28 Days in Gaza, Journal Partnership & Technique Tips.

Also: Reverse anterolateral thigh flap illustration, bilobed flap design technique, & evidence on the scalp rotation flap.
28 Days in Gaza, Journal Partnership & Technique Tips.

In this week's edition

  1. ✍️ Letter from P'Fella
    5 Ideas for a Journal Partnership
  2. 🤓 The Sunday Quiz
    How well do you know the types & classification of flaps?
  3. 🖼️ Image of the Week
    Reverse anterolateral thigh flap
  4. 🚑 Technique Tip
    Zitelli's geometric bilobed flap design
  5. 🎙️ Behind the 'Fella
    28 Days in Gaza with Victoria Rose.
  6. 📖 What Does the Evidence Say
    The best technique for scalp rotation flaps.
  7. 🔥 Articles of the Week
    Ponten publication on fasciocutaneous flaps, original Ziteli publication, & original Antia Buch publication: with 1 sentence summaries.
  8. 💕 Feedback
    Suggest ideas & give feedback!

A Letter from P'Fella

5 Ideas for a Journal Partnership

👋
Hey Team!

I’m super excited to let you know that we’re looking into a potential partnership with some big journals to make evidence-based content way more accessible for all of you. But before we jump in, I really want your thoughts—your input is what will make this work best for everyone.

From the feedback we’ve gotten, it’s pretty clear that some of the biggest barriers to using plastic surgery journals are paywalls, too many logins, lack of concise content, and sometimes, relevance to what you actually need day-to-day.

These are real challenges, and we want to find solutions that really work for you. Imagine if getting high-quality, evidence-based info was simple, easy, and actually useful to your practice.

How would you prefer to access more evidence-based content through our journal partnership?

Your voice is key to making this work. Your feedback will help us create something that’s actually helpful and makes keeping up-to-date easier and more impactful.

Let’s make this happen together.

With love,
P'Fella ❤️

The Sunday Quiz

How Well Do You Know Types & Classification of Flaps?

Are you ready to make it to the leaderboard?

Welcome to the next round of The Weekly Quiz.

Each edition of thePlasticsPaper includes a quiz question designed to challenge and engage our readers. Keep your wits about you and join in every week — the winner at the end of six rounds will earn you a $100 voucher.

How to Classify and Describe a Flap - A Mnemonic
How to Classify and Describe a Flap - A Mnemonic

Image of the Week

Reverse Anterolateral Thigh Flap

🖼️
Anatomy Illustration of the Week

In this section, we feature an anatomical illustration. This edition looks at a reconstruction option for the lower limbs: Reverse anterolateral thigh flap.

Mobilization of the flap, Reverse anterolateral thigh flap.
Source

Technique Tip

Bilobed Flaps

🚑
Technique Tip of the Week

This edition looks at Zitelli's geometric bilobed flap design. Read our article for an in-depth look at the bilobed flap technique and its applications.

👇

Comparision of the Esser (Left) and Zitelli (Right) Bilobed Flap Designs
Comparison of the Esser (Left) and Zitelli (Right) Bilobed Flap Designs

Behind the ‘Fella

28 Days in Gaza: A Conversation with Ms Victoria Rose

🎧
Next Episode on Monday
28 Days in Gaza: A Conversation with Ms Victoria Rose

In our upcoming episode, we sit down with Ms. Victoria Rose to discuss her experiences as a plastic surgeon in Gaza. What’s it like to handle complex trauma and reconstructive cases in such challenging conditions? How do surgeons manage under intense pressure and with limited resources?

Tune in as we address these questions and more, diving into the realities of frontline surgical care.

Subscribe on Spotify & Apple on Monday

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Listen on Spotify & Apple on Monday.

What Does the Evidence Say?

The Various Modifications of the Scalp Rotation Flap

In this section, we dive deep into the latest research and evidence on medical practices and surgical techniques.

Scalp rotation flaps are effective for reconstructing complex soft tissue defects, providing hair-bearing skin and respecting hairlines (Costa et al., 2015; Christopoulos et al., 2020). The design and measurements of these flaps are crucial for optimal outcomes.

Traditionally, flaps are planned to be up to 8 times the defect diameter, but modified techniques like the "snail flap" can use smaller ratios (Christopoulos et al., 2020). Personalized computational models can predict mechanical stress and tension distribution in scalp flaps, potentially improving surgical planning (Lee et al., 2020).

Various modifications, such as double-opposing unilobar rotation flaps, have been developed to address larger defects (Moulton-Barrett & Vanderschelden, 2015). Experimental studies have explored optimal flap designs, including the use of tissue expanders (Vendroux et al., 1977; Lo & Kimble, 2008). Geometric considerations are essential for successful reconstruction, with transposition flaps being a reliable option for full-thickness scalp defects (Ahuja, 1988; Shah et al., 2022).

Articles of the Week

3 Interesting Articles with 1 Sentence Summaries

The Original Ponten Publication for Fasciocutaneous Flaps (Pontén, 1981)

The fasciocutaneous flap offers reliable vascular support for lower leg soft tissue reconstruction, enabling large, stable flaps with straightforward postoperative management and compatibility.

The Original Zitelli Modification for Bilobed Flaps (Zitelli, 1989)

The bilobed flap is a double transposition flap ideal for covering defects on the lower third of the nose, addressing both functional and aesthetic needs with reduced risks of tissue protrusion and "pincushioning".

The Original Antia-Buch Flap for the Ear (Antia, 1967)

The chondrocutaneous advancement flap technique combines cartilage and skin advancement to restore form and function effectively in cases of ear deformities.

Feedback

I hope you enjoyed it 😄


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