{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:57:26Z","timestamp":1791241046768,"version":"4.1.0"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Reconstructive microsurgery restores form and function after trauma, oncological resection, or congenital deformities. This study provides a bibliometric analysis of the most cited articles, identifies evidence gaps, and proposes future research priorities.<\/jats:p>\n                  <jats:p>The top 100 most cited articles were retrieved from Scopus on January 1, 2025, and analyzed for publication trends, authorship, themes, and impact metrics using VOSviewer and R Bibliometrix.<\/jats:p>\n                  <jats:p>From 57,925 articles, the top 100 were selected (mean citations: 251.99\u2009\u00b1\u2009207.78), predominantly in Q1 journals. Head and neck reconstruction dominated (49.5%). Hidalgo D.A. was the most frequent author, and the United States contributed nearly half of all articles. Most provided Level III\u2013IV evidence (38.14% each); none met Level I criteria. Annual citation rates increased from 6.87 (1970s) to 16.32 (2010s). Four evolutionary phases were identified: Technical feasibility, clinical refinement, evidence-based optimization, and emerging interdisciplinary standardization.<\/jats:p>\n                  <jats:p>Three critical findings emerged: (1) No Level I studies and only 7.22% Level II evidence; (2) geographic concentration, with nearly half of contributions from the United States; and (3) a thematic shift from anatomical descriptions toward outcomes research. These findings provide a roadmap for advancing the field.<\/jats:p>","DOI":"10.1055\/a-2885-8984","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T22:41:40Z","timestamp":1780440100000},"page":"456-473","source":"Crossref","is-referenced-by-count":0,"title":["The Top 100 Most Cited Articles in Reconstructive Microsurgery: Identifying Evidence Gaps and Research Trends for Future Investigation: A Bibliometric and Visualization Analysis"],"prefix":"10.1055","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1283-4136","authenticated-orcid":false,"given":"Hatan","family":"Mortada","sequence":"additional","affiliation":[{"name":"King Saud University Medical City, Saudi Arabia","department":["Division of Plastic Surgery, Department of Surgery"]},{"name":"King Saud Medical City, Saudi Arabia","department":["Department of Plastic Surgery and Burn"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5629-4939","authenticated-orcid":false,"given":"Mustafa Qais","family":"Al-Khafaji","sequence":"additional","affiliation":[{"name":"Norfolk and Norwich University Hospital NHS Trust, United Kingdom","department":["Department of Plastic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4871-0044","authenticated-orcid":false,"given":"Zainalabden E.","family":"Jefri","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, King Abdulaziz University, Saudi Arabia","department":["College of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6478-7891","authenticated-orcid":false,"given":"Kian","family":"Daneshi","sequence":"additional","affiliation":[{"name":"Institute for Sustainable Food, The University of Sheffield, United Kingdom","department":["School of Population Health and Medicine"]},{"name":"Imperial College London, United Kingdom","department":["Department of Bioengineering"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2085-8891","authenticated-orcid":false,"given":"Abdulelah","family":"Alwadai","sequence":"additional","affiliation":[{"name":"Aseer Central Hospital, Saudi Arabia","department":["Department of Plastic Surgery and Burn Unit"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0962-5333","authenticated-orcid":false,"given":"Chihiro","family":"Matsui","sequence":"additional","affiliation":[{"name":"Juntendo University School of Medicine, Japan","department":["Department of Plastic and Reconstructive Surgery"]},{"name":"National Center for Global Health and Medicine, Japan","department":["Department of Plastic and Reconstructive Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9282-3845","authenticated-orcid":false,"given":"Feras","family":"Alshomer","sequence":"additional","affiliation":[{"name":"King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia","department":["Department of Plastic and Reconstructive Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1016\/S0195-5616(97)50102-1","article-title":"Principles of microsurgery","volume":"27","author":"M P Nasisse","year":"1997","journal-title":"Vet Clin North Am Small Anim Pract"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"92","DOI":"10.4103\/MJM.MJM_14_24","article-title":"Role of microsurgery and free tissue transfer in reconstruction of complex defects of head and neck postablative procedure for cancer","volume":"1","author":"D MV Kumar","year":"2024","journal-title":"Medicover Journal of Medicine."},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1016\/j.bjps.2016.03.021","article-title":"Microsurgical reconstruction of oncological scalp defects in the elderly","volume":"69","author":"F Simunovic","year":"2016","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1007\/BF01670518","article-title":"Progress in the treatment of congenital malformations of the hand","volume":"14","author":"D Buck-Gramcko","year":"1990","journal-title":"World J Surg"},{"key":"ref5","first-page":"471","volume-title":"Applications of microsurgical reconstructive surgery technique in the repair of hand congenital deformities","author":"T M 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