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. 2019 Jun 12;7(6):e2181.
doi: 10.1097/GOX.0000000000002181. eCollection 2019 Jun.

Frontiers in Oncologic Reconstruction

Fares Samra  1 , Nikhil Sobti  1 , Jonas A Nelson  1 , Robert J Allen Jr  1 , Babak Mehrara  1 , Joseph H Dayan  1
Affiliations

Frontiers in Oncologic Reconstruction

Fares Samra et al. Plast Reconstr Surg Glob Open. .

Abstract

Objectives: The authors seek to highlight some of the ongoing challenges related to complex oncologic reconstruction and the current solutions to these problems.

Summary: The standard of care in reconstruction following oncologic resection is continually evolving. Current frontiers in breast reconstruction include addressing animation deformity through prepectoral reconstruction, offering autologous reconstruction to patients with limited donor sites, and improving postoperative sensation with innervation of free tissue transfer. Facial nerve reconstruction and contour defects pose an ongoing challenge in patients undergoing parotidectomy requiring complex nerve transfers and autologous reconstruction. Lymphedema is not a monolithic disease, and as our understanding of the pathophysiology improves, our surgical algorithms continue to evolve.

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Figures

Fig. 1.
Fig. 1.
Stacked diagonal upper gracilis flaps for autologous breast reconstruction.
Fig. 2.
Fig. 2.
Innervation of autologous breast reconstruction using the lateral T4 intercostal nerve.
Fig. 3.
Fig. 3.
Facial nerve reconstruction using dual innervation technique.
Fig. 4.
Fig. 4.
Adipofascial anterolateral thigh flap for improving contour following parotidectomy defect.
Fig. 5.
Fig. 5.
Dual-level transfer of vascularized omentum lymphatic transplant for management of upper extremity lymphedema.
See this image and copyright information in PMC

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