{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T02:59:43Z","timestamp":1764212383274,"version":"3.38.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T00:00:00Z","timestamp":1741651200000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003In addressing subungual melanoma, this study presents the efficacy of wide excision followed by reconstruction using a serratus anterior fascial free flap.<\/jats:p><jats:p>\n          Methods\u2003The study covers four patients treated between 2017 and 2020 for melanoma in the great toe or thumb, highlighting the successful application of the flap and split-thickness skin graft over exposed distal phalanx cortical bone.<\/jats:p><jats:p>\n          Results\u2003The Breslow depths of the melanomas ranged from 0.2 to 6 mm, with four to seven lymph nodes dissected per patient, revealing no metastasis. Over follow-ups of 26 to 57 months, no local or distant recurrences were observed. The serratus anterior fascial free flaps, averaging 2.1 mm in thickness, precisely matched defect depths, negating the need for further debulking.<\/jats:p><jats:p>\n          Conclusion\u2003This technique offered satisfactory functional and aesthetic outcomes, proposing the serratus anterior fascial free flap as a viable alternative for acral region reconstruction in subungual melanoma cases after wide excision.<\/jats:p>","DOI":"10.1055\/s-0044-1792109","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:22:31Z","timestamp":1741738951000},"page":"090-095","source":"Crossref","is-referenced-by-count":2,"title":["Serratus Anterior Fascia Free Flap for Functional Surgery of Subungual Melanoma: Case Series and Literature Review"],"prefix":"10.1055","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3476-8133","authenticated-orcid":false,"given":"Soo Jin","family":"Woo","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0724-2083","authenticated-orcid":false,"given":"Sung Tack","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6891-3768","authenticated-orcid":false,"given":"Byung Jun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,3,11]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"364","DOI":"10.6004\/jnccn.2021.0018","article-title":"NCCN Guidelines\u00ae Insights: melanoma: cutaneous, version 2.2021","volume":"19","author":"S M Swetter","year":"2021","journal-title":"J Natl Compr Canc Netw"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"bcr2016218785","DOI":"10.1136\/bcr-2016-218785","article-title":"Missed opportunity to diagnose subungual melanoma: potential pitfalls!","volume":"2017","author":"L Dunphy","year":"2017","journal-title":"BMJ Case Rep"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"bcr1020103422","DOI":"10.1136\/bcr.10.2010.3422","article-title":"Subungual malignant melanoma\u2013re-learning the lesson","volume":"2011","author":"K Amin","year":"2011","journal-title":"BMJ Case Rep"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1097\/PRS.0000000000000529","article-title":"Subungual melanoma: a review of current treatment","volume":"134","author":"A M Cochran","year":"2014","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1111\/j.1365-2133.2011.10477.x","article-title":"Conservative surgical management of subungual (matrix derived) melanoma: report of seven cases and literature review","volume":"165","author":"N Sureda","year":"2011","journal-title":"Br J Dermatol"},{"issue":"09","key":"ref6","first-page":"1102","article-title":"Presentation, histopathologic findings, and clinical outcomes in 7 cases of melanoma in situ of the nail unit","volume":"140","author":"W A High","year":"2004","journal-title":"Arch 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superficial fascial plane for perforator flap elevation","volume":"30","author":"J P Hong","year":"2014","journal-title":"J Reconstr Microsurg"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1097\/PRS.0000000000007689","article-title":"Subdermal dissection for elevation of pure skin perforator flaps and superthin flaps: the dermis as a landmark for the most superficial dissection plane","volume":"147","author":"T Yamamoto","year":"2021","journal-title":"Plast Reconstr Surg"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1016\/j.bjps.2016.03.005","article-title":"Superficial circumflex iliac artery pure skin perforator-based superthin flap for hand and finger reconstruction","volume":"69","author":"M Narushima","year":"2016","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"12","key":"ref13","doi-asserted-by":"crossref","first-page":"1600","DOI":"10.1001\/archderm.143.12.1600","article-title":"Subungual melanoma in situ in a Hispanic girl treated with functional resection and reconstruction with onychocutaneous toe free flap","volume":"143","author":"A Motta","year":"2007","journal-title":"Arch Dermatol"},{"issue":"06","key":"ref14","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1097\/PRS.0000000000003881","article-title":"Superthin SCIP flap for reconstruction of subungual melanoma: aesthetic functional surgery","volume":"140","author":"K T Lee","year":"2017","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref15","doi-asserted-by":"crossref","first-page":"240","DOI":"10.12790\/ahm.22.0005","article-title":"Long-term results of wide local excision with concurrent venous free flap reconstruction in subungual melanoma","volume":"27","author":"S J Woo","year":"2022","journal-title":"Archives of Hand and Microsurgery."},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"e31109","DOI":"10.1002\/micr.31109","article-title":"Reconstruction of circumferential fingertip defect using free superficial palmar branch of the radial artery flap: report of two cases","volume":"44","author":"J H Kim","year":"2024","journal-title":"Microsurgery"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s00402-009-0845-5","article-title":"Free serratus anterior fascia flap for reconstruction of hand and finger defects","volume":"130","author":"D Ulrich","year":"2010","journal-title":"Arch Orthop Trauma Surg"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1055\/s-2007-1000108","article-title":"Serratus fascia \u201csandwich\u201d free-tissue transfer for complex dorsal hand and wrist avulsion injuries","volume":"15","author":"M J Buehler","year":"1999","journal-title":"J Reconstr Microsurg"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/DSS.0000000000003232","article-title":"Functional surgery for subungual melanoma: surgical tips based on histological analysis of 21 cadavers","volume":"48","author":"B J Kim","year":"2022","journal-title":"Dermatol Surg"}],"container-title":["Archives of Plastic 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