An innovative treatment concept for free flap reconstruction of complex central chest wall defects—The cephalic-thoraco-acromial (CTA) loop

Microsurgery ◽  
2007 ◽  
Vol 27 (5) ◽  
pp. 481-486 ◽  
Author(s):  
Holger Engel ◽  
Michael Pelzer ◽  
Michael Sauerbier ◽  
Günther Germann ◽  
Christoph Heitmann
Keyword(s):  
Chest Wall ◽  
Free Flap ◽  
Treatment Concept ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Innovative Treatment ◽  
Chest Wall Defects

scholarly journals Development of A Surgical Treatment Algorithm for Breast Reconstruction in Poland Syndrome Patients Considering Severity, Sex, and BMI

2021 ◽  
Vol 10 (19) ◽  
pp. 4515
Author(s):  
Maximilian Mahrhofer ◽  
Thomas Schoeller ◽  
Maria Casari ◽  
Kathrin Bachleitner ◽  
Laurenz Weitgasser
Keyword(s):  
Chest Wall ◽  
Free Flap ◽  
Treatment Algorithm ◽  
Poland Syndrome ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Perforator Flaps ◽  
Fat Transfer ◽  
Institutional Experience ◽  
Deep Inferior Epigastric Perforator

Introduction: Poland syndrome is a rare, challenging combination of chest wall and breast deformities for reconstructive surgeons and selecting the treatment can prove difficult. This study aims to help surgeons in choosing the best viable option for treatment by sharing our institutional experience and proposing a guiding algorithm. Methods: A retrospective analysis of all patients with Poland syndrome undergoing treatment for breast and chest wall deformities at a single institution between December 2011 and May 2020 was performed. Medical charts were reviewed to allow for a description of patient demographics, treatment modalities and complications. A treatment algorithm to aid in selecting the adequate reconstructive option based on our institutional experience was formulated. Results: A total of 22 patients (six male, 16 female) were identified who received treatment for Poland Syndrome related deformities. Nine received microsurgical free flap reconstruction (three Deep Inferior Epigastric Perforator flaps, six Transverse Myocutaneous Gracilis flaps), two received reconstruction with a local flap (two Latissimus dorsi flaps), nine received implant based reconstruction, and two were treated with autologous free fat transfer only (17 in combination with other surgical methods). Conclusion: Free flap reconstruction with the TMG flap is a valid option for patients with low Body Mass Index (BMI), while Deep Inferior Epigastric Perforator flaps should be considered for patients with a higher BMI. Autologous free fat transfer proves to be a safe and efficient treatment option in mild cases of Poland syndrome for male and female patients, in combination with or without implant based reconstructive surgery. Multicentre studies should be conducted to achieve higher case numbers of this rare disease and support clinical decisions with more data.

Fibula free flap reconstruction of the mandible in cancer patients: Evaluation of a combined surgical and prosthodontic treatment concept

Oral Oncology ◽  
2008 ◽  
Vol 44 (6) ◽  
pp. 571-581 ◽  
Author(s):  
Koord Smolka ◽  
Michel Kraehenbuehl ◽  
Nicole Eggensperger ◽  
Wock Hallermann ◽  
Hanna Thoren ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Free Flap ◽  
Treatment Concept ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Fibula Free Flap

Orbital Outcomes after Periorbital Free Flap Reconstruction

2019 ◽  
Author(s):  
Ramez Philips ◽  
Alexander Graf ◽  
Michael Topf ◽  
Howard Krein ◽  
Ryan Heffelfinger ◽  
...  
Keyword(s):  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction

Technical Considerations in Pedicle Management in Upper and Midfacial Free Flap Reconstruction

2021 ◽  
Author(s):  
Brian Swendseid ◽  
Matthew Stewart ◽  
Eric Mastrolonardo ◽  
Eleanor McCreary ◽  
Ryan Heffelfinger ◽  
...  
Keyword(s):  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Technical Considerations

Free Flap Reconstruction of the Anterior Skull Base: A Systematic Review

2021 ◽  
Author(s):  
Rajan P. Dang ◽  
Abhinav R. Ettyreddy ◽  
Zain Rizvi ◽  
Michelle Doering ◽  
Angela L. Mazul ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Free Flap ◽  
High Reliability ◽  
Anterior Skull Base ◽  
Microvascular Reconstruction ◽  
Complication Rates ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Comprehensive Search

Abstract Objectives Given the limitations in the available literature, the precise indications, techniques, and outcomes of anterior skull base free flap reconstruction remain uncertain. The objective of this study was to perform a systematic review of published literature and evaluate indications, methods, and complications for anterior skull base free flap reconstruction. Methods A systematic review of the literature was performed using a set of search criteria to identify patients who underwent free flap reconstruction of the anterior skull base. Articles were reviewed for inclusion based on relevance, with the primary outcome being surgical complications. Results After a comprehensive search, 406 articles were obtained and 16 articles were ultimately found to be relevant to this review—79 patients undergoing free flap reconstruction were identified. Overall complication rates were 17.7% (95% confidence interval [CI]: 16.6–33.1%) for major complications and 19.0% (95% CI: 17.8–35.5%) for minor complications. Conclusion Microvascular reconstruction of the anterior skull base is feasible with high reliability reported in the literature.

scholarly journals Analysis of speech and swallowing and quality of life in patients undergoing subtotal glossectomy with free flap reconstruction followed by radiotherapy

2021 ◽  
Vol 8 (1) ◽  
pp. 37-41
Author(s):  
Angelos Mantelakis ◽  
Konstantinos Vachtsevanos ◽  
Harry V. M. Spiers ◽  
Christina Gavriilidou ◽  
Stamatis Sapountzis
Keyword(s):  
Quality Of Life ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction
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