{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:02:41Z","timestamp":1753869761805,"version":"3.41.2"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T00:00:00Z","timestamp":1696032000000},"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":["Microsurgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Perforator flap has been applied as the most common flap for soft tissue defect reconstruction. Here, we presented two cases using turbocharging procedure of perforator to perforator as a salvage strategy. The first case was a 54\u2010year\u2010old male with recurrent squamous cell carcinoma (SCC) in the left buccal area and mouth floor. A 6\u2009\u00d7\u200922\u2009cm posteromedial thigh (PMT) flap was designed for reconstruction. The two eccentric perforators of the PMT flap could not conjoin together during dissection nearby the main pedicle of profunda femoral artery (PFA) resulting in inadequate perfusion. Side branched stump before clipped the branch of distal perforator was preserved, then the proximal perforator was divided and end\u2010to\u2010end anastomosis of side branch of distal perforator was done successfully. The second case was a 52\u2010year\u2010old male underwent wide composite excision of right tongue SCC. After excision, anterolateral thigh (ALT) flap around 7\u2009\u00d7\u200915\u2009cm was harvested from left thigh and two perforators were included which one tiny perforator supplied by the descending branch (DB) and the other major perforator originated from oblique branch (OB) of lateral circumflex femoral artery (LCFA). However, the OB main perforator injury showed inadequate perfusion of flap. We trimmed the injury zone of OB perforator, and shift to re\u2010anastomosis of OB perforators to side branch of DB of LCFA directly. The flap demonstrated excellent perfusion immediately after the operation, and it exhibited complete survival 2\u2009weeks postoperatively. These results indicated that the turbocharging procedure, from perforator to perforator, could serve as a strategy for salvaging perfusion\u2010compromised flaps, especially in cases of eccentric perforators or perforator injury resulting in inadequate perfusion.<\/jats:p>","DOI":"10.1002\/micr.31111","type":"journal-article","created":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T10:59:47Z","timestamp":1696071587000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Turbocharging as a strategy to boost extended perforator flap vascularity in head and neck reconstruction\u2014A report of two cases"],"prefix":"10.1002","volume":"44","author":[{"given":"Savitha","family":"Ramachandran","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Singapore General Hospital  Singapore Singapore"},{"name":"Department of Plastic and Reconstructive Surgery KK Women's and Children's Hospital  Singapore Singapore"},{"name":"Academic Clinical Programme for Musculoskeletal Sciences Duke\u2010NUS Graduate Medical School  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao\u2010Wei","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Plastic &amp; Reconstructive Surgery, Department of Surgery Kaohsiung Medical University Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9002-824X","authenticated-orcid":false,"given":"Yu\u2010Chi","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Plastic &amp; Reconstructive Surgery, Department of Surgery Kaohsiung Medical University Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao\u2010Hsin","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of General Medicine Kaohsiung Medical University, Kaohsiung Medical University Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khong Yik","family":"Chew","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Singapore General Hospital  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9388-5009","authenticated-orcid":false,"given":"Yur\u2010Ren","family":"Kuo","sequence":"additional","affiliation":[{"name":"Academic Clinical Programme for Musculoskeletal Sciences Duke\u2010NUS Graduate Medical School  Singapore Singapore"},{"name":"Division of Plastic &amp; Reconstructive Surgery, Department of Surgery Kaohsiung Medical University Hospital  Kaohsiung Taiwan"},{"name":"Faculty of Medicine, College of Medicine Kaohsiung Medical University, Kaohsiung Medical University Hospital  Kaohsiung Taiwan"},{"name":"Department of Biological Sciences National Sun Yat\u2010sen University  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1255332"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2019.00157"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199809020-00074"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30280"},{"volume-title":"Issues in flap surgery","year":"2017","author":"Goktekin T.","key":"e_1_2_7_6_1"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2017.44.3.238"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.991094"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22497"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(87)90185-8"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001880"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.31111","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T11:57:25Z","timestamp":1707393445000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.31111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,30]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/micr.31111"],"URL":"https:\/\/doi.org\/10.1002\/micr.31111","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"type":"print","value":"0738-1085"},{"type":"electronic","value":"1098-2752"}],"subject":[],"published":{"date-parts":[[2023,9,30]]},"assertion":[{"value":"2022-11-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e31111"}}