Qualitative and quantitative analyses of donor-site morbidity following suprafascial versus subfascial free fibula flap harvesting.

Abstract:

BACKGROUND:The free fibular flap has become the workhorse flap for composite mandibular defect reconstruction. As advancements in microsurgery have improved flap survival, greater interest has shifted toward flap refinements to avert donor-site morbidities. METHODS:A total of 27 free fibular flaps used for mandible reconstruction were studied prospectively. Of the 27 flaps, 18 suprafascial and nine subfascial dissections were performed. A questionnaire was developed and completed by all patients to assess qualitative aspects of donor-site morbidity and function. Quantitative studies focused on bilateral isokinetic testing of each patient's lower extremities by comparing and quantifying the ankle function. RESULTS:For the subfascial group, 42 percent of patients complained of pain and alteration in sensation. These donor-site morbidities within the suprafascial group were negligible. Using the Wilcoxon rank sum test, scores obtained from the questionnaires were analyzed, with significant differences seen in wound problems/cosmetic appearance between the two groups (p = 0.0114). For the subfascial group, the donor leg showed significantly less range of motion in plantar-flexion exercises (p = 0.03). Comparing the isokinetic examination results of the suprafascial and subfascial groups, a significant decrease in ankle dorsiflexion, plantar flexion, and foot eversion was evident in the subfascial group. CONCLUSIONS:The qualitative or subjective perception of donor-site morbidity, for the suprafascial method of fibular flap harvest, is relatively low. Quantitative analysis revealed that this method did not cause decreases in ankle function, and it had superior contour and aesthetic outcomes compared with the conventional, subfascial method. CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, II.(Figure is included in full-text article.).

journal_name

Plast Reconstr Surg

authors

Sagalongos OS,Valerio IL,Hsieh CH,Kuo YR,Wang LY,Rong LH,Jeng SF

doi

10.1097/PRS.0b013e318218fc70

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

137-145

issue

1

eissn

0032-1052

issn

1529-4242

pii

00006534-201107000-00022

journal_volume

128

pub_type

杂志文章
  • Lack of effect of isoxsuprine on experimental random flaps in the rat.

    abstract::Using 1.5 x 6 cm caudally based rat dorsal pedicled flaps, the effect of isoxsuprine on skin flap survival was studied. The results showed isoxsuprine to have no augmentation effect on the survival of random pattern flaps. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198007000-00020

    authors: Sasaki A,Harii K

    更新日期:1980-07-01 00:00:00

  • Comparison of donor-site healing under Xeroform and Jelonet dressings: unexpected findings.

    abstract::Split-thickness skin grafts remain central to the strategy of burn wound treatment. The dressing used to cover the donor wound site has a significant effect on healing parameters. The purpose of this study was to compare split-thickness skin graft donor site reepithelialization under Xeroform and Jelonet dressings. A ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.PRS.0000070408.33700.C7

    authors: Malpass KG,Snelling CF,Tron V

    更新日期:2003-08-01 00:00:00

  • The Ideal Buttock Size: A Sociodemographic Morphometric Evaluation.

    abstract:BACKGROUND:Perception of beauty is influenced by geographic, ethnic, cultural, and demographic factors. However, objective measurements remain the foundation for aesthetic evaluations. In the quest to better define the "ideal" female buttock, this study assumes interdependence among variables such as country of residen...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003439

    authors: Heidekrueger PI,Sinno S,Tanna N,Szpalski C,Juran S,Schmauss D,Ehrl D,Ng R,Ninkovic M,Broer PN

    更新日期:2017-07-01 00:00:00

  • Osteoblastic and osteoclastic activation in coronal sutures undergoing fusion ex vivo.

    abstract::Numerous studies have demonstrated the importance of dura mater in the normal development and regeneration of the cranium and its sutures. The purpose of this study was to analyze the effect of dura mater on the metabolism of bone during the process of premature suture fusion. Previously, coronal sutures of fetal rats...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199710000-00003

    authors: Winograd JM,Im MJ,Vander Kolk CA

    更新日期:1997-10-01 00:00:00

  • The impact of negative-pressure wound therapy with instillation compared with standard negative-pressure wound therapy: a retrospective, historical, cohort, controlled study.

    abstract:BACKGROUND:Negative-pressure wound therapy with instillation is a novel wound therapy that combines negative pressure with instillation of a topical solution. METHODS:This retrospective, historical, cohort-control study examined the impact of negative-pressure wound therapy with and without instillation. RESULTS:One ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000438060.46290.7a

    authors: Kim PJ,Attinger CE,Steinberg JS,Evans KK,Powers KA,Hung RW,Smith JR,Rocha ZM,Lavery L

    更新日期:2014-03-01 00:00:00

  • Method for intraoperative positioning of the nipple-areola complex in vertical scar reduction mammaplasty.

    abstract::The desired shape and position of the nipple-areola complex may be difficult to achieve in vertical scar reduction mammaplasty when using the standard technique of preoperative marking of the so-called mosque-shaped areolar pattern of excision. We describe our modified approach of intraoperative final positioning of t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200005000-00028

    authors: Vogt PM,Mühlberger T,Torres A,Peter FW,Steinau HU

    更新日期:2000-05-01 00:00:00

  • Nationwide Cost Variation for Thumb Replantation: A Population Study.

    abstract:BACKGROUND:Health care reforms aimed at bundling payments attempt to contain costs. Uncovering variation in spending provides one strategy for decreasing expenditure. This study aims to investigate interhospital cost variation for thumb replantation. METHODS:A retrospective cross-sectional analysis of patients undergo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006022

    authors: Billig JI,Zhong L,Chung KC

    更新日期:2019-10-01 00:00:00

  • Monoclonal antibody to intercellular adhesion molecule 1 protects skin flaps against ischemia-reperfusion injury: an experimental study in rats.

    abstract::The purpose of this study was to evaluate the blockage of polymorphonuclear neutrophil endothelial adhesion by using a monoclonal antibody to the intercellular adhesion molecule 1 (ICAM-1) ligand to prevent ischemia-reperfusion injury in rat skin flaps. A skin and subcutaneous tissue flap (3.0 cm x 4.5 cm) supplied by...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199805000-00023

    authors: Tosa Y,Lee WP,Kollias N,Randolph MA,May JW Jr

    更新日期:1998-05-01 00:00:00

  • Comparison of implant-based immediate breast reconstruction with and without acellular dermal matrix.

    abstract:BACKGROUND:Acellular dermal matrix is frequently used in implant-based breast reconstruction to cover the inferior aspect of the breast pocket. Its performance profile remains equivocal. The authors studied whether adding it in implant-based immediate breast reconstruction improved outcomes when compared with non-acell...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31822b6637

    authors: Vardanian AJ,Clayton JL,Roostaeian J,Shirvanian V,Da Lio A,Lipa JE,Crisera C,Festekjian JH

    更新日期:2011-11-01 00:00:00

  • The constricted (cup and lop) ear.

    abstract::The author classifies ear deformities into 3 major groups and two sub-groups. The surgical procedures used to correct the deformity in each group are described. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Tanzer RC

    更新日期:1975-04-01 00:00:00

  • Early Results Using Sterilized Acellular Human Dermis (Neoform) in Post-Mastectomy Tissue Expander Breast Reconstruction.

    abstract::Acellular dermal products play a beneficial role in immediate tissue expander breast reconstruction. They provide improved coverage and support in the lower pole, allowing the pectoralis muscle to drape over most of the expander and maximize lower pole expansion. Tissue incorporation is desired without any adverse aff...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31819c4337

    authors: Losken A

    更新日期:2009-06-01 00:00:00

  • Dorsalis pedis flap donor site: acceptable or not?

    abstract::The dorsalis pedis flap has been used successfully for 20 years, both as a pedicled transfer for local foot reconstruction and as a free microvascular transfer. Proponents cite the reliable vascularity, versatility, ease of harvest, and thinness. Although significant donor-site morbidity has been recognized previously...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199810000-00031

    authors: Samson MC,Morris SF,Tweed AE

    更新日期:1998-10-01 00:00:00

  • Impact of perforator mapping using multidetector-row computed tomographic angiography on free thoracodorsal artery perforator flap transfer.

    abstract:BACKGROUND:The preoperative localization of thoracodorsal artery perforators has been a challenge because of their topographic variation. METHODS:From November of 2005 to January of 2007, 25 patients underwent free thoracodorsal artery perforator flap transfer for reconstruction of the lower extremities (22 flaps) and...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31818458b3

    authors: Mun GH,Kim HJ,Cha MK,Kim WY

    更新日期:2008-10-01 00:00:00

  • Apoptosis and plastic surgery.

    abstract::Apoptosis, or programmed cell death, is a phenomenon that is integral to development and cellular homeostasis. In the last decade, many of the essential molecules and pathways that control this phenomenon have been elucidated. Because apoptosis is involved in almost all physiologic and pathologic processes, the unders...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.PRS.0000049639.64947.EF

    authors: Gastman BR,Futrell JW,Manders EK

    更新日期:2003-04-01 00:00:00

  • Methods and results of rhinophyma treatment.

    abstract::Rhinophyma is a disfiguring soft-tissue hypertrophy of the nose. It is an uncommon disease that primarily affects Caucasian men in the fifth to seventh decades of life. Nine cases from the authors' series and a comparison of results following various treatment modalities are presented. Eight of the patients were Cauca...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200104150-00004

    authors: Redett RJ,Manson PN,Goldberg N,Girotto J,Spence RJ

    更新日期:2001-04-15 00:00:00

  • Priorities in plastic surgery.

    abstract::The study of historical priorities in plastic surgery must be based on established principles in the field instead of mere chronology. Examples of application of these principles to two landmarks in plastic surgery are given. The reader is commended to adhere to these principles in the study of other developments in p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/00006534-198406000-00028

    authors: Freshwater MF

    更新日期:1984-06-01 00:00:00

  • Comparison of artifact from craniomaxillofacial internal fixation devices: magnetic resonance imaging.

    abstract::This study compares artifact from craniomaxillofacial internal fixation devices in magnetic resonance images and examines heating and magnetic deflection effects on these devices. Stainless steel wires, microfixation plates of vitallium and titanium, and minifixation and mandibular reconstruction plates of stainless s...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199404000-00011

    authors: Fiala TG,Paige KT,Davis TL,Campbell TA,Rosen BR,Yaremchuk MJ

    更新日期:1994-04-01 00:00:00

  • The Bidirectional Movement of the Frontalis Muscle: Introducing the Line of Convergence and Its Potential Clinical Relevance.

    abstract:BACKGROUND:Cosmetic treatment of the forehead using neuromodulators is challenging. To avoid adverse events, the underlying anatomy has to be understood and thoughtfully targeted. Clinical observations indicate that eyebrow ptosis can be avoided if neuromodulators are injected in the upper forehead, despite the frontal...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006756

    authors: Cotofana S,Freytag DL,Frank K,Sattler S,Landau M,Pavicic T,Fabi S,Lachman N,Hernandez CA,Green JB

    更新日期:2020-05-01 00:00:00

  • A new operative method for treatment of xanthelasma or xanthoma palpebrarum: microsurgical inverted peeling.

    abstract::A new operative technique for treatment of xanthelasma or xanthoma palpebrarum was introduced. The merits of this technique are (1) no skin excision with the tumor, (2) making the flap from the skin covering the tumor, (3) no need for donor site, (4) no significant cosmetic problem, and (5) reoperation performed by sa...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199809040-00040

    authors: Doi H,Ogawa Y

    更新日期:1998-09-01 00:00:00

  • A method of reconstructing a pendulous breast utilizing the tissue expander.

    abstract::It is possible to reconstruct a breast mound of almost any size by utilizing tissue expansion. In order to produce a pendulous breast which is also ptotic, the tissue-expansion technique has been combined with two other procedures. A new technique is being introduced. It is that of elevating the lower third of the mat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198709000-00009

    authors: Versaci AD

    更新日期:1987-09-01 00:00:00

  • Gastrocnemius transposition flap in conjunction with limb-sparing surgery for primary bone sarcomas around the knee.

    abstract::A primary gastrocnemius transposition flap is a useful technique for prosthetic coverage following extensive soft-tissue and bone resection for sarcomas of the knee joint. The gastrocnemius transposition flap is also a useful secondary procedure to treat local complications following attempted limb-sparing surgery. Th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198405000-00004

    authors: Malawer MM,Price WM

    更新日期:1984-05-01 00:00:00

  • Negative-Pressure Wound Therapy With Instillation: A Tool in the Multidisciplinary Approach to Limb Function Preservation.

    abstract:SUMMARY:The multidisciplinary approach to lower extremity function preservation is well established and is globally considered the standard of care. Every member of the team contributes their unique skills and knowledge to patient care. The effective integration of negative-pressure wound therapy with instillation (NPW...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007608

    authors: Kim PJ,Attinger CE

    更新日期:2021-01-01 00:00:00

  • Kinetics of E-selectin expression in surgical flaps.

    abstract::During the ischemia/reperfusion phenomenon, adhesion molecules seem to play a critical role in the recruitment of neutrophils to sites of eventual tissue injury. E-selectin is an endothelium-derived molecule that mediates adhesion of neutrophils to activated endothelial cells. In vitro expression of E-selectin, after ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199711000-00016

    authors: Wang C,Kerrigan CL,Stotland MA

    更新日期:1997-11-01 00:00:00

  • Classification System for Individualized Treatment of Adult Buried Penis Syndrome.

    abstract:BACKGROUND:The authors present their experience with reconstructive strategies for men with various manifestations of adult buried penis syndrome, and propose a comprehensive anatomical classification system and treatment algorithm based on pathologic changes in the penile skin and involvement of neighboring abdominal ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002519

    authors: Tausch TJ,Tachibana I,Siegel JA,Hoxworth R,Scott JM,Morey AF

    更新日期:2016-09-01 00:00:00

  • Does the Eyebrow Sag with Aging? An Anthopometric Study of 95 Caucasians from 20 to 79 Years of Age.

    abstract:BACKGROUND:It is commonly assumed that a progressive sagging of the eyebrow occurs with the facial aging process. Only a few studies have analyzed this modification, and the findings are disparate and inconclusive. This study, based on reproducible and validated data, aimed to quantify the modifications of eyebrow posi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.prs.0000475756.78956.40

    authors: Bruneau S,Foletti JM,Muller S,Vercasson C,Lauwers F,Guyot L

    更新日期:2016-02-01 00:00:00

  • A simple instrument for achieving accurate alignment and pre-insertion stability with mandibular bone plates.

    abstract::The modified Dingman forceps provides several advantages over currently designed plate-holding forceps. The rubber tubing prevents metal-to-metal contact of the forceps on the plate and provides increased stability to the plate. The long lingual jaws of the Dingman forceps are applied to the lingual bone at a point re...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198678060-00022

    authors: Schmitz JP,Hollinger JO

    更新日期:1986-12-01 00:00:00

  • Reverse dorsal digital island flap.

    abstract::The anatomic and clinical bases for a reliable and versatile homodigital flap for covering difficult distal dorsal and dorsolateral wounds of the long fingers are presented. This one-step procedure, which uses the dorsal skin of the first or second phalanx transposed as a reverse island flap, preserving the collateral...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Bene MD,Petrolati M,Raimondi P,Tremolada C,Muset A

    更新日期:1994-03-01 00:00:00

  • Umbilical transposition in TRAM flap: a simple horizontal translocation.

    abstract::A simple method of umbilical repositioning by incising the anterior rectus sheath and rectus abdominis muscle is reported for cases of unilateral abdominal wall plication during the TRAM flap operation. This method keeps the umbilicus stable and nonstenotic, and it avoids hypertrophic scars, which result from other te...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199912000-00029

    authors: Raveh T,Gordon CB,del Campo AF

    更新日期:1999-12-01 00:00:00

  • Sterile "ready-to-use" AlloDerm decreases postoperative infectious complications in patients undergoing immediate implant-based breast reconstruction with acellular dermal matrix.

    abstract:BACKGROUND:Acellular dermal matrix is a commonly used adjunct in implant-based breast reconstruction. Several investigations have shown increased complications associated with its use. Therefore, the authors' institution placed strict limitations on its use and transitioned to sterile "ready-to-use" acellular dermal ma...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/PRS.0b013e31829fe35b

    authors: Weichman KE,Wilson SC,Saadeh PB,Hazen A,Levine JP,Choi M,Karp NS

    更新日期:2013-10-01 00:00:00

  • Google Glass as an Alternative to Standard Fluoroscopic Visualization for Percutaneous Fixation of Hand Fractures: A Pilot Study.

    abstract::This pilot study investigated the feasibility of Google Glass to assist visualization of fluoroscopic images during percutaneous pinning of hand fractures. Cadavers were used to compare total time to pin each fracture and total number of radiographs per fracture from a mini C-arm. A FluoroScan monitor was used for rad...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001453

    authors: Chimenti PC,Mitten DJ

    更新日期:2015-08-01 00:00:00