Thin anterolateral thigh perforator flap using a modified perforator microdissection technique and its clinical application for foot resurfacing.

Abstract:

BACKGROUND:A thin skin flap is often required for optimal resurfacing of particular areas of the body. An anterolateral thigh perforator flap can be thinned to an extent to which it is vascularized by the subdermal plexus only. This study presents a novel flap thinning technique and its application for resurfacing the dorsum of the foot. METHODS:From July of 2002 to October of 2003, 18 patients underwent resurfacing of the dorsum of the foot with thin anterolateral thigh flaps. The main perforators were strategically located in the flap center to keep the peripheral area within the vascular territory. The flaps were larger than needed, initially elevated subfascially, and then thinned to the suitable thickness while the pedicle was still attached. The dissection of perforators in the adipose layer close to the dermis entry was carried out microscopically. Flap sizes ranged from 3 x 3 to 16 x 8 cm. RESULTS:Seventeen flaps survived completely and one had distal superficial necrosis of 1 x 2 cm. No debulking procedures were necessary. Average follow-up was 12 months. CONCLUSIONS:A thin flap vascularized through subdermal plexus is reliable. Microsurgical dissection of the perforator is a recommended technique. The thin anterolateral thigh perforator flap provides ideal reconstruction in resurfacing the dorsum of the foot.

journal_name

Plast Reconstr Surg

authors

Yang WG,Chiang YC,Wei FC,Feng GM,Chen KT

doi

10.1097/01.prs.0000200615.77678.f1

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

1004-8

issue

3

eissn

0032-1052

issn

1529-4242

pii

00006534-200603000-00047

journal_volume

117

pub_type

杂志文章
  • Surgeon perspectives on surgical options for early-stage breast cancer.

    abstract::To evaluate the practice patterns of general and plastic surgeons regarding patients with early-stage breast cancer, all general and plastic surgeons in Quebec and Maryland were mailed self-administered questionnaires evaluating surgeon demographics, practice patterns, treatment preferences, and satisfaction with the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200003000-00013

    authors: Thompson TA,Pusic A,Kerrigan CL,Sargeant R,Slezak S,Chang BW,Helzlsouer KJ,Manson P

    更新日期:2000-03-01 00:00:00

  • The battle of words and the reality of never events in breast reconstruction: incidence, risk factors predictive of occurrence, and economic cost analysis.

    abstract:BACKGROUND:The Centers for Medicare and Medicaid Services has a list of 10 hospital-acquired conditions for which hospitals and physicians will not be reimbursed because it deems such conditions are preventable and should be considered "never events." To evaluate the validity of this premise, the authors conducted a re...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182547b74

    authors: Adetayo OA,Salcedo SE,Biskup NI,Gupta SC

    更新日期:2012-07-01 00:00:00

  • Innovative Surgical Approach Using a Mesh Sling for the Aging Neck.

    abstract:BACKGROUND:Rejuvenation of the neck is essential to achieve a young facade. Different approaches for aging neck rejuvenation have been developed throughout the years. Most of them focus on specific elements that contribute to the aging neck. The main drawbacks of these techniques are recurrence of the platysma bands, m...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004422

    authors: Gronovich Y

    更新日期:2018-06-01 00:00:00

  • Propranolol-epinephrine interaction: a potential disaster.

    abstract::Presented here are six examples of potentially life-threatening propranolol-epinephrine interactions. The only report found that warns of a deleterious clinical interaction between propranolol and epinephrine appeared in 1980. With widespread use of propranolol for approved and unapproved conditions, the population at...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198307000-00017

    authors: Foster CA,Aston SJ

    更新日期:1983-07-01 00:00:00

  • True median cleft of the upper lip associated with three pedunculated club-shaped skin masses.

    abstract::A rare case of true median cleft of the upper lip associated with three skin masses is reported. While 114 cases of median cleft of the upper lip have been reported, in our literature review we found only 1 case, reported by Sharma, in which the median cleft was associated with skin masses. The embryology of this case...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198505000-00022

    authors: Nakamura J,Tomonari H,Goto S

    更新日期:1985-05-01 00:00:00

  • Short-scar breast reduction: why all the fuss?

    abstract::The breast can be considered conceptually as a cone. This article compares and contrasts short-scar breast reduction techniques with inverted T techniques using the cone model. Four issues are examined-the base of the breast, breast projection, the inframammary fold, and the pedicle. The short-scar techniques focus on...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200104010-00010

    authors: McCulley SJ,Hudson DA

    更新日期:2001-04-01 00:00:00

  • Determination of serum fibrosis indexes in patients with capsular contracture after augmentation with smooth silicone gel implants.

    abstract:BACKGROUND:Several studies have confirmed a correlation between the concentration of serum hyaluronan and progressive fibrotic disorders such as liver cirrhosis. The aim of this study was to explore the relationship between serum hyaluronan levels and capsular contracture after aesthetic breast augmentation. METHODS:T...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000220462.28928.83

    authors: Prantl L,Angele P,Schreml S,Ulrich D,Pöppl N,Eisenmann-Klein M

    更新日期:2006-07-01 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

  • The cocaine user: the potential problem patient for rhinoplasty.

    abstract::The current popularity of cocaine use poses special hazards for the patient and the plastic surgeon during rhinoplasty. It is incumbent upon the surgeon to inquire preoperatively about possible recreational use of cocaine. As the preferred site of cocaine administration, the nasal septal mucosa is exposed to both the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Slavin SA,Goldwyn RM

    更新日期:1990-09-01 00:00:00

  • Why Women Request Labiaplasty.

    abstract:BACKGROUND:In recent years, labiaplasty has jumped in popularity, despite opposition to the procedure. In 2007, the American College of Obstetricians and Gynecologists declared the recommendation of cosmetic vaginal procedures to be "untenable," although in 2016 they allowed consideration of labiaplasty in adolescents ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003181

    authors: Sorice SC,Li AY,Canales FL,Furnas HJ

    更新日期:2017-04-01 00:00:00

  • Treatment of breast animation deformity in implant-based reconstruction with pocket change to the subcutaneous position.

    abstract:UNLABELLED:Breast animation may be an unfortunate result of subpectoral implant-based reconstruction following mastectomy. This article reviews a novel approach to the treatment of animation deformity in cases of reconstruction, whereby the pectoralis major muscle is sutured down to the chest wall and the implant is tr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001277

    authors: Hammond DC,Schmitt WP,O'Connor EA

    更新日期:2015-06-01 00:00:00

  • The buccinator myomucosal island pedicle flap: anatomic study and case report.

    abstract::The buccinator myomucosal island pedicle flap is a useful means of introducing relatively large amounts of vascularized mucosa into the oral cavity. Using cadaver dissections and clinical cases, the anatomy and clinical relevance of this tissue are defined. Emphasis is placed on the technical caveats and pitfalls of t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Carstens MH,Stofman GM,Hurwitz DJ,Futrell JW,Patterson GT,Sotereanos GC

    更新日期:1991-07-01 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

  • Synthetic polymers seeded with chondrocytes provide a template for new cartilage formation.

    abstract::A new approach for tissue creation using synthetic biocompatible and biodegradable polymers as templates onto which cells are seeded is presented. This report concerns the generation of homogeneous plates of stable mature cartilage in vivo. The delivery of chondrocytes on synthetic polymers configured to provide a lar...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199111000-00001

    authors: Vacanti CA,Langer R,Schloo B,Vacanti JP

    更新日期:1991-11-01 00:00:00

  • Evaluation of three surgical techniques for advancement of the midface in growing children with syndromic craniosynostosis.

    abstract:BACKGROUND:The purpose of this study was to compare clinical outcomes and 1-year postsurgical stability with three different techniques of Le Fort III midface advancement. METHODS:The records of 212 syndromic craniosynostosis patients were reviewed from the period 1973 to 2006. A total of 60 patients satisfied the inc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181e6051e

    authors: Shetye PR,Davidson EH,Sorkin M,Grayson BH,McCarthy JG

    更新日期:2010-09-01 00:00:00

  • A 10-year study of skeletal stability and growth of the midface following Le Fort III advancement in syndromic craniosynostosis.

    abstract:BACKGROUND:Patients with Apert, Crouzon, and Pfeiffer syndromes who have severe midfacial hypoplasia are treated by Le Fort III midface advancement. The purpose of this study was to examine long-term (10-year) midface skeletal stability and growth following Le Fort III midface advancement in growing children. METHODS:...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181e60502

    authors: Shetye PR,Kapadia H,Grayson BH,McCarthy JG

    更新日期:2010-09-01 00:00:00

  • Not All Gustilo Type IIIB Fractures Are Created Equal: Arterial Injury Impacts Limb Salvage Outcomes.

    abstract:BACKGROUND:Open tibia fractures are commonly stratified by the Gustilo classification, an orthopedic grading system that does not incorporate the presence of arterial injury when limb perfusion is intact. In the authors' experience, however, the presence of arterial injury appears to negatively impact microsurgical out...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003766

    authors: Stranix JT,Lee ZH,Jacoby A,Anzai L,Avraham T,Thanik VD,Saadeh PB,Levine JP

    更新日期:2017-11-01 00:00:00

  • The "knot twist": a new method of securing wire loops--an assessment of mechanical properties.

    abstract::A model simulating intraosseous wire fixation was used to assess different methods of securing wire loops. Square knotting, twisting, and a new method, the "knot twist," were assessed. The importance of anchoring the butt ends of twisted wire is emphasized. A new, convenient technique of wire fixation is described. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Green RA,Zins JE

    更新日期:1988-06-01 00:00:00

  • Stacked Profunda Artery Perforator Flap for Breast Reconstruction in Failed or Unavailable Deep Inferior Epigastric Perforator Flap.

    abstract:BACKGROUND:Recently, the profunda artery perforator flap has become one of the popular flap choices for patients who desire autologous breast reconstruction but are not optimal candidates for deep inferior epigastric perforator (DIEP) flap surgery. These patients are not ideal patients for DIEP flap surgery because of ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005375

    authors: Haddock NT,Cho MJ,Gassman A,Teotia SS

    更新日期:2019-03-01 00:00:00

  • A fresh look at the open rhinoplasty technique.

    abstract::Use of the open rhinoplasty technique (ORT) in certain nasal and septal deformities has proven to be an invaluable asset in the rhinoplasty armamentarium of the authors. Primarily owing to the markedly increased exposure with this technique, more accurate assessment of the deformities is possible and additional or imp...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198812000-00006

    authors: Friedman GD,Gruber RP

    更新日期:1988-12-01 00:00:00

  • Using the frontal branch of the superficial temporal artery as a landmark for locating the course of the temporal branch of the facial nerve during rhytidectomy: an anatomical study.

    abstract:BACKGROUND:Previous studies have proposed that the frontal branch of the superficial temporal artery could be used to determine the course of the temporal branch of the facial nerve; however, these studies have not documented this relationship. The objective of this study was to thoroughly examine the courses of the fr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000174001.95115.9e

    authors: Lei T,Xu DC,Gao JH,Zhong SZ,Chen B,Yang DY,Cui L,Li ZH,Wang XH,Yang SM

    更新日期:2005-08-01 00:00:00

  • Free autogenous transplants in preformed pseudosheath silicone rubber pockets.

    abstract::This investigation suggests that free autogenous grafts, when placed in preformed silicone rubber pseudosheath pockets, will survive as well, if not better, than in delayed or immediate surgical pockets. This supports the clinical assumption that silicone rubber implants can be used and exchanged periodically for larg...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197612000-00008

    authors: Thomson HG,Vanderby MB

    更新日期:1976-12-01 00:00:00

  • DIEP and pedicled TRAM flaps: a comparison of outcomes.

    abstract:BACKGROUND:Studies comparing similar and sizable numbers of deep inferior epigastric perforator (DIEP) and pedicled transverse rectus abdominis musculocutaneous (TRAM) flap reconstructions are lacking. The authors hoped to determine whether the DIEP flap has advantages over the pedicled TRAM flap for breast reconstruct...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000210679.77449.7d

    authors: Garvey PB,Buchel EW,Pockaj BA,Casey WJ 3rd,Gray RJ,Hernández JL,Samson TD

    更新日期:2006-05-01 00:00:00

  • Surgical angiogenesis with short-term immunosuppression maintains bone viability in rabbit allogenic knee joint transplantation.

    abstract:BACKGROUND:Vascularized composite allotransplantation has the potential for reconstruction of joint defects but requires lifelong immunosuppression, with substantial risks. This study evaluates an alternative, using surgical angiogenesis from implanted autogenous vessels to maintain viability without long-term immunoth...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182789ad4

    authors: Kremer T,Giessler GA,Friedrich PF,Willems WF,Giusti G,Bishop AT

    更新日期:2013-02-01 00:00:00

  • Anatomy of the corrugator supercilii muscle: part I. Corrugator topography.

    abstract:BACKGROUND:Complete corrugator supercilii muscle resection is important for the surgical treatment of migraine headaches and may help prevent postoperative abnormalities in surgical forehead rejuvenation. Specific topographic analysis of corrugator supercilii muscle dimensions and its detailed association with the supr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000282725.61640.e1

    authors: Janis JE,Ghavami A,Lemmon JA,Leedy JE,Guyuron B

    更新日期:2007-11-01 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

  • Closure of the donor defect for breast reconstruction with rectus abdominis myocutaneous flaps.

    abstract::The abdominal muscles not only constitute a multidirectional cinch that holds the abdominal contents in place, but they also determine the flexion and rotational movements of the trunk. The rectus is mainly responsible for flexion and the obliques are responsible for rotating the trunk. It is therefore important to ma...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198510000-00013

    authors: Drever JM,Hodson-Walker N

    更新日期:1985-10-01 00:00:00

  • The shifting paradigm in the management of giant congenital melanocytic nevi: review and clinical applications.

    abstract:SUMMARY:Congenital melanocytic nevi remain a subject of controversy with respect to risk of malignant transformation and recommended management. Recent studies indicate a lower malignant risk (0.7 to 2.9 percent) than had previously been estimated. Surgery has not been proven to reduce malignant risk or improve quality...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.prs.0000436852.32527.8a

    authors: Arad E,Zuker RM

    更新日期:2014-02-01 00:00:00

  • The breast reconstruction evaluation of acellular dermal matrix as a sling trial (BREASTrial): design and methods of a prospective randomized trial.

    abstract:BACKGROUND:Recent literature has focused on the advantages and disadvantages of using acellular dermal matrix in breast reconstruction. Many of the reported data are from low level-of-evidence studies, leaving many questions incompletely answered. The present randomized trial provides high-level data on the incidence a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PRS.0000000000000809

    authors: Agarwal JP,Mendenhall SD,Anderson LA,Ying J,Boucher KM,Liu T,Neumayer LA

    更新日期:2015-01-01 00:00:00

  • Role of upper lateral cartilage tension spanning suture in restoring the dorsal aesthetic lines in rhinoplasty.

    abstract::Dorsal hump reduction can lead to significant aesthetic and functional deformities with distortion of the dorsal aesthetic lines without first preserving and subsequently restoring proper position of the upper lateral cartilages. The senior author (R.J.R.) previously described the component dorsal hump reduction to pr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182a01470

    authors: Geissler PJ,Roostaeian J,Lee MR,Unger JJ,Rohrich RJ

    更新日期:2014-01-01 00:00:00