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Reconstruction of a Mangled Hand with a Thoracodorsal Artery Perforator Free Flap: A Report of Two Cases

Park HS, Kim DJ, Hwang JI

Mangled hands are a severely injured condition that is a rare and challenging problem for reconstructive surgeons. Surgical flaps such as anterolateral thigh, radial forearm, or thoracodorsal artery flaps have...
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Head and neck reconstruction using free flaps: a 30-year medical record review

Suh JM, Chung CH, Chang YJ

Background: The free flap surgical method is useful for the reconstruction of head and neck defects. This study retrospectively analyzed the results of head and neck reconstructions using various types...
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The perforator-centralizing technique for super-thin anterolateral thigh perforator flaps: Minimizing the partial necrosis rate

Suh YC, Kim NR, Jun DW, Lee JH, Kim YJ

Background Despite the wide demand for thin flaps for various types of extremity reconstruction, the thin elevation technique for anterolateral thigh (ALT) flaps is not very popular because of its...
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Free Flap Reconstruction of a Challenging Defect in the Posterior Cervicothoracic Region Using the Transverse Cervical Artery

Lee NH, Seo DH, Roh SG, Chang SC, Shin JY

Reconstructions of large defects located in the posterior cervicothoracic region still present challenges to plastic surgeons. The local or regional flap is preferred in the posterior cervicothoracic region and many...
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Dual vascular free transverse rectus abdominis myocutaneous flap for hemifacial reconstruction in a vessel-depleted neck

Lee SH, You HJ, Lee YH, Kim DW

Cutaneous squamous cell carcinoma (SCC) is the second most common skin malignancy. This report describes the case of an unusual extensive SCC involving the whole hemiface, which required reconstruction with...
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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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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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Usefulness of Anterolateral Thigh Flap for Severe Trauma Patients at the Regional Trauma Center

Hong SM, Kim YJ, Kwak SH, Kim DH, Lee HJ, Rhee SJ, Ahn TY, Lee SH

PURPOSE: The purpose of the research is to identify the result of using anterolateral thigh (ALT) flap to multiple trauma patients with open fracture accompanying soft tissue injuries. METHODS: The subjects...
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Reconstruction of a Large Infected Midline Abdominal Wall Defect Using a Latissimus Dorsi Free Flap

Cha HG, Kim EK, Hong SK

Managing large infected midline abdominal defects are clinically challenging and technically demanding. The alloplastic materials, regional flaps, and component separation are usually infeasible because of the size, location, depth, and...
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An Iatrogenic Flap Necrosis Case: Factors to Consider for Successful Flap Elevation

Ha NH, Lee IJ

The free flap technique has been used for lower limb reconstruction. Still, the free flap itself and related surgical procedures are challenging process, because there's a lot of factors to...
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Venous Thrombosis in Free Flap Reconstruction Following Intravenous Administration of Furosemide: A Case Report

Jung SY, Jeong SH, Dhong ES, Han SK, Kim WK

Some patients who undergo free flap reconstruction may suffer pulmonary edema, requiring postoperative medical intervention including use of diuretic agents, such as furosemide. However, the effect of diuretic agents on...
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Two-Blade Guillotine Technique for Nipple Graft Harvest

Wong AW, Chew KY, Tan BK

The nipple-sharing technique for nipple reconstruction offers excellent tissue matching. The method used for nipple graft harvesting determines the quality of the graft and hence, the success of nipple sharing....
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The Pros and Cons of Computer-Aided Surgery for Segmental Mandibular Reconstruction after Oncological Surgery

Han HH, Kim HY, Lee JY

Computer-aided surgery (CAS) started being used for head and neck reconstruction in the late 2000s. Its use represented a paradigm shift, changing the concept of head and neck reconstruction as...
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Reconstruction of Postburn Contracture of the Forefoot Using the Anterolateral Thigh Flap

Lee SH, An SJ, Kim NR, Kim UJ, Kim JI

BACKGROUND: Severe forefoot deformities, particularly those involving the dorsum of the foot, cause inconvenience in daily activities of living including moderate pain on the dorsal aspect of the contracted foot...
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Anterolateral Thigh Thickness Measurement in Positron Emission Tomography-Computed Tomography for the Prediction of Free Flap Reconstruction Outcomes in Head and Neck Cancer

Ban MJ, Park JH, Byeon HK, Chang JW, Ahn JH, Kim JH, Kim WS, Koh YW, Kim SH, Choi EC

BACKGROUND AND OBJECTIVES: Anterolateral thigh (ALT) flaps are commonly used for head and neck surgery reconstruction. However, a thick ALT often leads to long operation times. Therefore, ALT thickness on...
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Reconstruction of a Mangled Foot with an Anterolateral Thigh Free Flap

Cook KH, Park MC, Park DH, Lee IJ, Song HK, Park YU

PURPOSE: In recent decades, amputation is still recommended for patients with extensive lower extremity wounds requiring coverage. Although the feet contribute relatively little to total body surface area, they are...
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Perforator Reconstruction to Salvage the Jeopardized Flaps

Eom JS, Choi DH

During flap elevation, most perforators are cut except one or more perforators that are essential to flap survival. However these cutout perforators can cause deterioration of the blood circulation of...
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Reconstruction of Large Bone and Soft Tissue Defect Combined with Infection in the Lower Extremity with Free Flap Followed by Ipsilateral Vascularized Fibular Transposition

Chung DW, Han CS, Lee JH, Kim EY, Park KH, Kim DK

  • KMID: 1908168
  • Arch Reconstr Microsurg.
  • 2013 Nov;22(2):57-62.
PURPOSE: The aim of this study is to report on the results and discuss the role of free flap followed by ipsilateral vascularized fibular transposition (IVFT) for reconstruction of large...
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Adipofascial Anterolateral Thigh Flap Safety: Applications and Complications

Agostini T, Russo GL, Zhang YX, Spinelli G, Lazzeri D

BACKGROUND: A thinned anterolateral thigh (ALT) flap is often harvested to achieve optimal skin resurfacing. Several techniques have been described to thin an ALT flap including an adipocutaneous flap, an...
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Treatment of a Huge Odontogenic Myxoma in the Mandible with Surgical Resection and Reconstruction Using a Vascularized Fibular Free Flap: Case Report

Suh JW, Kim EG, Park WJ, Kim SM, Lee JH

  • KMID: 2136909
  • J Korean Assoc Maxillofac Plast Reconstr Surg.
  • 2012 Jan;34(1):85-90.
The odontogenic myxoma is a relatively rare, benign tumor that occurs on the jaw. A 41 year-old man visited Seoul National University Dental Hospital because of swelling of the mandible....
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