abstract：:Patients undergoing free tissue transfer are particularly susceptible to hypothermia. The goal was to investigate the impact of intraoperative core body temperature on free flap thrombosis. Two hundred twelve cases of free flap reconstruction at Yale-New Haven Hospital between 1992 and 2008 were reviewed. Free flap th...

journal_title：Journal of reconstructive microsurgery

authors： Liu YJ,Hirsch BP,Shah AA,Reid MA,Thomson JG

更新日期：2011-02-01 00:00:00

abstract：:Multidetector-row computed tomography angiography (MDCTA) can be used to visualize small vessels and has been used to search for perforators in deep inferior epigastric artery perforator flaps and anterolateral thigh flaps. Fibula osteocutaneous flaps are often used for mandibular reconstruction, but questions remain ...

journal_title：Journal of reconstructive microsurgery

authors： Satoh T,Kimata Y,Hasegawa K,Namba Y

更新日期：2011-01-01 00:00:00

abstract：:The objective of this article is to discuss the significance of predicting the injury degree of the thoracodorsal nerve by intraoperative electrophysiological examination in the C7 nerve root transfer for brachial plexus injury. Each trunk of the brachial plexus followed by each bundle of C7 was stimulated before the ...

journal_title：Journal of reconstructive microsurgery

authors： Lu W,Xu J,Wang D

更新日期：2011-01-01 00:00:00

abstract：:The use of an inferolateral extension technique of a groin flap has previously been reported. This technique involves harvesting an extended portion from the anterolateral thigh, including the lateral femoral cutaneous nerve (LFCN) and its accompanying vessels, attached to a groin flap via communications between the L...

journal_title：Journal of reconstructive microsurgery

authors： Kashiwa K,Kobayashi S,Nasu W,Kuroda T,Higuchi H

更新日期：2010-11-01 00:00:00

abstract：:The ascending branch of the lateral circumflex artery may be of potential value as an alternative recipient vessel in the free-flap transfer to hip region. The anatomy of the ascending branch of the lateral circumflex femoral vessels has been reviewed with regards to size, location, and length and on the basis of prev...

journal_title：Journal of reconstructive microsurgery

authors： Gurunluoglu R

更新日期：2010-08-01 00:00:00

abstract：:Techniques for autologous breast reconstruction have evolved to minimize donor-site morbidity and reduce flap-specific complications. When available, the superficial inferior epigastric artery (SIEA) flap represents the optimal method to achieve the former. However, many microsurgeons have been reluctant to adopt this...

journal_title：Journal of reconstructive microsurgery

authors： Dorafshar AH,Januszyk M,Song DH

更新日期：2010-08-01 00:00:00

abstract：:Periosteum's role in fracture healing is widely recognized, and its function in bone tissue engineering shows great potential. Here we introduce a novel periosteal free flap to be used as an abundant source of periosteum in the engineering and repair of bone. The descending branch of the lateral femoral circumflex ves...

journal_title：Journal of reconstructive microsurgery

authors： Maercks RA,Runyan CM,Jones DC,Taylor JA

更新日期：2010-07-01 00:00:00

abstract：:Nerve decompression surgery for leprosy neuritis has a long history and large literature. New understanding of the high frequency of spontaneous recovery from nerve function impairment requires re-evaluation of the value of decompression in acute nerve dysfunction with strong evidence-based protocols. Several reports ...

journal_title：Journal of reconstructive microsurgery

authors： Nickerson DS,Nickerson DE

更新日期：2010-05-01 00:00:00

abstract：:The feasibility of composite tissue allografts (CTAs) has been demonstrated by the successful transplantation of the hand, abdomen, and face. However, the survival of these transplants depends on immunosuppression. Our laboratory is interested in achieving tolerance to decrease the risks associated with the use of chr...

journal_title：Journal of reconstructive microsurgery

authors： Mathes DW,Noland M,Graves S,Schlenker R,Miwongtum T,Storb R

更新日期：2010-04-01 00:00:00

abstract：:During deep inferior epigastric artery perforator (DIEP) flap dissection, we noted that in many cases the superficial vein on the ipsilateral side of the flap was engorged and tense, and in others, it was empty. This led us to believe that the pressure is increased as the result of preferential outflow through the sup...

journal_title：Journal of reconstructive microsurgery

authors： Smit JM,Audolfsson T,Whitaker IS,Werker PM,Acosta R,Liss AG

更新日期：2010-02-01 00:00:00

abstract：:The anterolateral thigh (ALT) flap is now considered a workhorse for head and neck reconstruction in many centers. However, designing and raising the ALT flap has been traditionally recognized as being difficult, tedious, and technically demanding due to its variation in perforator anatomy. Designing the ALT flap on d...

journal_title：Journal of reconstructive microsurgery

authors： Lin SJ,Rabie A,Yu P

更新日期：2010-01-01 00:00:00

abstract：:The tremendous variability of the inferior epigastric arterial system makes accurate imaging of the vasculature of the anterior abdominal wall an essential component of optimal perforator selection. Preoperative imaging of the abdominal vasculature allows for preoperative perforator selection, resulting in improved op...

journal_title：Journal of reconstructive microsurgery

authors： Greenspun D,Vasile J,Levine JL,Erhard H,Studinger R,Chernyak V,Newman T,Prince M,Allen RJ

更新日期：2010-01-01 00:00:00

abstract：:Scalp reconstruction is a challenging problem requiring attention to the etiology, size, and condition of the defect to formulate an optimal reconstructive plan. Although many "conservative" options have been described even for large wounds, the use of local flaps or split-thickness skin grafts (STSG) may actually res...

journal_title：Journal of reconstructive microsurgery

authors： Labow BI,Rosen H,Pap SA,Upton J

更新日期：2009-11-01 00:00:00

abstract：:Reconstruction of defects or wounds of the distal third of the leg with exposed bone, tendon, or hardware is challenging. Free tissue transfer has allowed limb salvage in many cases but requires a relatively healthy and stable patient, long operative times, and a significant expense. Small and moderate-size wounds of ...

journal_title：Journal of reconstructive microsurgery

authors： Parrett BM,Talbot SG,Pribaz JJ,Lee BT

更新日期：2009-09-01 00:00:00

abstract：:The preoperative identification of perforators can facilitate the appropriate design of perforator flaps from the lower extremity. Although computed tomographic arteriography can now be considered the gold standard in this regard, this technology is not universally available or inexpensive, with a nonnegligible risk f...

journal_title：Journal of reconstructive microsurgery

authors： Hallock GG

更新日期：2009-07-01 00:00:00

abstract：:The dorsalis pedis fasciocutaneous flap has been used successfully in soft tissue reconstruction both as a pedicled and a free flap. The long-term donor site problems associated with this dorsalis pedis flap prompted us to look at the use of the dorsalis pedis fascial flap in soft tissue reconstruction. We describe th...

journal_title：Journal of reconstructive microsurgery

authors： Ritz M,Mahendru S,Somia N,Pacifico MD

更新日期：2009-06-01 00:00:00

abstract：:Controversy surrounds the question whether free flaps remain dependent for blood supply on their vascular pedicle or if there is an autonomization by neovascularization from the surrounding wound bed. This becomes important when flap shaping or repositioning are performed. Our study involved 23 patients who received a...

journal_title：Journal of reconstructive microsurgery

authors： Heitland AS,Markowicz MP,Koellensperger E,Schoth F,Pallua N

更新日期：2009-02-01 00:00:00

abstract：:Microvascular clamps have several potential shortcomings, including the risk of vessel injury. LeGoo, a novel reverse thermosensitive polymer (Pluromed Inc., Woburn, MA), is investigated as a substitute to vascular clamping in a microsurgical model and the technical details are described. Femoral vessels of Sprague Da...

journal_title：Journal of reconstructive microsurgery

authors： Manchio JV,Litchfield CR,Zeheb R,Bryan DJ

更新日期：2009-01-01 00:00:00

abstract：:Injury to the radial nerve is not uncommonly associated with fractures of the humerus. Despite a considerable amount of information and literature regarding management of these associated injuries, a universally accepted algorithm for treatment remains elusive. This article assimilates the data and provides evidence-b...

journal_title：Journal of reconstructive microsurgery

authors： Elton SG,Rizzo M

更新日期：2008-11-01 00:00:00

abstract：:The regions of the body have cortical and subcortical representation in proportion to their degree of innervation. The rat forepaw has been studied extensively in recent years using functional magnetic resonance imaging (fMRI), typically by stimulation using electrodes directly inserted into the skin of the forepaw. H...

journal_title：Journal of reconstructive microsurgery

authors： Cho YR,Jones SR,Pawela CP,Li R,Kao DS,Schulte ML,Runquist ML,Yan JG,Hudetz AG,Jaradeh SS,Hyde JS,Matloub HS

更新日期：2008-11-01 00:00:00

abstract：:Bypass grafting around a neuroma-in-continuity entails coapting a nerve graft above and below the injured segment using two sequential end-to-side repairs. The proximal repair is analogous to what has been classically described as an end-to-side repair; the axons from the intact nerve sprout into the end of a recipien...

journal_title：Journal of reconstructive microsurgery

authors： Isaacs JE,Cheatham S,Gagnon EB,Razavi A,McDowell CL

更新日期：2008-10-01 00:00:00

abstract：:Free jejunum was transferred to a patient with recurrent hypopharyngeal carcinoma under unfavorable cervical conditions, caused by prior therapeutic chemoradiotherapy for hypopharyngeal carcinoma and gastric pull-up with cervical leak, resulting from treatment for thoracic esophageal cancer. The cervical recipient ves...

journal_title：Journal of reconstructive microsurgery

authors： Numajiri T,Fujiwara T,Nishino K,Sowa Y,Uenaka M,Masuda S,Fujiwara H,Nakai S,Hisa Y

更新日期：2008-10-01 00:00:00

abstract：:Traumatic damage to the common peroneal nerve due to sharp injury, gunshot wound, sciatic nerve tumor, radiculopathy, or hip replacement surgery may result in foot drop. We present an alternative strategy for reanimation of foot drop following deep peroneal nerve palsy, successfully restoring voluntary movement. Fourt...

journal_title：Journal of reconstructive microsurgery

authors： Nath RK,Lyons AB,Paizi M

更新日期：2008-08-01 00:00:00

abstract：:Regardless of its type, the repair of a peripheral nerve must ideally permit early motion of the affected limb and resist disruption by the tensile forces generated throughout the healing process and regeneration. A comparative study of the mechanical resistance of the repair of the sciatic nerve with biological glue ...

journal_title：Journal of reconstructive microsurgery

authors： Nishimura MT,Mazzer N,Barbieri CH,Moro CA

更新日期：2008-07-01 00:00:00

abstract：:The purpose of the present study was to analyze our long-term results of lateral calcaneal artery flap transfer for hindfoot reconstruction. A total of four patients (average age, 48 years) underwent lateral calcaneal artery flap transfer. The etiologies were heat injury of the lateral malleolus in one patient and ski...

journal_title：Journal of reconstructive microsurgery

authors： Omokawa S,Yajima H,Tanaka Y,Ryu J

更新日期：2008-05-01 00:00:00

abstract：:Radical resection of tongue and oropharyngeal carcinomas often results in complex defects that are challenging to reconstruct. Furthermore, remaining function should not be disturbed by the reconstruction. We introduce a new flap design and monitored swallowing and speech following reconstruction of complex oral defec...

journal_title：Journal of reconstructive microsurgery

authors： Yagi S,Kamei Y,Nakayama B,Toriyama K,Torii S

更新日期：2008-04-01 00:00:00

abstract：:Over the last decade, several models have investigated the usefulness of different biologic and/or synthetic matrices as alternatives to conventional nerve grafts. Still, axonal regeneration did not occur over longer (> 3 cm) distances. One problem may be that a growth-promoting environment not only includes physical ...

journal_title：Journal of reconstructive microsurgery

authors： Aszmann OC,Korak KJ,Luegmair M,Frey M

更新日期：2008-04-01 00:00:00

abstract：:The use of frozen section histological analysis in primary obstetrical brachial plexus palsy reconstruction, though widespread, is not universally practiced. Our objective was to develop a histological grading scale that could be used to determine whether further resection of a microscopically suboptimal, though gross...

journal_title：Journal of reconstructive microsurgery

authors： Murji A,Redett RJ,Hawkins CE,Clarke HM

更新日期：2008-04-01 00:00:00

abstract：:This study aimed to produce prefabricated nerve graft as effective as autologous nerve graft without donor site morbidity for repairing segmental nerve defects. Thirty rats were used and were separated into three groups. In the first group, vein graft excised from jugular vein was sutured to make a bridge between epin...

journal_title：Journal of reconstructive microsurgery

authors： Ulkur E,Karagoz H,Celikoz B,Turan P,Arbak S,Yapar M

更新日期：2008-02-01 00:00:00

abstract：:The posterior calf region is a useful donor site for skin or composite flaps including muscle and/or nerves. We reported the first clinical use of the lateral gastrocnemius perforating artery flap including a vascularized sural nerve in 2003. This flap was elevated based on a perforator arising from the lateral head o...

journal_title：Journal of reconstructive microsurgery

authors： Kashiwa K,Kobayashi S,Tono H,Ogino K,Kimura H

更新日期：2008-01-01 00:00:00

abstract：:An "off the shelf" vascular conduit for free flap surgery that remained patent until the flap is vascularized from the recipient bed would be useful to avoid autograft donor-site morbidity and reduce operation time. To date, no successful studies of microvascular prostheses in low-flow states exist. This study investi...

journal_title：Journal of reconstructive microsurgery

authors： Dowd MB,Hemmrich K,Morrison WA

更新日期：2007-08-01 00:00:00

abstract：:The authors conducted a two-part study to determine whether transcutaneous oxygen pressure (TcPO (2)) and transcutaneous carbon dioxide pressure (TcPCO (2)) can be used to monitor flap viability after transplantation. The first part was an animal study in which TcPO (2) and TcPCO (2) were measured in 10 epigastric isl...

journal_title：Journal of reconstructive microsurgery

authors： Hashimoto I,Nakanishi H,Takiwaki H,Takase MT,Yamano M,Sedo H

更新日期：2007-07-01 00:00:00

abstract：:The ideal monitoring tool to evaluate free flap success should be noninvasive, continuous, and reliable. A new device, the ViOptix Tissue Oximeter (ODISsey) based on near-infrared spectroscopy was evaluated in 30 patients undergoing autologous tissue perforator free flap breast reconstruction with continuous monitorin...

journal_title：Journal of reconstructive microsurgery

authors： Keller A

更新日期：2007-05-01 00:00:00

abstract：:Palatal integrity is essential for useful speech, deglutition, good oral hygiene, and prevention of nasal regurgitation. Maxillary defects after tumor extirpation, therefore, can have serious functional and cosmetic implications. Given the often disappointing results obtained with local and regional pedicled flaps for...

journal_title：Journal of reconstructive microsurgery

authors： Herman CK,Benacquista T,Brindzei N,Berdichevsky M,Baum T,Strauch B

更新日期：2007-04-01 00:00:00

abstract：:Tissue expansion in combination with flap transfer has been widely reported as preexpansion of flaps, but only once as expansion of a free flap after transfer. Three free flaps and one pedicled flap were expanded after transfer. Indication, timing of expander implantation and explantation, technical aspects, and compl...

journal_title：Journal of reconstructive microsurgery

authors： Baumeister S,Follmar KE,Erdmann D,Baccarani A,Levin LS

更新日期：2007-02-01 00:00:00

abstract：:Flaps with venous occlusion have a decreased survival rate compared with arterial occlusion. It seems that several factors are involved in the etiology of total venous occlusion, including free radicals, edema, thrombosis, and reperfusion injury. In the present study, the authors evaluated the blockage of polymorphonu...

journal_title：Journal of reconstructive microsurgery

authors： Demirseren ME,Sarici M,Gokrem S,Yenidunya S

更新日期：2007-01-01 00:00:00

abstract：:Orbital exenteration is a devastating procedure because of the social impact and psychological stress put upon the patient. Besides cancer ablative surgery, reconstruction after removal of the tumor constitutes a major problem and the final aesthetic result is quite important. Both obliteration of the orbital cavity a...

journal_title：Journal of reconstructive microsurgery

authors： Taylan G,Yildirim S,Aköz T

更新日期：2006-11-01 00:00:00

abstract：:The goal of craniofacial reconstruction is not only life-saving but also facial aesthetics. From this viewpoint the authors evaluated the facial symmetry of patients after craniofacial reconstruction. The subjects were seven patients reconstructed after craniofacial resections. Their CT or MR images were evaluated jus...

journal_title：Journal of reconstructive microsurgery

authors： Sarukawa S,Okazaki M,Asato H,Koshima I

更新日期：2006-10-01 00:00:00

abstract：:This study used quantitative PCR in the murine model to compare the ability of a limb allograft vs. a comparable dose of marrow suspension to induce chimerism. Female C57Bl/6 mice received a vascularized hindlimb allograft, a comparable dose of 5 x 10 (6) donor bone marrow cells, or a standard dose (20 x 10 (6)) of ma...

journal_title：Journal of reconstructive microsurgery

authors： Cohen M,Mohanakumar T,Mackinnon SE,Tung TH

更新日期：2006-07-01 00:00:00

abstract：:Composite tissue transplantation has emerged as a viable alternative to prosthetics and complex reconstructive surgery. Thus far it is reserved for cases which cannot be effectively reconstructed and where it offers some benefits over prostheses. It has been used in the upper extremity with encouraging results and, mo...

journal_title：Journal of reconstructive microsurgery

authors： Zuker RM,Redett R,Alman B,Coles JG,Timoney N,Ein SH

更新日期：2006-05-01 00:00:00