OOIR: Observatory of International Research

Papers

(The TQCC of Journal of Reconstructive Microsurgery is 3. The table below lists those papers that are above that threshold based on CrossRef citation counts [max. 250 papers]. The publications cover those that have been published in the past four years, i.e., from 2021-11-01 to 2025-11-01.)

Article	Citations
Pedicled Flaps for High-Risk Open Vascular Procedures of the Lower Extremity: An Analysis of The National Surgical Quality Improvement Project Database	22
Comparison of Arterial and Venous Interposition Grafting for Arterial Defects in a Rat Model	22
Increased Patient Age as a Risk Factor Following Free Flap Reconstruction after Breast Cancer: A Single Institutional Review of 2,598 Cases	21
Physiological Restoration of Lymphatic Flow in Posttraumatic Extremity Lymphedema Using Lymphatic Flaps	21
Impact of Resident and Attending Surgeon Training Level on Free Tissue Transfer Ischemia Time and Complications	20
Upper Eyelid Postseptal Weight Placement for Treatment of Paralytic Lagophthalmos: Long-Term Outcomes	17
The Arterial System of the Fasciocutaneous Deltoid Flap Pedicle on 320-Detector Row Computed Tomography and Clinical Application in the Foot and Hand	17
Outcomes of Autologous Free Flap Reconstruction Following Infected Device Explantation	17
Usefulness of Free Tissue Transfer for the Reconstruction of Extensive Thigh Defects	16
Outcomes and Perioperative Risk Factors after Oncologic Free-Flap Scalp Reconstruction	16
A Surgical Framework for the Management of Incomplete Axillary Nerve Injuries	15
Planes for Perforator/Skin Flap Elevation—Definition, Classification, and Techniques	15
Aesthetic Implications of Bilateral Profunda Artery Perforator Flaps on Thigh and Buttock Proportions	14
Superficial Inferior Epigastric Artery Flap: Vascular Pattern and Territory Across the Midline	14
Using Duplex Ultrasound for Recipient Vessel Selection	13
Quality of Life Outcomes after Free Fibula Flap Reconstruction of Mandibular Defects: A Longitudinal Examination	13
The Vascular Anatomy and Harvesting of the Lateral Femoral Condyle Flap in Pigs	12
Basic versus Complex Arteriovenous Loop Positions in Reconstructive Free Flap Surgery: An Outcome Analysis Focusing on the Antithrombotic Treatment Regimen	12
Quantitative Preoperative Peroneal Vessel Assessment in Fibula Free Flap Surgery	12
Combination of smartphone thermography with Color-Doppler ultrasonography – an easy method for preoperative planning of ALT flaps for novice microsurgeons.	12
Recent Advances in Ultrasound Technology: Ultra-High Frequency Ultrasound for Reconstructive Supermicrosurgery	12
	11
Lymphatic Patterns in the Superficial Circumflex Iliac Artery Perforator Flap	11
A Paradigm Shift: Outcomes of Early Autologous Breast Reconstruction after Radiation Therapy	11
Social Determinants of Health and Patient-reported Outcomes Following Autologous Breast Reconstruction, Using Insurance as a Proxy	11

Thermography Supported Color Duplex Ultrasound Accelerates ALT Perforator Imaging	11
Transverse Cervical Artery for Head and Neck Reconstruction with Free Jejunal Flaps: A Retrospective Study of Computed Tomography Angiography	11
Evaluation of a Full-Time Microsurgeon Educator on Resident Training, Research Collaboration, and Grant Funding	11
Free Tissue Transfer to the Lower Extremity in the Setting of Thrombocytosis and the Role of Antiplatelet Therapy: A Propensity Score–Matched Analysis	10
Microvascular Free-Flap Head and Neck Reconstruction: The Utility of the Modified Frailty Five-Item Index	10
Technical Variables in Lower Extremity Free Flap Reconstruction	10
Evaluation of Surgical Techniques for End-to-Side Neurorrhaphy in a Rat Model: A Quantitative and Qualitative Analysis of Postoperative Neural Repair and Recovered Nerve Function	10
Ultrasound as a Useful Tool for a Peripheral Nerve Surgeon: Examples in Clinical Practice	10
When a Good Flap Turns Bad: A Temporal Predictive Model for Free Flap Complications	10
Influence and Longevity of a Microsurgery Course for Medical Students on Their Future Careers: A Retrospective Report of Up to 10 Years	10
	9
Postparetic Synkinesis: Objective and Subjective Comparisons of Depressor Anguli Oris Myectomies versus Depressor Anguli Oris and Buccinator Myectomies	9
Video-Based Microsurgical Education versus Stationary Basic Microsurgical Course: A Noninferiority Randomized Controlled Study	9
Investigating the Thickness of the Deltoid Free Flap Using Ultrasonography and Clinical Application in Foot and Hand Soft-Tissue Defect Reconstruction	9
Treatment of Rat Lymphedema by Propeller Lymphatic Tissue Flap Combined with Nanofibrillar Collagen Scaffolds	9
Incidence of Venous Thromboembolism Based on Caprini Score in Deep Inferior Epigastric Perforator Flap Breast Reconstruction	8
Visual Perception of Breast Free Flap Size Is Influenced by Radiation Changes of Surrounding Tissue	8
Optimizing Postoperative Anticoagulation Regimen to Improve Lower Extremity Free Flap Outcomes	8
Reconstruction of the Acute Isolated Common Peroneal Nerve Palsy Using Primarily Nerve Repair and/or Nerve Graft: A Single-Center 28-Year Experience	8
	8
Utility of Indocyanine Green Angiography for Preventing Pre-expanded Extended Lower Trapezius Myocutaneous Flap Necrosis: How to Make the Correct Decision for Hypoperfused Areas	8
Intraoperative Ergonomic Assessment of Exoscopes versus Conventional DIEP Flap	8
Should Caffeine Be Avoided Following Free Flaps: Fact or Fiction?	8
A Review of Minimally Invasive Techniques for Perfusion Optimization of Flaps	8
The Use of Ultrasound Imaging for Upper Extremity Lymphedema after Breast Cancer: A Systematic Review	8
Accessibility of Neurotization in Deep Inferior Epigastric Perforator Flap Reconstruction: Inequities and Implications for Preauthorization	8
Insurance Coverage for Hyperbaric Oxygen Therapy in Acutely Compromised Tissues	8
A Novel Lymphosome-Based Long-Lasting Rat Tail Model of Lymphedema	7
Surface to Perforator Index: Assessing the Importance of the Number of Perforators in Successful Harvesting of the Anterolateral Thigh Flap	7
Evaluating the Merit and Applications of the Caprini Risk Score as a Complications Predictor	7
Observations from Implementation of the ERAS Protocol after DIEP Flap Breast Reconstruction	7
Evaluating Resource Utilization with Free or Pedicled Perforator Flaps in Distal Leg Reconstruction	7
Indications and Outcomes of Autologous Conversion from Implant-Based Breast Reconstruction	7
An Anatomical Study of Posterior Trunk Recipient Vessels, and Comparisons of Outcome following Pedicled- and Free-Flap Transfers for Treatment of Sarcoma in the Posterior Trunk	7
Abdominal Wall Reinforcement Using OviTex after Deep Inferior Epigastric Perforator Flap	7
Feedback and Assessment Methods in Microsurgery Education: A Scoping Review	7
Ex Vivo Thrombolysis to Salvage Free Flaps Using Machine Perfusion: A Pilot Study in a Porcine Model	7
The Current State of Targeted Muscle Reinnervation: A Systematic Review	7
The Efficacy of Chimeric Superficial Circumflex Iliac Artery Perforator (SCIP) Flap in Treatment of Posttraumatic Chronic Osteomyelitis	7
Composite Free Tissue Transfer for Reconstruction of Lower Extremity Tendon Injuries: A Systematic Review	7
Lymphovenous Coupler-Assisted Bypass for Immediate Lymphatic Reconstruction	6
Analysis of Readmissions and Reoperations in Pediatric Microvascular Reconstruction	6
Blue-Blood Pig Thorax Model Increases Residents' Confidence in Internal Mammary Dissection	6
Applications of Ultrasound in the Postoperative Period: A Review	6
Preoperative Computed Tomography Angiography for ALT Flaps Optimizes Design and Reduces Operative Time	6
	6
Surgical and Patient-Reported Outcomes of Open Perforator-Preserving Anterior Component Separation for Ventral Hernia Repair	6
Use of Doppler Ultrasound for Early Rehabilitation of Replanted Hand and Finger	6
An Innovative and Economical Device for Ischemic Preconditioning of the Forehead Flap Prior to Pedicle Division: A Comparative Study	6
Long-Term Outcomes Following Immediate Dental Implant Placement in Free Fibula Flaps for Oncologic Mandibular Reconstruction	6

Population Assessment of Anatomic Eligibility for Robotic-Assisted DIEP Flap	5
Perforator Characteristics and Impact on Postoperative Outcomes in DIEP Flap Breast Reconstruction: A Systematic Review and Meta-Analysis	5
Effect of Enhanced Recovery after Surgery in Morbidly Obese Patients Undergoing Free Flap Breast Reconstruction	5
From Augmented to Virtual Reality in Plastic Surgery: Blazing the Trail to a New Frontier	5
One Size Does Not Fit All: Prediction of Nerve Length in Implant-based Nipple–Areola Complex Neurotization	5
A New Concept in Peripheral Nerve Repair: Incorporating the Tunica Adventitia	5
HoloDIEP—Faster and More Accurate Intraoperative DIEA Perforator Mapping Using a Novel Mixed Reality Tool	5
Co-surgeon versus Single-surgeon Outcomes in Free Tissue Breast Reconstruction: A Meta-analysis	5
Corrigendum: Dynamic Eye Closure Restoration in Facial Palsy with Neurotized Platysma Muscle Graft in Rats	5
Reduction of the Number of Live Animals Used for Microsurgical Skill Acquisition: An Experimental Randomized Noninferiority Trial	5
Largest Investigation of Branching Patterns of the Popliteal Artery	5
Long-term implications of combined cross facial nerve graft and nerve transfer in facial paralysis	5
Current Applications of Ultrasound Imaging in the Preoperative Planning of DIEP Flaps	4
Facilitated Small Venous Anastomosis with Couplers using an Intravenous Catheter Suction System	4
Differential Diagnosis of “Foot Drop”: Implications for Peripheral Nerve Surgery	4
Secondary Bony Defects after Soft Tissue Reconstruction in Limb-Threatening Lower Extremity Injuries: Does the Approach to Flap Elevation Matter?	4
Lower Extremity Reconstruction with Anterolateral Thigh Free-Flap Anastomoses: A Computational Fluid Dynamic Analysis	4
Latex-Infused Porcine Abdominal Model: A Novel Microsurgery Simulator for Deep Inferior Epigastric Perforator Dissection	4
Here's My QR, So Call Me Maybe: Facilitating Communication in Free Flap Monitoring Using QR Code Printed Dressing	4
Functional Muscle Transfer after Oncologic Extremity Resection	4
Scar Decompression in Managing Breast Cancer-Related Lymphedema: Is it Needed?	4
The Impact of Perioperative Blood Transfusion on Flap Survival: A Single-Center Review of Limb Salvage in the Trauma Setting	4
Less Is More: The Role of Mesh in Microsurgical Breast Reconstruction with Abdominal Flaps	4
	4
Patient-Reported Abdominal Morbidity Following Abdomen-Based Breast Reconstruction	4
Strategy for Indocyanine Green Injection to Identify Lymphatic Vessels in Groin Territory	4
	4
Experimental Cranial Nerve Models in the Rat	4
Microsurgery in Motion: An Objective Assessment of Microsurgical Skill and Efficiency	4
Effectiveness of Risk Analysis Index Frailty Scores as a Predictor of Adverse Outcomes in Lower Extremity Reconstruction	4
Career Paths After Microsurgery Fellowship: A 10-Year Analysis	4
Artificial Intelligence in Microsurgical Education: A Systematic Review of Its Role in Training Surgeons	4
Learning from Abdominoplasty to Reduce the Seroma Rate following Deep Inferior Epigastric Perforator Flap with Umbilectomy	4
	4
Does Steal Phenomenon Exist in Multiple Neurotization?—An Experimental Rat Study	4
Optimizing Surgical Outcomes and the Role of Preventive Surgery: A Scoping Review	4
A Comparative Analysis of Risk Factors for Breast Skin Necrosis following Autologous versus Device-Based Breast Reconstruction	4
Economic Impact of Refinements in ERAS Pathways in DIEP Flap Breast Reconstruction	4
Free Flap Reconstruction Following Mohs Surgery: Our Approach to Complex Skin Cancer on the Scalp	3
Postoperative Tachycardia in Deep Inferior Epigastric Perforator Flap Breast Reconstruction: Is It a Reason to Worry?	3
The “Flapbot”: A Global Perspective on the Validity and Usability of a Flap Monitoring Chatbot	3
Clinical Utility of Bioelectrical Impedance Analysis Parameters for Evaluating Patients with Lower Limb Lymphedema after Lymphovenous Anastomosis	3
Microsurgery Education among U.S. Plastic Surgery Residency Programs	3
Elevating Lower Extremity Reconstruction: An Algorithmic Approach to Free Flap Re-elevation	3
Intraoperative Vasopressor Use Does Not Adversely Impact Free Flap Outcomes in Lower Extremity Limb Salvage Procedures in a Highly Comorbid Atraumatic Wound Population	3
Risk Factors for Flap Loss in Midface Reconstruction with Vascularized Fibular Flap	3
The Influence of Flow Velocity in the Feeding Vessel on Flap Perfusion in Deep Inferior Epigastric Artery Perforator Flap	3
The Co-Surgeon Model for Microsurgical Free Flaps: A Survey of Perspectives and Utility	3
Assessment of Human Epineural Conduit of Different Size Diameters on Efficacy of Nerve Regeneration and Functional Outcomes	3
The Influence of the Superficial Venous System on DIEP Flap Drainage in Breast Reconstruction	3
Prevalence of Popliteal Artery Variants in Free Tissue Transfer for Limb Salvage: A 12-Year Vasculoplastic Experience	3
	3
Ultrasonographic Quantification of Blood Flow in Microsurgical Breast Reconstruction: Correlation with Indocyanine Green Angiography	3
Indocyanine Green Lymphography for Evaluation of Breast Lymphedema Secondary to Breast Cancer Treatments	3
Language Disparity Predicts Poor Patient-Reported Outcome and Follow-Up in Microsurgical Breast Reconstruction	3
	3
Validation of Novel Microsurgical Vessel Anastomosis Techniques: A Systematic Review	3
The Lumbar Artery Perforator Free Flap as an Alternative Option for Breast Reconstruction in Low BMI Patients: Analysis of CT Angiography of Donor Sites Across BMI	3
Ex Vivo Rabbit: A Novel High-Fidelity Training Model for Microsurgical and Supermicrosurgical Training	3
Optimal Timing of Delayed Microvascular Breast Reconstruction after Radiation Therapy	3
Does Side Matter? The Impact of Free Flap Harvest Laterality on Ambulatory Function in Lower Extremity Traumatic Reconstruction	3
The Hidden Risks of Perioperative Transfusions in Traumatic Lower Extremity Free Flap Reconstruction	3
Simulating the IMA Recipient Site for DIEP Flap Surgery: A New Model for Dynamic Microsurgery Simulation with Real-Time Respiration and a Pilot Study	3
Precision of Dynamic Infrared Thermography in Anterolateral Thigh Flap Planning: Identification of the Perforator Fascia Passage	3
A Machine Learning Approach to Predicting Donor Site Complications Following DIEP Flap Harvest	3
Utilizing Lateral Sprouting Axons to Reinnervate a Transferred Free Muscle to Enhance Distal Muscle Recovery When Performing High-Level Nerve Repair: Experimental Rat Study	3
Complications and Hardware Failure Following Synthetic Cranioplasty Implants and Free Flap Coverage	3
Beyond Borders: A Global Microsurgery Training and Case Exposure Survey	3
The Ischemic Tolerance up to Four Hours of Free Jejunum Flap: A Retrospective Cohort Study	3
Identification of Potential Factors Associated with Cellulitis Following Lymphovenous Bypass Surgery in Breast Cancer Survivors	3
Early Postoperative Pain Course following Primary and Secondary Targeted Muscle Reinnervation: A Temporal Description of Pain Outcomes	3