The free serratus anterior flap and its cutaneous component for reconstruction of the face: a series of 27 cases.

Abstract:

BACKGROUND:The serratus anterior flap is commonly used without its cutaneous component and is covered with a skin graft. The authors have successfully used the free serratus anterior flap along with its skin paddle and have found it to be valuable for reconstruction of the face. METHODS:Fresh cadaveric dissections and arteriography were performed to identify perforator vessels to the skin overlying the muscle. Clinically, free transfer of the musculocutaneous flap to the face was carried out in 27 patients, mostly for severe noma (infection) sequelae. RESULTS:Anatomical dissection and arteriography revealed no cutaneous perforator vessels directly communicating with the vascular pedicle of the muscle. However, large perforators from the intercostal vessels were found passing through the muscle to reach the skin. In the clinical cases, flap survival was 100 percent in 24 patients. CONCLUSIONS:The serratus anterior musculocutaneous flap is reliable and particularly well-suited for reconstruction of the face, and has many advantages. The authors speculate that the skin paddle may be vascularized by perforators from the intercostal vessels communicating with the thoracodorsal pedicle through intramuscular choke vessels.

journal_name

Plast Reconstr Surg

authors

Pittet B,Mahajan AL,Alizadeh N,Schlaudraff KU,Fasel J,Montandon D

doi

10.1097/01.prs.0000208297.02556.a5

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

1277-88

issue

4

eissn

0032-1052

issn

1529-4242

pii

00006534-200604010-00032

journal_volume

117

pub_type

杂志文章
  • Frontal plagiocephaly: synostotic, compensational, or deformational.

    abstract::Plagiocephaly is a term commonly used to describe congenital forehead asymmetry. Sixty patients with frontal plagiocephaly were evaluated retrospectively and separated into three types: synostotic (N = 24), compensational (N = 3), and deformational (N = 33). Categorization of frontal plagiocephaly as synostotic or def...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Bruneteau RJ,Mulliken JB

    更新日期:1992-01-01 00:00:00

  • Complications of total ischiectomy for the treatment of ischial pressure sores.

    abstract::Five patients are reported, 4 of whom had total ischiectomies and the other an extensive partial ischiectomy. In each, recurrent ulcers, extending into the perineum, developed subsequently. One patient had a urethrocutaneous fistula as a result of his perineal ulcer, and he had to undergo an ileal loop diversion. Foll...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197807000-00015

    authors: Karaca AR,Binns JH,Blumenthal FS

    更新日期:1978-07-01 00:00:00

  • Supplemental oxygen: ensuring its safe delivery during facial surgery.

    abstract::Electrosurgical coagulation in the presence of blow-by oxygen is a potential source of fire in facial surgery. A case report of a patient sustaining partial-thickness facial burns secondary to such a flash fire is presented. A fiberglass facial model is then used to study the variables involved in providing supplement...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Reyes RJ,Smith AA,Mascaro JR,Windle BH

    更新日期:1995-04-01 00:00:00

  • Salvage of seeing eyes after avulsion of upper and lower lids.

    abstract::It is often stated that any injury severe enough to avulse both lids will inevitably destroy the globe. Two cases are presented in which the globe was uninjured but exposed, requiring immediate coverage. Local skin flaps placed over mobilized conjunctiva were used for emergency cover. One was eventually made into func...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198501000-00003

    authors: Achauer BM,Menick FJ

    更新日期:1985-01-01 00:00:00

  • Interventions to Decrease Postoperative Edema and Ecchymosis after Rhinoplasty: A Systematic Review of the Literature.

    abstract:BACKGROUND:Today, minimally invasive procedures are becoming more popular because of the fast recovery. Rhinoplasty is a common facial plastic surgery procedure that can be associated with significant postoperative morbidities, especially periorbital edema and ecchymosis. The aim of this review is to summarize the resu...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000002101

    authors: Ong AA,Farhood Z,Kyle AR,Patel KG

    更新日期:2016-05-01 00:00:00

  • Emergency free-flap transfer for reconstruction of acute complex extremity wounds.

    abstract::Nine patients with complex extremity injuries were treated with emergency free-flap transfers over a 3 1/2-year period. The transferred emergency free flaps were performed to cover exposed vital structures. All flaps survived without infection. Complete and careful assessment of the systemic condition of the patient a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Chen SH,Wei FC,Chen HC,Chuang CC,Noordhoff MS

    更新日期:1992-05-01 00:00:00

  • Preoperative magnification angiography of donor and recipient sites for clinical free transfer of flaps or digits.

    abstract::Based on the 14 free flap transfers we present with full survival, we recommend peroperative magnification angiography of both the recipient and donor sites. In our hands, this type of preoperative assessment seems to increase the margin of safety. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197910000-00007

    authors: May JW Jr,Athanasoulis CA,Donelan MB

    更新日期:1979-10-01 00:00:00

  • Dental implant outcome after primary implantation into double-barreled fibula osteoseptocutaneous free flap-reconstructed mandible.

    abstract:BACKGROUND:Functional and aesthetic mandibular reconstruction can be achieved in a single operation by means of a double-barreled fibula osteoseptocutaneous free flap with dental implants loaded simultaneously into the upper barrel. The aim of this study was to evaluate the quality and result of such reconstruction. M...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318230c6a9

    authors: Chang YM,Wallace CG,Tsai CY,Shen YF,Hsu YM,Wei FC

    更新日期:2011-12-01 00:00:00

  • Free proximal gracilis muscle and its skin paddle compound flap transplantation for complex facial paralysis.

    abstract::Gracilis functioning free-muscle transplantation for the correction of pure facial paralysis has been a preferred method used by many reconstructive microsurgeons. However, for complex facial paralysis, the deficits include facial paralysis along with soft-tissue, mucosa, and/or skin defects. No adequate solution has ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000096092.09655.63

    authors: Chuang DC,Mardini S,Lin SH,Chen HC

    更新日期:2004-01-01 00:00:00

  • Sagittal craniosynostosis outcome assessment for two methods and timings of intervention.

    abstract::A retrospective quantitative analysis of 40 infants who underwent surgery for sagittal craniosynostosis was conducted to determine whether any difference in outcome, with respect to cranial index (cranial width/cranial length x 100), could be associated with either the age at surgery or the extent of the operation. Ch...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199905060-00004

    authors: Panchal J,Marsh JL,Park TS,Kaufman B,Pilgram T,Huang SH

    更新日期:1999-05-01 00:00:00

  • The Use of Absorbable Mesh in Implant-Based Breast Reconstruction: A 7-Year Review.

    abstract:BACKGROUND:Breast reconstruction is most frequently performed using implants or expanders. Adjunctive materials such as acellular dermal matrix and synthetic meshes are used to support the implant or expander. A paucity of large studies exist on the use of synthetic mesh for breast reconstruction. METHODS:A retrospect...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007384

    authors: Faulkner HR,Shikowitz-Behr L,McLeod M,Wright E,Hulsen J,Austen WG Jr

    更新日期:2020-12-01 00:00:00

  • Aneurysmal bone cyst of the orbit associated with fibrous dysplasia.

    abstract::Aneurysmal bone cyst is a rare but recognized osseous lesion of the orbit. We report the presentation, treatment, and postoperative course of an orbital aneurysmal bone cyst in a patient with McCune-Albright syndrome. To our knowledge, this report represents the first description of aneurysmal bone cyst of the orbit i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199508000-00029

    authors: Lucarelli MJ,Bilyk JR,Shore JW,Rubin PA,Yaremchuk MJ

    更新日期:1995-08-01 00:00:00

  • Involuntary movement during mastication in patients with long-term facial paralysis reanimated with a partial gracilis free neuromuscular flap innervated by the masseteric nerve.

    abstract:BACKGROUND:Midface reanimation in patients with chronic facial paralysis is not always possible with an ipsilateral or contralateral facial nerve innervating a free neuromuscular tissue transfer. Alternate use of nonfacial nerves is occasionally indicated but may potentially result in inadvertent motions. The goal of t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318290f644

    authors: Rozen S,Harrison B

    更新日期:2013-07-01 00:00:00

  • Secondary reconstructive surgery following major upper extremity replantation.

    abstract:BACKGROUND:Little literature currently exists on reconstructive strategies following successful upper extremity replantation. The authors hypothesized that the type of secondary surgery would vary predictably depending on mechanism and amputation level. METHODS:The authors performed a retrospective review of upper ext...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000538

    authors: Fufa D,Lin CH,Lin YT,Hsu CC,Chuang CC,Lin CH

    更新日期:2014-10-01 00:00:00

  • Living Donation of Vascularized Composite Allografts.

    abstract::Living donation has become a medically and ethically accepted practice in solid organ transplantation. Published proceedings from the international kidney transplant community and from the Ethics Committee of The Transplantation Society articulated the general principles and specific recommendations for living donatio...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004659

    authors: Pomahac B,Alhefzi M,Bueno EM,McDiarmid SV,Levin LS

    更新日期:2018-09-01 00:00:00

  • Pathophysiology of cleft lip muscles following the initial surgical repair.

    abstract::Muscle biopsy specimens taken from the upper lip and perialar area during the time of secondary lip revision and studied by histochemical techniques demonstrate persistent connective-tissue and muscle abnormalities even at a distance from the cleft margins. Some of these changes are consistent with surgically induced ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199108000-00003

    authors: Schendel SA,Pearl RM,De Armond SJ

    更新日期:1991-08-01 00:00:00

  • Evidence-Based Medicine: Wound Management.

    abstract:LEARNING OBJECTIVES:After reading this article, the participant should be able to: 1. Describe the basic science of chronic wounds. 2. Discuss the general and local factors that should be considered in any patient with a chronic wound. 3. Discuss the rationale of converting a chronic wound into an acute wound. 4. Descr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003486

    authors: Jones CM,Rothermel AT,Mackay DR

    更新日期:2017-07-01 00:00:00

  • Use of Roof-Shaped Costochondral Cartilage for Correction of Saddle Nose Deformity.

    abstract:BACKGROUND:Cartilage grafts are routinely used in secondary and posttraumatic rhinoplasty. However, in most cases, there are weak areas in the nasal bones and upper lateral cartilages. The purpose of this study was to seek a solution for the keystone area and dorsum of the nose in revision and posttraumatic rhinoplasty...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004459

    authors: Irmak F,Yazar SK,Sirvan SS,Yazar M,Karsidag S

    更新日期:2018-07-01 00:00:00

  • Five-year outcome of surgical treatment of migraine headaches.

    abstract:BACKGROUND:This study was designed to assess the long-term efficacy of surgical deactivation of migraine headache trigger sites. METHODS:One hundred twenty-five volunteers were randomly assigned to the treatment (n = 100) or control group (n = 25) after examination by the team neurologist to ensure a diagnosis of migr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PRS.0b013e3181fed456

    authors: Guyuron B,Kriegler JS,Davis J,Amini SB

    更新日期:2011-02-01 00:00:00

  • Effects of 8-Gy radiation on the microcirculation of muscle flaps in the rat.

    abstract::Combination of radical excision and radiation has been used as a treatment modality for cancer patients. As a result, in reconstructive surgery there is often a need to harvest flaps in the vicinity of previously irradiated tissues. Radiation has been shown to cause progressive injury to the macrocirculation and micro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199910000-00020

    authors: Siemionow M,Mee J,Porvasnik S,Krapohl BD,Ozer K,Piza P,Zins JE

    更新日期:1999-10-01 00:00:00

  • Magnetic resonance imaging characterization of orbital changes with age and associated contributions to lower eyelid prominence.

    abstract:BACKGROUND:Multiple orbital aging models have been suggested to explain the progressive development of lower eyelid prominence. Objective data to support these theories are limited, however. METHODS:Orbital anatomy was measured with high-resolution orbital magnetic resonance imaging in the quasi-sagittal plane paralle...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181811ce8

    authors: Darcy SJ,Miller TA,Goldberg RA,Villablanca JP,Demer JL,Rudkin GH

    更新日期:2008-09-01 00:00:00

  • Reconstruction of Large Abdominal Wall Defects Using Neurotized Vascular Composite Allografts.

    abstract:BACKGROUND:Abdominal wall vascularized composite allotransplantation is the second most common form of vascularized composite allotransplantation. Sensory and functional recovery are expected in other forms but have never been demonstrated in abdominal wall vascularized composite allotransplantation. The authors hypoth...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001584

    authors: Broyles JM,Sarhane KA,Tuffaha SH,Cooney DS,Lee WPA,Brandacher G,Sacks JM

    更新日期:2015-10-01 00:00:00

  • Intrauterine fetal constraint induces chondrocyte apoptosis and premature ossification of the cranial base.

    abstract:BACKGROUND:The spheno-occipital synchondrosis is an important growth center of the craniofacial skeleton and a primary site of malformation in syndromic forms of craniosynostosis. Clinical and laboratory investigations have demonstrated that premature closure of cranial vault sutures in nonsyndromic craniosynostosis is...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000182224.98761.cf

    authors: Smartt JM Jr,Karmacharya J,Gannon FH,Teixeira C,Mansfield K,Hunenko O,Shapiro IM,Kirschner RE

    更新日期:2005-10-01 00:00:00

  • Does breast reconstruction after mastectomy for breast cancer affect overall survival? Long-term follow-up of a retrospective population-based cohort.

    abstract:BACKGROUND:This study compared overall and breast cancer-specific survival using long-term follow-up data among women diagnosed with invasive breast cancer undergoing mastectomy or breast reconstruction. METHODS:Retrospective study using population-based data from Ontario Cancer Registry (1980 to 1990) including women...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PRS.0000000000001054

    authors: Platt J,Baxter NN,McLaughlin J,Semple JL

    更新日期:2015-03-01 00:00:00

  • Revenue Generation and Plastic Surgery Training Programs: 1-Year Evaluation of a Plastic Surgery Consultation Service.

    abstract:BACKGROUND:In academic institutions, residents make substantial contributions to clinical productivity. However, billing cannot be generated unless there is direct attending physician supervision of these services. The purpose of this study was to quantify clinical services provided by residents at a large academic med...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002485

    authors: Drolet BC,Tandon VJ,Sargent R,Loor K,Schmidt ST,Liu PY

    更新日期:2016-09-01 00:00:00

  • The use of hypnosis as a tool in plastic surgery.

    abstract::Clinical hypnosis can be valuable tool for the plastic surgeon. Techniques can be rapidly learned at workshops that are held frequently at convenient locations throughout the country. Once misconceptions are dispelled, use of hypnosis is appropriate, safe, and effective. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198507000-00026

    authors: Tucker KR,Virnelli FR

    更新日期:1985-07-01 00:00:00

  • Surgical treatment of periocular hemangiomas: a single-center experience.

    abstract:BACKGROUND:At Great Ormond Street Hospital for Children, patients with periocular hemangiomas are assessed in a multidisciplinary team setting using a protocol developed in 1999. As part of this protocol, surgery is indicated for lesions that continue to cause amblyopia despite treatment with systemic or intralesional ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000256068.52183.f5

    authors: Geh JLC,Geh VSY,Jemec B,Liasis A,Harper J,Nischal KK,Dunaway D

    更新日期:2007-04-15 00:00:00

  • Plastic surgeon's life: marvelous for mind, exhausting for body.

    abstract::Surgery is accepted as one of the most demanding professions that create both physical and mental strain on the performers. Therefore, the authors aimed to elucidate the mental burden of surgeons, which is dedicated to operative stress. They also tested the hypotheses that participating in surgery creates mental stres...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000133166.50279.7c

    authors: Demirtas Y,Tulmac M,Yavuzer R,Yalcin R,Ayhan S,Latifoglu O,Atabay K

    更新日期:2004-09-15 00:00:00

  • Use of Routine Pathologic Evaluation of Nonmalignant Lesions in Hand Surgery: A National Study.

    abstract:BACKGROUND:Most lesions of the upper extremity are common and benign, and many have questioned the need for routine pathologic evaluation of these specimens. The authors aim to examine the national use of routine pathologic examination of nonmalignant hand lesions to help guide health care policy and practice patterns....

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004592

    authors: Cho HE,Kelley B,Zhong L,Chung KC

    更新日期:2018-08-01 00:00:00

  • Monitoring buried free flaps: limitations of the implantable Doppler and use of color duplex sonography as a confirmatory test.

    abstract:BACKGROUND:Postoperative monitoring of free flaps is important to minimize the risk of flap failure, but monitoring buried free flaps is difficult because the standard methods of clinical examination and surface Doppler monitoring are not possible. Buried free flaps are often monitored using an implantable 20-MHz ultra...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000221113.78244.8c

    authors: Rosenberg JJ,Fornage BD,Chevray PM

    更新日期:2006-07-01 00:00:00