{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T08:32:51Z","timestamp":1761294771435,"version":"3.41.2"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>The internal mammary artery perforator (IMAP) flap has been widely used for chest wall and neck reconstruction. The color of its skin paddle closely resembles that of facial skin, making it attractive for facial reconstruction. However, there has been insufficient investigations reporting the use of free IMAP flap. Furthermore, even in such studies, somewhat invasive procedures, including rib cartilage resection, were employed to ensure sufficient pedicle length, potentially increasing donor morbidity. Our report presents two cases of successful facial defect reconstruction using a free IMAP flap harvested with minimal donor site damage, showing its feasibility. In the first case, a 48\u2010year\u2010old male underwent wide excision for a malignant melanoma on his right cheek, resulting in a 4\u2009\u00d7\u20094.5\u2009cm full\u2010thickness defect. A free IMAP flap with a 2.5\u2009cm pedicle, was harvested without rib cartilage resection, preserving IMA main trunk, and transferred with anastomosed to the angular vessels within the defect. The second patient presented with a 4.5\u2009\u00d7\u20093.5\u2009cm basal cell carcinoma on the left cheek, necessitating wide excision and leaving a 6\u2009\u00d7\u20095\u2009cm defect. A free IMAP flap was harvested with the same approach and successfully reconstructed the defect with connected to the superficial temporal vessels using vascular bridge. Both patients were discharged complication\u2010free, with no recurrence during 24 and 15\u2009months of follow\u2010up, respectively. They were highly satisfied with the final skin color and texture outcomes. Harvesting a free IMAP flap while minimizing donor morbidity may offer an attractive option for facial reconstruction.<\/jats:p>","DOI":"10.1002\/micr.31233","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T09:43:28Z","timestamp":1725356608000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Use of Free Internal Mammary Artery Perforator Flap Harvested With Minimally Invasive Approach for Facial Reconstruction: Report of Two Cases"],"prefix":"10.1002","volume":"44","author":[{"given":"Yun","family":"Choi","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9070-9296","authenticated-orcid":false,"given":"Kyeong\u2010Tae","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2013.40.6.761"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2012.10.006"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001093"},{"key":"e_1_2_5_5_1","first-page":"441","article-title":"The Current Status, Evolution and Future of Facial Reconstruction","volume":"31","author":"Christopher Glenn Wallace M.","year":"2008","journal-title":"Chang Gung Medical Journal"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000129071.03842.C5"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199809010-00016"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001303"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599819875416"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29959"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182503c5d"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318209a77f"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000208297.02556.a5"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-020-01464-2"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20803"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2010.03.054"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2008.09.019"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000232859.33035.d5"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2023.06.055"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182818c08"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20386"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182865bf5"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.31233","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T10:55:24Z","timestamp":1726656924000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.31233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1002\/micr.31233"],"URL":"https:\/\/doi.org\/10.1002\/micr.31233","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"type":"print","value":"0738-1085"},{"type":"electronic","value":"1098-2752"}],"subject":[],"published":{"date-parts":[[2024,9]]},"assertion":[{"value":"2024-01-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e31233"}}