A5034498852- Reconstructive Surgery and Microvascular Techniques
- Reconstructive Facial Surgery Techniques
- Orthopedic Surgery and Rehabilitation
- Tracheal and airway disorders
- Trauma Management and Diagnosis
- Surgical site infection prevention
- Organ and Tissue Transplantation Research
- Diabetic Foot Ulcer Assessment and Management
- Wound Healing and Treatments
- Nerve Injury and Rehabilitation
- Bone fractures and treatments
- Cleft Lip and Palate Research
- Angiogenesis and VEGF in Cancer
- Peripheral Nerve Disorders
- Elbow and Forearm Trauma Treatment
- Head and Neck Cancer Studies
- Pressure Ulcer Prevention and Management
- Lipoproteins and Cardiovascular Health
- Head and Neck Surgical Oncology
- Congenital limb and hand anomalies
- Peripheral Artery Disease Management
- Breast Implant and Reconstruction
- Facial Nerve Paralysis Treatment and Research
- Hemostasis and retained surgical items
- Muscle and Compartmental Disorders
Kaohsiung Chang Gung Memorial Hospital
2012-2023
Chang Gung University
2011-2023
Molina Center for Energy and the Environment
2016
Ministry of Science ICT and Future Planning
2016
Taiwan Forestry Research Institute
2016
Chang Gung Memorial Hospital
2016
Kaohsiung Medical University
2016
Kaohsiung Medical University Chung-Ho Memorial Hospital
2016
Zero to Three
2014
Kaohsiung Municipal Hsiao-Kang Hospital
2011
Free tissue transfer has become the preferred option for complex reconstructions in head and neck cancer ablation. This study reviewed surgical outcome analyzed evolution of microsurgical reconstruction over 20 years single institute.A total 1,918 patients underwent 20-year period. The complications among these 2,019 flaps (1,223 anterolateral thigh flaps, 372 fibula 353 radial forearm 12 jejunal 59 others) were retrospectively analyzed.A 201 cases required emergent re-exploration overall...
<h3>Importance</h3> Delayed healing of diabetic foot ulcers (DFUs) is known to be caused by dysregulated M1/M2-type macrophages, and restoring the balance between these macrophage types plays a critical role in healing. However, drugs used regulate M1/M2 macrophages have not yet been studied large randomized clinical trials. <h3>Objective</h3> To compare topical application ON101 cream with use an absorbent dressing (Hydrofiber; ConvaTec Ltd) when treating DFUs. <h3>Design, Setting,...
Abstract Free tissue transfer has become a popular technique for soft defect reconstruction in head and neck cancer ablation. Although high success rates good reliability of free flaps are proven, microvascular thrombosis is still the most critical issue microsurgeons. Pharmacological antithrombotic agents widely used but their efficacy debated. In this study, we analyzed whether prostaglandin‐E1 (PGE1) dextran‐40 can improve outcomes compared to no therapy at all. We retrospectively...
Salivary contamination of surgical wounds in clean-contaminated head and neck surgery with free flap reconstruction remains a major cause infection leads to significant morbidity. This study investigates the correlation between intraoral flora site infections (SSIs) among high-risk cancer patients undergoing resection reconstruction.One hundred twenty-nine were identified as being at high risk for infective complications based on stage, tumor size, comorbid factors, extent reconstruction....
Background Pressure sore reconstruction remains a significant challenge for plastic surgeons due to its high postoperative complication and recurrence rates. Free‐style perforator flap, fasciocutaeous musculocutaneous flap are the most common options in pressure reconstructions. Our study compared complications among these three flaps at Kaohsiung Chang Gung Memorial Hospital. Methods From 2003 2012, 99 patients (54 men 45 women) with grade III or IV sores received regional reconstruction,...
To assess the feasibility of remote management extremity wound by using a mobile camera phone to transfer clinical images and online communication, teleconsultations were carried out on 60 patients between January August 2003 for 82 wounds presented emergency room residents consultant plastic surgeons. A questionnaire about descriptors (gangrene, necrosis, erythema, cellulitis/infection), as well opinions regarding treatment with antibiotics or debridement, was filled out. In this study, 3...
Background: The anterolateral thigh flap is commonly used for reconstruction of various soft-tissue defects. This article presents the authors' approach to one-stage composite defects using an with a vascularized fascia lata. Methods: retrospective review analyzed 973 patients who had undergone over past 10 years. Various types complicated in 36 were reconstructed combined lata component was abdominal wall and fascial defect 12 patients, lip-cheek 15 extremities nine perineum one patient....
Oromandibular reconstruction resulting from resection of benign tumor, malignant cancer, osteomyelitic or osteoradionecrotic mandible remains a challenge for plastic surgeons today. At present, fibula osteocutaneous flap is the perhaps most commonly used technique oromandibular because its potential contouring, immediate dental implant placement, and favorable donor site morbidity. In this study, we review history reconstruction, summarize characteristics different flaps, offer surgical...
Background: The authors retrospectively reviewed their experience over the past 5 years with reconstructions of hypopharyngeal defects using anterolateral thigh flaps. purpose study was to present a modified classification defects, method and tips used, outcomes morbidities. Methods: From 2002 2007, 55 flaps were harvested for reconstruction after tumor ablation in 54 patients. Patient age ranged from 38 77 (average, years). In 24 cases, free used circumferential defects; 28 they reconstruct...
Background The three commonly used free flaps for circumferential pharyngeal reconstruction after total pharyngo‐laryngectomy are the radial forearm flap (RFF), anterolateral thigh (ALT) flap, and jejunum flap. This study was to objectively compare different during past 10 years. Stricture fistula were assessed using esophagogram esophagoscopy. Methods Forty‐five patients with reconstructions had esophagram esophagoscopy done postoperatively assess strictures fistulas. These divided into...
In this study, we introduced scalp reconstruction using free anterolateral thigh (ALT) flaps and evaluated postoperative outcomes in nine patients between March 2000 April 2012. Five had problems of exposed prosthesis, three required after resection tumor one patient presented with third degree flame burns the scalp. All survived without re-exploration, except tip necrosis requiring secondary procedures debridement small Z-plasty reconstructions. The superficial temporal artery its...
Background Previous neck dissection and irradiation is believed to affect the success of free tissue transfers in head reconstruction, but evidence scarce conflicting. This study seeks evaluate flap rates presence these two factors. Methods Over a ten-year period, total 853 cases were evaluated. Success compared between control group with no prior intervention (non-irradiation dissection, NRTND) against three other groups: only (RT), previous (ND), both (RTND). The choices recipient vessel...
Background: This study tested the hypothesis that hyperbaric oxygen (HBO) therapy enhanced circulating levels of endothelial progenitor cells (EPCs), soluble angiogenesis factors, and blood flow in ischemic areas patients with peripheral arterial occlusive disease (PAOD). Methods: In total, 57 consecutive PAOD undergoing HBO (3 atmospheres (atm) for 2 h each time) were prospectively enrolled into present study. Venous sampling was performed to assess EPCs factors prior during five sessions...
Abstract Background: Perforator‐based fasciocutaneous flaps for reconstructing pressure sores can achieve good functional results with acceptable donor site complications in the short‐term. Recurrence is a difficult issue and major concern plastic surgery. In this study, we introduce reusable perforator‐preserving gluteal artery‐based rotation flap reconstruction of sores, which be also elevated from same incision to accommodate sore recurrence. Methods: The study included 23 men 13 women...
Pressure sore reconstruction is quite difficult for plastic surgeons because of long-term high recurrence rates. We designed a freestyle perforator-based flap pressure considering and further reconstruction.We used handheld Doppler device to locate perforator position just adjacent the ulcer. In series 34 patients, we 37 flaps reconstruct 25 sacral, 5 ischial, 4 trochanteric ulcers.Twenty-eight healed uneventfully without complication. One patient had that totally necrosed, 3 partial...
Extracorporeal shock wave (ECSW) and adipose-derived mesenchymal stem cells (ADMSCs) have been recognized to capacities of anti-inflammation angiogenesis. We tested the hypothesis that ECSW ADMSC therapy could attenuate ischemia-reperfusion- (IR-) induced thigh injury (femoral artery tightened for 6 h then tightness was relieved) in rats. Adult male SD rats (n = 30) were divided into group 1 (sham-control), 2 (IR), 3 (IR + ECSW/120 impulses at 0.12 mJ/mm2 given h/24 h/72 after IR), 4...
Patients with advanced head and neck cancers require reconstruction a double free flap, but in some situations, it is extremely difficult to attain the ideal set of recipient vessels for these patients. The patients were divided into two groups: group 1 had one vessel; 2 vessels. Fifty-five enrolled between 2001 2005. Double flaps, including fibula osteoseptocutaneous flap an anterolateral thigh used reconstruction. In 1, second was anastomosed at distal runoff fibular flap. Group contained...
Abstract Background : An anterolateral thigh (ALT) flap has gradually become the workhorse of reconstructions at different anatomical locations because its reliability and versatility. In this study, we introduced concepts: one is ALT harvest from a lateral approach other reconstruction extensive head neck defects with single donor site. Methods A was harvested in 13 patients who had buccal cancer and/or tumors lower lip combined trismus. Three types flaps (type I: two skin paddles, pedicle;...
Introduction Free jejunal flap is one of the optimal choices for restoring upper digestive tract. The purpose this study was to introduce treatment strategies and compare outcomes free pharyngoesophageal reconstruction between hypopharyngeal cancer chemical corrosive injured esophagus. Methods From 2001 2012, patients who had been received esophageal by defect were divided into squamous cell carcinoma (SCC) group injury (CCI) group. All data on complications including relevant radiographic...
Purpose: The purpose of this study is to present our experience with patients who underwent traumatic ear amputation. Methods: Between January 1988 and April 2002, 10 sustained amputations. Of these, six microvascular replantation (arterial anastomosis only arterial venous in three each), was attempted one patient. However, no suitable vessel could be found for the anastomosis, amputated treated as a composite graft buried retroauricular pocket. Staged costal cartilage reconstruction...