{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:09:33Z","timestamp":1747148973601,"version":"3.40.5"},"reference-count":49,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,9,3]],"date-time":"2018-09-03T00:00:00Z","timestamp":1535932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Monitoring free muscle flaps with skin grafts is difficult. To intensify the monitoring process for this type of flap, a small skin paddle was included in the flap and analyzed its effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of all patients who underwent scalp reconstruction with a free latissimus dorsi flap and skin graft between 1994 and 2016 was conducted. Flap monitoring was proceeded using a combination of clinical examination and handheld Doppler for both types of flaps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 71 patients were included in this study and were divided into a study group (skin paddle included; n = 30) and a control group (conventional method; n = 41). The time between initial surgery to pedicle exploration was significantly shorter in the study group (11.3 \u00b1 2.5 vs 79.8 \u00b1 42.6 hours; <jats:italic>P<\/jats:italic> = .024). The flap salvage rate was significantly higher in the study group (100% vs 16.7%; <jats:italic>P<\/jats:italic> = .048).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The efficacy of flap monitoring and flap salvage outcomes were improved by including a small monitoring skin flap.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25347","type":"journal-article","created":{"date-parts":[[2018,9,3]],"date-time":"2018-09-03T10:29:31Z","timestamp":1535970571000},"page":"2399-2408","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of small monitoring skin paddle in free muscle flap for scalp reconstruction"],"prefix":"10.1002","volume":"40","author":[{"given":"Seong Oh","family":"Park","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery Seoul National University College of Medicine Seoul 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