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Reconstruction Using an Osteofasciocutaneous Fibula Free Flap for a Distal Tibial Defect in Refractory Chronic Osteomyelitis: A Case Report

Moon BM, Kim YS, Kim SE, Mun HG, Pae WS

The fibular free flap (FFF) is an option used for tibial defect reconstruction in post-traumatic chronic osteomyelitis (PCOM). However, as the tibia is a weight-bearing bone, there exists a risk...
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Scalp Reconstruction and Cranioplasty using the Latissimus Dorsi Musculocutaneous Flap in a Patient with Recurrent Wound Dehiscence Accompanied by MRSA Infection

Yoon T, Kim SW

The latissimus dorsi flap has high vascularity and is helpful for the reconstruction of infected areas. Herein, we present a patient with recurrent infections and soft-tissue defects who underwent cranial...
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Simultaneous Reconstruction of a Subtotal Maxillectomy and Columella Deficit using Radial Forearm and Preauricular Free Flaps

Yoon T, Eun S, Cho SW, Rhee CS

Reconstruction of subtotal maxillectomy defects with columella deficit is challenging. We report a unique case of facial reconstruction using a free radial forearm flap and a free preauricular flap for...
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Cumulative Sum Analysis of the Learning Curve of Free Flap Reconstruction in Head and Neck Cancer Patients

Han SH, Kim YC, Kwon TK, Lee DY

Objectives. Owing to the functional and structural complexity of the head and neck area, the reconstruction of defects in these areas is challenging. Free flap surgery has become standard for...
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Aspiration Patterns Observed in Patients With Free Flap Reconstruction Following T3 and T4 Tongue and Oropharyngeal Cancer Surgery: A Fiberoptic Endoscopic Evaluation of Swallowing

Kim BH, Chung EJ, Rho YS

Background and Objectives The objectives of this study were to investigate the aspiration patterns in patients with T3 and T4 oral and oropharyngeal cancers after free flap reconstruction following primary...
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Direction change in a distal bypass graft due to increased collateral perfusion after the free flap transfer: a case report

Seo D, Dannoura Y, Ishii R, Tada K, Horiuchi K

Distal bypass combined with a free flap is a frequent surgical option for ischemic ulcers of the lower extremities. Here, we describe a patient in whom there was a change...
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Transcutaneous medial fixation sutures for free flap inset after robot-assisted nipple-sparing mastectomy

Kim BS, Kuo WL, Cheong DCF, Lindenblatt N, Huang JJ

The application of minimal invasive mastectomy has allowed surgeons to perform nipplesparing mastectomy via a shorter, inconspicuous incision under clear vision and with more precise hemostasis. However, it poses new...
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Chondrocutaneous posterior auricular artery perforator free flap for single-stage reconstruction of the nasal tip: a case report

Lee JY, Seo JH, Jung SN, Seo BF

Full-thickness nasal tip reconstruction is a challenging process that requires provision of ample skin and soft tissue, and intricate cartilage structure that maintains its architecture in the long term. In...
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Lateral Arm Free Flap Reconstruction in a Patient with Severe Burn Scar Contracture of the Bilateral First Web Space

Yoon T, Eun S

An anatomically normal first web space is essential for optimal prehensile movements of the thumb and hand. A 28-year-old woman presented with severe scarring and contractures of the first web...
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Microsurgical Reconstruction of Lower Limb Using Thoracodorsal Artery Perforator Chimeric Free Flap after Popliteal Artery Revascularization: A Case Report

Choi BH, Chang LS, Park SO, Kim YH

Although traumatic popliteal artery injury is uncommon, it can significantly increase the risk of limb amputation because of the anatomical complexity and delayed diagnosis and treatment. Various tools are available...
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Radial forearm free flap in a patient with an unusual radial artery variation: a case report

Menichini G, Calabrese S, Alfonsi N, Innocenti M

Head and neck reconstruction poses unique challenges in rehabilitating surgical defects in terms of integrity, function, and form. The radial forearm free flap (RFFF) has been widely used for defect...
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Externally Monitored Versus Conventional Buried Flaps in Laryngopharyngeal Reconstruction

Ban MJ, Na G, Ko S, Kim J, Heo NH, Choi EC, Park JH, Kim WS

Objectives. To compare the surgical outcomes of externally monitored and conventional buried flaps with the goal of determining the usefulness of external monitoring of buried flaps. Methods. In this case-control study...
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Full-Thickness Skin Grafts for Coverage of the Pedicle in Partial Second Toe Pulp Free Flap

Cha WJ, Seo JH, Kim J, Jung SN, Seo BF

Pedicle coverage during free flap reconstruction of the digit commonly presents complicated issues. As the finger is a cylindrical unit with small volume, it is difficult to secure ample soft...
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Reconstructive methods to resolve intractable fistulas that develop after radiation therapy in patients with head and neck cancer

Choi BH, Park SO, Ahn HC

Background: Radiation therapy (RT) is frequently used for supportive treatment and management of advanced head and neck cancers. This study performed a retrospective review of the treatment methods that were...
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Anterior skull base reconstruction using an anterolateral thigh free flap

Kim SH, Lee WJ, Chang JH, Moon JH, Kang SG, Kim CH, Hong JW

Background: Galeal or temporalis muscle flaps have been traditionally used to reconstruct skull base defects after tumor removal. Unfortunately, these flaps do not provide sufficient vascularized tissue for a dural...
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Latissimus dorsi detrusor myoplasty for bladder acontractility: a systematic review

Forte AJ, Boczar D, Huayllani MT, Moran S, Okanlami OO, Ninkovic M, Broer PN

Bladder acontractility affects several thousand patients in the United States, but the available therapies are limited. Latissimus dorsi detrusor myoplasty (LDDM) is a therapeutic option that allows patients with bladder...
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Primary thrombolysis for free flap surgery in head and neck reconstruction: a case report and review

Zhang SL, Ng HW

The use of free flaps is an essential and reliable method of reconstruction in complex head and neck defects. Flap failure remains the most feared complication, the most common cause...
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Reconstruction of a pathologic fracture following osteomyelitis of the mandible using a fibula osteocutaneous flap

Kim T, Kim J, Choi J, Jo T, Shin HC, Jeong W

The use of a fibula osteocutaneous flap is currently the mainstay of segmental mandibular reconstruction. This type of flap is used to treat tumors, trauma, or osteoradionecrosis of the mandible....
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Scalp Reconstruction Using Microvascular Free Tissue Transfer in the Patients with Intracranial Antibiotic-Resistant Bacteria Infection

Kim H, Lee S, Lee J, Shin S, Kim J, Suh I, Kim S

Purpose: When scalp infection occurs after craniectomy and cranioplasty, it tends to be recurrent and fatal. The infection can spread to the underlying tissue when the skull is not present...
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Comparing Outcomes of Single Versus Double Venous Anastomosis in Free Flap Operation for Lower Extremity Defect Reconstruction: A Meta-Analysis

Kim S, Lee KT

Background: Free flap operation is a common procedure for reconstructing defects of the lower extremity. However, venous congestion often results in flap failure in lower extremity reconstruction. Dual-vein anastomosis, one...
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