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Nipple-sparing mastectomy through periareolar incision with immediate reconstruction

Paek SH, Hong SE, Woo KJ, Woo J, Lim W

PURPOSE: Nipple-sparing mastectomy (NSM) has become increasingly popular due to improved cosmesis without compromising oncologic safety. Radial and inframammary incisions are usually used to achieve NSM, with periareolar incisions usually...
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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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The Innervated Distally Based First Dorsal Metatarsal Artery Flap with a Wide Pedicle for Reconstruction of a Great Toe Defect

Lee Y, Lee YH, Kim MB, Park J, Baek GH

BACKGROUND: It is difficult for surgeons to reconstruct soft tissue defects of the great toe. This report aims to evaluate the utility and efficacy of innervated distally based first dorsal...
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Medial Femoral Circumflex Artery Perforator Based Fasciocutaneous Flap Aided in Healing of Scrotal Defect due to Fournier Gangrene

Hong SW, Choi HJ, Kim JH

Fournier's gangrene is a rare, highly infectious necrotizing fasciitis of the perineum and genital area which is caused by a mixture of various bacterial organism. Treatment is predominantly surgical, including...
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Contribution of Perforator Flaps in the Flap Selection for Head and Neck Reconstruction

Kim JT

In head and neck reconstruction, microsurgeons are faced with various demands, such as thin resurfacing, or three-dimensional reconstruction, and therefore, conventional flap as well as perforator flaps are all useful...
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Use of the cross-leg distally based sural artery flap for the reconstruction of complex lower extremity defects

Liang W, Tan BK

Cross-leg flaps are a useful reconstructive option for complex lower limb defects when free flaps cannot be performed owing to vessel damage. We describe the use of the extended distally...
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The flip-flap puzzle flap: Another recycling option

Gandolfi S, Carloni R, Gilleron M, Bonmarchand A, Auquit-Auckbur I

Post-traumatic soft tissue defects sometimes require sequential flap coverage to achieve complete healing. In the era of propeller flaps, which were developed to reduce donor site morbidity, Feng et al....
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Distally-based free anterolateral thigh flap with a modified vena comitans

Kang CS, Kim TG

With the recent development in microsurgery, the use of a perforator flap has been widely implemented. If the length of the ALT flap pedicle is insufficient despite adequate preoperative planning,...
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Unilateral pedicled transverse rectus abdominis musculocutaneous flap and unilateral free deep inferior epigastric artery perforator flap as a surgical alternative in bilateral autologous breast reconstruction

Cho JM, Lee HC, Lee TJ, Kim EK

BACKGROUND: Bilateral microsurgical autologous reconstruction is known to increase operating time, costs, and complications compared to unilateral procedures. This study aimed to determine whether a unilateral pedicled transverse rectus abdominis...
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Reconstruction of a Circumferential Penile Shaft Defect Using Bilateral Superficial External Pudendal Artery Perforator Flaps

Park J, Shin D, Choi H, Kim J, Lee M

Penile shaft reconstruction requires adequate soft tissue characteristics as well as constant vascular pedicles when considering a perforator flap. The free flap technique using various donor sites and regional conventional...
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Survival of Neuro-Venous Flap without Perforator due to Accidental Division of Perforator

Byeon JY, Choi HJ

Author planed peroneal artery perforator flap for ankle reconstruction and experienced successful result using sural neuro-lesser saphenous venous flap due to an unexpected event. A male Asian patient, 24 years...
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Classification of Deep Inferior Epigastric Perforator Courses Based on Computed Tomography Angiography: Incidences and Clinical Implications

Lee Y, Kim SC, Eom JS, Kim EK

PURPOSE: Preoperative surgical planning utilizing computed tomography angiography (CTA) has now become a routine in many practices. We analyzed the course of the deep inferior epigastric artery (DIEA) and its...
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Analysis of gluteal subcutaneous and muscle thickness in infants and children for application to intramuscular injection, autologous fat grafting, and gluteal artery perforator flaps

Min HJ, Kim YJ

BACKGROUND: To achieve improvements in intramuscular injection, autologous fat grafting, and gluteal artery perforator flaps in infants and children, the relationships of computed tomography (CT)-determined gluteal muscle thickness (MT) and...
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Reconstruction of an Extensive Atrophic Scar in the Calf Using a Free Deep Inferior Epigastric Perforator Flap

Ha NH, Lee IJ

Recently, increasing interest has emerged in contouring of the lower leg. Harmonious legs are considered one of the most important elements of women's beauty. Calf augmentation is routinely performed using...
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The Usefulness of Perforator Flaps for the Definitive Management of Exposed Hardware in Patients with Lower Extremity Fracture

Kim SM, Jeong KS, Song HK, Park MC, Park DH, Lee IJ

PURPOSE: Hardware exposure after the lower extremity fractures operation is challenging to manage and requires long-term treatment. The traditional management of exposed hardware usually includes hardware removal. The purpose of...
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Successful treatment of a bowel fistula in the open abdomen by perforator flaps and an aponeurosis plug

Sashida Y, Kayo M, Hachiman H, Hori K, Kanda Y, Nagoya A

In this report, we present a case of successful treatment of a bowel fistula in the open abdomen by perforator flaps and an aponeurosis plug. A 70-year-old man underwent total...
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Secondary contouring of flaps

Kim TG, Choi MK

Perforator flaps are becoming increasingly common, and as primary thinning techniques are being developed, the need for secondary contouring of flaps is decreasing. However, many reconstructive flap procedures still incorporate...
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Flap thinning: Defatting after conventional elevation

Park BY

Perforator flaps become a reliable option for coverage of various defects and the interest is change from survival of perforator flaps to make thin flaps for better aesthetic and functional...
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Thin elevation: A technique for achieving thin perforator flaps

Jeong HH, Hong JP, Suh HS

Elevating thin flaps has long been a goal of reconstructive surgeons. Thin flaps have numerous advantages in reconstruction. In this study, we present a surgical method for elevating a thin...
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