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Subtotal calvarial vault reconstruction utilizing a customized polyetheretherketone (PEEK) implant with chimeric microvascular soft tissue coverage in a patient with syndrome of the trephined: A case report

Wang JS, Ter Louw R, DeFazio MV, McGrail KM, Evans KK

The syndrome of the trephined is a neurologic phenomenon that manifests as sudden decline in cognition, behavior, and sensorimotor function due to loss of intracranial domain. This scenario typically occurs...
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Volumetric changes of the pedicled transverse rectus abdominis musculocutaneous flap and the contralateral native breast during long-term follow-up

Lee TJ, Cho JM, Jo T, Han WY, Maldonado , Eom JS, Kim EK

BACKGROUND: Serial volumetric changes of reconstructed breasts have not been studied in detail. In this study, we analyzed serial volumetric changes of reconstructed and contralateral normal breasts during long-term follow-up,...
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Feasibility of a de-epithelialized orbicularis oculi musculocutaneous flap for subbrow blepharoplasty

Kim SY, Ahn MR, Suh YC, Kim YJ, Lee JH

BACKGROUND: Subbrow blepharoplasty (SBB) has advantages over traditional blepharoplasty in that it results in more natural-looking creases and contours and is more effective for lateral periorbital rejuvenation. However, in older...
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Use of Abnobaviscum to treat refractory seroma after breast reconstruction with a latissimus dorsi flap: A case report

Kim JS, Eo PS, Lee JS, Lee JW, Chung HY, Cho BC, Choi KY, Park HY, Yang JD

In recent years, there has been a notable increase in the rate of refractory donor site seroma, defined as seroma that persists for at least 3 months postoperatively, as the...
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Choice of recipient vessels in muscle-sparing transverse rectus abdominis myocutaneous flap breast reconstruction: A comparative study

Moon KC, Lee JM, Baek SO, Jang SY, Yoon ES, Lee BI, Park SH

BACKGROUND: Thoracodorsal vessels (TDVs) and internal mammary vessels (IMVs) have both been widely employed as recipient vessels for use in free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flaps. However, whether...
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Volumetric change of the latissimus dorsi muscle after immediate breast reconstruction with an extended latissimus dorsi musculocutaneous flap

Nam SB, Oh HC, Choi JY, Bae SH, Choo KS, Kim HY, Lee SH, Lee JW

BACKGROUND: In immediate breast reconstruction using an extended latissimus dorsi musculocutaneous (eLDMC) flap, the volume of the flap decreases, which causes a secondary deformity of the breast shape. Since little...
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Total quilting suture at latissimus dorsi muscle donor site: Drain tube is no longer needed

Cha Y, Lee S, Bae Y, Jung Y, Choi J

PURPOSE: The purpose of this study was to assess the effect of quilting suture extent on the latissimus dorsi myocutaneous flap (LDMCF) donor site and the necessity of drainage. METHODS: Clinical...
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Radiation Induced Perineo-Coccygeal Defect Coverage with Latissimus Dorsi Musculocutaneous Free Flap

Oh J, Jeon JI, Eun S

Perineal defect reconstruction is usually encountered in oncological conditions, trauma, or infection such as Fournier's gangrene. Reconstructive surgeons face challenges due to the complex structure and diversity of the different...
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Using a Pedicled Latissimus Dorsi Musculocutaneous Flap to Treat Infective Costochondritis Following Breast Reconstruction Using an Implant

Kim JH, Baek SE, Oh DY

Infectious costochondritis seldom occurs after breast reconstruction. The treatment requires wide debridement, appropriate wound cover, and antibiotic therapy. A 53-year-old female patient was referred due to an unhealed right breast...
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Investigation of the dorsolateral branch of the posterior intercostal artery for use as the pedicle of a free flap: A cadaveric study and case series

Nam SB, Seo JY, Park TS, Sung JY, Kim JH, Lee JW, Kim MW, Oh HC

BACKGROUND: The dorsolateral branch of the posterior intercostal artery (DLBPI) can be easily found while harvesting a latissimus dorsi (LD) musculocutaneous flap for breast reconstruction. However, it remains unknown whether...
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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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Dimensional changes in reconstructed nipples: autologous versus prosthetic breast reconstruction

Yang CE, Park KH, Lew DH, Roh TS, Lee DW

PURPOSE: The creation of the nipple-areola complex is the final stage in breast reconstruction and highly affects patient satisfaction. The neo-nipple is well known to shrink over time, particularly in...
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A novel technique for large and ptotic breast reconstruction using a latissimus dorsi myocutaneous flap set at the posterior aspect, combined with a silicone implant, following tissue expander surgery

Ishii N, Ando J, Shimizu Y, Kishi K

Large and ptotic breast reconstruction in patients who are not candidates for a transverse rectus abdominalis myocutaneous flap and revision surgery for the contralateral breast remains challenging. We developed a...
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Location of the umbilicus in Korean women and its changes after breast reconstruction with an ipsilateral pedicled rectus abdominis musculocutaneous flap

Oh S, Jeon H, Son D

BACKGROUND: The umbilicus makes an important contribution to the natural appearance of the abdomen. To date, studies on its position in Korean women are lacking, and no standards have been...
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Breast Reconstruction with Free Transverse Rectus Abdominis Myocutaneous Flap Complicated by Deep Vein Thrombosis-associated Pulmonary Thrombo-embolism

Heo JW, Jin US

Over the last few decades, autologous tissue has gained an increasing popularity as a mean of immediate breast reconstruction after oncological mastectomy. Especially in the case of delayed reconstruction or...
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Treatment of Fungal Empyema Combined with Osteoradionecrosis by Thoracoplasty and Myocutaneous Flap Transposition

Lee JS, Park IK, Park S, Hyun KY, Kang CH, Kim YT

We report the rare case of a 58-year-old woman who was diagnosed with fungal empyema thoracis combined with osteoradionecrosis. After 32 months of home care followed by open window thoracostomy,...
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Subsurface Fractional Ablative Resurfacing of a Periareolar Scar Using 1,064-nm Picosecond Laser with Micro-Lens Array

Choi Y, Park ES

Although picosecond lasers were invented as an effective treatment of pigmented lesions, the Food and Drug Administration has also approved picosecond lasers with fractional mode for treating acne scars and...
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Usefulness of the orbicularis oculi myocutaneous flap in periorbital reconstruction

Kim GW, Bae YC, Kim JH, Nam SB, Kim HS

BACKGROUND: The esthetic and functional outcomes of periorbital defect reconstruction are very important because of the complex anatomy and specialized functions of this region. The orbicularis oculi myocutaneous (OOMC) flap...
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A shark attack treated in a tertiary care centre: Case report and review of the literature

Roy M, Plant MA, Snell L

Although uncommon, shark attacks can lead to devastating outcomes for victims. Surgeons also face unique challenges during operative management such as exsanguination, shock, specific injury patterns and infections. This case...
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Mandibular reconstruction with a ready-made type and a custom-made type titanium mesh after mandibular resection in patients with oral cancer

Lee WB, Choi WH, Lee HG, Choi NR, Hwang DS, Kim UK

BACKGROUND: After the resection at the mandibular site involving oral cancer, free vascularized fibular graft, a type of vascularized autograft, is often used for the mandibular reconstruction. Titanium mesh (T-mesh)...
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