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

Article	Citations
Pedicled Flaps for High-Risk Open Vascular Procedures of the Lower Extremity: An Analysis of The National Surgical Quality Improvement Project Database	24
Comparison of Arterial and Venous Interposition Grafting for Arterial Defects in a Rat Model	23
Physiological Restoration of Lymphatic Flow in Posttraumatic Extremity Lymphedema Using Lymphatic Flaps	21
Usefulness of Free Tissue Transfer for the Reconstruction of Extensive Thigh Defects	21
Impact of Resident and Attending Surgeon Training Level on Free Tissue Transfer Ischemia Time and Complications	19
The Arterial System of the Fasciocutaneous Deltoid Flap Pedicle on 320-Detector Row Computed Tomography and Clinical Application in the Foot and Hand	18
Upper Eyelid Postseptal Weight Placement for Treatment of Paralytic Lagophthalmos: Long-Term Outcomes	16
Increased Patient Age as a Risk Factor Following Free Flap Reconstruction after Breast Cancer: A Single Institutional Review of 2,598 Cases	16
Outcomes of Autologous Free Flap Reconstruction Following Infected Device Explantation	15
Planes for Perforator/Skin Flap Elevation—Definition, Classification, and Techniques	14
Outcomes and Perioperative Risk Factors after Oncologic Free-Flap Scalp Reconstruction	14
Aesthetic Implications of Bilateral Profunda Artery Perforator Flaps on Thigh and Buttock Proportions	13
Quantitative Preoperative Peroneal Vessel Assessment in Fibula Free Flap Surgery	13
A Surgical Framework for the Management of Incomplete Axillary Nerve Injuries	13
Refining Surgical Precision: The Impact of Color Doppler Ultrasound-Guided Perforator Mapping on Anterolateral Thigh Flap for Oncologic Patients	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
Combination of Smartphone Thermography with Color-Doppler Ultrasonography—an Easy Method for Preoperative Planning of ALT Flaps for Novice Microsurgeons	12
Superficial Inferior Epigastric Artery Flap: Vascular Pattern and Territory Across the Midline	11
Using Duplex Ultrasound for Recipient Vessel Selection	11
A Paradigm Shift: Outcomes of Early Autologous Breast Reconstruction after Radiation Therapy	11
Quality of Life Outcomes after Free Fibula Flap Reconstruction of Mandibular Defects: A Longitudinal Examination	11
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
Evaluation of a Full-Time Microsurgeon Educator on Resident Training, Research Collaboration, and Grant Funding	10
Investigating the Thickness of the Deltoid Free Flap Using Ultrasonography and Clinical Application in Foot and Hand Soft-Tissue Defect Reconstruction	10

	10
Lymphatic Patterns in the Superficial Circumflex Iliac Artery Perforator Flap	10
Transverse Cervical Artery for Head and Neck Reconstruction with Free Jejunal Flaps: A Retrospective Study of Computed Tomography Angiography	10
Technical Variables in Lower Extremity Free Flap Reconstruction	9
Reusing Motor Branches of the Neurotized Median Nerve for Functioning Free Muscle Transplantation to Augment Finger Flexion in Total Brachial Plexus Palsy	9
Microvascular Free-Flap Head and Neck Reconstruction: The Utility of the Modified Frailty Five-Item Index	9
Social Determinants of Health and Patient-reported Outcomes Following Autologous Breast Reconstruction, Using Insurance as a Proxy	9
Video-Based Microsurgical Education versus Stationary Basic Microsurgical Course: A Noninferiority Randomized Controlled Study	9
When a Good Flap Turns Bad: A Temporal Predictive Model for Free Flap Complications	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
Ultrasound as a Useful Tool for a Peripheral Nerve Surgeon: Examples in Clinical Practice	9
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Incidence of Venous Thromboembolism Based on Caprini Score in Deep Inferior Epigastric Perforator Flap Breast Reconstruction	8
A Review of Minimally Invasive Techniques for Perfusion Optimization of Flaps	8
Accessibility of Neurotization in Deep Inferior Epigastric Perforator Flap Reconstruction: Inequities and Implications for Preauthorization	8
Thermography Supported Color Duplex Ultrasound Accelerates ALT Perforator Imaging	8
Treatment of Rat Lymphedema by Propeller Lymphatic Tissue Flap Combined with Nanofibrillar Collagen Scaffolds	8
Postparetic Synkinesis: Objective and Subjective Comparisons of Depressor Anguli Oris Myectomies versus Depressor Anguli Oris and Buccinator Myectomies	8
Should Caffeine Be Avoided Following Free Flaps: Fact or Fiction?	8
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Influence and Longevity of a Microsurgery Course for Medical Students on Their Future Careers: A Retrospective Report of Up to 10 Years	8
The Use of Ultrasound Imaging for Upper Extremity Lymphedema after Breast Cancer: A Systematic Review	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
Intraoperative Ergonomic Assessment of Exoscopes versus Conventional DIEP Flap	7
Abdominal Wall Reinforcement Using OviTex after Deep Inferior Epigastric Perforator Flap	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
Evaluating the Merit and Applications of the Caprini Risk Score as a Complications Predictor	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
Insurance Coverage for Hyperbaric Oxygen Therapy in Acutely Compromised Tissues	7
Ex Vivo Thrombolysis to Salvage Free Flaps Using Machine Perfusion: A Pilot Study in a Porcine Model	7
The Efficacy of Chimeric Superficial Circumflex Iliac Artery Perforator (SCIP) Flap in Treatment of Posttraumatic Chronic Osteomyelitis	7
Reconstruction of the Acute Isolated Common Peroneal Nerve Palsy Using Primarily Nerve Repair and/or Nerve Graft: A Single-Center 28-Year Experience	7
Feedback and Assessment Methods in Microsurgery Education: A Scoping Review	7
A Novel Lymphosome-Based Long-Lasting Rat Tail Model of Lymphedema	7
Lymphovenous Coupler-Assisted Bypass for Immediate Lymphatic Reconstruction	6
The Current State of Targeted Muscle Reinnervation: A Systematic Review	6
An Algorithmic Approach to Arterial Coupler Use in Microsurgical Breast Reconstruction: Comparison with Hand-Sewn Sutures	6
Use of Doppler Ultrasound for Early Rehabilitation of Replanted Hand and Finger	6
Applications of Ultrasound in the Postoperative Period: A Review	6
Surface to Perforator Index: Assessing the Importance of the Number of Perforators in Successful Harvesting of the Anterolateral Thigh Flap	6
Evaluating Resource Utilization with Free or Pedicled Perforator Flaps in Distal Leg Reconstruction	6
Composite Free Tissue Transfer for Reconstruction of Lower Extremity Tendon Injuries: A Systematic Review	6
Indications and Outcomes of Autologous Conversion from Implant-Based Breast Reconstruction	6
Largest Investigation of Branching Patterns of the Popliteal Artery	5
Long-Term Outcomes Following Immediate Dental Implant Placement in Free Fibula Flaps for Oncologic Mandibular Reconstruction	5
Blue-Blood Pig Thorax Model Increases Residents' Confidence in Internal Mammary Dissection	5
Corrigendum: Dynamic Eye Closure Restoration in Facial Palsy with Neurotized Platysma Muscle Graft in Rats	5
Co-surgeon versus Single-surgeon Outcomes in Free Tissue Breast Reconstruction: A Meta-analysis	5
Long-Term Implications of Combined Cross-Facial Nerve Graft and Nerve Transfer in Facial Paralysis	5

HoloDIEP—Faster and More Accurate Intraoperative DIEA Perforator Mapping Using a Novel Mixed Reality Tool	5
Surgical and Patient-Reported Outcomes of Open Perforator-Preserving Anterior Component Separation for Ventral Hernia Repair	5
An Innovative and Economical Device for Ischemic Preconditioning of the Forehead Flap Prior to Pedicle Division: A Comparative Study	5
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From Augmented to Virtual Reality in Plastic Surgery: Blazing the Trail to a New Frontier	5
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
Analysis of Readmissions and Reoperations in Pediatric Microvascular Reconstruction	5
Rethinking Dangling: Omission of Inpatient Dangle Protocols Shortens Hospital Stay Without Adverse Effects on Lower Extremity Flap Outcomes	5
One Size Does Not Fit All: Prediction of Nerve Length in Implant-based Nipple–Areola Complex Neurotization	5
Effect of Enhanced Recovery after Surgery in Morbidly Obese Patients Undergoing Free Flap Breast Reconstruction	5
A New Concept in Peripheral Nerve Repair: Incorporating the Tunica Adventitia	5
Reduction of the Number of Live Animals Used for Microsurgical Skill Acquisition: An Experimental Randomized Noninferiority Trial	5
	4
Differential Diagnosis of “Foot Drop”: Implications for Peripheral Nerve Surgery	4
The Impact of Perioperative Blood Transfusion on Flap Survival: A Single-Center Review of Limb Salvage in the Trauma Setting	4
Optimizing Surgical Outcomes and the Role of Preventive Surgery: A Scoping Review	4
Experimental Cranial Nerve Models in the Rat	4
Microsurgery in Motion: An Objective Assessment of Microsurgical Skill and Efficiency	4
The Intersaphenous Veins in the Leg: Anatomical Considerations	4
Less Is More: The Role of Mesh in Microsurgical Breast Reconstruction with Abdominal Flaps	4
Functional Muscle Transfer after Oncologic Extremity Resection	4
Patient-Reported Abdominal Morbidity Following Abdomen-Based Breast Reconstruction	4
A Comparative Analysis of Risk Factors for Breast Skin Necrosis following Autologous versus Device-Based Breast Reconstruction	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
Scar Decompression in Managing Breast Cancer-Related Lymphedema: Is it Needed?	4
Effectiveness of Risk Analysis Index Frailty Scores as a Predictor of Adverse Outcomes in Lower Extremity Reconstruction	4
Facilitated Small Venous Anastomosis with Couplers using an Intravenous Catheter Suction System	4
Artificial Intelligence in Microsurgical Education: A Systematic Review of Its Role in Training Surgeons	4
Secondary Bony Defects after Soft Tissue Reconstruction in Limb-Threatening Lower Extremity Injuries: Does the Approach to Flap Elevation Matter?	4
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Learning from Abdominoplasty to Reduce the Seroma Rate following Deep Inferior Epigastric Perforator Flap with Umbilectomy	4
The Impact of Needle Geometry on Tissue Damage and Anastomotic Leakage: A Combined Analysis of Human Skin and Porcine Cardiovascular Models	4
Career Paths After Microsurgery Fellowship: A 10-Year Analysis	4
Current Applications of Ultrasound Imaging in the Preoperative Planning of DIEP Flaps	4
	3
Precision of Dynamic Infrared Thermography in Anterolateral Thigh Flap Planning: Identification of the Perforator Fascia Passage	3
Clinical Utility of Bioelectrical Impedance Analysis Parameters for Evaluating Patients with Lower Limb Lymphedema after Lymphovenous Anastomosis	3
Complications and Hardware Failure Following Synthetic Cranioplasty Implants and Free Flap Coverage	3
Assessment of Human Epineural Conduit of Different Size Diameters on Efficacy of Nerve Regeneration and Functional Outcomes	3
Optimal Timing of Delayed Microvascular Breast Reconstruction after Radiation Therapy	3
The Ischemic Tolerance up to Four Hours of Free Jejunum Flap: A Retrospective Cohort Study	3
Does Steal Phenomenon Exist in Multiple Neurotization?—An Experimental Rat Study	3
Ex Vivo Rabbit: A Novel High-Fidelity Training Model for Microsurgical and Supermicrosurgical Training	3
Prevalence of Popliteal Artery Variants in Free Tissue Transfer for Limb Salvage: A 12-Year Vasculoplastic Experience	3
Postoperative Tachycardia in Deep Inferior Epigastric Perforator Flap Breast Reconstruction: Is It a Reason to Worry?	3
Strategy for Indocyanine Green Injection to Identify Lymphatic Vessels in Groin Territory	3
Identification of Potential Factors Associated with Cellulitis Following Lymphovenous Bypass Surgery in Breast Cancer Survivors	3
The “Flapbot”: A Global Perspective on the Validity and Usability of a Flap Monitoring Chatbot	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
A Machine Learning Approach to Predicting Donor Site Complications Following DIEP Flap Harvest	3
Validation of Novel Microsurgical Vessel Anastomosis Techniques: A Systematic Review	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
Lower Extremity Reconstruction with Anterolateral Thigh Free-Flap Anastomoses: A Computational Fluid Dynamic Analysis	3
The Influence of the Superficial Venous System on DIEP Flap Drainage in Breast 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
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The Use of Artificial Intelligence in Responding to Patient Questions About Anterolateral Thigh Flap Surgery for Diabetic Foot Ulcers	3
Language Disparity Predicts Poor Patient-Reported Outcome and Follow-Up in Microsurgical Breast Reconstruction	3
Beyond Borders: A Global Microsurgery Training and Case Exposure Survey	3
Elevating Lower Extremity Reconstruction: An Algorithmic Approach to Free Flap Re-elevation	3
Ultrasonographic Quantification of Blood Flow in Microsurgical Breast Reconstruction: Correlation with Indocyanine Green Angiography	3
Does Side Matter? The Impact of Free Flap Harvest Laterality on Ambulatory Function in Lower Extremity Traumatic Reconstruction	3
Microsurgery Education among U.S. Plastic Surgery Residency Programs	3
Early Postoperative Pain Course following Primary and Secondary Targeted Muscle Reinnervation: A Temporal Description of Pain Outcomes	3
The Hidden Risks of Perioperative Transfusions in Traumatic Lower Extremity Free Flap Reconstruction	3
Free Flap Reconstruction Following Mohs Surgery: Our Approach to Complex Skin Cancer on the Scalp	3