Scholars@Duke
Detlev Erdmann

Detlev Erdmann

Professor of Surgery
Surgery, Plastic, Maxillofacial, and Oral Surgery
detlev.erdmann@duke.edu
Box 3181 Med Ctr, Durham, NC 27710
131 Baker House, Brown Zone, Durham, NC 27710
Office hours

Selected Publications

Combined posterior approach brachioplasty and cubital tunnel release in massive weight loss patients

Journal Article European Journal of Plastic Surgery · December 1, 2024 Cubital tunnel syndrome can present after massive weight loss due to the loss of protective adipose tissue around the elbow. However, surgical access to the cubital tunnel is challenging in this patient population due to severe upper arm skin excess. We pr ... Full text Cite

Assessing the Benefits and Downsides of Physician Review Websites to Plastic Surgeons: A Cost-Benefit Analysis.

Journal Article Ann Plast Surg · May 1, 2024 BACKGROUND: Patients often evaluate the reputations of plastic surgeons based on their performances on physician review websites. This article aims to compare rating methodologies and conduct a cost-benefit analysis of physician review websites to further ... Full text Link to item Cite

The Influence of Patient and Surgeon Characteristics on Press Ganey Provider Ratings in Plastic Surgery.

Journal Article Aesthet Surg J · January 16, 2024 BACKGROUND: Although patient satisfaction ratings are increasingly used as hospital and provider performance metrics, these ratings may be affected by factors extraneous to surgeon performance. OBJECTIVES: The aim of this study was to assess whether outpat ... Full text Link to item Cite

Evidence-Based Medicine: Systemic Perioperative Antibiotic Prophylaxis for Prevention of Surgical-Site Infections in Plastic and Reconstructive Surgery.

Journal Article Plast Reconstr Surg · December 1, 2023 BACKGROUND: After nearly a decade of new data, the Evidence-Based Consensus Conference Statement from the American Association of Plastic Surgeons was updated for prophylactic systemic antibiotics to prevent surgical-site infections (SSI). Pharmacotherapeu ... Full text Link to item Cite

An aging-susceptible circadian rhythm controls cutaneous antiviral immunity.

Journal Article JCI Insight · October 23, 2023 Aged skin is prone to viral infections, but the mechanisms responsible for this immunosenescent immune risk are unclear. We observed that aged murine and human skin expressed reduced levels of antiviral proteins (AVPs) and circadian regulators, including B ... Full text Link to item Cite

A Multicenter Prospective Randomized Comparison of Conduits Versus Decellularized Nerve Allograft for Digital Nerve Repairs.

Journal Article J Hand Surg Am · September 2023 PURPOSE: While there are advantages and disadvantages to both processed nerve allografts (PNA) and conduits, a large, well-controlled prospective study is needed to compare the efficacy and to delineate how each of these repair tools can be best applied to ... Full text Link to item Cite

An Aging-Susceptible Circadian Rhythm Controls Cutaneous Antiviral Immunity.

Conference bioRxiv · April 18, 2023 Aged skin is prone to viral infections, but the mechanisms responsible for this immunosenescent immune risk are unclear. We observed that aged murine and human skin expressed reduced antiviral proteins (AVPs) and circadian regulators including Bmal1 and Cl ... Full text Link to item Cite

Outcomes of an Algorithmic, Multidisciplinary Approach to Rectourethral Fistula Repair: A Pre- and Postintervention Quasi-Experimental Study.

Conference Dis Colon Rectum · April 1, 2023 BACKGROUND: Rectourethral fistulas are a rare yet severe complication of prostate surgery, pelvic irradiation therapy, or both. Multiple surgical repairs exist with widely varying success rates. OBJECTIVE: This study aimed to present our institutional mult ... Full text Link to item Cite

Outcomes following Free Fibula Physeal Transfer for Pediatric Proximal Humerus Reconstruction: An International Multi-Institutional Study.

Journal Article Plast Reconstr Surg · April 1, 2023 BACKGROUND: Vascularized fibula epiphyseal flap was first described in 1998 for proximal humeral reconstruction in children/infants. The authors aim to review their international, multi-institutional, long-term outcomes. METHODS: An international, multi-in ... Full text Link to item Cite

Abdominal wall transplantation

Chapter · February 23, 2023 Abdominal wall vascularized composite allotransplantation (AW-VCA) is the most complex option on the reconstructive ladder for abdominal wall reconstruction in patients whose abdomen cannot be closed by applying conventional methods. To date, approximately ... Full text Cite

Patient-Reported and Physiologic Outcomes Following Pelvic Exenteration for Non-Repairable Radiated Rectourethral Fistula.

Journal Article Urology · August 2022 OBJECTIVE: To investigate the impact of pelvic exenteration (PelvEX) on patient-reported pain, distress, and quality of life along with physiologic indicators of health in cancer survivors with radiated, non-repairable rectourethral fistula (RUF). MATERIAL ... Full text Link to item Cite

Current Concepts in Cranial Reconstruction: Review of Alloplastic Materials.

Journal Article Plast Reconstr Surg Glob Open · August 2022 UNLABELLED: Cranioplasty for acquired cranial defects can be complex and challenging. Benefits include improved cosmesis, protection of intracranial structures, and restoration of neurocognitive function. These defects can be reconstructed with preserved c ... Full text Link to item Cite

Vascularized Fibula TMJ Reconstruction: A Report of Five Cases featuring Computerized Patient-specific Surgical Planning.

Journal Article Plast Reconstr Surg Glob Open · August 2022 BACKGROUND: Mandibular defects involving the condyle represent a complex reconstructive challenge for restoring proper function of the temporomandibular joint because it requires precise bone graft alignment, or alloplastic materials, for complete restorat ... Full text Open Access Link to item Cite

A Personal Approach to Brachioplasty.

Journal Article Ann Plast Surg · June 1, 2022 Brachioplasty has become one of the fastest-growing aesthetic surgery procedures, paralleling rising rates of weight loss surgery nationally. However, controversy persists regarding incision placement and utility of concurrent liposuction. In this article, ... Full text Link to item Cite

Postoperative changes in cognition and cerebrospinal fluid neurodegenerative disease biomarkers.

Journal Article Ann Clin Transl Neurol · February 2022 OBJECTIVE: Numerous investigators have theorized that postoperative changes in Alzheimer's disease neuropathology may underlie postoperative neurocognitive disorders. Thus, we determined the relationship between postoperative changes in cognition and cereb ... Full text Open Access Link to item Cite

Co-Treatment of Chloroquine and Trametinib Inhibits Melanoma Cell Proliferation and Decreases Immune Cell Infiltration.

Journal Article Front Oncol · 2022 Autophagy is characterized as a cytoprotective process and inhibition of autophagy with medicinally active agents, such as chloroquine (CQ) is proposed as a prospective adjuvant therapy for cancer. Here, we examined the preclinical effects of CQ combined w ... Full text Open Access Link to item Cite

3D Printing of Polytetrafluoroethylene Hollow Needles for Medical Applications

Journal Article JOM · December 1, 2021 The delivery of drugs or vaccines using hollow needles involves a “poke and flow” approach, which involves the movement of the drug or vaccine through the bore of a hollow needle. In this paper, hollow needle arrays were created out of the fluoropolymer po ... Full text Cite

Digital light processing-based 3D printing of polytetrafluoroethylene solid microneedle arrays

Journal Article MRS Communications · December 1, 2021 This study evaluated the structural and skin penetration properties of solid microneedle arrays made by digital light processing-based 3D printing of polytetrafluoroethylene. Confocal laser scanning microscopy and scanning electron microscopy revealed that ... Full text Cite

ENTPD1 (CD39) Expression Inhibits UVR-Induced DNA Damage Repair through Purinergic Signaling and Is Associated with Metastasis in Human Cutaneous Squamous Cell Carcinoma.

Journal Article J Invest Dermatol · October 2021 UVR and immunosuppression are major risk factors for cutaneous squamous cell carcinoma (cSCC). Regulatory T cells promote cSCC carcinogenesis, and in other solid tumors, infiltrating regulatory T cells and CD8+ T cells express ectonucleoside triphosphate d ... Full text Link to item Cite

Using Radiographic Domain for Evaluating Indications in Abdominal Wall Transplantation.

Journal Article Ann Plast Surg · September 1, 2021 BACKGROUND: There is currently no description of abdominal domain changes in small bowel transplantation population or consensus of criteria regarding which patients are at high risk for immediate postoperative abdominal wall complications or would benefit ... Full text Link to item Cite

Injection molding for manufacturing of solid poly(l-lactide-co-glycolide) microneedles

Journal Article MRS Advances · April 1, 2021 Abstract: A solid microneedle array can be used for “poke and flow” transdermal delivery of a drug, which involves the infusion or diffusion of a drug through pores in the skin that were created by the microneedle array. In this paper, solid microneedle ar ... Full text Cite

Systematic Review of Tissue Expansion: Utilization in Non-breast Applications.

Journal Article Plast Reconstr Surg Glob Open · January 2021 BACKGROUND: Tissue expansion is a versatile reconstructive technique providing well-vascularized local tissue. The current literature focuses largely on tissue expansion for breast reconstruction and in the context of burn and pediatric skin/soft tissue re ... Full text Open Access Link to item Cite

Single-Cell RNA Sequencing Reveals Cellular and Transcriptional Changes Associated With M1 Macrophage Polarization in Hidradenitis Suppurativa.

Journal Article Front Med (Lausanne) · 2021 Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease characterized by recurrent abscesses, nodules, and sinus tracts in areas of high hair follicle and sweat gland density. These sinus tracts can present with purulent drainage and scar form ... Full text Open Access Link to item Cite

Abdominal Wall Transplantation: Indications and Outcomes

Journal Article Current Transplantation Reports · December 1, 2020 Purpose of Review: This article aims to review published outcomes associated with full-thickness vascularized abdominal wall transplantation, with particular emphasis on advances in the field in the last 3 years. Recent Findings: Forty-six full-thickness v ... Full text Cite

Surgical Techniques for Revascularization in Abdominal Wall Transplantation.

Journal Article J Reconstr Microsurg · September 2020 BACKGROUND:  Abdominal wall vascularized composite allotransplantation (AW-VCA) can be considered as a technically feasible option for abdominal wall reconstruction in patients whose abdomen cannot be closed using traditional methods. However, successful i ... Full text Open Access Link to item Cite

A protocol to reduce self-reported pain scores and adverse events following lumbar punctures in older adults.

Journal Article J Neurol · July 2020 OBJECTIVE: Lumbar punctures (LPs) are important for obtaining CSF in neurology studies but are associated with adverse events and feared by many patients. We determined adverse event rates and pain scores in patients prospectively enrolled in two cohort st ... Full text Link to item Cite

Synchronous Abdominal Wall and Small-bowel Transplantation: A 1-year Follow-up.

Journal Article Plast Reconstr Surg Glob Open · July 2020 Abdominal wall-vascularized composite allotransplantation (AW-VCA) has evolved as a technically feasible but challenging option in the rare event of abdominal wall reconstruction in patients whose abdomen cannot be closed by applying conventional methods. ... Full text Open Access Link to item Cite

Tissue Expander Scrotal Reconstruction.

Journal Article Plast Reconstr Surg Glob Open · March 2020 Fournier's gangrene is a life-threatening soft tissue infection requiring aggressive debridement of the perineum. Surgical debridement results in large defects of the scrotum requiring reconstruction for functional coverage of the testes. Several studies h ... Full text Open Access Link to item Cite

The MARBLE Study Protocol: Modulating ApoE Signaling to Reduce Brain Inflammation, DeLirium, and PostopErative Cognitive Dysfunction.

Journal Article J Alzheimers Dis · 2020 BACKGROUND: Perioperative neurocognitive disorders (PND) are common complications in older adults associated with increased 1-year mortality and long-term cognitive decline. One risk factor for worsened long-term postoperative cognitive trajectory is the A ... Full text Open Access Link to item Cite

Abdominal Wall Hernias in the Elderly

Chapter · January 1, 2020 Abdominal wall hernia repair is the most common surgical procedure in the United States. With the US elderly population expected to nearly double in size from 2012 to 2050 (Ortman et al., US Census 1964:1-28, 2014), physicians should expect to see an incre ... Full text Cite

Induction of hair follicle neogenesis with cultured mouse dermal papilla cells in de novo regenerated skin tissues.

Journal Article J Tissue Eng Regen Med · September 2019 De novo skin regeneration with human keratinocytes amplified in culture is a life-saving procedure for patients with extensive skin loss and chronic wounds. It also provides a valuable platform for gene function and therapeutic assessments. Nevertheless, t ... Full text Link to item Cite

Validation of the American College of Surgeons National Surgical Quality Improvement Program Risk Model for Patients Undergoing Panniculectomy.

Journal Article Ann Plast Surg · July 2019 UNLABELLED: Panniculectomy procedures have been reported to significantly improve quality of life, increase mobility, and improve hygiene in patients with a significant pannus formation. The primary aims of this study were to determine which preoperative r ... Full text Link to item Cite

Small bowel and abdominal wall transplantation: A novel technique for synchronous revascularization.

Journal Article Am J Transplant · July 2019 Abdominal wall transplantation (AWT) was introduced in 1999 in the context of reconstruction of complex abdominal wall defects in conjunction with visceral organ transplantation. As of recently, 38 cases of total AWT have been performed worldwide, about ha ... Full text Link to item Cite

The INTUIT Study: Investigating Neuroinflammation Underlying Postoperative Cognitive Dysfunction.

Journal Article J Am Geriatr Soc · April 2019 BACKGROUND/OBJECTIVES: Every year, up to 40% of the more than 16 million older Americans who undergo anesthesia/surgery develop postoperative cognitive dysfunction (POCD) or delirium. Each of these distinct syndromes is associated with decreased quality of ... Full text Open Access Link to item Cite

Calibration of methylene-referenced lipid-dissolved xenon frequency for absolute MR temperature measurements.

Journal Article Magn Reson Med · February 2019 PURPOSE: Absolute MR temperature measurements are currently difficult because they require precalibration procedures specific for tissue types and conditions. Reference of the lipid-dissolved 129 Xe resonance frequency to temperature-insensitive methylene ... Full text Link to item Cite

Modified V-Y Fasciocutaneous Flap Reconstruction After Abdominoperineal Resection in Irradiated Patients Prevents Wound Dehiscence and Associated Complications: A Retrospective Analysis and Benchtop Confirmation.

Journal Article Ann Plast Surg · February 2019 BACKGROUND: Primary perineal closure following abdominal perineal resection (APR) is reported to have a wound complication rate as high as 66%, whereas flap reconstruction reduces wound complications to 15% to 35%. A modified de-epithelialized V-Y fasciocu ... Full text Link to item Cite

Surgical Correction of Panfacial Trauma

Chapter · 2019 "A new addition to the best-selling Operative Techniques series, Operative Techniques in Plastic Surgery provides superbly illustrated, authoritative guidance on operative techniques along with a thorough understanding of how to select the ... ... Cite

Silicone Migration and Late Hematoma following Silicone Implant Rupture: Case Report and Literature Review.

Journal Article Plast Reconstr Surg Glob Open · August 2018 Distant silicone migration and late postoperative hematoma are rare but serious complications following breast implant rupture. This study describes a case report of both these complications occurring in the same patient. After a review of pertinent litera ... Full text Open Access Link to item Cite

Enhanced Drug Delivery to the Skin Using Liposomes.

Journal Article Plast Reconstr Surg Glob Open · July 2018 BACKGROUND: Enhancing drug delivery to the skin has importance in many therapeutic strategies. In particular, the outcome in vascularized composite allotransplantation mainly depends on systemic immunosuppression to prevent and treat episodes of transplant ... Full text Open Access Link to item Cite

The Role of Reconstructive Surgery After Skeletal and Soft Tissue Sarcoma Resection.

Journal Article Ann Plast Surg · June 2018 BACKGROUND: Skeletal and soft tissue reconstruction after sarcoma resection remains challenging. The use of advanced reconstructive techniques has been shown to improve function and increase rates of limb salvage. This study aims to analyze the utilization ... Full text Link to item Cite

Flap repair of complex pilonidal sinus: a single institution experience

Journal Article European Journal of Plastic Surgery · April 1, 2018 Background: Healing of pilonidal cysts after initial excision remains a vexing problem for surgeons. While simple sinus can be managed with success, recurrence of the cyst after primary excision or sizeable sinus often requires a more complex repair; howev ... Full text Cite

Vascularized Fibula-Based Physis Transfer: A Follow-Up Study of Longitudinal Bone Growth and Complications.

Journal Article Plast Reconstr Surg Glob Open · May 2017 BACKGROUND: The vascularized free fibula epiphyseal transfer provides an option for the preservation of limb lengthening after resection of the proximal humerus in pediatric sarcoma patients. The purpose of this study was to provide a long-term follow-up o ... Full text Open Access Link to item Cite

Zygomatic Intraosseous Hemangioma: Case Report and Literature Review.

Journal Article Craniomaxillofac Trauma Reconstr · March 2017 Intraosseous hemangiomas are uncommon intrabony lesions, representing approximately 0.5 to 1% of all intraosseous tumors. Their description varies from "benign vasoformative neoplasms" to true hamartomatous proliferations of endothelial cells forming a vas ... Full text Link to item Cite

KIND1 Loss Sensitizes Keratinocytes to UV-Induced Inflammatory Response and DNA Damage.

Journal Article J Invest Dermatol · February 2017 Loss of function of KIND1, a cytoskeletal protein involved in β1-integrin function, causes Kindler syndrome, a genetic disease characterized by skin fragility, photosensitivity, and increased risk of squamous cell carcinoma. Dysregulation of β1-integrin un ... Full text Link to item Cite

Reevaluation of the arterial blood supply of the auricle.

Journal Article J Anat · February 2017 The anatomical basis for auricular flaps used in multiple aesthetic and reconstructive procedures is currently based on a random distribution of the underlying arterial network. However, recent findings reveal a systematic pattern as opposed to the present ... Full text Link to item Cite

V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection.

Journal Article Am J Surg · February 2017 BACKGROUND: The aim of this study was to compare wound complications from V-Y flap vs primary closure in the setting of abdominoperineal resection. METHODS: This was a single institution retrospective review (1999-2014). The main outcome measures were any ... Full text Link to item Cite

Printing amphotericin B on microneedles using matrix-assisted pulsed laser evaporation.

Journal Article Int J Bioprint · 2017 Transdermal delivery of amphotericin B, a pharmacological agent with activity against fungi and parasitic protozoa, is a challenge since amphotericin B exhibits poor solubility in aqueous solutions at physiologic pH values. In this study, we have used a la ... Full text Open Access Link to item Cite

Limited Panniculectomy for Adult Buried Penis Repair.

Journal Article Plast Reconstr Surg · December 2016 Full text Link to item Cite

A Rare Case of Malignant Transformation of Oral Lichen Planus of the Mandible.

Journal Article Plast Reconstr Surg Glob Open · December 2016 Oral lichen planus (OLP) is an immune-mediated mucocutaneous disease associated with an increased risk in oral squamous cell carcinoma (OSCC). Nearly all cases of malignant transformation have been reported in patients >40 years old. We report the case of ... Full text Open Access Link to item Cite

Breast reconstructive surgery

Chapter · November 16, 2016 Full text Cite

Key Concepts in the Management of the Adult "Buried Penis".

Journal Article Plast Reconstr Surg · August 16, 2016 Full text Link to item Cite

Sexual and Overall Quality of Life Improvements After Surgical Correction of "Buried Penis".

Journal Article Ann Plast Surg · May 2016 BACKGROUND: "Buried penis" is an increasing burden in our population with many possible etiologies. Although surgical correction of buried penis can be rewarding and successful for the surgeon, the psychological and functional impact of buried penis on the ... Full text Link to item Cite

Vascular considerations in foot and ankle free tissue transfer: Analysis of 231 free flaps.

Journal Article Microsurgery · May 2016 OBJECTIVE: Successful foot and ankle soft tissue reconstruction is dependent on a clear understanding of the vascular supply to the foot. The aim of this study was to identify risk factors for reconstructive failure following foot and ankle free tissue tra ... Full text Link to item Cite

Opportunity Cost of Surgical Management of Craniomaxillofacial Trauma.

Journal Article Craniomaxillofac Trauma Reconstr · March 2016 The provision of trauma care is a financial burden, continually associated with low reimbursement, and shifts the economic burden to major trauma centers and providers. Meanwhile, the volume of craniomaxillofacial (CMF) trauma and the number of surgically ... Full text Link to item Cite

Microvascular Anastomoses Using End-to-End versus End-to-Side Technique in Lower Extremity Free Tissue Transfer.

Journal Article J Reconstr Microsurg · February 2016 BACKGROUND: The decision to perform an end-to-end (ETE) or end-to-side (ETS) arterial anastomosis in lower extremity free tissue transfer has not been thoroughly evaluated in a large multisurgeon setting. The authors compared the reconstructive outcomes of ... Full text Link to item Cite

Facial Fractures in the Aging Population.

Journal Article Plast Reconstr Surg · February 2016 BACKGROUND: As the U.S. population ages and life expectancy increases, the number of elderly patients seeking trauma care and treatment for facial fractures will increase. Understanding age-related differences in the pattern, cause, and management of these ... Full text Link to item Cite

Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications.

Journal Article Arch Plast Surg · January 2016 The reconstruction of the mandible is a complex procedure because various cosmetic as well as functional challenges must be addressed, including mastication and oral competence. Many surgical techniques have been described to address these challenges, incl ... Full text Open Access Link to item Cite

Hardware Removal in Craniomaxillofacial Trauma: A Systematic Review of the Literature and Management Algorithm.

Journal Article Ann Plast Surg · November 2015 BACKGROUND: Craniomaxillofacial (CMF) fractures are typically treated with open reduction and internal fixation. Open reduction and internal fixation can be complicated by hardware exposure or infection. The literature often does not differentiate between ... Full text Open Access Link to item Cite

Salvage of Exposed Groin Vascular Grafts with Early Intervention Using Local Muscle Flaps.

Journal Article Plast Reconstr Surg Glob Open · September 2015 BACKGROUND: Peripheral vascular surgery may be complicated by wound infection and potential graft exposure in the groin area. Muscle flap coverage of the graft has been promoted to address these wound complications. The authors present their findings regar ... Full text Open Access Link to item Cite

Abdominal Wall Transplantation

Journal Article Current Transplantation Reports · September 1, 2015 Abdominal wall vascularized composite allotransplantation (AW-VCA) is a relatively young field within transplantation with 21 reported cases to date in the last decade. All AW-VCAs have been performed on patients undergoing either simultaneous multiviscera ... Full text Cite

Sternal talon offers a solution for secondary sternum osteosynthesis in patients with nonunion.

Journal Article Ann Thorac Surg · November 2014 BACKGROUND: Median sternotomy may be associated with postoperative complications such as nonunion after conventional metal wire closure. The Sternal Talon device (KLS Martin, Jacksonville, FL) has recently been introduced as an alternative for osteosynthes ... Full text Link to item Cite

Custom facial reconstruction for osteosarcoma of the jaw.

Journal Article J Oral Maxillofac Surg · November 2014 Osteosarcoma accounts for most primary bone cancers in children and young adults. High-grade lesions are typically managed with a combination of chemotherapy and wide-margin surgical excision. Although this malignancy typically affects the metaphyseal regi ... Full text Link to item Cite

Bioburden after Staphylococcus aureus inoculation in type 1 diabetic rats undergoing internal fixation.

Journal Article Plast Reconstr Surg · September 2014 Fracture stabilization in the diabetic patient is associated with higher complication rates, particularly infection and impaired wound healing, which can lead to major tissue damage, osteomyelitis, and higher amputation rates. With an increasing prevalence ... Full text Open Access Link to item Cite

Patient perceptions on physician reimbursement in plastic surgery.

Journal Article Ann Plast Surg · July 2014 BACKGROUND: Public perception on physician reimbursement may be that considerable payments are received for procedures: a direct contrast to the actual decline. We aim to investigate patient perceptions toward plastic surgeon reimbursements from insurance ... Full text Link to item Cite

Breast reduction in a patient with gorham-stout vanishing bone syndrome.

Journal Article Plast Reconstr Surg Glob Open · July 2014 The authors describe a 23-year-old woman with Gorham's syndrome who underwent an uneventful bilateral reduction mammoplasty which has not been reported in the medical literature today. The patient had undergone multiple surgical and medical interventions b ... Full text Open Access Link to item Cite

Factors associated with transfer of hand injuries to a level 1 trauma center: a descriptive analysis of 1147 cases.

Journal Article Plast Reconstr Surg · April 2014 BACKGROUND: The transfer of patients with hand injuries involves a commitment of substantial resources, emphasizing the importance of understanding factors that may influence referral patterns. Anecdotal experience suggests that the likelihood of transfer ... Full text Link to item Cite

Vascularized fibula-based physis transfer for pediatric proximal humerus reconstruction.

Journal Article Plast Reconstr Surg · August 2013 UNLABELLED: Free vascularized fibular transfer has become a standard procedure in upper extremity reconstruction after resection of osteogenic tumors. The authors present two rare pediatric cases of high-grade osteosarcoma resection of the proximal humerus ... Full text Link to item Cite

Dissection of the masseter branch of the trigeminal nerve for facial reanimation.

Journal Article Plast Reconstr Surg · May 2013 Featured Publication Full text Link to item Cite

Reverse bipaddle posterior interosseous artery perforator flap.

Journal Article Plast Reconstr Surg · April 2013 Featured Publication BACKGROUND: The reverse posterior interosseous artery perforator flap is useful for covering defects over the distal forearm, wrist, and hand, but some of its major limitations include short vascular pedicle, inadequate distal reach, difficult pedicle diss ... Full text Link to item Cite

Face transplantation surgical options and open problems in cadaveric models: a review article.

Journal Article Microsurgery · March 2013 Featured Publication Being first conceptualized in 2005-2006, total face transplantation is now a clinical reconstructive option in the treatment of patients with acquired facial deformity. The authors propose a review on the status of total face transplantation based on their ... Full text Link to item Cite

The distally based sural flap

Journal Article Techniques in Foot and Ankle Surgery · 2013 The traumatized distal third of the lower extremity has been considered amenable to free tissue transfer in the majority of cases. The dogma has been to avoid local or regional tissue transfers. However, more recent experience has shown that local or regio ... Full text Cite

The vascularized fibular graft in the pediatric upper extremity: a durable, biological solution to large oncologic defects.

Journal Article Sarcoma · 2013 Skeletal reconstruction after large tumor resection is challenging. The free vascularized fibular graft (FVFG) offers the potential for rapid autograft incorporation as well as growing physeal transfer in pediatric patients. We retrospectively reviewed ele ... Full text Open Access Link to item Cite

Factors associated with noncompliance with follow-up care after maxillofacial fractures

Conference Journal of the American College of Surgeons · September 2012 Full text Cite

Changes in dermal histomorphology following surgical weight loss versus diet-induced weight loss in the morbidly obese patient.

Journal Article Ann Plast Surg · May 2012 Featured Publication INTRODUCTION: Patients with postgastric bypass and diet-induced weight loss present to the plastic surgeon for various body contouring procedures. Gross differences in skin dermal elasticity may exist between these populations; however, studies evaluating ... Full text Link to item Cite

Quantum dot penetration into viable human skin.

Journal Article Nanotoxicology · March 2012 Featured Publication Systematic studies probing the effects of nanoparticle surface modification and formulation pH are important in nanotoxicology and nanomedicine. In this study, we use laser-scanning fluorescence confocal microscopy to evaluate nanoparticle penetration in v ... Full text Link to item Cite

Tissue engraftment of hypoxic-preconditioned adipose-derived stem cells improves flap viability.

Journal Article Wound Repair Regen · 2012 Featured Publication Adipose-derived stem cells (ASCs) have the ability to release multiple growth factors in response to hypoxia. In this study, we investigated the potential of ASCs to prevent tissue ischemia. We found conditioned media from hypoxic ASCs had increased levels ... Full text Open Access Link to item Cite

[Femur reconstruction using combined autologous fibula transfer and humeral allograft].

Journal Article Chirurg · December 2011 Featured Publication Wide resection far into the femoral metaphysis may be required to treat malignant bone tumors in the pediatric and adolescent patient population. Biological reconstruction using a free, vascularized fibular graft is a well-established surgical technique. A ... Full text Link to item Cite

Perineal and lower extremity reconstruction.

Journal Article Plast Reconstr Surg · November 2011 LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Perform a preoperative assessment of patients undergoing perineal and lower extremity reconstruction. 2. Describe the various tissue flaps used to perform these reconstr ... Full text Link to item Cite

The extended abdominal wall flap for transplantation.

Journal Article Transplant Proc · June 2011 INTRODUCTION AND AIMS: Patients with extensive loss of the abdominal wall tissue have few options for restoring the abdominal cavity. Composite tissue allotransplantation has been used for limited abdominal wall reconstruction in the setting of visceral tr ... Full text Link to item Cite

Acute carpal tunnel syndrome secondary to iatrogenic hemorrhage. A case report.

Journal Article Hand (N Y) · June 2011 Carpal tunnel syndrome is a common compression neuropathy of the median nerve. Acute carpal tunnel syndrome (aCTS) is rare, associated with a variety of conditions. In this case report we present a patient who developed aCTS and volar forearm compartment s ... Full text Link to item Cite

Complex abdominal wall hernias: a new classification system and approach to management based on review of 133 consecutive patients.

Journal Article Ann Plast Surg · May 2011 BACKGROUND: Plastic surgeons are increasingly involved in the repair of complex ventral hernias. Although this typically involves recurrent incisional hernias, operative strategies can be applied to most abdominal wall defects, including chronic wounds wit ... Full text Link to item Cite

The current role of the vascularized-fibular osteocutaneous graft in the treatment of segmental defects of the upper extremity.

Journal Article Microsurgery · March 2011 Featured Publication Large osseous defects of the upper extremity can be a challenging problem for the reconstructive surgeon. There are numerous treatment options reported in the literature with variable results. We review our experience with the vascularized-fibular osteocut ... Full text Link to item Cite

The role of intrathoracic free flaps for chronic empyema.

Journal Article Ann Thorac Surg · March 2011 Featured Publication BACKGROUND: The management of chronic empyema associated with a bronchopleural fistula can be a particularly challenging problem. Successful eradication may not occur without interposition of healthy vascularized tissue. Pedicled muscle flaps for coverage ... Full text Link to item Cite

The modified Patient and Observer Scar Assessment Scale: a novel approach to defining pathologic and nonpathologic scarring.

Journal Article Plast Reconstr Surg · January 2011 BACKGROUND: Scarring is a highly prevalent and multifactorial process, yet no studies to date have attempted to distinguish pathologic from nonpathologic scarring. METHODS: This article defines and proposes methods of classifying pathologic scarring as it ... Full text Link to item Cite

Breast reconstructive surgery

Chapter · December 1, 2010 Breast reconstruction following mastectomy can be achieved by a variety of techniques using alloplastic implants, autogenous tissues, or both. In the last 30 years, breast reconstruction has progressed from a rarely requested procedure to one that has beco ... Full text Cite

A treatment strategy for postburn neck reconstruction: emphasizing the functional and aesthetic importance of the cervicomental angle.

Journal Article Ann Plast Surg · December 2010 The authors describe an algorithm for reconstruction of both the soft tissue and skeletal components of severe postburn neck deformities. The critical functional and aesthetic importance of the cervicomental angle is emphasized. The neck is subdivided into ... Full text Link to item Cite

A model of sequential heart and composite tissue allotransplant in rats.

Journal Article Plast Reconstr Surg · July 2010 BACKGROUND: Some of the 600,000 patients with solid organ allotransplants need reconstruction with a composite tissue allotransplant, such as the hand, abdominal wall, or face. The aim of this study was to develop a rat model for assessing the effects of a ... Full text Open Access Link to item Cite

A review of scar scales and scar measuring devices.

Journal Article Eplasty · June 21, 2010 OBJECTIVE: Pathologic scarring affects millions of people worldwide. Quantitative and qualitative measurement modalities are needed to effectively evaluate and monitor treatments. METHODS: This article reviews the literature on available tools and existent ... Open Access Link to item Cite

An innovative approach for sternal closure.

Journal Article Ann Thorac Surg · June 2010 Featured Publication PURPOSE: Midline sternotomy remains the preferred technique for access in cardiac surgery. Application of steel wires has been the preferred method of closure. Because of associated complications, such as superficial and deep infections, as well as bony no ... Full text Link to item Cite

Longitudinal outcomes and application of the subunit principle to 165 foot and ankle free tissue transfers.

Journal Article Plast Reconstr Surg · March 2010 Featured Publication BACKGROUND: Free tissue transfer to the lower extremity has become a well-established reconstructive modality. The purpose of this study was to develop a "subunit" approach to patients undergoing free tissue transfer for foot and ankle wounds to help furth ... Full text Link to item Cite

A technique to perfuse cadavers that extends the useful life of fresh tissues: the Duke experience.

Journal Article Anat Sci Educ · 2010 Featured Publication The demand for laboratory-based teaching and training is increasing worldwide as medical training and education confront the pressures of shorter training time and rising costs. This article presents a cost-effective perfusion technique that extends the us ... Full text Link to item Cite

Total scapholunate dislocation with complete scaphoid extrusion: case report.

Journal Article J Hand Surg Am · January 2010 A case of complete dislocation of the lunate and scaphoid resulting from a fall is reported. We are unaware of any previously reported case of simultaneous dislocation with the scaphoid completely extruded from the wrist at the time of injury. The patient ... Full text Link to item Cite

Management of "buried" penis in adulthood: an overview.

Journal Article Plast Reconstr Surg · October 2009 Featured Publication BACKGROUND: The condition of "buried" penis may arise from several factors. Although the pediatric form is a rare congenital disorder, it may become an acquired condition in adulthood, most commonly from obesity, radical circumcision, or penoscrotal lymphe ... Full text Link to item Cite

Plastic surgery within the Veterans Affairs Medical System: proposed modified indications for operative procedures.

Journal Article Ann Plast Surg · July 2009 Featured Publication Many plastic surgery procedures span the divide between aesthetic ("cosmetic") and reconstructive surgery. However, definitions and guidelines may be inconsistent, which may decrease patients' access to legitimate procedures. The article aims to assist Vet ... Full text Link to item Cite

The combined use of the Ilizarov method and microsurgical techniques for limb salvage.

Journal Article Ann Plast Surg · May 2009 Featured Publication The purpose of this article is to review clinical outcomes and propose a new classification scheme for combined use of Ilizarov Method with free tissue transfer for limb salvage. This is an Institutional Review Board-approved retrospective review of 62 pat ... Full text Link to item Cite

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Other Plastic and Reconstructive Surgery · May 1, 2009 Full text Cite

Early experience with fluorescent angiography in free-tissue transfer reconstruction.

Journal Article Plast Reconstr Surg · April 2009 BACKGROUND: Soft-tissue and bony reconstruction with free-tissue transfer is one of the most versatile tools available to the reconstructive surgeon. Determination of flap perfusion and early detection of vascular compromise with prompt correction remain c ... Full text Link to item Cite

Soft-tissue defects and exposed hardware: a review of indications for soft-tissue reconstruction and hardware preservation.

Journal Article Plast Reconstr Surg · April 2009 Featured Publication BACKGROUND: Traditionally, management of exposed hardware has included irrigation and débridement, intravenous antibiotics, and likely removal of the hardware. Increasingly, the goal of wound closure without hardware removal using plastic surgical techniqu ... Full text Link to item Cite

Current indications for hand and face allotransplantation.

Journal Article Transplant Proc · March 2009 Featured Publication There is growing excitement centered on the possibilities of composite tissue allotransplantation (CTA) in many medical centers around the United States. As CTA programs begin to form, criteria to guide patient selection for these highly complex procedures ... Full text Link to item Cite

Increased signs of acute rejection with ischemic time in a rat musculocutaneous allotransplant model.

Journal Article Transplant Proc · March 2009 BACKGROUND: Composite tissue allotransplantation (CTA) may restore a variety of tissue defects, but carries the potential risks of graft failure and/or immunosuppression-related complications. Ischemia-reperfusion injury has been documented in CTA is known ... Full text Link to item Cite

Clinical implications of orbital volume change in the management of isolated and zygomaticomaxillary complex-associated orbital floor injuries.

Journal Article Plast Reconstr Surg · March 2009 Featured Publication BACKGROUND: Orbital floor injuries can occur in isolation or in association with zygomaticomaxillary complex fractures. Volumetric computed tomographic measurements of affected orbits are investigated for utility in guiding management in these two groups. ... Full text Link to item Cite

The helical arcade: anatomic basis for survival in near-total ear avulsion.

Journal Article J Craniofac Surg · January 2009 Survival of the ear based on a single vascular pedicle has been previously documented. The anatomic basis for this survival remains incompletely described. In the 3 clinical cases of inferior-to-superior near-total ear avulsion presented herein, the author ... Full text Link to item Cite

Triple chimeric flap based on anterior tibial vessels for reconstruction of severe traumatic injuries of the hand with thumb loss.

Journal Article Plast Reconstr Surg · January 2009 BACKGROUND: Reconstruction of severe traumatic injuries of the hand with digit loss may require multiple procedures over a prolonged period. The authors present a clinical series of patients in which these types of injuries were reconstructed in a single o ... Full text Link to item Cite

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Other Plastic and Reconstructive Surgery · November 1, 2008 Full text Cite

Strategy for reoperative free flaps after failure of a first flap.

Journal Article Plast Reconstr Surg · September 2008 Featured Publication BACKGROUND: Free vascularized tissue transfer is generally associated with high success rates, but failures do occur. After a flap failure, the decision is often made to perform a second, reoperative free flap. METHODS: A retrospective review of all micros ... Full text Link to item Cite

Metabolic and functional characterization of human adipose-derived stem cells in tissue engineering.

Journal Article Plast Reconstr Surg · September 2008 Featured Publication BACKGROUND: The use of adipose-derived stem cells for tissue engineering involves exposing them to metabolically adverse conditions. This study examines the metabolism, proliferation, and differentiation of adipose-derived stem cells under various conditio ... Full text Link to item Cite

Extended applications of vascularized preauricular and helical rim flaps in reconstruction of nasal defects.

Journal Article Plast Reconstr Surg · May 2008 Featured Publication BACKGROUND: Composite auricular chondrocutaneous grafting is a well-established technique for reconstructing alar defects. It can provide excellent results because it matches nasal tissue well in terms of color, texture, and contour. However, the size of c ... Full text Link to item Cite

A financial analysis of operative facial fracture management.

Journal Article Plast Reconstr Surg · April 2008 Featured Publication BACKGROUND: The financial impact of operative facial fracture management has not been systematically investigated. This study aims to provide a descriptive financial analysis of patients undergoing operative facial fracture management at a single academic ... Full text Link to item Cite

A retrospective analysis of facial fracture etiologies.

Journal Article Ann Plast Surg · April 2008 Featured Publication The medical records of 437 patients with 929 facial fractures were retrospectively analyzed. Fracture patterns were classified based on the presence or absence of fractures in each of 4 anatomic subunits (frontal, upper midface, lower midface, and mandible ... Full text Link to item Cite

Osteocutaneous face transplantation.

Journal Article J Plast Reconstr Aesthet Surg · 2008 Featured Publication BACKGROUND: Facial transplantation has the potential to become a viable option in the treatment of acquired and congenital facial deformities. Transplantation of the bony maxillofacial skeleton with the soft tissues (osteocutaneous face transplantation) ha ... Full text Link to item Cite

Concomitant injuries in patients with panfacial fractures.

Journal Article J Trauma · October 2007 Featured Publication BACKGROUND: Patients with panfacial fractures comprise a small portion of the overall facial fracture patient population. Because of the forces necessary to cause panfacial injury, these patients often have other concomitant injuries. The timing of operati ... Full text Link to item Cite

Free vascularized tissue transfer to preserve upper extremity amputation levels.

Journal Article Plast Reconstr Surg · September 15, 2007 Featured Publication BACKGROUND: Free vascularized tissue transfer to preserve upper extremity amputation level is an uncommon procedure. The authors investigate the role of free tissue transfer in preserving both morphology and function of the amputated upper extremity, with ... Full text Link to item Cite

Non muscle myosin II regulates contractile phenotypes

Conference Journal of the American College of Surgeons · September 2007 Full text Cite

Efficacy of ethyl nitrite in reversing surgical vasospasm.

Journal Article J Reconstr Microsurg · July 2007 Vasospasm leading to thrombosis is a major cause of free flap failure. Flap blood flow may improve by application of vasodilating agents to the pedicle. The purpose of this study is to evaluate the effect of a novel S-nitrosylating agent, O-ethyl nitrite, ... Full text Link to item Cite

A clinically applicable reporting system for the diagnosis of facial fractures.

Journal Article Int J Oral Maxillofac Surg · July 2007 Featured Publication A clinically applicable, comprehensive reporting system for the diagnosis of facial fractures was developed with three guiding principles: (1) preservation of classical anatomical terminology and nomenclature, (2) facilitation of uniform interpretation of ... Full text Link to item Cite

The distally based sural flap for foot and ankle reconstruction

Journal Article Techniques in Foot and Ankle Surgery · June 1, 2007 The distally based sural flap for foot and ankle reconstruction has gradually increased in popularity over the last decade. Along with its increased use comes a parallel increase in the number of reported applications, innovations, and technical refinement ... Full text Cite

Combined bone allograft and adipose-derived stem cell autograft in a rabbit model.

Journal Article Ann Plast Surg · May 2007 Featured Publication Currently available options for the repair of bony defects have substantial limitations. Much work has looked to the possibility of engineering bone using stem cells. These tissue-engineering efforts have focused on calvarial defect models, which have the ... Full text Link to item Cite

Free flap reconstruction of the scalp and calvaria of major neurosurgical resections in cancer patients: lessons learned closing large, difficult wounds of the dura and skull.

Journal Article Plast Reconstr Surg · March 2007 Featured Publication BACKGROUND: Reconstruction of major neurosurgical resections can present a significant challenge because of the morbidity of radiation therapy, cerebrospinal fluid leaks, bacterial contamination from sinus exposure, and functional and cosmetic deformity fr ... Full text Link to item Cite

Tissue expansion of free and pedicled flaps after transfer: possibilities and indications.

Journal Article J Reconstr Microsurg · February 2007 Tissue expansion in combination with flap transfer has been widely reported as preexpansion of flaps, but only once as expansion of a free flap after transfer. Three free flaps and one pedicled flap were expanded after transfer. Indication, timing of expan ... Full text Link to item Cite

Vein graft anastomoses with magnets.

Journal Article J Plast Reconstr Aesthet Surg · 2007 BACKGROUND: Performing vascular anastomoses requires complete circumferential access and is time-consuming and technically challenging. The purpose of our study was to assess a sutureless magnetic device for anastomosing vein grafts. METHODS AND RESULTS: O ... Full text Link to item Cite

A pilot study in sub-SMAS face transplantation: defining donor compatibility and assessing outcomes in a cadaver model.

Journal Article Plast Reconstr Surg · January 2007 Featured Publication BACKGROUND: Face transplantation may become a viable alternative in the treatment of patients with severe acquired facial deformity. In this study, the authors investigate morphological compatibility between donor and recipient by assessing chimeric outcom ... Full text Link to item Cite

Management of enterocutaneous fistulas using negative-pressure dressings.

Journal Article Ann Plast Surg · December 2006 Featured Publication Fifteen patients with enterocutaneous fistulas (ECFs) not amenable to surgical treatment were treated with negative-pressure dressings over the abdominal wound and ECF. Closure of the ECF and time to closure were examined. In 11 patients who had no visible ... Full text Link to item Cite

Effects of glutamine, glucose, and oxygen concentration on the metabolism and proliferation of rabbit adipose-derived stem cells.

Journal Article Tissue Eng · December 2006 Featured Publication The use of adipose-derived stem cells (ASCs) for tissue engineering involves exposing them to metabolically adverse conditions. This study examined the metabolism, proliferation, and viability of ASCs under various oxygen, glucose, and glutamine concentrat ... Full text Link to item Cite

Anatomical basis and clinical application of the infragluteal perforator flap.

Journal Article Plast Reconstr Surg · November 2006 BACKGROUND: When selecting flaps for coverage of pressure ulcers of the sacrum and perineal region in paraplegic patients, long-term high recurrence rates should be considered. Therefore, the authors developed an infragluteal perforator flap to avoid "burn ... Full text Link to item Cite

Fascio-subcutaneous extension of a free radial forearm flap for frontonasal duct obliteration.

Journal Article J Craniofac Surg · November 2006 Featured Publication Frontonasal duct injury is a critical factor in the treatment of frontal sinus fractures. We present the case of a 43-year-old man who sustained multiple comminuted fractures of the anterior table of the frontal sinus and of the orbital roof as the result ... Full text Link to item Cite

Technical and anatomical considerations of face harvest in face transplantation.

Journal Article Ann Plast Surg · November 2006 Featured Publication Total face transplantation may become a reconstructive option in the treatment of patients with acquired facial deformity. Here, 2 face-harvesting techniques are presented in a fresh human cadaver model. In technique 1, the skin and soft tissue of the face ... Full text Link to item Cite

Use of negative-pressure dressings and split-thickness skin grafts following penile shaft reduction and reduction scrotoplasty in the management of penoscrotal elephantiasis.

Journal Article Ann Plast Surg · June 2006 Featured Publication From 1988 to 2005, 8 men who presented with penoscrotal elephantiasis underwent penile shaft degloving and reduction scrotoplasty, followed by transplantation of a split-thickness skin graft (STSG) to the penile shaft. The etiology of elephantiasis in thes ... Full text Link to item Cite

Use of the microvascular free fibula transfer as a salvage reconstruction for failed anterior spine surgery due to chronic osteomyelitis.

Journal Article Plast Reconstr Surg · June 2006 Featured Publication BACKGROUND: Several factors influence the osseous union of spinal fusions, including the substrate used for arthrodesis, the biology of the fusion bed, as well as local host factors. While cancellous bone grafting is useful in simple cases with no major bo ... Full text Link to item Cite

Effect of the Veterans Affairs Medical System on plastic surgery residency training.

Journal Article Plast Reconstr Surg · February 2006 Featured Publication BACKGROUND: Teaching hospitals within the Veterans Affairs Health System perform the majority of complex and high-risk surgical procedures in the veteran patient population. Residency positions in the Veterans Affairs Medical System are usually part of a r ... Full text Link to item Cite

Therapeutic alternatives in nonunion of hamate hook fractures: personal experience in 8 patients and review of literature.

Journal Article Ann Plast Surg · August 2005 Symptomatic nonunion frequently results after conservative treatment of hamate hook fractures, emphasizing the need of appropriate surgical strategies. A retrospective analysis of 8 patients with nonunions treated by fragment excision or open reduction and ... Full text Link to item Cite

Delay of transverse rectus abdominis myocutaneous flap reconstruction improves flap reliability in the obese patient.

Journal Article Plast Reconstr Surg · August 2005 Featured Publication BACKGROUND: Since its introduction in 1982, the transverse rectus abdominis musculocutaneous (TRAM) flap has been a mainstay of breast reconstruction. However, in certain high-risk individuals, such as the obese, smokers, and irradiated patients, flap reli ... Full text Link to item Cite

Use of the anterolateral thigh free flap for upper-extremity reconstruction.

Journal Article J Hand Surg Am · July 2005 Featured Publication PURPOSE: The anterolateral thigh free flap (ALTF) first was reported in 1984 and has been used in large series with success for a multitude of clinical purposes. We describe our results with the ALTF in upper-extremity and hand reconstruction. METHODS: Fro ... Full text Link to item Cite

Further training - Quo vadis?

Other CHIRURG · July 1, 2005 Link to item Cite

The prepuce as a donor site for reconstruction of an extravasation injury to the foot in a newborn.

Journal Article Ann Plast Surg · June 2005 Extravasation injury is a common event in pediatric intensive-care units. This is the first report of successful utilization of the prepuce as a skin graft to reconstruct a full thickness skin necrosis due to a phenobarbital extravasation to the forefoot o ... Full text Link to item Cite

Sural flap delay procedure: a preliminary report.

Journal Article Ann Plast Surg · May 2005 Over the last decade, the sural flap has been popularized as a suitable alternative to free-tissue transfer for soft-tissue coverage of the lower extremity. However, flap failure rates may be increased especially if patients have certain risk factors, such ... Full text Link to item Cite

Hook of hamate fractures: critical evaluation of different therapeutic procedures.

Journal Article Plast Reconstr Surg · February 2005 The treatment of choice in nondisplaced hook of hamate fractures is conservative, with lower arm splinting. Displaced fractures should be treated operatively, whereby excision of the fragment or open reduction and internal fixation are described. A hamulus ... Full text Link to item Cite

Nonunion of the clavicle: a rare indication for vascularized free fibula transfer.

Journal Article Plast Reconstr Surg · December 2004 Featured Publication Full text Link to item Cite

Anterolateral thigh flap technique in hand and upper extremity reconstruction.

Journal Article Tech Hand Up Extrem Surg · December 2004 The anterolateral thigh flap is an extremely versatile flap first described in 1984. The flap is based on either a septocutaneous or musculocutaneous perforator of the descending branch of the lateral circumflex femoral system. It can be designed as a skin ... Full text Link to item Cite

Immunohistochemical identification of vascular endothelial growth factor in pig latissimus dorsi musculocutaneous flaps following ischemia-reperfusion injury.

Journal Article Ann Plast Surg · October 2004 Featured Publication Vascular Endothelial Growth Factor (VEGF), a potent angiogenic, mitogenic and vascular permeability enhancing protein, appears to improve survival of ischemic flaps independent of its route of administration. The purpose of this study was to examine VEGF p ... Full text Link to item Cite

Side-to-side sutureless vascular anastomosis with magnets.

Journal Article J Vasc Surg · September 2004 Featured Publication OBJECTIVE: Abbe and Payr introduced vascular techniques and devices to facilitate vessel anastomosis over a century ago. Obora published the idea of a sutureless vascular anastomosis with use of magnetic rings in 1978. The purpose of this study was to asse ... Full text Link to item Cite

Anastomoses for vascular shunt, arterial graft, and flap vascularization performed using magnets

Conference JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS · September 1, 2004 Link to item Cite

[Secondary plastic surgical reconstruction in severely burned patients].

Journal Article Chirurg · June 2004 Secondary reconstruction following severe burn trauma has improved markedly over the last few decades using all aspects of modern plastic surgery. In surgical reconstruction of burns, it is essential to design comprehensive, clear-cut, and long-term treatm ... Full text Link to item Cite

[New developments in skin replacement materials].

Journal Article Chirurg · June 2004 Current treatment strategies in intensive care medicine permit survival of patients with burns of more than 80% of the total body surface area (TBSA). Major burns result in extensive skin defects. Thus, burn victims often suffer from scar contractures, alt ... Full text Link to item Cite

Basic fibroblast growth factor expression following surgical delay of rat transverse rectus abdominis myocutaneous flaps.

Journal Article Plast Reconstr Surg · June 2004 Featured Publication Partial transverse rectus abdominis myocutaneous (TRAM) flap loss in breast reconstruction can be a devastating complication for both patient and surgeon. Surgical delay of the TRAM flap has been shown to improve flap viability and has been advocated in "h ... Full text Link to item Cite

Use of a free jejunal graft for oesophageal reconstruction following perforation after cervical spine surgery: case report and review of the literature.

Journal Article Spinal Cord · October 2003 STUDY DESIGN: : Single-subject (male, 16 years of age) case. OBJECTIVES: To demonstrate a suitable method for oesophageal repair after perforation as a complication of anterior spinal fusion in an individual with quadriplegia, and to review the literature ... Full text Link to item Cite

A realistic complication analysis of 70 sural artery flaps in a multimorbid patient group.

Journal Article Plast Reconstr Surg · July 2003 Featured Publication The popularity of the sural artery flap has increased markedly throughout the years, and favorable results are reported almost uniformly. Previous publications have mainly presented results of small groups and of predominantly younger patients with posttra ... Full text Link to item Cite

Vascular endothelial growth factor expression in pig latissimus dorsi myocutaneous flaps after ischemia reperfusion injury.

Journal Article Plast Reconstr Surg · February 2003 Featured Publication Exogenous administration of vascular endothelial growth factor (VEGF) improves long-term viability of myocutaneous flaps. However, endogenous expression of this substance in flaps following ischemia-reperfusion injury has not been reported previously. Endo ... Full text Link to item Cite

Soft tissue coverage in devastating hand injuries.

Journal Article Hand Clin · February 2003 Plastic surgical therapy of mutilating hand injuries represents a multifaceted task to the hand surgeon, where considerations about indication, timing, and structure of the soft tissue coverage play a major role in reconstruction. The concept of early prim ... Full text Link to item Cite

Ipsilateral free fibula transfer for reconstruction of a segmental femoral-shaft defect.

Journal Article Br J Plast Surg · December 2002 We describe an ipsilateral free fibula transfer for segmental femur reconstruction with venous interpositional grafts. Preparation and use of vessels at the recipient site for microvascular anastomosis is avoided. This represents a valuable modification of ... Full text Link to item Cite

Delay in unipedicled TRAM flap reconstruction of the breast: a review of 76 consecutive cases.

Journal Article Plast Reconstr Surg · September 1, 2002 Featured Publication Since its introduction in 1982, the transverse rectus abdominis musculocutaneous (TRAM) flap has become the standard therapy in autogenous breast reconstruction. A lower rate of partial flap (fat) necrosis is associated with microvascular free-flap transfe ... Full text Link to item Cite

The role of pre-ischaemic application of the nitric oxide donor spermine/nitric oxide complex in enhancing flap survival in a rat model.

Journal Article Br J Plast Surg · July 2002 Spermine/nitric oxide complex (Sper/NO) is a new nitric oxide (NO) donor with a long half-life providing controlled biological release of NO in vivo. The purpose of this study was to determine whether flap survival could be improved by pre-ischaemic or pos ... Full text Link to item Cite

The Buruli type ulcer.

Other Plast Reconstr Surg · June 2002 Full text Link to item Cite

Microsurgical free flap transfer to amputation sites: indications and results.

Journal Article Ann Plast Surg · February 2002 Featured Publication A series of microsurgical free flap reconstructions to amputation stumps of the upper as well as the lower extremities was reviewed in 7 male and 2 female patients. Indications included preservation of length after trauma in 6 patients and cure of local in ... Full text Link to item Cite

Transcardiopulmonary vs pulmonary arterial thermodilution methods for hemodynamic monitoring of burned patients.

Journal Article J Burn Care Rehabil · 2002 The objective of this study was to validate a new method of transcardiopulmonary thermodilution for assessment of cardiac index (CI), stroke volume index (SVI), systemic vascular resistance index (SVRI) and additional parameters such as intrathoracic blood ... Full text Link to item Cite

The use of fillet flaps in upper extremity reconstruction

Journal Article Journal of the American Society for Surgery of the Hand · January 1, 2002 In unusual cases, extensive soft-tissue defects of the upper extremity may be reconstructed with major fillet flaps. We discuss the use of these flaps as derived from the experience in using them on 8 selected patients during a 5-year period at 2 instituti ... Full text Cite

The concept of fillet flaps: classification, indications, and analysis of their clinical value.

Journal Article Plast Reconstr Surg · September 15, 2001 Featured Publication Tissue of amputated or nonsalvageable limbs may be used for reconstruction of complex defects resulting from tumor and trauma. This is the "spare parts" concept. By definition, fillet flaps are axial-pattern flaps that can function as composite-tissue tran ... Full text Link to item Cite

Primary and secondary microvascular reconstruction of the upper extremity.

Journal Article Hand Clin · August 2001 Tissue defects of the upper extremity may result from trauma, tumor resection, infection, and congenital malformation. Restoration of anatomy and functional integrity may require microsurgical free flap transfer for coverage of bones, nerves, blood vessels ... Link to item Cite

Basic Fibroblast Growth Factor Induced Angiogenesis and Prefabricated Flap Survival

Journal Article Journal of Reconstructive Microsurgery · 2001 Full text Cite

[Defect coverage of the hand and forearm with a free scapula-parascapula flap].

Journal Article Handchir Mikrochir Plast Chir · January 2001 BACKGROUND: Complex defects of the forearm and hand are associated with the loss of important structures. Single-stage reconstruction of these defects requires composite tissue transplantations. The subscapular region offers various components for the cove ... Full text Link to item Cite

Management of lawnmower injuries to the lower extremity in children and adolescents.

Journal Article Ann Plast Surg · December 2000 Featured Publication Lawnmower-associated trauma remains a substantial source of extremity injury in the pediatric and adolescent patient populations, producing complex wounds that require a combined orthopedic and plastic surgical approach. The authors review their experience ... Full text Link to item Cite

Functional outcome with scaphotrapeziotrapezoid arthrodesis in the treatment of Kienböck's disease stage III.

Journal Article Ann Plast Surg · June 2000 Scaphotrapeziotrapezoid (STT) arthrodesis for the treatment of Kienböck's disease is recommended as a wrist salvage procedure since the publication by Watson and colleagues in 1985. Stage IIIa/b of the Lichtman classification is the specific indication for ... Full text Link to item Cite

A profile of acute-phase proteins after severe burns

Journal Article European Journal of Plastic Surgery · January 1, 2000 Transport proteins and acute-phase proteins, including complement factors C3 and C4, immunoglobulin A (IgA), IgM, albumin (ALB), prealbumin (PAB), transferrin (TRF), ceruloplasmin (CER), haptoglobin (HAG), and alpha antitrypsin (AAT), were examined in 29 p ... Full text Cite

The Thibierge-Weissenbach syndrome: A rare clinical presentation of generalized soft tissue calcifications associated with scleroderma

Journal Article European Journal of Plastic Surgery · October 1, 1999 Thibierge-Weissenbach syndrome is a rare entity of generalized soft tissue calcinosis of the hand associated with scleroderma. Patients present with tumorous deformities of the hand and phalanges which are easily misdiagnosed as rheumatoid arthritis. The d ... Full text Cite

[Reconstruction of severe facial defects due to noma].

Journal Article Chirurg · November 1998 Noma is an ulcerative-necrotizing gingivo-stomatitis eventually leading to severe destruction of the midface, including lips and cheek, maxilla/mandible, nose and rarely the orbit. The defects are usually unilateral. Children from economically underdevelop ... Full text Link to item Cite

The scapular/parascapular flap in reconstruction of distal lower extremity soft tissue defects over the Achilles tendon

Journal Article European Journal of Plastic Surgery · October 1, 1998 Combined defects of soft tissue and Achilles tendon are rare and are usually seen following repair of the tendon. Large size defects frequently cannot be reconstructed with local tissue. Various free flaps such as the radial forearm flap and the temporopar ... Full text Cite

[Mid-term results of scapho-trapezio-trapezoid arthrodesis in aseptic semilunar bone necrosis stage IIIa/b].

Journal Article Langenbecks Arch Chir Suppl Kongressbd · 1998 The mid-term results of 20 cases of Kienböck's disease treated with scaphotrapezio-trapezoid arthrodesis with an average follow-up period of 25 months between 1993 and 1997 are presented. Clinical results were good with regard to pain, grip strength and ra ... Link to item Cite

Evaluation of penicillin and hyperbaric oxygen in the treatment of streptococcal myositis.

Journal Article Ann Plast Surg · August 1997 The purpose of this study was to evaluate effects of hyperbaric oxygen (HBO) and penicillin (PCN) therapy in a murine model of streptococcal myositis. The thighs of Swiss Webster mice were inoculated with Streptococcus pyogenes. Four groups were evaluated: ... Full text Link to item Cite

The use of cultured Schwann cells in nerve repair in a rabbit hind-limb model.

Journal Article J Reconstr Microsurg · April 1996 A 3-cm peripheral nerve gap in a rabbit hind-limb model was repaired by using a polyglycolic acid (PGA) conduit filled with a gelatin/Schwann-cell suspension. Postoperative nerve function after 16 weeks, as measured by isometric twitch and tetanic muscle s ... Full text Link to item Cite

[Lymphocyte subpopulations in spleen and blood after early wound debridement and acute/chronic treatment with hyperbaric oxygen].

Journal Article Handchir Mikrochir Plast Chir · March 1996 Thermal burns as well as hyperbaric oxygen (HBO) may cause immuno-suppression. This is one of the reasons why there is some controversy in the literature regarding adjuvant HBO treatment for thermal burn patient, despite the fact that HBO is known to decre ... Link to item Cite

Hyperbaric oxygen and cyclosporine as a combined treatment regimen to prevent skin allograft rejection in immunohistoincompatible mice.

Journal Article Ann Plast Surg · March 1996 Several previous studies reported various immunosuppressive effects of hyperbaric oxygen on nonspecific and specific cell-mediated reactions. A highly immunogenic skin allograft mouse model was used to evaluate the clinical relevance of the previously desc ... Full text Link to item Cite

Treatment of a severe alkali burn.

Journal Article Burns · March 1996 The case history of a 20-year-old male patient who sustained an 85 per cent total body surface area alkali burn to his skin, after falling into a caustic lime pit, is reported. Considerable problems regarding the correct estimate of burn wound depth, predo ... Full text Link to item Cite

Congenital neuroepithelioma in an infant hand.

Journal Article J Hand Surg Br · February 1996 We describe a congenital peripheral neuroepithelioma of the hand in an infant aged 6 weeks. This primitive malignant tumour of neuroepithelial origin is extremely rare in neonates. Peripheral neuroepitheliomas of the hand have not been described in the lit ... Full text Link to item Cite

Above-elbow arm replantation during pregnancy.

Journal Article Ann Plast Surg · January 1996 We report a successful replantation of an above-elbow amputated left arm in a 26-year-old female with a good, functional, long-term result. The patient was at 18 weeks estimated gestational age at the time of surgery. Major upper extremity replantation dur ... Full text Link to item Cite

Skin allograft rejection and hyperbaric oxygen treatment in immune-histoincompatible mice.

Journal Article Undersea Hyperb Med · December 1995 The effect of hyperbaric oxygen (HBO) as an immunosuppressive agent was evaluated by using a highly immunogenic skin allograft mouse model. Immune-histoincompatible female C57BL/6 and BALB/c mice (N = 30) were randomly assigned to three groups receiving no ... Link to item Cite

Complications of 50 consecutive limited wrist fusions by a single surgeon.

Journal Article Ann Plast Surg · July 1995 Fifty limited wrist fusions were performed in 47 patients including 24 scaphoid-trapezium-trapezoid, 12 capitate-lunate-triquetrum-hamate, and 13 other limited wrist fusion combinations. Fusions were performed most commonly for rotary subluxation of the sc ... Full text Link to item Cite