{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T11:38:43Z","timestamp":1781696323763,"version":"3.54.5"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J reconstr Microsurg"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>\n            Background\u2003The best reconstructive strategy for upper lip defects is still in debate. The purpose of this study was to analyze the decisions made by international microsurgeons, who were participated through online questionnaire, distributed by email and social media network.<\/jats:p><jats:p>\n            Materials and Methods\u2003A case of a two-thirds upper lip oncologic defect was presented via an online questionnaire and 402 microsurgeons replied their treatment options. The data were then analyzed according to the geographic area, microsurgical fellowship, seniority, and subspecialty. All the data were analyzed using SPSS 22.<\/jats:p><jats:p>\n            Results\u2003A total of 27.7% of microsurgeons chose a free flap, while 72.3% chose a local\/pedicle flap as their preferred method for reconstruction. The most common choice of free and local\/pedicle flaps was radial forearm (73.6%) and Abb\u00e9 (36.2%), respectively. The microsurgeons in Europe preferred local\/pedicle flaps than free flap when compared with Middle\/South America, Asia-Pacific, Africa and South Asia\/Middle East (11.6% versus 50%, 43.4%, 29.3% and 27.3%, respectively, multivariant p\u2009&lt;\u20090.05). The microsurgeons with microsurgical fellowships preferred to use free flaps (32.9% versus 17.5%, multivariant p\u2009=\u20090.021). There was no difference for the seniority and specialty of the microsurgeons.<\/jats:p><jats:p>\n            Conclusions\u2003The online questionnaire is valuable and feasible for obtaining experts' opinions. This study provides a current global overview of surgical preferences for this common complicated clinical scenario.<\/jats:p>","DOI":"10.1055\/s-0038-1626696","type":"journal-article","created":{"date-parts":[[2018,2,3]],"date-time":"2018-02-03T10:23:37Z","timestamp":1517653417000},"page":"413-419","source":"Crossref","is-referenced-by-count":7,"title":["Use of Social Media and an Online Survey to Discuss Complex Reconstructive Surgery: A Case of Upper Lip Reconstruction with 402 Responses from International Microsurgeons"],"prefix":"10.1055","volume":"34","author":[{"given":"Soo-Ha","family":"Kwon","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung Medical College and Chang Gung University, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Che-Hsiung","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung Medical College and Chang Gung University, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Hsu","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung Medical College and Chang Gung University, Taoyuan, Taiwan"},{"name":"Department of Medicine, Mackay Medical College, New Taipei City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Shafarenko","sequence":"first","affiliation":[{"name":"University of Toronto, Faculty of Medicine, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usama","family":"Omar","sequence":"first","affiliation":[{"name":"Orthopedic Surgery Department, Al-Hekma Specialized Hospital, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chieh-Han","family":"Tzou","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery, Department of Surgery, Hospital of the Divine Savior, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Roka-Palkovits","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Beltr\u00e1n P","sequence":"first","affiliation":[{"name":"Surgical Department. Plastic Surgery Service, Hand Surgery Service, Hospital Universitario Erasmo Meoz, Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitri","family":"Liakos","sequence":"first","affiliation":[{"name":"Plastic, Reconstructive and Microsurgeon WITS Donald Gordon Medical Center and Charlotte Maxeke Johannesburg Academic Hospital Parktown, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommy","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung Medical College and Chang Gung University, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2018,2,2]]},"container-title":["Journal of Reconstructive Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1626696.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,6,15]],"date-time":"2018-06-15T22:40:39Z","timestamp":1529102439000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1626696"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,2]]},"references-count":0,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2018,6,15]]},"published-print":{"date-parts":[[2018,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1626696","relation":{},"ISSN":["0743-684X","1098-8947"],"issn-type":[{"value":"0743-684X","type":"print"},{"value":"1098-8947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,2]]}}}