Reconstruction of advance head and neck cancer patients after tumor ablation with simultaneous multiple free flaps: indications and prognosis.


:Simultaneous multiple free flaps have become a useful option in head and neck reconstructions. We performed a 10-year retrospective study between 2001 and 2010. There were 58 men and 1 woman. The overall mortality rate was 51.7%. The longest surviving patient is 9 years and 4 months, whereas the shortest surviving patient was 72 days. The mean survival period was 47.1 (6.8) months. Age (P = 0.755) and tumor size (P = 0.115) did not play a major role, but surgical margin, lymph node, and tumor recurrence were significant in patient survival with a P value of 0.026, 0.01, and 0.026, respectively. If wide excision with a margin that can be free of tumor can be performed, lymph nodes are not involved, and this is a primary tumor, then time and effort should be spent in a successful simultaneous multiple free flap reconstruction.


Ann Plast Surg


Chien SH,Hsu H,Huang CC,Lee CY,Chiu CH,Lin CM




Has Abstract


2012-12-01 00:00:00














  • An 18-year experience in the management of congenital nevomelanocytic nevi.

    abstract:BACKGROUND:Children with giant congenital nevomelanocytic nevi (CNN) are referred to our pediatric burn center for the surgical management of this disfiguring and potentially malignant skin disorder. Use of tissue expanders has contributed significantly in limiting donor site morbidity associated with treatment of gian...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Warner PM,Yakuboff KP,Kagan RJ,Boyce S,Warden GD

    更新日期:2008-03-01 00:00:00

  • The effect of reusable versus disposable draping material on infection rates in implant-based breast reconstruction: a prospective randomized trial.

    abstract:BACKGROUND:Clinical infection remains a significant problem in implant-based breast reconstruction and is a physical and emotional strain to the breast reconstruction patient. Bacterial strikethrough of draping and gown material is a likely source of infection. Strategies to reduce infection in implant-based breast rec...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,随机对照试验


    authors: Showalter BM,Crantford JC,Russell GB,Marks MW,DeFranzo AJ,Thompson JT,Pestana IA,David LR

    更新日期:2014-01-01 00:00:00

  • Management of acute facial powder burns.

    abstract::To evaluate the management and outcome of acute facial powder burns, 10 patients admitted to a burn center (1980-1985) were reviewed. Facial burns resulted from black gun-powder in 7 and fireworks in 3 patients. Most burns occurred in teenage boys (6) and all but 1 were the result of carelessness on the part of the bu...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Zamboni WA,Eriksson E,Zook EG

    更新日期:1987-08-01 00:00:00

  • New tumor formation on split-thickness skin grafted areas in xeroderma pigmentosum.

    abstract::Xeroderma pigmentosum is a relatively rare systemic disease transmitted through an incomplete sex-linked recessive gene. It is characterized by malignant skin degeneration. One of the most effective treatment choices for the malignant changes is full-face resurfacing with skin grafts. Grafts harvested from areas that ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Aslan G,Karaçal N,Görgü M

    更新日期:1999-12-01 00:00:00

  • A Critical Analysis of Prosthetic Augmentation of Autologous Microvascular Breast Reconstruction.

    abstract:INTRODUCTION:The combined approach using both an implant and autologous tissue for breast reconstruction has become more common over the last 10 years. We sought to provide a systematic review and outcomes analysis of this technique. METHODS:We searched PubMed and the Cochrane Library database to identify studies that...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Piper ML,Lentz R,Gomez-Sanchez C,Withers J,Hu A,Sbitany H

    更新日期:2020-06-01 00:00:00

  • Preferences for the white female nasal supratip break.

    abstract:BACKGROUND:The debate on how to create ideal facial proportions--once the remit of artists and sculptors--has been reignited during the past 5 decades, with the emergence of aesthetic facial surgery. Classic ideals exist, but few individuals actually satisfy these criteria. Aesthetic ideals are culturally and temporall...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: McArdle A,Young R,Kelly MH

    更新日期:2012-04-01 00:00:00

  • Introduction of an easy technique for purification and injection of autogenous free fat parcels in correcting of facial contour deformities.

    abstract:BACKGROUND:Facial contour deformities usually result from congenital abnormalities, trauma, and the aging process. All depressions in the face, including glabella wrinkles and mild retrogression of chins, fall in this category. Local injection of autogenous fat parcels has been introduced for correction of these facial...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Hu S,Zhang H,Feng Y,Yang Y,Han X,Han X,Zhong Y,Shi J

    更新日期:2007-06-01 00:00:00

  • The role of full-thickness scalp resection for management of primary scalp melanoma.

    abstract:BACKGROUND:Scalp melanoma is aggressive and has a proclivity for regional metastasis. We hypothesize that subperiosteal scalp melanoma resection reduces in-transit/satellite recurrence, when compared with subgaleal resection. METHODS:We identified patients with intermediate to deep, primary scalp melanoma referred to ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Pannucci CJ,Collar RM,Johnson TM,Bradford CR,Rees RS

    更新日期:2012-08-01 00:00:00

  • Free osteocutaneous scapular apophysis flap for reconstruction of the lateral malleolus.

    abstract::Lateral malleolus avulsion is uncommon, and fusion of the syndesmosis of the ankle joint is usually performed in such cases. Others have reported successful reconstruction of the lateral malleolus with a vascularized fibular head. A case of reconstruction in a 17-year-old girl, with a free scapular apophysis flap, is ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Faure P,Canovas F,Bonnel F,Teot L,Quatra F,Giovannini UM,Colonna MR

    更新日期:2001-09-01 00:00:00

  • How Breast Implant Surface Type Is Influenced by Breast Implant-associated Anaplastic Large Cell Lymphoma: A Survey of the American Society of Plastic Surgeons.

    abstract:INTRODUCTION:Breast implant selection is multifactorial and must assess risk profiles of the implants. Textured implants are available in an anatomically shaped form and are thought to have lower rates of capsular contracture. However, evidence is mounting that they carry a significantly higher risk of breast implant a...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Carr LW,Roberts J,Potochny JD

    更新日期:2019-04-01 00:00:00

  • Chest wall reconstruction using iliac bone allografts and muscle flaps.

    abstract::Technically we can divide full-thickness thoracic reconstruction into 2 parts: providing a rigid support and ensuring well-vascularized coverage. Since 1986, the authors' center has had ample experience with bone banks and the use of cryopreserved bone grafts, which led them to consider the possibility of using these ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Garcia-Tutor E,Yeste L,Murillo J,Aubá C,Sanjulian M,Torre W

    更新日期:2004-01-01 00:00:00

  • An anatomical study of the facial artery.

    abstract::The anatomical variations encountered in the dissection of 50 facial arteries in 25 adult preserved cadavers are presented. The facial artery was symmetrical in 17 of 25 (68%) of the dissections. The facial artery terminated as an angular facial artery in 34 (68%), a lateral nasal vessel in 13 (26%), and a superior la...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Niranjan NS

    更新日期:1988-07-01 00:00:00

  • Distally based perforator medial plantar flap: a new flap for reconstruction of plantar forefoot defects.

    abstract::In this article the author describes 2 cases of a distally based perforator medial plantar flap that were transferred successfully from the nonweight-bearing instep region to the weight-bearing plantar forefoot (defects, 8 x 5 cm and 6 x 5 cm respectively). This flap is nourished solely by perforators of the medial pl...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Coruh A

    更新日期:2004-10-01 00:00:00

  • Orbicularis oris muscle: a double-breasted suture for its repair in the unilateral cleft lip.

    abstract::The release of abnormal insertions of orbicularis oris muscle from the columella and ala base, and from their inferior attachments along the labial margin, provides muscle flaps for a double-breasted suture in cleft lip repair. Using the muscle flaps for double-breasted sutures realigns the orbicularis oris muscle fib...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Abramo AC,Povedano A

    更新日期:1991-11-01 00:00:00

  • Zone of injury: a valid concept in microvascular reconstruction of the traumatized lower limb?

    abstract::Microvascular reconstruction at the lower extremity for complex composite wounds has traditionally been predicated upon performance of the microanastamosis beyond the so-called "zone of injury." Failure to do so was believed to account for increased rates of vessel thrombosis and transplant loss. Extensive vessel diss...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Isenberg JS,Sherman R

    更新日期:1996-03-01 00:00:00

  • Cilostazol effectively reduces the decrease of flow volume in a thrombotic anastomosis model in a rat: a novel application of ultrasonography for evaluation.

    abstract::The purpose of this study was to investigate the efficacy of cilostazol for prevention of thrombosis in microsurgical anastomosis. We used not only a patency test, but also ultrasonography to evaluate the blood flow volume (FV) more accurately and objectivity. In addition, we evaluated the accuracy and sensitivity of ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Kim SH,Chang HW,Choi TH,Kim JH,Son D,Han K,Lee SY,Park J,Suh EH,Park SH

    更新日期:2010-04-01 00:00:00

  • The internal mammary artery and vein as recipient vessels for microvascular breast reconstruction.

    abstract::Current recipient vessels for microvascular breast reconstruction include the internal mammary and the thoracodorsal systems. This review will focus on the advantages of the internal mammary artery and vein and reasons for their preference. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审


    authors: Nahabedian M

    更新日期:2012-05-01 00:00:00

  • Oral sedation allows for comfort and amnesia during office surgery.

    abstract::Surgical procedures commonly associated with parenteral sedation or general anesthesia were completed in an office operating room with local anesthesia and oral medication. Diazepam and alprazolam were used in combination to produce a relaxed state, allowing local anesthesia to be instilled. Surgery was completed succ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Gatti JE

    更新日期:2000-05-01 00:00:00

  • Nasal reconstruction after severe facial burns using a local turndown flap.

    abstract::Reconstruction of the nose after severe burn injury is a challenging problem. There are usually associated facial burns, which limits the availability of local flaps. Reconstruction with unburned distant tissue is often not appropriate because of the resulting mismatch in color and texture. Successful nasal reconstruc...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Taylor HO,Carty M,Driscoll D,Lewis M,Donelan MB

    更新日期:2009-02-01 00:00:00

  • Surgical treatment of multiple symmetric lipomatosis with ultrasound-assisted liposuction.

    abstract::Multiple symmetric lipomatosis (MSL) is a rare disease of unknown etiology, characterized by the presence of multiple, symmetrical, noncapsulated lipomas, mostly in the neck and upper trunk. To date, there is no effective medical treatment of MSL. Surgical treatment is based on 2 options, namely, lipectomy and/or lipo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Bassetto F,Scarpa C,De Stefano F,Busetto L

    更新日期:2014-11-01 00:00:00

  • Nonendoscopic harvest of the gastrocnemius muscle flap through a small incision.

    abstract::Traditional gastrocnemius flap harvest requires a long skin incision, starting from the popliteal fossa to the mid leg. The authors designed three instruments to facilitate harvest of this flap through a small incision without the help of an endoscope in 10 patients. All 10 gastrocnemius muscle flaps survived with a 1...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Tsai CC,Lin TM,Lai CS,Lin SD

    更新日期:2001-08-01 00:00:00

  • Early Breast Angiosarcoma Development After Radiotherapy: A Cautionary Tale.

    abstract::This is a short clinical report depicting an exceptionally early presentation of radiation-induced angiosarcoma and overview of the literature. This case highlights the need for a high level of clinical suspicion in those patients presenting with unresolving cutaneous skin changes after radiotherapy for breast cancer....

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审


    authors: Wei NJJ,Crowley TP,Ragbir M

    更新日期:2019-08-01 00:00:00

  • The medial circumflex femoral (gracilis) local perforator flap--a local medial groin perforator flap.

    abstract::The medial circumflex femoral(GRACILIS) perforator free flap has been previously used to capture the superior medial thigh skin territory. This can also be valuable as a local flap, especially for adjacent groin wounds that are not uncommon after vascular interventions. Uncomplicated healing without vascular compromis...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Hallock GG

    更新日期:2003-11-01 00:00:00

  • Massive Localized Lymphedema: Analysis of Intraoperative Care.

    abstract::Massive localized lymphedema (MLL) is rare, but as the prevalence of obesity in adults rises, it can be foreseen that cases will increase in prevalence. These patients are unable to ambulate and have uncontrollable rash and skin breakdown. Operative management for MLL is offered when nonsurgical measures are ineffecti...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Moore E,Vasconez H,Wong L

    更新日期:2018-07-01 00:00:00

  • Anastomotic Technique and Preoperative Imaging in Microsurgical Lower-Extremity Reconstruction: A Single-Surgeon Experience.

    abstract:BACKGROUND:The need for preoperative imaging as well as anastomotic technique (ie, end-to-side [ETS] vs end-to-end [ETE]) are areas of controversy in microsurgical lower-extremity reconstruction. The objective of this study was to (1) investigate whether preoperative imaging is mandatory and (2) to elicit if the type o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Carney MJ,Samra F,Momeni A,Bauder AR,Weissler JM,Kovach SJ

    更新日期:2020-04-01 00:00:00

  • Three-Dimensional Analysis of Mandibular Angle Classification and Aesthetic Evaluation of the Lower Face in Chinese Female Adults.

    abstract:BACKGROUND:Reduction gonioplasty is very popular in East Asia. However, there has been little quantitative criteria for mandibular angle classification or aesthetics. The aim of this study was to investigate the quantitative differences of mandibular angle types and determine the morphologic features of mandibular angl...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Mao X,Fu X,Niu F,Chen Y,Jin Q,Qiao J,Gui L

    更新日期:2018-07-01 00:00:00

  • Prenatal pressure necrosis of the scalp.

    abstract::A case of full-thickness pressure necrosis of the scalp in a newborn is reported. This is a rare injury, with only four similar prior reports found in the literature. The presumed mechanism of injury is pressure of the infant's head against the mother's bony pelvis. A spectrum of injury can be seen, from temporary alo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Matthews MS

    更新日期:1999-07-01 00:00:00

  • Individualized Plastic Reconstruction Strategy for Patients With Ectodermal Dysplasia Syndrome.

    abstract::Ectodermal dysplasia syndrome is a hereditary disease of ectodermal origin. Appearances of nail dystrophy, alopecia or hypotrichosis, saddle nose deformity, and palmoplantar hyperkeratosis are usually associated with a lack of sweat glands as well as partial or complete absence of teeth. These manifestations are usual...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Hou Y,Jin Y,Lin X,Chai G,Zhang Y,Qi Z

    更新日期:2017-06-01 00:00:00

  • Recontouring of the middle third of the face with onlay cartilage plus free fascia graft.

    abstract::The onlay fascia-cartilage graft technique for malar or maxillary projections can be used for recontouring the middle third of the face. Covering onlay grafts with fascia achieves a smoother contour, concealing the edges in addition to obtaining a more natural anatomical look for the face. The technique has provided a...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Guerrerosantos J

    更新日期:1987-05-01 00:00:00

  • Extended open-tip rhinoplasty with three V-flaps for secondary correction of bilateral cleft lip nasal deformity.

    abstract::Many procedures have been developed to correct the secondary cleft lip nasal deformity, including the depressed nasal tip, flaring nasal aperture, and a very short columella. The forked flap, cartilage graft, or strut and bony graft have been applied for many years. We propose the extended open-tip rhinoplasty with th...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Chen TH,Chen YR

    更新日期:1996-11-01 00:00:00