Largo RD

[INTRODUCTION] Surgeon preferences in implant-based reconstruction have increasingly favored firmer gel implants for their superior stability, reduced gel bleed, and lower capsular contracture rates. However, this has paralleled an increase…

Transoral robotic surgery (TORS) has revolutionized head and neck cancer treatment by offering minimally invasive access to challenging anatomical regions. The first TORS procedure was performed in 2003, using the da Vinci Surgical System t…

Refinements in autologous breast reconstruction (ABR) enable personalized approaches to align with patient preferences. The deep inferior epigastric perforator (DIEP) flap remains the primary choice due to its volume adequacy, but alternati…

[BACKGROUND] Skin graft is frequently used for donor site closure after osteocutaneous fibula free flap (OCFFF) harvest when primary closure is not possible. Partial skin graft loss requiring wound care is a common complication. The purpose…

[BACKGROUND] Patient-reported outcome measures (PROMs) have become an integral part of outcome evaluation in reconstructive microsurgery. This study explored the usage of PROMs in microsurgical oncological head and neck reconstruction acros…

[OBJECTIVE] Examine outcomes for lateral arm autologous tissue transfer in head and neck reconstruction. [STUDY DESIGN] Retrospective cohort study. [SETTING] Tertiary cancer center. [METHODS] All patients who underwent traditional latera…

[BACKGROUND] Limited data exist regarding the effect of adjuvant radiochemotherapy on free flap volume in head and neck reconstruction. However, an adequate free flap volume is an important predictor of functional and patient-reported outco…

[BACKGROUND] Total or subtotal glossectomy defects cause significant functional deficits in swallowing and speech and subsequently impair patients' quality of life (QOL). Recently, the profunda artery perforator (PAP) flap has emerged as a …

[INTRODUCTION] Osteoradionecrosis (ORN) of the mandible is an unfortunate potential sequela of radiotherapy for head and neck cancer. In advanced cases of ORN, mandibulectomy, and free fibula flap reconstruction are required. We hypothesize…

Reconstructive surgeons navigate a plethora of options when choosing a soft-tissue flap donor site for head and neck reconstruction, each with its distinct pros and cons. This review delves into the profunda artery perforator flap and provi…

[PURPOSE] Composite measures, like textbook outcomes, may be superior to individual metrics when assessing hospital performance and quality of care. This study utilized a Delphi process to define a textbook outcome in DIEP flap breast recon…

[BACKGROUND]  Following implant-based breast reconstruction (IBR) infection and explantation, autologous reconstruction is a common option for patients who desire further reconstruction. However, few data exist about the outcomes of seconda…

[UNLABELLED] Although abdominally-based free flaps have long been the gold standard, the profunda artery perforator (PAP) flap has emerged as an important alternative option for autologous breast reconstruction. The aim of this study was to…

[BACKGROUND] Although the profunda artery perforator flap has gained popularity in breast reconstruction, it has not been well described for reconstruction of head and neck defects. The authors report their experience with free profunda art…

[PURPOSE] The identification of patient-specific risk factors, which predict morbidity following abdominally based microvascular breast reconstruction is difficult. Sarcopenia is a proxy for patient frailty and is an independent predictor o…

The smaller volume of the profunda artery perforator (PAP) flap relative to that of abdominal flaps limits the size of breast reconstruction that may be achieved. Immediate implant augmentation of abdominal free flaps has been performed, bu…

[INTRODUCTION] In reconstructive surgery, fat volume augmentation is often necessary for esthetic or functional reasons. As an alternative to synthetic and xenogeneic materials, autologous fat grafting (AFG) based on liposuction is gaining …

[BACKGROUND] Liposuction and subsequent autologous fat grafting have become essential techniques for fat augmentation in plastic surgery. However, standard harvesting techniques that ensure the survival of adipocytes and stromal vascular fr…

[BACKGROUND] Autologous fat grafting is a popular technique in plastic surgery. A mechanical processing method is used to facilitate fat injection. No study has investigated whether this process affects cell quality and preservation of biol…

[BACKGROUND] Fat grafting for primary breast augmentation is growing in popularity due to its autologous properties and its side benefit of removing unwanted fat from other areas, although volume gain is unpredictable and patient safety rem…