidity – how invasive is the free latissimus dorsi flap? Open
Aims The free latissimus dorsi muscle (LDM) flap represents a workhorse procedure in the field of trauma and plastic surgery. However, only a small number of studies have examined this large group of patients with regard to the morbidity o…
View article: Neo-Omphaloplasty within a Vertical Scar: The Double Trapezium Flap Technique
Neo-Omphaloplasty within a Vertical Scar: The Double Trapezium Flap Technique Open
Background: Various techniques for neo-omphaloplasty (or umbilicoplasty/umbiliconeoplasty) have been established in recent decades. However, when the omphaloplasty must be integrated into a vertical scar, most of these techniques are unsui…
View article: Impact of Negative Pressure Wound Therapy on Perfusion Dynamics in Free Latissimus Dorsi Muscle Flaps
Impact of Negative Pressure Wound Therapy on Perfusion Dynamics in Free Latissimus Dorsi Muscle Flaps Open
Background: Free muscle flaps can develop significant postoperative edema and wound exudation, thereby increasing interstitial pressure and potentially compromising microcirculation. While concerns exist regarding negative pressure wound t…
View article: Reconstruction of Chronic Soft Tissue Mallet Fingers: Outcomes of Step-Plasty vs. Purse-String Suture
Reconstruction of Chronic Soft Tissue Mallet Fingers: Outcomes of Step-Plasty vs. Purse-String Suture Open
After failed conservative therapy or in the absence of any intervention, a rupture of the digital subcutaneous extensor tendon at the distal interphalangeal (DIP) joint, known as mallet finger, may lead to a chronic extension deficit due t…
View article: To Shrink or Not to Shrink? An Objective Assessment of Free Gracilis Muscle Volume Change in Lower-Extremity Defect Reconstruction
To Shrink or Not to Shrink? An Objective Assessment of Free Gracilis Muscle Volume Change in Lower-Extremity Defect Reconstruction Open
Background: The use of free gracilis muscle flaps in reconstructive surgery of the lower leg is common practice to cover defects. However, there is still a lack of understanding of the morphometric changes that occur in the transferred mus…
View article: Long-Term Functional Outcomes Following Enzymatic Debridement of Deep Hand Burns Using Nexobrid®: A Retrospective Analysis
Long-Term Functional Outcomes Following Enzymatic Debridement of Deep Hand Burns Using Nexobrid®: A Retrospective Analysis Open
Background: For years, surgical debridement with autografting has been considered the standard of care in the treatment of severe burns of the hand. However, in recent years, enzymatic debridement has increasingly been reported as a good a…
View article: Mind the gap! Interdisciplinary approach to anterior chest wall reconstruction after total sternectomy
Mind the gap! Interdisciplinary approach to anterior chest wall reconstruction after total sternectomy Open
Background There are various reconstructive methods after total sternectomy. Reproducibility is scarce due to overall small patient numbers. Therefore we present a standardized, interdisciplinary approach for thoracic and plastic surgery. …
View article: Postoperative Benefits of Soft Tissue Wrist Arthroscopy: Retro- and Prospective Analyses of Outcome Measures
Postoperative Benefits of Soft Tissue Wrist Arthroscopy: Retro- and Prospective Analyses of Outcome Measures Open
Background: Elective soft-tissue-only wrist arthroscopy is a standard procedure in hand surgery for the diagnosis and treatment of wrist pain. A number of pathologies can be treated arthroscopically, with the aim of pain reduction and impr…
View article: Microvascular Muscle vs. Fascio-Cutaneous Free Flaps for Reconstruction of Plantar Load-Bearing Foot Defects—An International Survey
Microvascular Muscle vs. Fascio-Cutaneous Free Flaps for Reconstruction of Plantar Load-Bearing Foot Defects—An International Survey Open
Background: The reconstruction of plantar load-bearing foot defects faces many plastic surgeons with a major challenge. The optimal patient- and defect-oriented reconstructive strategy must be selected. Methods: To analyze the current tren…
View article: Giant Penoscrotal Lymphedema—What to Do? Presentation of a Curative Treatment Algorithm
Giant Penoscrotal Lymphedema—What to Do? Presentation of a Curative Treatment Algorithm Open
Background: While rare, penoscrotal lymphedema (PL) is accompanied with devastating effects on the quality of life of patients. Moreover, especially for patients with excessive (giant) PL, no standardized curative treatment has been define…
View article: Linear correlation between patellar positioning and rotation of the lower limb in radiographic imaging: a 3D simulation study
Linear correlation between patellar positioning and rotation of the lower limb in radiographic imaging: a 3D simulation study Open
Purpose The purpose of this study was to quantify changes in rotation of the lower limb between image pairs based on patellar position. Additionally, we investigated the differences in alignment between centralized patellar and orthograde‐…
View article: Analysis of Factors Determining Patient Survival after Receiving Free-Flap Reconstruction at a Single Center—A Retrospective Cohort Study
Analysis of Factors Determining Patient Survival after Receiving Free-Flap Reconstruction at a Single Center—A Retrospective Cohort Study Open
Background: Microsurgical tissue transfer revolutionized reconstructive surgery after extensive trauma, oncological resections, and severe infections. Complex soft tissue reconstructions are increasingly performed in multimorbid and elderl…
View article: Image-guided embolization of arteriovenous malformations of the hand using Ethylene-vinyl Alcohol Copolymer
Image-guided embolization of arteriovenous malformations of the hand using Ethylene-vinyl Alcohol Copolymer Open
PURPOSE This study aimed to evaluate the safety and outcome of image-guided embolization for treating arteriovenous malformations (AVMs) of the hand using ethylene-vinyl alcohol copolymer (EVOH). METHODS A retrospective, multicenter cohort…
View article: Finding the Optimal Surgical Incision Pattern—A Biomechanical Study
Finding the Optimal Surgical Incision Pattern—A Biomechanical Study Open
The closure of wounds and subsequent optimal wound healing is essential to any successful surgical intervention. Especially on parts of the body with limited possibilities for local reconstruction, optimal distribution of load is essential…
View article: Comparing the Time-Dependent Evolution of Microcirculation in Gracilis vs. ALT Flaps Using Laser-Doppler Flowmetry and Tissue-Spectrometry
Comparing the Time-Dependent Evolution of Microcirculation in Gracilis vs. ALT Flaps Using Laser-Doppler Flowmetry and Tissue-Spectrometry Open
Postoperative free flap monitoring is considered a key component of care after microsurgical reconstruction. To achieve successful flap salvage after surgical revision, early recognition of vascular compromise is required. The aim of this …
View article: Defect Coverage after Forequarter Amputation—A Systematic Review Assessing Different Surgical Approaches
Defect Coverage after Forequarter Amputation—A Systematic Review Assessing Different Surgical Approaches Open
Autologous fillet flaps are a common reconstructive option for large defects after forequarter amputation (FQA) due to advanced local malignancy or trauma. The inclusion of osseous structures into these has several advantages. This article…
View article: 53 Use of Polylactic-acid-membrane in Split-thickness Skin Graft Donor Sites: A Prospective, Comparative, Randomized Study
53 Use of Polylactic-acid-membrane in Split-thickness Skin Graft Donor Sites: A Prospective, Comparative, Randomized Study Open
Introduction Polyurethane film (PU) dressings are commonly applied for coverage of split-thickness skin graft (SSG) donor sites, while previous studies have suggested reduced morbidity using a polylactic acid membrane (PLM). To further inv…
View article: Reliability of 3‐dimensional surface imaging of the face using a whole‐body surface scanner
Reliability of 3‐dimensional surface imaging of the face using a whole‐body surface scanner Open
Objective To the knowledge of the authors, no data about the reproducibility and accuracy of 3‐dimensional surface imaging of the face using a whole‐body scanner are available. Thus, the objective of this investigation was to assess the re…
View article: Correction to: Complex microsurgical perineal reconstruction after resection of a giant verrucous carcinoma associated with anal fistulas in Crohn’s disease—a unique case report
Correction to: Complex microsurgical perineal reconstruction after resection of a giant verrucous carcinoma associated with anal fistulas in Crohn’s disease—a unique case report Open
The article "Complex microsurgical perineal reconstruction after resection of a giant verrucous carcinoma associated with anal fistulas in Crohn's disease-a unique case report", written by Denis Ehrl, Markus Rentsch, Nicholas
View article: How Does Wearing a Facecover Influence the Eye Movement Pattern in Times of COVID-19?
How Does Wearing a Facecover Influence the Eye Movement Pattern in Times of COVID-19? Open
Background Since the emergence of the COVID-19 pandemic facecovers have become a common sight. The effect of facecovers on the gaze when looking at faces has not yet been assessed. Objectives The aim of the present study was to investigate…
View article: Scalp Reconstruction after Malignant Tumor Resection: An Analysis and Algorithm
Scalp Reconstruction after Malignant Tumor Resection: An Analysis and Algorithm Open
Background An oncologic tumor resection of the scalp can result in complex wounds that result in challenging scalp reconstructions. This study aimed to evaluate the outcomes of microvascular-based scalp reconstructions (MSR) in oncologic p…