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Usefulness of Color Doppler Ultrasonography for the Preoperative Evaluation of Thin Anterolateral Thigh Flap Perforators

Lee KJ, Park I, Roh SY, Koh SH, Kim JS, Lee DC, Koo JH

Purpose: The anterolateral thigh flap is commonly applied to various body sites for reconstruction. However, surgeons often struggle against unexpected locations and the nature of perforator vessels during surgery. Thus,...
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Objective photographic assessments and comparisons of immediate bilateral breast reconstruction using deep inferior epigastric perforator flaps and implants

Han HH, Choi JM, Eom JS

Background The increasing number of bilateral breast cancer patients has been accompanied by a growing need for bilateral mastectomy with immediate reconstruction. However, little research has investigated the complications and...
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Closure of meningomyelocele defects using various types of keystone-design perforator island flaps

Putri NM, Tunjung N, Sadikin PM

Background Various methods have been described to close large meningomyelocele defects, but no technique has been proven superior to others. This study presents cases of meningomyelocele defect closure with a...
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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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Thin and superthin perforator flap elevation based on preoperative planning with ultrahigh-frequency ultrasound

Visconti G, Bianchi A, Hayashi A, Cina A, Maccauro G, Almadori G, Salgarello M

The ability to directly harvest thin and superthin perforator flaps without jeopardizing their vascularity depends on knowledge of the microsurgical vascular anatomy of each perforator within the subcutaneous tissue up...
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Hinged multiperforator-based extended dorsalis pedis adipofascial flap for dorsal foot defects

Moktader MAAA

Background Adipofascial flaps covered with a skin graft address the challenges involved in reconstructing dorsal foot defects. The purpose of this study was to describe a large adipofascial flap based...
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The suprafascial course of lower leg perforators: An anatomical study

Vaienti L, Cottone G, Francesco , Borelli F, Zaccaria G, Amendola F

Background Perforator mapping has been well described in the literature. Once the suprafascial plane is reached, the course of perforators is considered constant. However, the surgeon must be aware of...
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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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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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Three-Directional Reconstruction of a Massive Perineal Defect after Wide Local Excision of Extramammary Paget's Disease

Cho SW, Chang H, Kwon ST

Extramammary Paget's disease (EMPD) is a rare, slow-growing intraepithelial malignancy that mainly involves the genital region, including the vulva, penis, scrotum, perianal, and periurethral areas. Although several treatment options exist,...
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A Preoperative Marking Template for Deep Inferior Epigastric Artery Perforator Flap Perforators in Breast Reconstruction

Miranda BH, Pywell M, Floyd D

Preoperative perforator marking for deep inferior epigastric artery perforator flaps is vital to the success of the procedure in breast reconstruction. Advances in imaging have facilitated accurate identification and preselection...
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Regional Analysis of Soft Tissue Thickness on Korean Buttocks and Application to Fasciocutaneous Flap Design

Kim DY, Choi HN, Park JH, Kim SR, Kim H, Han YS

BACKGROUND: Various shapes and designs of the gluteal artery perforator flap have been used for treating sacral pressure sores and reconstructing breasts. To establish the ideal fasciocutaneous flap design for...
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Perforator Flaps in Head and Neck Reconstruction

Kim YH, Kim JT

Basic requirements of head and neck reconstructions are thin resurfacing, a long vascular pedicle, 3-dimensional and well customized reconstruction with a team approach. Ideal reconstruction methods were thought to be free...
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