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Skin-sparing Mastectomy and Immediate Nipple Graft for Large, Ptotic Breast

Kim EK, Cho JM, Lee JW

Nipple-areolar skin-sparing mastectomy followed by autologous reconstruction in patients with large, ptotic breasts often offers a limited field, resulting in strenuous traction. Skin-sparing mastectomy (SSM) with immediate nipple grafting from...
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Peroneal Artery Perforator Free Flap on the Palm and Removal of Back Foreign Body in High Voltage Electrical Burn Patient: A Case Report

Jung SW, Lee SJ

Wound caused by high-tension electrical burns is difficult to manage because the wound is deep and complex. The wound is progressively necrotic due to microvascular injury resulting in deep tissue...
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Unplanned change from double free flap to a chimeric anterolateral thigh flap in recurrent laryngeal cancer

Ki SH, Ma SH, Sim SH, Choi MS

Reconstruction method choice in recurrent head and neck cancer depends on surgical history, radiation therapy dosage, conditions of recipient vessels, and general patient condition. Furthermore, when defects are multiple or...
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Free Posterior Interosseous Artery Flap for Treatment of First Web Space Contracture: Methods of Venous Anastomosis

Fujiwara M, Matsushita Y, Maeba Y, Suzuki A, Fukamizu H, Tokura Y

PURPOSE: First web space widening is crucial in the hand function. The skin on the dorsal side of the forearm can provide a thin and pliable skin suitable for first...
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Radiation Induced Perineo-Coccygeal Defect Coverage with Latissimus Dorsi Musculocutaneous Free Flap

Oh J, Jeon JI, Eun S

Perineal defect reconstruction is usually encountered in oncological conditions, trauma, or infection such as Fournier's gangrene. Reconstructive surgeons face challenges due to the complex structure and diversity of the different...
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Salvage Procedure of a Lower Leg in a Contact Burn: Latissimus Dorsi Muscle Free Flap and Scalp Skin Graft

Oh SJ, Moon D

Intentional carbon monoxide (CO) poisoning has become rapidly increased occurrence, also if the surviving patient is burnt and unconscious, the patient's burn wound is likely to be severely deep and...
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Reconstruction of the Fingertip Defect with a Free Radial Artery Superficial Palmar Branch Flap and Iliac Bone Graft

Lee J, Park HS, Whang JI

Fingertip injury occurs due to various causes. Trauma is the most common cause, and most cases are accompanied by bone defects as well as skin and soft tissue defects. When...
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Reconstruction of Multiple Fingertip Defects Using the Innervated Radial Artery Superficial Palmar Branch Perforator Flap

Lee J, Park HS, Oh BS, Whang JI, Seo HG

PURPOSE: The reconstruction of posttraumatic fingertip defects requires adequate soft tissue coverage, sensibility and minimal donor site morbidity. Reconstruction is more difficult in the case of multiple fingertip defects. The...
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Incidental finding of subclavian artery occlusion and subsequent hypoplastic internal mammary artery as a candidate recipient vessel in DIEP flap breast reconstruction

Seong IH, Woo KJ

We report a case of autologous breast reconstruction in which a thoracodorsal vessel was used as a recipient vessel after a hypoplastic internal mammary vessel was found on preoperative computed...
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Late avulsion of a free flap in a patient with severe psychiatric illness: Establishing a successful salvage strategy

Schaffer C, Hart A, Watfa W, Raffoul W, di Summa P

Post-traumatic defects of the distal third of the leg often require skipping a few steps of the well-established reconstructive ladder, due to the limited local reliable reconstructive options. In rare...
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Free flap thrombosis in patients with hypercoagulability: A systematic review

Biben JA, Atmodiwirjo P

BACKGROUND: Even with satisfactory anastomosis technique and adequate experience of the surgeon, flap loss due to thrombosis can still occur due to the patient’s underlying condition. Patients with hypercoagulability due...
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The effectiveness of an enhanced recovery after surgery protocol in head and neck cancer surgery with free-flap reconstruction

Won HR, An JY, Lee JJ, Kim DY, Jang JY, Kim CH, Shin YS

PURPOSE: An enhanced recovery after surgery (ERAS) protocol incorporates up-to-date perioperative care principles; the primary aim in using an ERAS protocol is to reduce issues that delay the recovery and...
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Distant metastasis of follicular thyroid carcinoma to the mandible: a rare case report

Jeon YT, Kim CH, Park SM, Kim MK

Treatment of metastatic carcinoma of the oral cavity can be a challenge due to its rarity. The current case report details metastatic carcinoma of the mandible originating from follicular thyroid...
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Sequential reconstruction for recurrent head and neck cancer: A 10-year experience

Chung SW, Byun IH, Lee WJ

BACKGROUND: Most patients with head and neck cancer successfully undergo oncologic resection followed by free or local flap reconstruction, depending on the tumor’s size and location. Despite effective curative resection...
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A 20-year experience of immediate mandibular reconstruction using free fibula osteocutaneous flaps following ameloblastoma resection: Radical resection, outcomes, and recurrence

Chai KS, Omar FH, Mat Saad A, Wan Sulaiman WA, Halim AS

BACKGROUND: The mandible is an important structure that is located in the lower third of the face. Large mandibular defects after tumor resection cause loss of its function. This study...
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Free Flap Reconstruction in Patients with Traumatic Injury of the Forefoot

Kang SH, Oh J, Eun SC

Many techniques have been developed for reconstruction of the hand; however, less attention has been paid to foot reconstruction techniques. In particular, reconstruction of the forefoot and big toe has...
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Bilateral Free 2nd Toe Pulp Flap for Reconstruction of Soft Tissue Defect in Traumatic Finger Injuries

Oh J, Eun SC

Finger reconstruction involves paramount significance of both functional and aesthetic aspects, due to its great impact on quality of life. The options range from primary closure, skin grafts, local flaps,...
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Comparison of Skin Graft for the Defect of the Radial Forearm Free Flap

Lee JK, Yoon SH, Kang TG, Kim JG, Kim HY, Lim HR, Jeong SH, Park KS

BACKGROUND AND OBJECTIVES: This study compared two types of skin graft reconstruction for the defect of the radial forearm free flap. SUBJECTS AND METHOD: Ten cases of split-thickness skin graft (STSG)...
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Treatment of Cutaneous Leiomyosarcoma on the Cheek with Superficial Circumflex Iliac Artery Perforator Fasciocutaneous Free Flap: A Case Report

Hong WT, Chung YK

Cutaneous leiomyosarcoma (CLM) is a rare soft tissue sarcoma derived from the dermis or subcutaneous portion of the skin. Recently, a young male patient presented with a very rare case...
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Sensate Medial Plantar Free Flap Transfer and Adductor Pollicis Myotomy for Treatment of Palmar Burn Scar Contracture

Ku I, Jeong E

A postburn contracture involving the palmar skin and subcutaneous tissues results in a severe loss of functionality of the affected hand. The corrective surgical procedures aim for an improvement of...
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