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 2022-08-01 to 2026-08-01.)

Article	Citations
Pedicled Flaps for High-Risk Open Vascular Procedures of the Lower Extremity: An Analysis of The National Surgical Quality Improvement Project Database	27
Comparison of Arterial and Venous Interposition Grafting for Arterial Defects in a Rat Model	25
Supercharged Pedicled Jejunal Interposition for Esophageal Reconstruction: A Systematic Review and Meta-analysis of Adult and Pediatric Patients	22
Usefulness of Free Tissue Transfer for the Reconstruction of Extensive Thigh Defects	22
The Arterial System of the Fasciocutaneous Deltoid Flap Pedicle on 320-Detector Row Computed Tomography and Clinical Application in the Foot and Hand	19
Impact of Resident and Attending Surgeon Training Level on Free Tissue Transfer Ischemia Time and Complications	19
Upper Eyelid Postseptal Weight Placement for Treatment of Paralytic Lagophthalmos: Long-Term Outcomes	17
Physiological Restoration of Lymphatic Flow in Posttraumatic Extremity Lymphedema Using Lymphatic Flaps	17
Outcomes and Perioperative Risk Factors after Oncologic Free-Flap Scalp Reconstruction	15
Perioperative Blood Pressure Kinetics and Hematoma Rates in Head and Neck Free Flaps	15
Outcomes of Autologous Free Flap Reconstruction Following Infected Device Explantation	14
Refining Surgical Precision: The Impact of Color Doppler Ultrasound-Guided Perforator Mapping on Anterolateral Thigh Flap for Oncologic Patients	13
Planes for Perforator/Skin Flap Elevation—Definition, Classification, and Techniques	13
Aesthetic Implications of Bilateral Profunda Artery Perforator Flaps on Thigh and Buttock Proportions	13
	13
Increased Patient Age as a Risk Factor Following Free Flap Reconstruction after Breast Cancer: A Single Institutional Review of 2,598 Cases	13
Superficial Inferior Epigastric Artery Flap: Vascular Pattern and Territory Across the Midline	12
The Vascular Anatomy and Harvesting of the Lateral Femoral Condyle Flap in Pigs	12
Single-Institution Analysis of Immediate and Delayed Jaw Reconstruction	12
Basic versus Complex Arteriovenous Loop Positions in Reconstructive Free Flap Surgery: An Outcome Analysis Focusing on the Antithrombotic Treatment Regimen	11
Combination of Smartphone Thermography with Color-Doppler Ultrasonography—an Easy Method for Preoperative Planning of ALT Flaps for Novice Microsurgeons	11
A Surgical Framework for the Management of Incomplete Axillary Nerve Injuries	11
Access to Reconstructive Plastic Surgery and Nerve Procedures in Lower Extremity Amputations	11
Quantitative Preoperative Peroneal Vessel Assessment in Fibula Free Flap Surgery	11
Quality of Life Outcomes after Free Fibula Flap Reconstruction of Mandibular Defects: A Longitudinal Examination	11

Ultrasound as a Useful Tool for a Peripheral Nerve Surgeon: Examples in Clinical Practice	10
Investigating the Thickness of the Deltoid Free Flap Using Ultrasonography and Clinical Application in Foot and Hand Soft-Tissue Defect Reconstruction	10
Evaluation of a Full-Time Microsurgeon Educator on Resident Training, Research Collaboration, and Grant Funding	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
	10
Influence and Longevity of a Microsurgery Course for Medical Students on Their Future Careers: A Retrospective Report of Up to 10 Years	9
Lymphatic Patterns in the Superficial Circumflex Iliac Artery Perforator Flap	9
Technical Variables in Lower Extremity Free Flap Reconstruction	9
When a Good Flap Turns Bad: A Temporal Predictive Model for Free Flap Complications	9
Thermography Supported Color Duplex Ultrasound Accelerates ALT Perforator Imaging	9
Social Determinants of Health and Patient-reported Outcomes Following Autologous Breast Reconstruction, Using Insurance as a Proxy	9
Free Tissue Transfer to the Lower Extremity in the Setting of Thrombocytosis and the Role of Antiplatelet Therapy: A Propensity Score–Matched Analysis	9
Reusing Motor Branches of the Neurotized Median Nerve for Functioning Free Muscle Transplantation to Augment Finger Flexion in Total Brachial Plexus Palsy	8
The Use of Ultrasound Imaging for Upper Extremity Lymphedema after Breast Cancer: A Systematic Review	8
Incidence of Venous Thromboembolism Based on Caprini Score in Deep Inferior Epigastric Perforator Flap Breast Reconstruction	8
Treatment of Rat Lymphedema by Propeller Lymphatic Tissue Flap Combined with Nanofibrillar Collagen Scaffolds	8
Microvascular Free-Flap Head and Neck Reconstruction: The Utility of the Modified Frailty Five-Item Index	8
Postparetic Synkinesis: Objective and Subjective Comparisons of Depressor Anguli Oris Myectomies versus Depressor Anguli Oris and Buccinator Myectomies	8
Visual Perception of Breast Free Flap Size Is Influenced by Radiation Changes of Surrounding Tissue	8
Transverse Cervical Artery for Head and Neck Reconstruction with Free Jejunal Flaps: A Retrospective Study of Computed Tomography Angiography	8
	8
Enhancing Microvascular Anastomosis Using an Axial-View Microscope	8
Insurance Coverage for Hyperbaric Oxygen Therapy in Acutely Compromised Tissues	8
Reconstruction of the Acute Isolated Common Peroneal Nerve Palsy Using Primarily Nerve Repair and/or Nerve Graft: A Single-Center 28-Year Experience	7
Evaluating the Merit and Applications of the Caprini Risk Score as a Complications Predictor	7
Flow, Resistance, and Turbulence: Elucidating the Hemodynamics of Free Flaps	7
Accessibility of Neurotization in Deep Inferior Epigastric Perforator Flap Reconstruction: Inequities and Implications for Preauthorization	7
Should Caffeine Be Avoided Following Free Flaps: Fact or Fiction?	7
Utility of Indocyanine Green Angiography for Preventing Pre-expanded Extended Lower Trapezius Myocutaneous Flap Necrosis: How to Make the Correct Decision for Hypoperfused Areas	7
A Review of Minimally Invasive Techniques for Perfusion Optimization of Flaps	7
Optimizing Postoperative Anticoagulation Regimen to Improve Lower Extremity Free Flap Outcomes	7
Abdominal Wall Reinforcement Using OviTex after Deep Inferior Epigastric Perforator Flap	6
Feedback and Assessment Methods in Microsurgery Education: A Scoping Review	6
A Novel Lymphosome-Based Long-Lasting Rat Tail Model of Lymphedema	6
The Efficacy of Chimeric Superficial Circumflex Iliac Artery Perforator (SCIP) Flap in Treatment of Posttraumatic Chronic Osteomyelitis	6
An Algorithmic Approach to Arterial Coupler Use in Microsurgical Breast Reconstruction: Comparison with Hand-Sewn Sutures	6
The Chimeric Descending Genicular Artery Flap: Expanding the Applications of the Medial Femoral Condyle Pedicle to Composite Free Flap Reconstruction	6
Negative Pressure Wound Therapy and Donor Site Morbidity in DIEP and Tram Flap Reconstruction: A Single-Center Longitudinal Review	6
The Current State of Targeted Muscle Reinnervation: A Systematic Review	6
Evaluating Resource Utilization with Free or Pedicled Perforator Flaps in Distal Leg Reconstruction	6
Intraoperative Ergonomic Assessment of Exoscopes versus Conventional DIEP Flap	6
Lymphovenous Coupler-Assisted Bypass for Immediate Lymphatic Reconstruction	6
Indications and Outcomes of Autologous Conversion from Implant-Based Breast Reconstruction	6
Surface to Perforator Index: Assessing the Importance of the Number of Perforators in Successful Harvesting of the Anterolateral Thigh Flap	6
Correspondence on: Effect of Enhanced Recovery After Surgery on Racial Inequalities in Prescribing Practices for Autologous Breast Reconstruction	6
Rethinking Dangling: Omission of Inpatient Dangle Protocols Shortens Hospital Stay Without Adverse Effects on Lower Extremity Flap Outcomes	5
Quantification of Retained Donor Nuclei in ECM-Based Nerve Wraps: A Histological Assessment of Decellularization and Biocompatibility	5
Long-Term Implications of Combined Cross-Facial Nerve Graft and Nerve Transfer in Facial Paralysis	5
	5
Corrigendum: Dynamic Eye Closure Restoration in Facial Palsy with Neurotized Platysma Muscle Graft in Rats	5

Analysis of Readmissions and Reoperations in Pediatric Microvascular Reconstruction	5
Insights into Cervical Phrenic Nerve Variations Based on Cadaveric Dissection and Intraoperative Electromyography	5
A New Concept in Peripheral Nerve Repair: Incorporating the Tunica Adventitia	5
Blue-Blood Pig Thorax Model Increases Residents' Confidence in Internal Mammary Dissection	5
Surgical and Patient-Reported Outcomes of Open Perforator-Preserving Anterior Component Separation for Ventral Hernia Repair	5
The Unappreciated Morbidity of Brachial Plexus Injuries Following Low Energy Shoulder Trauma: Understanding Risk Factors and Natural History	5
Long-Term Outcomes Following Immediate Dental Implant Placement in Free Fibula Flaps for Oncologic Mandibular Reconstruction	5
Ultrasound Hemodynamics of SCIA–SIEA System: A Foundation for Groin Flap Planning	5
Largest Investigation of Branching Patterns of the Popliteal Artery	4
Latex-Infused Porcine Abdominal Model: A Novel Microsurgery Simulator for Deep Inferior Epigastric Perforator Dissection	4
Experimental Cranial Nerve Models in the Rat	4
Learning from Abdominoplasty to Reduce the Seroma Rate following Deep Inferior Epigastric Perforator Flap with Umbilectomy	4
	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
Less Is More: The Role of Mesh in Microsurgical Breast Reconstruction with Abdominal Flaps	4
Population Assessment of Anatomic Eligibility for Robotic-Assisted DIEP Flap	4
Co-surgeon versus Single-surgeon Outcomes in Free Tissue Breast Reconstruction: A Meta-analysis	4
HoloDIEP—Faster and More Accurate Intraoperative DIEA Perforator Mapping Using a Novel Mixed Reality Tool	4
Scar Decompression in Managing Breast Cancer-Related Lymphedema: Is it Needed?	4
	4
Optimizing Surgical Outcomes and the Role of Preventive Surgery: A Scoping Review	4
Here's My QR, So Call Me Maybe: Facilitating Communication in Free Flap Monitoring Using QR Code Printed Dressing	4
Artificial Intelligence in Microsurgical Education: A Systematic Review of Its Role in Training Surgeons	4
Career Paths After Microsurgery Fellowship: A 10-Year Analysis	4
Microsurgery in Motion: An Objective Assessment of Microsurgical Skill and Efficiency	4
Facilitated Small Venous Anastomosis with Couplers using an Intravenous Catheter Suction System	4
Bridging the Gap between Microsurgery and Supermicrosurgery: A Rat Study for 0.3 mm Vascular Anastomosis Comparing Robotic-assisted vs. Conventional Approach	4
Systemic Elimination Rather than Redistribution: Segmental Body Water Analysis after Leg Lymphovenous Anastomosis	4
The Intersaphenous Veins in the Leg: Anatomical Considerations	4
The Impact of Needle Geometry on Tissue Damage and Anastomotic Leakage: A Combined Analysis of Human Skin and Porcine Cardiovascular Models	4
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	4
The Impact of Perioperative Blood Transfusion on Flap Survival: A Single-Center Review of Limb Salvage in the Trauma Setting	4
Effectiveness of Risk Analysis Index Frailty Scores as a Predictor of Adverse Outcomes in Lower Extremity Reconstruction	4
Intraoperative Versus Postoperative Correction of Vascular Compromise: Comparison of Flap and Patient Outcomes in Free Flap Breast Reconstruction	4
From Augmented to Virtual Reality in Plastic Surgery: Blazing the Trail to a New Frontier	4
Effect of Enhanced Recovery after Surgery in Morbidly Obese Patients Undergoing Free Flap Breast Reconstruction	4
One Size Does Not Fit All: Prediction of Nerve Length in Implant-based Nipple–Areola Complex Neurotization	4
The Influence of the Superficial Venous System on DIEP Flap Drainage in Breast Reconstruction	3
Plastic Surgery-on-a-Chip: Organ-on-a-Chip Applications in Plastic and Reconstructive Surgery	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
A Machine Learning Approach to Predicting Donor Site Complications Following DIEP Flap Harvest	3
Prevalence of Popliteal Artery Variants in Free Tissue Transfer for Limb Salvage: A 12-Year Vasculoplastic Experience	3
Assessment of Human Epineural Conduit of Different Size Diameters on Efficacy of Nerve Regeneration and Functional Outcomes	3
Patient-Reported Abdominal Morbidity Following Abdomen-Based Breast Reconstruction	3
The Role of the Medial Vastus Branch of the Descending Genicular Artery as a Recipient for Free Flap Transfer: Anatomical Study and Clinical Application	3
Early Postoperative Pain Course following Primary and Secondary Targeted Muscle Reinnervation: A Temporal Description of Pain Outcomes	3
Lower Extremity Reconstruction with Anterolateral Thigh Free-Flap Anastomoses: A Computational Fluid Dynamic Analysis	3
Does Steal Phenomenon Exist in Multiple Neurotization?—An Experimental Rat Study	3
Does Side Matter? The Impact of Free Flap Harvest Laterality on Ambulatory Function in Lower Extremity Traumatic Reconstruction	3
The Ischemic Tolerance up to Four Hours of Free Jejunum Flap: A Retrospective Cohort Study	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
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
Elevating Lower Extremity Reconstruction: An Algorithmic Approach to Free Flap Re-elevation	3
The Obesity Paradox in Fibular Free-Tissue Reconstruction: Does Higher BMI Improve Outcomes?	3
Free Flap Reconstruction Following Mohs Surgery: Our Approach to Complex Skin Cancer on the Scalp	3
The “Flapbot”: A Global Perspective on the Validity and Usability of a Flap Monitoring Chatbot	3
Development and Validation of FlapCheck.ai, a Fully Automated Artificial Intelligence Model for Postoperative Flap Viability Assessment	3
The Co-Surgeon Model for Microsurgical Free Flaps: A Survey of Perspectives and Utility	3
Postoperative Tachycardia in Deep Inferior Epigastric Perforator Flap Breast Reconstruction: Is It a Reason to Worry?	3
The Hidden Risks of Perioperative Transfusions in Traumatic Lower Extremity Free Flap Reconstruction	3
Microsurgery Education among U.S. Plastic Surgery Residency Programs	3
Ultrasonographic Quantification of Blood Flow in Microsurgical Breast Reconstruction: Correlation with Indocyanine Green Angiography	3
Language Disparity Predicts Poor Patient-Reported Outcome and Follow-Up in Microsurgical Breast Reconstruction	3
Risk Factors for Flap Loss in Midface Reconstruction with Vascularized Fibular Flap	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
Strategy for Indocyanine Green Injection to Identify Lymphatic Vessels in Groin Territory	3
Influence of Body Mass Index on Perioperative Outcomes of Oncologic Head and Neck Free Flaps: Comprehensive Analysis Using a Prospective Institutional Database	3
The Use of Artificial Intelligence in Responding to Patient Questions About Anterolateral Thigh Flap Surgery for Diabetic Foot Ulcers	3
Identification of Potential Factors Associated with Cellulitis Following Lymphovenous Bypass Surgery in Breast Cancer Survivors	3
Ex Vivo Rabbit: A Novel High-Fidelity Training Model for Microsurgical and Supermicrosurgical Training	3
Have Outcomes Improved in Microsurgical Breast Reconstruction? An 8-Year Prospective Longitudinal Study of 5,671 Flaps Across 22 Centers	3
Precision of Dynamic Infrared Thermography in Anterolateral Thigh Flap Planning: Identification of the Perforator Fascia Passage	3
Validation of Novel Microsurgical Vessel Anastomosis Techniques: A Systematic Review	3