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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Orochi Flaps in Head and Neck Reconstruction.

Rami Elmorsi1, Edward I Chang1, Peirong Yu1

  • 1From the Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center.

Plastic and Reconstructive Surgery
|October 23, 2025
PubMed
Summary
This summary is machine-generated.

The Orochi flap offers a reliable solution for head and neck reconstruction in patients with depleted neck vessels. This innovative technique shows promising results, potentially outperforming traditional methods in complex cases.

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Area of Science:

  • Plastic Surgery
  • Head and Neck Reconstruction
  • Microsurgery

Background:

  • Extensive head and neck defects in vessel-depleted necks pose significant reconstruction challenges.
  • The Orochi flap, a fabricated chimeric flap, is a potential solution for scarce recipient vessels.

Purpose of the Study:

  • To evaluate the safety and efficacy of Orochi flap reconstructions for head and neck defects.
  • To compare Orochi flap outcomes with traditional and vein-grafted free flaps.

Main Methods:

  • Retrospective review of Orochi flap reconstructions (2005-2024).
  • Comparison of postoperative outcomes using multivariable regression and propensity score matching.
  • Analysis included 72 Orochi flaps, 385 traditional flaps, and 47 vein-grafted flaps.

Main Results:

  • Orochi flaps demonstrated a 0% flap loss rate for primary flaps and 4% for secondary flaps.
  • Vein-grafted flaps and prior free flap history were independent predictors of total flap loss.
  • Orochi flaps had shorter hospital stays and vein-grafted flaps had higher complication and flap loss rates compared to traditional flaps.

Conclusions:

  • Orochi flaps are a reliable option for complex head and neck reconstruction in vessel-depleted patients.
  • This technique may offer advantages over vein grafting for accessing distant recipient vessels.