Eplasty最新文献 - Book学术

The First Dorsal Metatarsal Artery "Kite" Flap: A Case Report. 第一跖背动脉“风筝”皮瓣1例。

Eplasty Pub Date : 2026-05-21 eCollection Date: 2026-01-01

Sophia Chryssofos, Alisa O Girard, Michael Arthur, Alec Fisher, David Millili, Jordan Fishman

引用次数: 0

Double Recurrence of Lipoma Following Liposuction: Highlighting the Potential for Cannular Seeding. 吸脂后脂肪瘤的双重复发：强调套管播种的潜力。

Eplasty Pub Date : 2026-04-24 eCollection Date: 2026-01-01

Ryan A Cantrell, Colton H Connor, Quinton L Carr, Bradon J Wilhelmi

引用次数: 0

Palmar Filet Flap for Soft Tissue Reconstruction and Targeted Muscle Reinnervation for Transradial Amputation. 掌片瓣用于软组织重建和经桡骨截肢的定向肌肉神经重建。

Eplasty Pub Date : 2026-04-23 eCollection Date: 2026-01-01

Brian Chin, Rosemarie Rinfret-Paquet, Mitchell A Pet

{"title":"Palmar Filet Flap for Soft Tissue Reconstruction and Targeted Muscle Reinnervation for Transradial Amputation.","authors":"Brian Chin, Rosemarie Rinfret-Paquet, Mitchell A Pet","doi":"","DOIUrl":"","url":null,"abstract":"Background: Preserving skeletal length in transradial amputation is critical to maintain functional movement and prosthetic fitting. In traumatic or oncologic cases where soft tissue coverage is insufficient, free tissue transfer may be necessary to maximize skeletal length. For patients with segmental disease restricted to the forearm, the hand that would otherwise be discarded can serve as a \"spare-parts\" free flap. This report describes the use of a palmar filet free flap for coverage and targeted reinnervation in the setting of transradial amputation.Methods: A 63-year-old woman with multiply recurrent dermal pleomorphic sarcoma of the right forearm underwent transradial amputation for definitive oncologic control. As the hand was not involved by tumor, it was repurposed as a palmar filet free flap to reconstruct the amputation stump without compromising forearm length and achieve targeted muscle reinnervation.Results: The patient underwent successful oncologic resection with negative margins and immediate reconstruction using a palmar free flap. At the 6-month follow-up, she demonstrated protective sensation in the flap without neuroma pain and was successfully fitted with a myoelectric prosthesis.Conclusions: In select patients, a palmar free flap offers a unique reconstructive option following transradial amputation. This approach provides durable soft tissue coverage without added donor site morbidity, enables sensory restoration through neurotization, and reduces the risk of neuroma-related pain via targeted muscle reinnervation.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"26 ","pages":"e6"},"PeriodicalIF":0.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Interesting Case of a Tattoo Artist's Subdermal Chest Implants. 一个有趣的纹身艺术家皮下胸部植入的案例。

Eplasty Pub Date : 2026-04-21 eCollection Date: 2026-01-01

Alexander L Mostovych, Claire Fell, Joshua D Spiegel, Carter Prewitt, Aryana Jones, Ryan L Shaprio

引用次数: 0

Utilization of a Novel Porcine Extracellular Matrix as a Dermal Template for Skin Graft. 新型猪细胞外基质作为皮肤移植模板的应用。

Eplasty Pub Date : 2026-03-27 eCollection Date: 2026-01-01

Henry Krasner, Joshua Khorsandi, Dustin Dillon, Noama Iftekhar, Joshua MacDavid

{"title":"Utilization of a Novel Porcine Extracellular Matrix as a Dermal Template for Skin Graft.","authors":"Henry Krasner, Joshua Khorsandi, Dustin Dillon, Noama Iftekhar, Joshua MacDavid","doi":"","DOIUrl":"","url":null,"abstract":"Background: Achieving a vascularized granulation bed is essential prior to split-thickness skin grafting (STSG) but is often protracted with existing dermal substitutes. Porcine-derived extracellular matrix (pECM) powder (XCelliStem Wound Powder; StemSys) supplies structural proteins and growth factors that may shorten this interval.Methods: Three adults with complex wounds-a traumatic dorsal-foot defect, a cervical burn contracture reconstructed with a latissimus flap, and a free omental flap to an upper-extremity degloving injury-received intraoperative application of hydrated pECM powder following meticulous debridement. Wounds were covered with Xeroform and either hypochlorous-soaked gauze or negative pressure wound therapy. Granulation, exudate, and infection were assessed daily; STSG was performed once a uniform, vascular bed formed. Patients were followed for ≥3months.Results: Complete, healthy granulation tissue developed on post-application days 9, 11, and 13, respectively, enabling timely STSG. All grafts achieved 100% take without necrosis, seroma, or infection. At 3 months, each site displayed durable coverage, preserved function, pliable scars with preserved elasticity, and high patient satisfaction.Conclusions: In this preliminary series, pECM powder accelerated wound bed readiness and supported reliable STSG within 2 weeks-substantially faster than the 3- to 7-week intervals reported for Integra Bilayer Matrix (Integra LifeSciences Corp) and NovoSorb Biodegradable Temporizing Matrix (PolyNovo Ltd). The pECM powder appears safe, easy to apply, and may reduce morbidity and resource use; controlled trials are warranted.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"26 ","pages":"e5"},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13445649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148687103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wide-Rectus Abdominis Fascia Advancement: A Method for Treatment of Global Abdominal Wall Distention. 宽腹直筋膜推进术：一种治疗腹壁全胀的方法。

Eplasty Pub Date : 2026-03-16 eCollection Date: 2026-01-01

Oscar M Ramirez, Munir Patel, Grant Schalet, Vitali Azouz, Marcio Yuri Ferreira

{"title":"Wide-Rectus Abdominis Fascia Advancement: A Method for Treatment of Global Abdominal Wall Distention.","authors":"Oscar M Ramirez, Munir Patel, Grant Schalet, Vitali Azouz, Marcio Yuri Ferreira","doi":"","DOIUrl":"","url":null,"abstract":"Background: Global abdominal wall distention (GAWD) is a phenomenon in which patients present with significant abdominal wall laxity and abdominal bulging unexplained by a rectus diastasis, large panniculus, or abdominal wall hernia. Traditional abdominoplasty techniques do not adequately address GAWD, and treatment of this condition requires modification of the abdominal fasciomuscular complex. This paper aims to describe a novel technique, known as wide-rectus abdominis fascia advancement (WRAFA), developed to address this vexing cosmetic issue.Methods: Over a 30-year period, patients with GAWD were identified in a single surgeon's practice, and, once deemed to be appropriate candidates, they underwent the WRAFA procedure. All patients underwent the procedure in an outpatient setting and were kept for no longer than 23 hours or transferred to a certified recovery setting with skilled nursing. Aesthetic outcomes and complications were tracked over time.Results: Six hundred eighty-five patients underwent abdominoplasty with the WRAFA technique. Two hundred eighty-four patients were available for follow-up for a minimum of 12 months. The average body mass index was 32. The median age was 38 years. Sex distribution was predominantly female (92.5% vs 7.75%). Aesthetic results were deemed to be good to excellent in 80% of patients, moderate in 15%, and minimal in 5%. None of the patients developed abdominal compartment syndrome. There were no fatalities or recurrences. One patient developed a unilateral lower quadrant hernia 15 years after the operation.Conclusions: The WRAFA technique helps redefine the patient's waistline while addressing functional muscular dystonia, ultimately providing excellent aesthetic and functional improvements.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"26 ","pages":"e4"},"PeriodicalIF":0.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13445648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148687082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heparin-Induced Thrombocytopenia in Patients Undergoing Autologous Breast Reconstruction With a Deep Inferior Epigastric Perforator Free Flap. 肝素诱发的血小板减少症在自体乳房重建术中应用深下腹穿支游离皮瓣。

Eplasty Pub Date : 2026-03-13 eCollection Date: 2026-01-01

Mohammed Yamin, Micaela Tobin, Tricia Raquepo, John B Park, Helen Xun, Eric Zhu, Maria J Escobar-Domingo, James E Fanning, Amy Chen, Haobo Ma, Bernard T Lee, Ryan P Cauley

引用次数: 0

Trickle Charging Flaps: Maintaining Deep Inferior Epigastric Perforator Flap Perfusion After Pedicle Division. 滴流充血皮瓣：维持腹下深穿支皮瓣蒂分割后的灌注。

Eplasty Pub Date : 2026-02-27 eCollection Date: 2026-01-01

Eric Bao, Isabelle T Smith, Hannah B Hoffman, Gabrielle P Odoom, Mark L Smith, Neil Tanna

{"title":"Trickle Charging Flaps: Maintaining Deep Inferior Epigastric Perforator Flap Perfusion After Pedicle Division.","authors":"Eric Bao, Isabelle T Smith, Hannah B Hoffman, Gabrielle P Odoom, Mark L Smith, Neil Tanna","doi":"","DOIUrl":"","url":null,"abstract":"Background: Trickle charging is a process by which an external power supply is used to maintain charge in a battery. When applied to flaps, trickle charging allows temporary perfusion of the flap (battery) by using a perforator that is discontinuous from the main pedicle (external power supply), allowing main pedicle ligation. Two procedures that benefit from this technique are the conventional open bilateral deep inferior epigastric perforator (DIEP) flap and the robotic bilateral DIEP flap.Methods: In the conventional open bilateral DIEP flap, trickle charging is used to improve perioperative efficiency. In the event that the recipient site is not ready for flap transfer (ie, mastectomy and/or chest vessel preparation are not completed), trickle charging enables the main pedicle to be harvested from the intraabdominal cavity. This facilitates early rectus fascia and partial abdominal closure. In a bilateral robotic DIEP flap, trickle charging allows the second hemi-abdominal flap to maintain perfusion after the main pedicles in the intra-abdominal cavity are robotically harvested. Both scenarios demonstrate the possibility of temporary perfusion of the flap, despite the main pedicle being ligated.Results: Sixteen total patients had hemi-abdominal flaps that were trickle charged (5 conventional, 11 robotic). All the flaps were tested for proper perfusion intraoperatively using multiple different modalities. None of the patients experienced total flap loss, partial flap loss, or fat necrosis.Conclusions: The authors review the safety of trickle charging in consecutive robotic and open bilateral DIEP flap breast reconstructions. This technique can be easily replicated for various other flaps with the help of preoperative computed tomography or magnetic resonance angiography to identify main pedicle vessels and an alternative temporary perforator.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"26 ","pages":"e3"},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13445647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148687093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Revision Trapeziometacarpal Arthroplasty With Acellular Dermal Xenograft. 脱细胞真皮异种移植术改良斜跖关节置换术。

Eplasty Pub Date : 2026-02-04 eCollection Date: 2026-01-01

Michael C Doarn, Mariel McLaughlin McArthur, John J Fernandez

{"title":"Revision Trapeziometacarpal Arthroplasty With Acellular Dermal Xenograft.","authors":"Michael C Doarn, Mariel McLaughlin McArthur, John J Fernandez","doi":"","DOIUrl":"","url":null,"abstract":"Background: Osteoarthritis of the trapeziometacarpal joint is common. There are limited surgical options for patients who have undergone a failed primary trapeziometacarpal arthroplasty.Methods: The authors conducted a retrospective review of patients who received a porcine dermal graft for failed trapeziometacarpal arthroplasty. Three hundred fifty-five trapeziometacarpal procedures were performed from 2005 to 2015; 9 were revisions. Seven were performed with xenograft interposition. Data included primary procedure, grip and key pinch strength, Visual Analog Score (VAS), motion, time to return to work, Kapandji Score, and radiographs.Results: The mean follow-up was 84 weeks. The mean VAS score was 2.3, and all patients reported notable improvement. The mean Kapandji Score was 8. The mean grip was 20 kg, and the mean key pinch was 5 kg in the operated hand. The mean time to return to work was 12 weeks. The final radiographs showed improvement in spaces. No complications or immunological reactions were encountered.Conclusions: The authors describe a technique for revision trapeziometacarpal arthroplasty with a porcine xenograft acellular dermal matrix. This technique shows a safe and valid treatment option with acceptable clinical outcomes.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"26 ","pages":"e2"},"PeriodicalIF":0.0,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13445644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148687114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Design of Buccinator Flaps for Oronasal Fistula Repair: A Technical Review and Case Series. 用于口鼻瘘修复的颊肌瓣的设计：技术回顾和病例系列。

Eplasty Pub Date : 2026-01-30 eCollection Date: 2026-01-01

Molly MacIsaac, Alexzandra Mattia, Jordan Halsey, S Alex Rottgers

{"title":"Design of Buccinator Flaps for Oronasal Fistula Repair: A Technical Review and Case Series.","authors":"Molly MacIsaac, Alexzandra Mattia, Jordan Halsey, S Alex Rottgers","doi":"","DOIUrl":"","url":null,"abstract":"Background: Oronasal fistula (ONF) repair remains a significant challenge in patients with cleft lip and palate, particularly when local palatal tissue is insufficient. Regional flaps, including the buccal myomucosal flap (BMMF) and the facial artery musculomucosal (FAMM) flap, offer reliable reconstructive options. This study reviews the surgical anatomy, design, and clinical outcomes of these buccinator-based flaps in ONF repair.Methods: This retrospective case series included 13 patients who underwent ONF repair using a BMMF or a FAMM flap between 2017 and 2024. Patient demographics, fistula characteristics, surgical details, postoperative care, and outcomes were collected and analyzed.Results: Six patients underwent BMMF reconstruction, while 7 received FAMM flaps. Successful fistula closure was achieved in 66.7% of patients in the BMMF group, with flap dehiscence occurring in 2 cases, both associated with digital manipulation. The FAMM flap cohort had a 100% fistula closure rate but exhibited a high incidence (86%) of postoperative scar contracture, with 4 patients requiring contracture release.Conclusions: Based on this experience, the authors propose an algorithm for flap selection in ONF repair. Posteriorly based BMMFs are well suited for fistulas at the junction of the hard and soft palate (Type III) and the posterior third of the hard palate (Type IV). Superiorly based FAMM flaps are preferred for anterior ONFs, particularly those extending into the alveolus. The central hard palate remains a reconstructive challenge, with FAMM flaps offering better reach, though they require staged inset and debulking. Both BMMF and FAMM flaps provide vascularized tissue for ONF closure with minimal donor site morbidity. Strategic flap selection based on fistula location optimizes outcomes while mitigating complications.","PeriodicalId":93993,"journal":{"name":"Eplasty","volume":"26 ","pages":"e1"},"PeriodicalIF":0.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12980017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0