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Coverage of Midline Back Wounds with Perforator-Based Pedicled Fasciocutaneous Flaps

Jung SW, Choi JH, Na WG, Wee SJ

Background: The number of patients with midline back wounds is increasing. Midline back wounds may cause skin and soft tissue defects, resulting in cavity formation and bone or orthopedic metallic...
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The use of the dorsal metacarpal artery for reconstruction of distal dorsal finger defects: an anatomic study and clinical experience

Lee K, Jo T, Jeong W, Kim J, Son D, Choi J

Purpose: Dorsal metacarpal artery (DMA) flaps have been used successfully for distal dorsal finger defects. Some studies have reported inconsistent DMA anatomy, and there have been no studies on the...
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Long-term follow-up of a severely traumatized leg treated with ipsilateral fracture-united fibular transfer in a patient with amputation of the contralateral leg: a case report

Kim ES, Yang CE, Kim J, Kim SW

Extensive bone loss associated with severe vascular injury remains a challenge for lower extremity reconstruction. The fibular free flap has been utilized for many decades to reconstruct long-segment tibial defects....
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Single-Stage Peninsula-Shaped Lateral Tongue Flap Reconstruction for Buccal Defects in Two Patients: Revisiting a Simple and Safe Reconstructive Option

Kong YT, Lim SY, Kim J, Shin HW, Kim KN

Intraoral defects are increasingly reconstructed using free flaps. However, certain situations may render free flap reconstruction difficult. This study presents two cases with underlying comorbidities that underwent reconstruction of buccal...
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Dual-pedicled conjoined abdominal flap for breast reconstruction in a patient with previous radiation therapy

Kim JH, Kim NR, Kim YS, Oh DY

Delayed breast reconstruction is challenging because it requires a large volume and symmetry, and the dual-pedicled deep inferior epigastric perforator (DIEP) flap is used with microvascular augmentation. However, candidate recipient...
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The use of a pedicled buccal fat pad for reconstruction of posterior mandibular defects

Lee HW, Hong So, Bae H, Shin Y, Jee Yj

Background: The pedicled buccal fat pad has been used for a long time to reconstruct oral defects due to its ease of flap formation and few complications. Many cases related...
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Transposition Flap for Cutaneous Lesion Coverage in Dermatomyositis

Bae J, Jun D, Kim J, Choi H, Shin D, Lee M

Dermatomyositis (DM) is an autoimmune inflammatory myopathy with some cutaneous manifestations. We present the case of a patient with a bone-depth skin ulceration on the elbow that was well healed...
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Oncoplastic breast reduction using the short scar periareolar inferior pedicle reduction technique

Kim YS, Kim BS, Kim HS, In SK, Yi HS, Kim HI, Park JH, Choi JH, Kim HY

After a partial mastectomy, large or ptotic breasts can be reconstructed using breast reduction techniques. Wise-pattern reduction is typically used to remove masses in any quadrant of the breast, but...
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Reconstruction of Medial Malleolar Defect Using Posterior Tibial Artery Perforator Based Deep Fascial Flap after Malignant Melanoma Ablation

Heo JW, Kim YH, Chung YK

The soft tissue structure near the medial malleolus is an area where the bone is covered only with thin skin and subcutaneous tissue without structures like ligaments or tendons. In...
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Klebsiella pneumoniae necrotizing fasciitis on theupper lip in a patient with uncontrolled diabetes

Kim HS, Chang YJ, Chung CH

A 60-year-old woman with a history of diabetes mellitus and chronic renal failure was admitted to the hospital with severe pain in the upper lip, which began 4 days prior to...
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Giant congenital melanocytic nevus of the upper extremity: Coverage with a pre-expanded pedicled thoracodorsal artery perforator flap and re-expanded transferred flap

Yang HJ, Kang SY

Giant congenital melanocytic nevi are rare, and it is recommended to excise due to the possibility of malignancy. Although tissue expansion for nevus removal involves multiple stages, the advantages of...
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The supraclavicular artery island flap: a salvage option for head and neck reconstruction

Lee S, Cho HM, Kim JK, Nam W

BACKGROUND: Some of head and neck cancer patients are in compromised general condition after ablation surgery and chemoradiation therapy, which makes secondary free tissue transfer quite challenging. Elderly cancer patients...
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Analysis of 130 Cases of Pectoralis Major Flap for the Head and Neck Reconstruction

Lee GJ, Baek CH, Jeong HS, Chung MK, Son YI

BACKGROUND AND OBJECTIVES: Pectoralis major flap is the most versatile and reliable flap in the head and neck reconstruction. Owing to the recent development of microsurgical techniques, free flap reconstruction...
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Pedicled Perforator Flaps for Reconstruction of Bilateral Knee Defects: A Case Report

Park JS, Hong JP, Oh TS

Reconstruction of soft tissue defects of the knee has always been a challenging task for plastic surgeons. Various reconstructive choices are available depending on the location, size, and depth of...
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Use of the Anterolateral Thigh and Vertical Rectus Abdominis Musculocutaneous Flaps as Utility Flaps in Reconstructing Large Groin Defects

Aslim EJ, Rasheed MZ, Lin F, Ong YS, Tan BK

BACKGROUND: Groin dissections result in large wounds with exposed femoral vessels requiring soft tissue coverage, and the reconstructive options are diverse. In this study we reviewed our experience with the...
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Ipsilateral Dorsalis Pedis Vascularized Pedicle Flap in the Distal Leg and Foot

Yu CE, Lee JM, Choi HR

  • KMID: 1908167
  • Arch Reconstr Microsurg.
  • 2013 Nov;22(2):52-56.
PURPOSE: We had proceeded seven iIpsilateral dorsalis pedis vascularized pedicle flaps in the distal leg and foot to cover the restricted size defects and followed-up average for 5 years and...
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Chronic Pelvic Abscedation After Completion Proctectomy in a Rectal Stump Insufficiency; Treatment With Gracilis Muscle Flap Following Vacuum Assisted Closure Therapy

Gultekin F, Bakkal BH, Tayfun S, Babuccu O, Comert M

Presacral abscess formation due to rectal stump insufficiency following Hartmann procedure is very rare complication. If the abscess cavity is large, it might delay the reversal of the stoma and...
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Indications, Outcomes, and Complications of Pedicled Propeller Perforator Flaps for Upper Body Defects: A Systematic Review

Lazzeri D, Huemer GM, Nicoli F, Larcher L, Dashti T, Grassetti , Li Q, Zhang Y, Spinelli G, Agostini T

BACKGROUND: The aim of this investigation was to systematically review the current literature to provide the best data for indications, outcomes, survival, and complication rates of pedicled propeller perforator flaps...
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Analysis of 120 Pectoralis Major Flaps for Head and Neck Reconstruction

You YS, Chung CH, Chang YJ, Kim KH, Jung SW, Rho YS

BACKGROUND: A pectoralis major flap is one of the standard tools for the reconstruction of defects of the head and neck. Despite the technical advancement in free tissue transfer in...
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Reconstruction of Pretibial Defect Using Pedicled Perforator Flaps

Shin IS, Lee DW, Rah DK, Lee WJ

BACKGROUND: Coverage of defects of the pretibial area remains a challenge for surgeons. The difficulty comes from the limited mobility and availability of the overlying skin and soft tissue. We...
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