Article
Oncology
Maria Yan, Peter S. Rose, Matthew T. Houdek, Steven L. Moran
Summary: The keystone perforator island flap (KPIF) is a reliable and safe option for reconstructing oncological back defects with minimal perioperative complications. This flap choice eliminates the need for free flaps and myocutaneous flaps for moderate-sized back defects.
JOURNAL OF SURGICAL ONCOLOGY
(2021)
Article
Cell Biology
Timea H. Virag, Maximilian Muntean, Alexandru Georgescu
Summary: This study investigates the use of keystone perforator island flap (KPIF) in limb reconstruction and its harvesting technique to minimize donor-site morbidity and achieve optimal functional and cosmetic outcomes. The results show that KPIF is a simple and effective method of wound closure, providing tissues of similar texture to the original muscle and reducing donor site morbidity.
WOUND REPAIR AND REGENERATION
(2022)
Article
Surgery
Geoffrey G. Hallock
Summary: The concept of perforator has become a fundamental topic in training programs, with perforator flap being accepted as a basic consideration for flap selection. The author's investigations have led to additional benefits and reiterations of important terminology. Innovations in reconstructive surgery are constantly emerging globally, and there is a call to sustain the future by contributing passion and knowledge through available technology.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Surgery
Amjed Abu-Ghname, Daniel Lazo, Salomao Chade, Alex Fioravanti, Olimpio Colicchio, Daniel Alvarez, Ernani Junior, Marco Maricevich
Summary: This study retrospectively analyzed the experience of comet flap reconstruction in 16 patients with distal extremity defects, and found that the comet flap is a safe, versatile, and reliable flap for reconstructing upper and lower extremity defects in a single procedure.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Surgery
Jung Min Oh, Seung Jun Jwa, Jong Min Won, Woo Yeol Baek, Jong Won Hong, Won Jai Lee, Young Chul Suh
Summary: This study investigated the use of a bipedicled KPIF (bKPIF) for covering chronic defects with severe scarring. The results showed that the bKPIF technique was successful in covering the defects without major complications.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Surgery
Mohamed Saad Sadaka, Sherif Abou Bakr Hantash
Summary: This article presents a perforator-based flap design for earlobe reconstruction, with preoperative perforator detection by doppler to ensure surgical efficacy. In 30 cases of earlobe reconstruction, there were no cases of flap necrosis, and the aesthetic evaluation and patient satisfaction scores were high.
Article
Surgery
Maimaiaili Yushan, Yimurang Hamiti, Ainizier Yalikun, Cheng Lu, Aihemaitijiang Yusufu
Summary: This study evaluated the treatment outcomes of trunk defects reconstructed by KDPIF. The results showed that KDPIF successfully reconstructed the trunk defects with satisfactory cosmetic and functional outcomes, without major complications.
ANZ JOURNAL OF SURGERY
(2022)
Article
Surgery
Frank Hsieh, Osbert Qi Yao Leow, Chon-Fok Cheong, Shao-Yu Hung, Chung-Kan Tsao
Summary: This study identified a high proportion of musculoseptocutaneous perforators, highlighting the need for caution in skin paddle design during flap harvesting.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Review
Radiology, Nuclear Medicine & Medical Imaging
Nanda Deepa Thimmappa
Summary: Perforator flap magnetic resonance angiography (MRA) is a widely accepted and preferred method for mapping perforator flaps, providing accurate visualization of perforator anatomy. This review article summarizes the current literature on MRA for autologous breast reconstructions, discussing its advantages and limitations in preoperative planning, intraoperative guidance, and postoperative assessment. It also examines recent advancements in Perforator flap surgery, MRA techniques, and the emerging role of artificial intelligence and machine learning in improving MRA interpretation.
JOURNAL OF MAGNETIC RESONANCE IMAGING
(2023)
Article
Surgery
Katelyn Lewis, Sara Islam, Sarah Phillips, Martin J. Carney III, James Clune
Summary: This study evaluates the facial artery perforator flap as a safe and cosmetically favorable option for immediate repair of oncologic-related defects on the cheek and midface. The results show that this method effectively addresses concerns about definitive pathologic evidence of negative margins and has no significant postoperative complications.
JOURNAL OF CRANIOFACIAL SURGERY
(2023)
Article
Orthopedics
Benquan Liu, Ding Pan, Zhiyu Gao, Pengfei Duan, Qifeng Ou
Summary: The study presents the preliminary results of using a double-pivot proper digital artery flap to repair finger pulp defects. The flap showed high survival rate without necrosis, indicating a potential clinical application in fingertip reconstruction.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Surgery
Mehmet Erdem, Yigit Tiftikcioglu, Burak Ergun Tatar, Kubilay Dogan Kilic, Yigit Uyanikgil, Tahir Gurler
Summary: The study investigated the effect of botulinum toxin administration on flap survival for lower limb propeller flap in rats. It was found that botulinum toxin increases flap viability in lower limb perforator-based propeller flaps, with significant differences observed in histopathological and immunochemical analyses.
JOURNAL OF SURGICAL RESEARCH
(2021)
Review
Surgery
Maxene Weinberg, Adee J. Heiman, Rebecca DeSanti, Michael A. Lanni, Emily Van Kouwenberg, Ashit Patel
Summary: This systematic review evaluated the indications, variations, and overall complication profile of the keystone flap in reconstructive surgery. The study found that keystone reconstruction demonstrated excellent success rates and versatility. However, further research is needed to establish guidelines for patient specific surgical planning.
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
(2022)
Article
Surgery
Nicholas T. Haddock, Joseph A. Kelling, Sumeet S. Teotia
Summary: This article introduces the authors' approach to total breast reconstruction with stacked lumbar artery perforator flaps and DIEP flaps, performed on two patients in mid-2019. The surgeries had an average length of 553 minutes, with average flap weights of 510g for DIEP flaps and 680g for lumbar artery perforator flaps. Both patients stayed in the hospital for an average of 3 days post-operation. Key factors for success include appropriate patient selection, teamwork, and experienced staff.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Article
Health Care Sciences & Services
Byung-Woo Yoo, Kap-Sung Oh, Junekyu Kim, Hyun-Woo Shin, Kyu-Nam Kim
Summary: This study aimed to demonstrate the effective application of modified KPIF reconstruction for small- to moderate-sized scalp and forehead defects. Twelve patients underwent modified KPIF reconstruction and all defects were successfully covered using four modified KPIF techniques with ancillary procedures. All flaps fully survived and patients were satisfied with their outcomes at the final follow-up period. The study concludes that modified KPIF is an excellent reconstructive modality for scalp and forehead defects.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Surgery
Tae Hwan Park
Summary: This study introduces a novel approach using hemi-keystone flaps for reconstructing helical and retroauricular keloids. The retrospective review shows that this method has a high success rate in preventing keloid recurrence.
AESTHETIC PLASTIC SURGERY
(2022)
Article
Surgery
Mahmoud A. Hifny, Ali R. Hamdan, Amr M. Tayel, Eslam El-Sayed El Khateeb, Shunjiro Yagi, Tae Hwan Park
Summary: Modified rotation advancement keystone flaps were successfully used to close transversely oriented myelomeningocele defects. The surgeries were free of major complications, with stable flap dimensions and operative time. Follow-up results showed successful wound healing in all cases.
ANNALS OF PLASTIC SURGERY
(2022)
Article
Food Science & Technology
Tae-Hwan Park, Hye-Jin Lee, Ryeo-Won Kwon, In-Ho Lee, Seung-Jea Lee, Jong-In Park, Eon-Ah Choo, Jeong-Beom Lee
Summary: The study found that caffeine intake can increase serum orexin concentrations in subjects undergoing thermotherapy, with a positive correlation observed between mean body temperature and orexin levels.
FOOD SCIENCE AND BIOTECHNOLOGY
(2022)
Article
Dermatology
Jin Hwang, Tae Hwan Park
Summary: The study presents a simplified, versatile, and predictable upper eyelid analysis method for preoperative analysis in upper eyelid rejuvenation. The method allows for personalized surgical plans and satisfactory outcomes.
JOURNAL OF COSMETIC DERMATOLOGY
(2022)
Article
Dermatology
Mahmoud A. Hifny, Tae Hwan Park
Summary: In a retrospective study of 40 patients who underwent rotation Hemi-keystone flap for cutaneous defects coverage, this novel modification technique has shown advantages in flap survival and reduced postoperative complications.
JOURNAL OF COSMETIC DERMATOLOGY
(2022)
Article
Dermatology
Tae Hwan Park
Summary: This retrospective study introduces the successful use of tensor fascia lata allograft for reconstructing various soft tissue defects. The use of this allograft proved to be a cost-effective surgical option in covering infected wounds, closing donor sites, and providing pedicle protection. The study shows promising results and suggests that tensor fascia lata allografts can be a viable alternative to autologous tissue grafts.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Dermatology
Boram Ha, Sung Jae Kim, Yu Jun Lee, Seongcheol Im, Tae Hwan Park
Summary: This study examined the efficacy of surgical excision followed by postoperative single fractional 10 Gy radiotherapy for recurrent anterior chest keloids. Preliminary results showed positive outcomes, but further validation with long-term follow-up and diverse patients is needed.
INTERNATIONAL WOUND JOURNAL
(2023)
Letter
Surgery
Tae Hwan Park
AESTHETIC PLASTIC SURGERY
(2023)
Article
Surgery
Tae Hwan Park
Summary: Wooden foreign bodies penetrating the nasal cavity through the zygomaticomaxillary bone have not been previously reported. If left untreated, these hypodense signals resembling air bubbles on CT scans can increase the risk of infection and abscess formation. Timely removal of the foreign body is crucial, taking into account potential complications such as significant bleeding or injury to adjacent structures. In this case, a 67-year-old worker had a wooden foreign body penetrate his right cheek, extending into the right nasal cavity through the zygomaticomaxillary complex. Using a navigation system, the foreign body was successfully removed, and arterial bleeding was cauterized. Bony defect reconstruction, septal reconstruction, debridement, and nasal cavity irrigation were performed, resulting in successful removal of the foreign body and fracture reduction.
JOURNAL OF CRANIOFACIAL SURGERY
(2023)
Article
Surgery
Tae Hwan Park
Summary: This study compared the pain relief effects of different local anesthetic techniques in keloid treatment and found that a mixture of lidocaine and epinephrine significantly alleviated pain during and after the corticosteroid injection.
JOURNAL OF CRANIOFACIAL SURGERY
(2023)
Article
Surgery
Tae Hwan Park
Summary: This study aimed to share the author's experience with the use of cross-linked acellular dermal matrix (ADM) as an allograft material for enophthalmos correction. The author successfully corrected 3 cases of enophthalmos caused by neglected orbital fractures using cross-linked ADM at their hospital between May 2021 and June 2022.
JOURNAL OF CRANIOFACIAL SURGERY
(2023)
Article
Surgery
Jin Hwang, Yong Seok Lee, Tae Hwan Park
Summary: This study aims to demonstrate the efficacy of the Morpheus 3D scanner in preoperative planning for rhinoplasty. By utilizing this scanner, the degree of augmentation can be determined based on patients' esthetic needs, and the surgery can be performed according to the simulated 3D shape, resulting in satisfactory esthetic outcomes.
JOURNAL OF CRANIOFACIAL SURGERY
(2023)
Article
Surgery
Tae Hwan Park, Yun Joo Park
Summary: Orbital roof fractures, although rare, can occur during high-velocity facial trauma alongside other facial bone fractures or intracranial hematomas. This study presents a case of a significant blow-out orbital roof fracture along with a nondisplaced frontal bone fracture and epidural hematoma. Conservative treatment resulted in spontaneous reduction and realignment of the orbital roof fracture, with positive evolution observed in cerebral contusion.
JOURNAL OF CRANIOFACIAL SURGERY
(2023)
Article
Surgery
Tae Hwan Park
Summary: This study is the first to evaluate the efficacy of sequential nasal packing removal assessed by facial CT scans. The results showed that sequential nasal packing removal provides significant benefits in overcorrected cases of nasal bone fractures.
JOURNAL OF CRANIOFACIAL SURGERY
(2023)
Article
Medicine, General & Internal
Tae Hwan Park
Summary: This study focuses on orbital wall reconstruction using navigation guidance and titanium-reinforced porous polyethylene plates, specifically for cases involving the inferomedial orbital strut. The results demonstrate that using titanium-reinforced porous polyethylene plates can effectively treat these fractures without complications.
JOURNAL OF CLINICAL MEDICINE
(2023)
