Double free-flap reconstruction of massive defects involving the lip, chin, and mandible.

Abstract:

:Two patients with massive, composite defects of the total lower lip, chin, and anterior mandible underwent double free-flap reconstruction. A fibular osteoseptocutaneous flap was used to reconstruct the mandible and floor of the mouth and a radial forearm fasciocutaneous composite flap, including the palmaris longus tendon, was used for total lower lip and chin reconstruction. Postoperatively, both patients had acceptable cosmesis, were orally competent, and recovered adequate mandibular function. Double free-flap reconstruction is indicated only in those circumstances in which composite tissue requirements or massive tissue defects preclude reconstruction with a single free-tissue transfer.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Kuzon WM Jr,Jejurikar S,Wilkins EG,Swartz WM

doi

10.1002/(sici)1098-2752(1998)18:6<372::aid-micr6>3

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

372-8

issue

6

eissn

0738-1085

issn

1098-2752

pii

10.1002/(SICI)1098-2752(1998)18:6<372::AID-MICR6>3

journal_volume

18

pub_type

杂志文章
  • Pedicled chimeric sensitive fasciocutaneous anterolateral thigh (ALT) and vastus lateralis muscle (VLM) flap for groin defect reconstruction: A case report.

    abstract::The anterolateral thigh (ALT) flap is one of the most commonly used flap worldwide, as both free flap and pedicled local flap. Here, we report the use of a pedicled chimeric sensitive ALT and vastus lateralis muscle (VLM) flap in a patient with a 12 cm × 8 cm contaminated soft tissue defect of the right inguinal regio...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30157

    authors: Scaglioni MF,Franchi A,Giovanoli P

    更新日期:2018-05-01 00:00:00

  • Microsurgical application of freeze-dried venous allografts.

    abstract::Freeze-dried venous interposition allografts with an internal diameter of 1.0 mm and a length of 1.0 cm were placed into the femoral arteries of 17 Sprague-Dawley albino male rats in order to investigate patency and host tissue response. The immediate patency rate was 88%. The epigastric island flap was monitored as a...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920060405

    authors: Pratt MF,Schneider J,Norris MS

    更新日期:1985-01-01 00:00:00

  • Free flap monitoring using an implantable anastomotic venous flow coupler: Analysis of 119 consecutive abdominal-based free flaps for breast reconstruction.

    abstract:PURPOSE:The purpose of this study is to evaluate the use of the venous anastomotic Flow Coupler in monitoring free flaps used for breast reconstruction in a consecutive series of patients. METHODS:Retrospective data were collected on patients undergoing free flap breast reconstruction from May 2012 to March 2014. The ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22341

    authors: Kempton SJ,Poore SO,Chen JT,Afifi AM

    更新日期:2015-07-01 00:00:00

  • The treatment of composite defect of bone and soft tissues with a combined latissimus dorsi and serratus anterior and rib free flap.

    abstract:BACKGROUND:Composite defects of bone and soft tissues represent a reconstructive challenge. Several techniques have been described in the medical literature; however, extensive composite defects should be reconstructed with microvascular free tissue transfer. The purpose of this report is to present the use of a compos...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22067

    authors: Trignano E,Fallico N,Nitto A,Chen HC

    更新日期:2013-03-01 00:00:00

  • Evaluation of a temporary arteriovenous shunt to establish neovascularization in a musculocutaneous flap: an experimental study.

    abstract::On the dorsum of adult Sprague-Dawley rats, 3 x 7 cm pedicle flaps were raised and a temporary arteriovenous shunt (AVS) from anastomosis of the tail artery and vein was placed beneath. Fourteen, 21 and 28 days later, the pedicle flaps were converted to island flaps leaving only the AVS attachment. The degree of subse...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150115

    authors: Zhou ZY,Nichter LS,West BR,Navarrette PM

    更新日期:1994-01-01 00:00:00

  • A more versatile and reliable method for renal transplantation in the rat.

    abstract::This study describes the authors' experience with a new method of orthotopic renal transplantation in the rat. This technique combines previously described modifications with the use of the donor inferior vena cava as a conduit to perform an end-to-side venous anastomosis. Survival was 87% and 80% at 3 and 120 days, r...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1998)18:4<267::aid-micr10>

    authors: Blom D,Orloff MS

    更新日期:1998-01-01 00:00:00

  • Improved reflow and viability in reperfused ischemic rat island groin flaps using dexamethasone.

    abstract::Reperfusion injury and the no-reflow phenomenon are manifestations of a complex series of events that culminate in an acute inflammatory reaction within reperfused tissue. Antiinflammatory therapy attenuates ischemia-reperfusion injury. The purpose of this study is to evaluate the effects of dexamethasone on blood flo...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920160208

    authors: Dolan RW,Kerr DC,Arena S

    更新日期:1995-01-01 00:00:00

  • Inside-out versus standard artery graft to repair a sensory nerve in rats.

    abstract::It is known that a vein graft provides a good microenvironment for axon regeneration in motor peripheral nerves, but the use of artery graft for regeneration of sensory nerves is controversial. We sectioned the saphenous nerve and repaired it by using heterologous inside-out and standard artery graft techniques in rat...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1017

    authors: Rodrigues Ade C,Silva MD

    更新日期:2001-01-01 00:00:00

  • Experimental laser-assisted end-to-side microvascular anastomosis.

    abstract::The authors present a new technique of end-to-side microvascular anastomosis in a rat carotid artery model, employing a milliwatt CO2 laser. Both carotid arteries were isolated and approximated in an end-to-side fashion by the placement of four 10-0 nylon stay sutures. The milliwatt CO2 laser was used to effect vessel...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920070206

    authors: Sartorius CJ,Shapiro SA,Campbell RL,Klatte EC,Clark SA

    更新日期:1986-01-01 00:00:00

  • Free latissimus dorsi flap with long venous grafts for closure of a soft tissue defect of the spine in a patient with Noonan's syndrome: a case report.

    abstract::A 23-year-old male patient was operated for a soft tissue defect of the spine using a free musculocutaneous latissimus dorsi flap with two 21-cm long venous grafts connecting the flap to its vascular supply at the thoracodorsal vessels. This young patient suffered from Noonan's Syndrome that is a complex hereditary ma...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20625

    authors: Sinis N,Lanaras TI,Kraus A,Werdin F,Schaller HE,Peek A

    更新日期:2009-01-01 00:00:00

  • The periosteal-cutaneous chimeric medial femoral condyle free flap for subtotal ear reconstruction: A case report.

    abstract::When costal graft is contraindicated or refused by the patient, autologous total/subtotal auricular reconstruction represent a real challenge as limited surgical options has been described. Aim of present report is to offer a novel possible autologous reconstruction of the ear frame using a chimeric free medial femora...

    journal_title:Microsurgery

    pub_type:

    doi:10.1002/micr.30657

    authors: di Summa PG,Sapino G,Zaugg P,Raffoul W,Guillier D

    更新日期:2020-10-01 00:00:00

  • Beneficial effect of hyperbaric oxygen on island flaps subjected to secondary venous ischemia.

    abstract::The potential for hyperbaric oxygen therapy (HBO) to decrease the untoward effects of a secondary ischemic event was studied in the rat superficial epigastric flap model. The secondary venous ischemic flap was created by cross-clamping the vascular pedicles for 2 h. Twenty-four hours later, the flap was reelevated and...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.21723

    authors: Gampper TJ,Zhang F,Mofakhami NF,Morgan RF,Amiss R,Hoard MA,Angel MF

    更新日期:2002-01-01 00:00:00

  • Selective heparinization of venous anastomosis in latissimus dorsi free flaps to cover lower-extremity soft-tissue defects.

    abstract::Two groups of consecutive patients treated with latissimus dorsi free myocutaneous flaps to cover lower-extremity soft-tissue defects were compared for postoperative vascular occlusion. In the first group of 13 patients (group I), there were five (38%) venous occlusions and no arterial occlusions. The second group of ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920120414

    authors: Labosky DA

    更新日期:1991-01-01 00:00:00

  • A pedicled muscle flap based solely on a neural pedicle.

    abstract::We tested the hypothesis that the intrinsic vascular plexus of the motor nerve could support viability in a rat hindlimb muscle flap. In a preliminary study, we examined the course and vascularity of the sciatic nerve, the peroneal nerve, and the peroneous longus muscle in the rat hindlimb via anatomic dissection, mic...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20609

    authors: Avci G,Akan M,Akoz T,Kuzon W,Gul AE

    更新日期:2009-01-01 00:00:00

  • Effect of torsion on microarterial anastomosis patency.

    abstract::All kinds of technical faults must be prevented in microvascular anastomosis for successful reconstructive microsurgery. Torsion at the anastomosis site is one of the most basic technical errors. In this study, we investigate the effect of different degrees of microarterial torsion on patency and its physical changes ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10092

    authors: Topalan M,Bilgin SS,Ip WY,Chow SP

    更新日期:2003-01-01 00:00:00

  • Heme oxygenase 1 expression in postischemic reperfusion liver damage: effect of L-arginine.

    abstract::Ischemia/reperfusion (I/R) injury is a multifactorial process that affects liver function after transplantation and resectional surgery. Alterations in hepatic microcirculation and decreased hepatic flow can cause local hypoxia and consequently liver damage, which is worsened by reperfusion. The aim of this study was ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20206

    authors: Lanteri R,Acquaviva R,Di Giacomo C,Caltabiano R,Li Destri G,Vanella L,Santangelo M,Lanzafame S,Di Cataldo A

    更新日期:2006-01-01 00:00:00

  • The effect of supporting a surgeon's wrist on their hand tremor.

    abstract:BACKGROUND:Operative tremor can greatly influence the outcome of certain, precise, microsurgical operations. Reducing a surgeons tremor may not only improve the operative results but decrease the operative time. Previous studies have only measured uni or bi directional tremor and therefore have been unable to calculate...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20776

    authors: Coulson CJ,Slack PS,Ma X

    更新日期:2010-10-01 00:00:00

  • Reconstruction after resection of tumors around the knee: role of the free vascularized fibular graft.

    abstract::We present our experience with reconstruction after resection of tumors around the knee, using free vascularized fibular grafting. The study included 23 patients. The lower femur was involved in 17 cases, the upper tibia in 6. The cases included giant cell tumor of the lower femur (2 patients), giant cell tumor of the...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/1098-2752(2000)20:5<233::aid-micr4>3.0.co;

    authors: Amr SM,El-Mofty AO,Amin SN,Morsy AM,El-Malt OM,Abdel-Aal HA

    更新日期:2000-01-01 00:00:00

  • Accumlation of lipoprostaglandin E1 at the anastomotic region after systemic application.

    abstract::Lipoprostaglandin E1 (lipo-PGE1) has been found accumulating in injured vascular regions. This study examined the localization of lipo-PGE1 in the anastomotic region. The study was divided into three parts. First, we performed anastomosis of the rat femoral artery and vein (n = 17). Lipo-PGE1 labeled with 1,1'-dioctad...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20890

    authors: Okochi M,Ueda K,Kajikawa A

    更新日期:2011-07-01 00:00:00

  • Influence of postischemic administration of oxyradical antagonists on ischemic injury to rabbit skeletal muscle.

    abstract::The aim of this study was to determine whether the administration of free radical antagonists, immediately before and during the early minutes of reperfusion, improves muscle survival 24 hr after a period of ischemia. Rabbit rectus femoris muscles were isolated, made ischemic for 3 1/2 hr and treated with either desfe...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(SICI)1098-2752(1996)17:9<517::AID-MICR7>3

    authors: Hickey MJ,Knight KR,Lepore DA,Hurley JV,Morrison WA

    更新日期:1996-01-01 00:00:00

  • Microsurgery for treatment of peripheral lymphedema: long-term outcome and future perspectives.

    abstract::Authors report over 30 years of their own clinical experience in the treatment of chronic peripheral lymphedemas by microsurgical techniques performed at the Center of Lymphatic Surgery of the University of Genoa, Italy. Over 1,500 lymphedema patients were treated with microsurgical techniques. Derivative lymphatic-ve...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20346

    authors: Campisi C,Eretta C,Pertile D,Da Rin E,Campisi C,Macciò A,Campisi M,Accogli S,Bellini C,Bonioli E,Boccardo F

    更新日期:2007-01-01 00:00:00

  • Biomechanical assessment of fixation methods for segmental mandible reconstruction with fibula in the polyurethane model.

    abstract:BACKGROUND:A variety of plating techniques are employed by microsurgeons to provide rigid fixation for vascularized bone constructs of the mandible. The aim of this study was to biomechanically compare three commonly utilized plating techniques for rigid fixation of fibula bone flaps in reconstructing lateral segmental...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30052

    authors: Fontana SC,Smith RB,Nazir N,Andrews BT

    更新日期:2016-05-01 00:00:00

  • Reconstruction of midfoot bone and soft tissue loss with chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap following gunshot injuries: Report of two cases.

    abstract:INTRODUCTION:In this report we present two cases of gunshot injury related midfoot defects, reconstructed with a chimeric partial scapula and latissimus dorsi muscle flap and short perforator-based skin flap. The first case, a 14 years old male, had 10 × 8 cm medial plantar and 6 × 4 cm dorsal foot defects and the seco...

    journal_title:Microsurgery

    pub_type:

    doi:10.1002/micr.30099

    authors: Ozcan Akcal A,Ünal K,Gorgulu T,Akif Akcal M,Bigat Z

    更新日期:2016-10-01 00:00:00

  • Experimental peripheral nerve repair: environmental control directed at the cellular level.

    abstract::This study recognizes recent advances in the understanding of the anatomy and physiology of peripheral nerves at the cellular level. It has reproduced study conditions originally advocated by de Medinaceli and coworkers, with modifications. Eighty-four rats were divided into three groups. Group A underwent sciatic ner...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920100408

    authors: Zellem RT,Miller DW,Kenning JA,Hoenig EM,Buchheit WA

    更新日期:1989-01-01 00:00:00

  • Vascularized fibular grafting for treatment of aseptic necrosis of the femoral head--preliminary results in four cases.

    abstract::Vascularized grafting with segments of fibula was performed in four men with aseptic necrosis of the femoral head. The patients were restricted to relatively young individuals in whom the necrosis seemed to be confined to two-thirds or less of the femoral head and in whom the outer shell of the femoral head appeared r...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920040108

    authors: Fujimaki A,Yamauchi Y

    更新日期:1983-01-01 00:00:00

  • Cross-leg tibial posterior perforator flap.

    abstract:BACKGROUND:In the lower leg posttraumatic pathology, we are frequently confronted with tissue defects that are difficult to cover by local or distance means, because of either the poor tissue quality or the precarious local vessels. One of the still available methods for solving these cases remains the cross-leg flap. ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20375

    authors: Georgescu AV,Irina C,Ileana M

    更新日期:2007-01-01 00:00:00

  • Short communication: distal adrenergic innervation remains normal after perivascular sympathectomy.

    abstract::Perivascular sympathectomy, which has been used for vasospastic disorders of the hands, was examined in experimental models. Perivascular sympathectomy was performed on the central ear vessels and forepaw metacarpal vessels of the rabbit and on the common digital vessels in the monkey. The effects on adrenergic nerves...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150113

    authors: Kaarela OI,Raatikainen TK,Junila JA,Waris TH

    更新日期:1994-01-01 00:00:00

  • Evaluation of 389 patients following free-flap lower extremity reconstruction with respect to secondary refinement procedures.

    abstract:INTRODUCTION:Primary functional and aesthetic results after free-flap salvage of lower extremities are occasionally suboptimal. The objective of this study was to identify predictors for secondary refinement procedures such as liposuction, dermolipectomy, or direct excision. In addition, patient-reported long-term sati...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30219

    authors: Kotsougiani D,Platte J,Bigdeli AK,Hoener B,Kremer T,Kneser U,Harhaus L

    更新日期:2018-03-01 00:00:00

  • Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: a prospective comparison study between total and hemicontralateral C7 nerve root transfer.

    abstract:PURPOSE:We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi-CC7 transfer, on total root avulsion brachial plexus injuries (BPI). METHODS:Forty patients who received neurotization for BPI were enrolled in this prospective st...

    journal_title:Microsurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/micr.22148

    authors: Tu YK,Tsai YJ,Chang CH,Su FC,Hsiao CK,Tan JS

    更新日期:2014-02-01 00:00:00

  • Sleeve anastomosis in head and neck reconstruction.

    abstract::Various methods have been described in the literature to manage vascular discrepancies. In the head and neck area, where small recipient vessels are the rule, a reliable technique is needed to safely perform the anastomosis. During the past 10 years, we have carried out research (de la Peña et al., Transactions of the...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/1098-2752(2000)20:4<193::aid-micr9>3.0.co;

    authors: de la Peña-Salcedo JA,López-Monjardin H

    更新日期:2000-01-01 00:00:00