Free flap
View article: Interdisciplinary reconstructions of the forearm and hand
Interdisciplinary reconstructions of the forearm and hand Open
Objectives This study examines the clinical application of interdisciplinary reconstructive strategies for complex forearm and hand defects. Emphasis is placed on principles guiding flap selection, anatomical localization, and the central …
View article: The effects of Pressure-Controlled Volume-Guaranteed ventilation (PCV-VG) on Postoperative Pulmonary Complications (PPCs) of oral and maxillofacial patients undergoing free flap reconstruction: a randomized controlled trial
The effects of Pressure-Controlled Volume-Guaranteed ventilation (PCV-VG) on Postoperative Pulmonary Complications (PPCs) of oral and maxillofacial patients undergoing free flap reconstruction: a randomized controlled trial Open
View article: Potential of methylene blue fluorescence angiography for multiple intraoperative tissue perfusion assessments in plastic and reconstructive surgery: current knowledge and prospects
Potential of methylene blue fluorescence angiography for multiple intraoperative tissue perfusion assessments in plastic and reconstructive surgery: current knowledge and prospects Open
The expansion of (minimally invasive) surgical techniques has led to the development of advanced tools, including high-definition visual systems and fluorescence-guided surgery (FGS), enhancing surgeons' performance and patient safety. FGS…
View article: Free cMSAP flap for the treatment of chronic osteomyelitis with complex soft tissue defects in foot and ankle
Free cMSAP flap for the treatment of chronic osteomyelitis with complex soft tissue defects in foot and ankle Open
Chronic osteomyelitis is very difficult to treat, numerous reconstructive strategies have been described for repairing soft tissue defect combined with chronic osteomyelitis in the foot and ankle. The free chimeric medial sural artery perf…
View article: Three-dimensional imaging of the facial arteries: an overview of ocular vascular anatomy
Three-dimensional imaging of the facial arteries: an overview of ocular vascular anatomy Open
Background In recent years, the use of facial soft tissue fillers via cosmetic injections has steadily increased, along with the incidence of adverse events caused by injection vascular occlusion. We aimed to three-dimensionally visualize …
View article: Redefining Reconstruction: Technological Innovations in Microsurgical Breast Reconstruction
Redefining Reconstruction: Technological Innovations in Microsurgical Breast Reconstruction Open
Background: Microsurgical breast reconstruction is advancing rapidly with the integration of innovative technologies that enhance surgical precision, safety, and outcomes. This narrative review highlights recent developments across four ke…
View article: Validation of the Controlling Nutritional Status (CONUT) Score and the Systemic Immune-Inflammation Index (SII) for Predicting Leakage and Surgical Complications After Head and Neck Free Flap Reconstruction: A Pilot Study
Validation of the Controlling Nutritional Status (CONUT) Score and the Systemic Immune-Inflammation Index (SII) for Predicting Leakage and Surgical Complications After Head and Neck Free Flap Reconstruction: A Pilot Study Open
Background While many factors are known to influence adverse outcomes after head and neck cancer ablation with free flap reconstruction, two low-cost inflammatory–nutritional indices—the Controlling Nutritional Status (CONUT) score and the…
View article: Retrospective analysis of repair of finger soft tissue defect with free dorsal foot and toe flap
Retrospective analysis of repair of finger soft tissue defect with free dorsal foot and toe flap Open
This study investigates the clinical effect of the great toe fibular free flap transplantation for the repair of the volar soft tissue defect of the finger. Retrospective observation was made on the efficacy of 6 patients who received toe …
View article: Tracheostomy in Flap‐Based Head and Neck Cancer Surgery: A Meta‐Analysis of Indications and Adverse Outcomes
Tracheostomy in Flap‐Based Head and Neck Cancer Surgery: A Meta‐Analysis of Indications and Adverse Outcomes Open
Background Tracheostomy is frequently performed during flap‐based reconstruction for head and neck cancer, but predictive factors and complications are not well established. Methods A systematic review and meta‐analysis was conducted per P…
View article: Single-stage jaw reconstruction for oral cancer: feasibility and clinical outcomes
Single-stage jaw reconstruction for oral cancer: feasibility and clinical outcomes Open
The “jaw-in-a-day” technique (JIADT) or single-stage jaw reconstruction is a well-established concept that allows for early bone reconstruction with the incorporation of implants and a dental prosthesis in a single-stage operation. Its use…
View article: Introducing the PRIME DIEP Flap: The Next Evolution in Autologous Breast Reconstruction
Introducing the PRIME DIEP Flap: The Next Evolution in Autologous Breast Reconstruction Open
Background Following its initial description in 1994, the DIEP flap has become the gold standard in autologous breast reconstruction. While sequential modifications have improved patient outcomes, functional donor site morbidity, abdominal…
View article: Microvascular free flap reconstruction in head and neck cancer cases with vessel depleted necks and distorted anatomy due to prior intervention
Microvascular free flap reconstruction in head and neck cancer cases with vessel depleted necks and distorted anatomy due to prior intervention Open
Background: Microvascular reconstruction is crucial in head and neck oncoplastic surgery following ablative procedures. However, prior surgery, radiation or tumor recurrence often leads to a vessel-depleted neck, making free flap transfer …
View article: Reconstruction of mandibular segmental defects with free scapular flap: Two case reports
Reconstruction of mandibular segmental defects with free scapular flap: Two case reports Open
Objectives: To describe the technique of mandibular reconstruction using a free scapular osteomyocutaneous flap in two clinical cases and evaluate the achieved functional and aesthetic outcomes. Methods: We conducted a descriptive analysis…
View article: <scp>EPIDERM</scp> Technique: Safety and Outcomes of Skin Grafted Free Flaps in Head and Neck Reconstruction
<span>EPIDERM</span> Technique: Safety and Outcomes of Skin Grafted Free Flaps in Head and Neck Reconstruction Open
Objectives While prior studies have demonstrated favorable aesthetic outcomes using skin grafted free flaps to improve recipient site color match ( E pithelial P reservation I ncluding D ermal R esection M icrovascular technique: EPIDERM t…
View article: Hybrid Total Achilles Tendon Reconstruction Combining Acellular Dermal Matrix Placement and Free Latissimus Dorsi Flap Coverage: A Report of Two Cases
Hybrid Total Achilles Tendon Reconstruction Combining Acellular Dermal Matrix Placement and Free Latissimus Dorsi Flap Coverage: A Report of Two Cases Open
Reconstruction of complex Achilles tendon defects involving both the tendon and the overlying soft tissues represents a challenging scenario for plastic surgeons. In this report, we present an innovative technique of hybrid total Achilles …
View article: Clinical application and developmental direction of free flaps in plastic and reconstructive surgery procedures: a bibliometric analysis
Clinical application and developmental direction of free flaps in plastic and reconstructive surgery procedures: a bibliometric analysis Open
Introduction Advancements in microvascular surgical techniques have significantly improved the success rate of free flap transplants, making it a preferred method for repairing postoperative tissue defects caused by tumors, trauma, and inf…
View article: REDUCTION MAMMAPLASTY: FLAP VIABILITY, SURGICAL TECHNIQUES AND COMPLICATION MANAGEMENT
REDUCTION MAMMAPLASTY: FLAP VIABILITY, SURGICAL TECHNIQUES AND COMPLICATION MANAGEMENT Open
Objectives. To provide a comprehensive analysis of recent literature regarding flap viability in reduction mammaplasty, focusing on key factors influencing flap survival, evaluation methods, and strategies for surgical optimization.Methods…
View article: Conformational Reconstruction in Head and Neck Bone Cancer: Could Fibula Free Flap Become the Gold Standard Flap?
Conformational Reconstruction in Head and Neck Bone Cancer: Could Fibula Free Flap Become the Gold Standard Flap? Open
Background/Objectives: The aim of this study is to present our conformational approach to CAD/CAM planning and reconstruction of head and neck cancer defects using a single-barrel fibula free flap, where the right oral rehabilitation posit…
View article: Use of Superficial Temporal Vessels in Reconstructive Oral and Maxillofacial Surgery With Vascularized Free Flaps Among “Frozen Neck” Patients
Use of Superficial Temporal Vessels in Reconstructive Oral and Maxillofacial Surgery With Vascularized Free Flaps Among “Frozen Neck” Patients Open
Background This study aimed to evaluate the feasibility of using superficial temporal vessels as recipient vessels for vascularized free flap reconstruction in “frozen neck” patients following radiotherapy for head and neck cancer (HNC). M…
View article: Jejunal Free Flap Reconstruction for Circumferential Pharyngoesophageal Defects After Head and Neck Cancer Resection: A Systematic Review of 3191 Cases and Associated Outcomes
Jejunal Free Flap Reconstruction for Circumferential Pharyngoesophageal Defects After Head and Neck Cancer Resection: A Systematic Review of 3191 Cases and Associated Outcomes Open
View article: Regional Osteocutaneous Submental Island Flap for Premaxillary Reconstruction: A Clinical Experience
Regional Osteocutaneous Submental Island Flap for Premaxillary Reconstruction: A Clinical Experience Open
Background Reconstruction of premaxillary defects remains a surgical challenge due to the region's functional and aesthetic importance. While prosthetic rehabilitation and osteocutaneous free flaps are commonly used, they can be resource‐i…
View article: Islanded facial artery myomucosal flap versus free anterolateral thigh flap in oral reconstruction: a cost-effectiveness analysis
Islanded facial artery myomucosal flap versus free anterolateral thigh flap in oral reconstruction: a cost-effectiveness analysis Open
Background: The free anterolateral thigh (ALT) flap has long been the standard for reconstructing oral defects following the resection of squamous cell carcinoma (SCC) in the oral tongue (OT) or floor of the mouth (FOM). However, recent ca…
View article: A comparative study on the clinical outcomes of local flap transfer and free flap transplantation for the repair of lower limb bone exposure wounds
A comparative study on the clinical outcomes of local flap transfer and free flap transplantation for the repair of lower limb bone exposure wounds Open
Objective To compare and analyze the clinical outcomes of local flap transfer and free flap transplantation for the repair of lower limb bone exposure wounds. Methods A retrospective study was conducted on 90 patients with lower limb bone …
View article: Antibiotic Prophylaxis in Patients Undergoing Oncologic Head and Neck Surgery with Free Flap Reconstruction: Still a Matter of Debate
Antibiotic Prophylaxis in Patients Undergoing Oncologic Head and Neck Surgery with Free Flap Reconstruction: Still a Matter of Debate Open
Background/Objectives: Surgical site infection (SSI) significantly impacts patient outcomes in oncologic head and neck surgery with free flap reconstruction. Perioperative antibiotic prophylaxis (PAP) is widely accepted to prevent SSI. Des…
View article: Innovative Use of Double Free Flaps with Flow-Through Method in Reconstructing Complex Oromandibular Defects
Innovative Use of Double Free Flaps with Flow-Through Method in Reconstructing Complex Oromandibular Defects Open
Background: A significant proportion of oral cancer patients in India seek treatment at regional cancer care centers only at advanced stages, predominantly stage III or Iva, resulting in extensive resection which has considerable impact on…
View article: Tensor fascia lata free flap as salvage solution minimizes donor site morbidity in anterolateral thigh free flap failure—decision making algorithm and a case report
Tensor fascia lata free flap as salvage solution minimizes donor site morbidity in anterolateral thigh free flap failure—decision making algorithm and a case report Open
Background The anterolateral thigh (ALT) free flap is a workhorse in head and neck reconstruction, offering versatility, long pedicle length, and low donor site morbidity. Nevertheless, anatomical variability of its perforators can occasio…
View article: Innovative Use of Double Free Flaps with Flow-Through Method in Reconstructing Complex Oromandibular Defects
Innovative Use of Double Free Flaps with Flow-Through Method in Reconstructing Complex Oromandibular Defects Open
Abstract Background: A significant proportion of oral cancer patients in India seek treatment at regional cancer care centers only at adv…
View article: Diagnostic Accuracy of Artificial Intelligence Models for Predicting Postoperative Complications Following Free Flap Reconstruction: A Systematic Review and Meta‐Analysis
Diagnostic Accuracy of Artificial Intelligence Models for Predicting Postoperative Complications Following Free Flap Reconstruction: A Systematic Review and Meta‐Analysis Open
Introduction To systematically evaluate the diagnostic performance of artificial intelligence (AI) models in predicting postoperative complications following flap surgery, and to compare the efficacy of different input modalities used in m…
View article: Bloodletting Therapy Using Subcutaneous Heparin and Controlled Scarification for Venous Insufficiency in Free Flap Reconstruction
Bloodletting Therapy Using Subcutaneous Heparin and Controlled Scarification for Venous Insufficiency in Free Flap Reconstruction Open
Background Venous congestion is a significant complication in microsurgical reconstruction and may persist despite surgical revision attempts, as demonstrated in our clinical experience. In cases where repeated surgical interventions are e…
View article: Global Variations in Surgical Techniques and Postoperative Care for Radial Forearm Free Flap (RFFF) in Head & Neck Surgery: A Cross-Sectional International Survey
Global Variations in Surgical Techniques and Postoperative Care for Radial Forearm Free Flap (RFFF) in Head & Neck Surgery: A Cross-Sectional International Survey Open
Objective: This cross-sectional survey aimed to comprehensively gather data on radial forearm free flap (RFFF) utilization and practices in head and neck reconstructive surgery. Methods: An online questionnaire was organized into seven sec…