On the basis of these observations, nerve transfers to the AIN may provide flexion of all fingers. © 2014 Wiley Periodicals, Inc. Microsurgery, 2014. “
“Peripheral nerve injuries are still underestimated. The complexity of assessment of outcome after nerve injury and repair has been described by many authors. Furthermore, the outcome is influenced by several factors that depend on mechanisms in the peripheral as well as the central nervous system. Appropriate formulation of a global accepted postoperative clinical protocol
for peripheral nerve repair in the upper extremity remains a subject of debate. The purpose of this review is to detail the click here current concepts of methods of evaluation after peripheral nerves repair. Finally, SRT1720 we discuss the most crucial factors that determine the final hand function and we consider the challenges that need to be addressed to create a realistic clinical protocol that reflects a prognostic importance. © 2012 Wiley Periodicals, Inc. Microsurgery, 2012. “
“It is difficult to totally reconstruct the lips and achieve good functional and aesthetic results, such as oral sphincter function, sensation, appearance, color, and movement.
There have been few reports of reconstructing complete lip defects. We present a case of completely reconstructing the lip defects of a 55-year-old patient who had verrucous carcinoma of the buccal mucosa and lips. Extensive ablation was performed by wide bilateral excision of the buccal mucosa and marginal resection of the anterior mandible and both lips. The tongue, partial tongue base mucosa, and retromolar trigone were preserved. To reconstruct and resurface the intraoral and lip defects nearly totally, we applied a free anterolateral thigh (ALT) flap in chimeric style with two independent sets of perforators and skin islands. To achieve better oral function and cosmetics, revisions of the ALT flap, full-thickness scrotal skin grafting, autologous fat grafting, and skin tattooing medroxyprogesterone were done in stages. Postoperative oral sphincter function was obtained without drooling; the general appearance
of the lips was also acceptable. © 2011 Wiley Periodicals, Inc. Microsurgery, 2012. “
“Background: Unplanned readmissions serve as a marker for health care quality. Risk factors associated with unplanned readmission after microvascular free tissue transfer have never been examined. In this study, we sought to identify perioperative predictors of 30-day unplanned readmission in free flap patients. Methods: The National Surgical Quality Improvement Program (NSQIP) database was retrospectively reviewed to identify all patients who underwent microvascular free tissue transfer in 2011. Multivariate logistic regression models were used to estimate independent predictors of unplanned readmission. Results: Among free flap patients, unplanned readmission rate was 7.9%.