Michel Saint-Cyr

..This study reports the anatomy, surgical procedure, clinical outcomes, and aesthetics following use of the serratus anterior fascial flap for lateral expander coverage in postmastectomy expander-based breast reconstruction...

..Clinical and functional outcomes following use of the subpectoral fascia in expander-based breast reconstruction are reported...

..Through a detailed analysis of the deposition of back fat, this study describes a low transverse extended latissimus dorsi flap harvest technique that increases flap volumes and improves donor-site aesthetics...

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..Patient outcomes following surgery can be enhanced by restoring volume and minimizing scars in this upper medial subunit of the breast...

..This study presents a detailed three- and four-dimensional appraisal of the arterial and venous anatomy and perfusion of the anterolateral thigh flap using a novel computed tomographic technique...

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..The authors investigated the three-dimensional and four-dimensional arterial vascular territory of a single perforator, termed a "perforasome," in major clinically relevant areas of the body...

..The authors' hypothesis is that the zones of perfusion and the vascular anatomy differ greatly between lateral row and medial row perforators...

..The vascular anatomy of the thoracodorsal artery perforator flap, which has not previously been elucidated, was examined using three- and four-dimensional computed tomographic angiography and venography...

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..In this article we present the results of our anatomical/histological study, discuss the operative technique and present a clinical series of patients who underwent this procedure...

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..In this article, they discuss the different operative techniques and present a clinical series of both flap types...

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..This review article discusses the rationale for free flap surgery in terms of types of burn injuries, perioperative considerations, and summarizes the literature in free tissue transfer in acute burns...

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..The purpose of this study was to determine the location, size, and vascular territory of the radial artery cutaneous perforators...

..However, it is not known whether they are as reliable as the internal mammary vessels or whether their use would result in increased recipient-site complications...

..Most authors reported satisfactory or greater results, and we concluded that it appears as though autologous fat transplantation to the breast is a safe option for patients seeking both reconstructive and cosmetic surgery...

..No Doppler imaging or angiography is used for preoperative perforator mapping...

..We investigated the vascular territory of this flap and the possibility of extending its dimensions...

..The authors proposed that dissection of the deep inferior epigastric artery (DIEA) and vein (DIEV) to their external iliac source may not be required for safe flap transfer...

..This study reports the anatomical basis, surgical technique, complications, and aesthetic and functional outcomes following use of this flap for breast reconstruction...

..It provides an excellent alternative to muscle and musculocutaneous flaps with less morbidity. The evolution of the understanding of perforator flap anatomy has increased their clinical use and improved flap design...

..The authors compared the vascular territories in these flaps...

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..This study examines the three- and four-dimensional arterial and venous anatomy of the extended anterolateral thigh flap and reports the results of a clinical series of extended anterolateral thigh flaps...

..Routine pathologic assessment of these skin specimens, removed for nononcologic reasons, may not be required...

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..This was achieved using bilateral pedicled SEA perforator flaps for complete coverage. To our knowledge, this is the first documented case of bilateral pedicled perforator flap reconstruction for complete chest wall reconstruction...

..Over the years, the authors' preferred recipient vessels for microvascular autologous breast reconstruction have changed from the thoracodorsal to the internal mammary vessels...

..Each perforator selected has its distinct vascular territory, and proper knowledge of perforator perfusion characteristics helps maximize outcome and limit complications...

..Accordingly, we advocate the effective use of the TUG flap for breast reconstruction in spite of previous liposuctions to the thighs...

..The authors present their case series of patients who underwent dorsal percutaneous fixation for delayed union or nonunion of the scaphoid...

..Angiography and dissection studies were used in this study to elucidate the role of the deep fascia in perfusion of the radial forearm flap...

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..We investigate the reliable locations of the perforators of the thoracodorsal artery...

..An understanding of the relevant anatomy and an appreciation for the complex interplay involved in extensor physiology is necessary to recognize and manage these injuries...

..The mean total active motion of the combined metacarpophalangeal proximal interphalangeal and distal interphalangeal joints in bone-grafted digits was 178 +/- 53 degrees at final follow-up...

..3 and 8.1%). Pedicled-perforator flaps appear to be a reliable and safe procedure for the coverage soft tissue defects of the lower extremity based on favorable results reported in the literature...

..To describe a pilot study for a novel preclinical model used to test human tissue-based therapies in the setting of cutaneous radiation injury...

..This study evaluates the impact of a short messaging system clinical protocol between surgeons and patients. The endpoints evaluated were number of clinic visits, telephone calls, and days to surgical drain removal...

..An ideal acellular dermal matrix product is still unavailable but the information provided in this review should facilitate a breast surgeons decision-making process...

..The purpose of this article is to review the indications and options for selection of free flaps for soft tissue coverage of the upper extremity...

..This article reports the use of the descending branch muscle-sparing latissimus dorsi myocutaneous flap in reconstructing defects on the trunk and upper extremities...

..Optical Diffusion Imaging Spectroscopy (ViOptix T.Ox Tissue Oximeter) measures the ratio of oxyhemoglobin to deoxyhemoglobin over a 1 x 1 cm area to obtain a non-invasive measurement of perfusion (StO2)...

..These flaps include the deep inferior epigastric artery, the anterolateral thigh, the thoracodorsal artery, and the superior and inferior gluteal artery perforator flaps...

..This study determined the reliable locations of the lower leg perforators...

..This single-stage approach to fracture management also permits earlier and more aggressive hand therapy that, in turn, can lower the high functional morbidity so often associated with these injuries...

..Chronic infected nonunions or nonunions from radionecrosis involving large segmental defects of both forearm bones are a truly unique challenge and must be treated aggressively to ensure any useful long term function of the injured limb...

..Moreover, the evolving of the vascular tree (4D vascular tree) is reconstructed through this procedure. Experimental results for anterolateral thigh perforator (ALTP) flap demonstrate the effectiveness of this method...

..Postoperatively, the patient reported complete relief of symptoms, which had still been maintained at final follow-up one year later...