OOIR: Observatory of International Research

Papers

(The TQCC of Journal of Reconstructive Microsurgery is 4. 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 2021-12-01 to 2025-12-01.)

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	22
Impact of Resident and Attending Surgeon Training Level on Free Tissue Transfer Ischemia Time and Complications	21
The Arterial System of the Fasciocutaneous Deltoid Flap Pedicle on 320-Detector Row Computed Tomography and Clinical Application in the Foot and Hand	19
Usefulness of Free Tissue Transfer for the Reconstruction of Extensive Thigh Defects	18
Outcomes of Autologous Free Flap Reconstruction Following Infected Device Explantation	18
Upper Eyelid Postseptal Weight Placement for Treatment of Paralytic Lagophthalmos: Long-Term Outcomes	18
Planes for Perforator/Skin Flap Elevation—Definition, Classification, and Techniques	16
Outcomes and Perioperative Risk Factors after Oncologic Free-Flap Scalp Reconstruction	16
Increased Patient Age as a Risk Factor Following Free Flap Reconstruction after Breast Cancer: A Single Institutional Review of 2,598 Cases	15
Superficial Inferior Epigastric Artery Flap: Vascular Pattern and Territory Across the Midline	15
Quality of Life Outcomes after Free Fibula Flap Reconstruction of Mandibular Defects: A Longitudinal Examination	14
Quantitative Preoperative Peroneal Vessel Assessment in Fibula Free Flap Surgery	14
Basic versus Complex Arteriovenous Loop Positions in Reconstructive Free Flap Surgery: An Outcome Analysis Focusing on the Antithrombotic Treatment Regimen	13
The Vascular Anatomy and Harvesting of the Lateral Femoral Condyle Flap in Pigs	13
A Surgical Framework for the Management of Incomplete Axillary Nerve Injuries	13
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	12
Recent Advances in Ultrasound Technology: Ultra-High Frequency Ultrasound for Reconstructive Supermicrosurgery	12
A Paradigm Shift: Outcomes of Early Autologous Breast Reconstruction after Radiation Therapy	12
Combination of Smartphone Thermography with Color-Doppler Ultrasonography—an Easy Method for Preoperative Planning of ALT Flaps for Novice Microsurgeons	12
Aesthetic Implications of Bilateral Profunda Artery Perforator Flaps on Thigh and Buttock Proportions	12
Using Duplex Ultrasound for Recipient Vessel Selection	12
Lymphatic Patterns in the Superficial Circumflex Iliac Artery Perforator Flap	11
Investigating the Thickness of the Deltoid Free Flap Using Ultrasonography and Clinical Application in Foot and Hand Soft-Tissue Defect Reconstruction	11

Thermography Supported Color Duplex Ultrasound Accelerates ALT Perforator Imaging	11
Social Determinants of Health and Patient-reported Outcomes Following Autologous Breast Reconstruction, Using Insurance as a Proxy	11
	11
Evaluation of a Full-Time Microsurgeon Educator on Resident Training, Research Collaboration, and Grant Funding	11
Microvascular Free-Flap Head and Neck Reconstruction: The Utility of the Modified Frailty Five-Item Index	10
When a Good Flap Turns Bad: A Temporal Predictive Model for Free Flap Complications	10
Ultrasound as a Useful Tool for a Peripheral Nerve Surgeon: Examples in Clinical Practice	10
Influence and Longevity of a Microsurgery Course for Medical Students on Their Future Careers: A Retrospective Report of Up to 10 Years	10
Transverse Cervical Artery for Head and Neck Reconstruction with Free Jejunal Flaps: A Retrospective Study of Computed Tomography Angiography	10
Incidence of Venous Thromboembolism Based on Caprini Score in Deep Inferior Epigastric Perforator Flap Breast Reconstruction	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
Postparetic Synkinesis: Objective and Subjective Comparisons of Depressor Anguli Oris Myectomies versus Depressor Anguli Oris and Buccinator Myectomies	9
Technical Variables in Lower Extremity Free Flap Reconstruction	9
	9
Treatment of Rat Lymphedema by Propeller Lymphatic Tissue Flap Combined with Nanofibrillar Collagen Scaffolds	9
Video-Based Microsurgical Education versus Stationary Basic Microsurgical Course: A Noninferiority Randomized Controlled Study	9
Reusing Motor Branches of the Neurotized Median Nerve for Functioning Free Muscle Transplantation to Augment Finger Flexion in Total Brachial Plexus Palsy	9
	8
A Review of Minimally Invasive Techniques for Perfusion Optimization of Flaps	8
Evaluating the Merit and Applications of the Caprini Risk Score as a Complications Predictor	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
Intraoperative Ergonomic Assessment of Exoscopes versus Conventional DIEP Flap	8
Visual Perception of Breast Free Flap Size Is Influenced by Radiation Changes of Surrounding Tissue	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
Accessibility of Neurotization in Deep Inferior Epigastric Perforator Flap Reconstruction: Inequities and Implications for Preauthorization	8
Abdominal Wall Reinforcement Using OviTex after Deep Inferior Epigastric Perforator Flap	8
Should Caffeine Be Avoided Following Free Flaps: Fact or Fiction?	8
The Use of Ultrasound Imaging for Upper Extremity Lymphedema after Breast Cancer: A Systematic Review	8
Optimizing Postoperative Anticoagulation Regimen to Improve Lower Extremity Free Flap Outcomes	8
Insurance Coverage for Hyperbaric Oxygen Therapy in Acutely Compromised Tissues	8
The Efficacy of Chimeric Superficial Circumflex Iliac Artery Perforator (SCIP) Flap in Treatment of Posttraumatic Chronic Osteomyelitis	8
Ex Vivo Thrombolysis to Salvage Free Flaps Using Machine Perfusion: A Pilot Study in a Porcine Model	7
An Algorithmic Approach to Arterial Coupler Use in Microsurgical Breast Reconstruction: Comparison with Hand-Sewn Sutures	7
Composite Free Tissue Transfer for Reconstruction of Lower Extremity Tendon Injuries: A Systematic Review	7
Feedback and Assessment Methods in Microsurgery Education: A Scoping Review	7
A Novel Lymphosome-Based Long-Lasting Rat Tail Model of Lymphedema	7
Evaluating Resource Utilization with Free or Pedicled Perforator Flaps in Distal Leg Reconstruction	7
Applications of Ultrasound in the Postoperative Period: A Review	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
Indications and Outcomes of Autologous Conversion from Implant-Based Breast Reconstruction	7
Lymphovenous Coupler-Assisted Bypass for Immediate Lymphatic Reconstruction	7
An Innovative and Economical Device for Ischemic Preconditioning of the Forehead Flap Prior to Pedicle Division: A Comparative Study	6
Surgical and Patient-Reported Outcomes of Open Perforator-Preserving Anterior Component Separation for Ventral Hernia Repair	6
The Current State of Targeted Muscle Reinnervation: A Systematic Review	6
Rethinking Dangling: Omission of Inpatient Dangle Protocols Shortens Hospital Stay Without Adverse Effects on Lower Extremity Flap Outcomes	6
Surface to Perforator Index: Assessing the Importance of the Number of Perforators in Successful Harvesting of the Anterolateral Thigh Flap	6
Analysis of Readmissions and Reoperations in Pediatric Microvascular Reconstruction	6
Preoperative Computed Tomography Angiography for ALT Flaps Optimizes Design and Reduces Operative Time	6
	6
Use of Doppler Ultrasound for Early Rehabilitation of Replanted Hand and Finger	6

Long-Term Outcomes Following Immediate Dental Implant Placement in Free Fibula Flaps for Oncologic Mandibular Reconstruction	6
Blue-Blood Pig Thorax Model Increases Residents' Confidence in Internal Mammary Dissection	6
Reduction of the Number of Live Animals Used for Microsurgical Skill Acquisition: An Experimental Randomized Noninferiority Trial	5
Current Applications of Ultrasound Imaging in the Preoperative Planning of DIEP Flaps	5
Less Is More: The Role of Mesh in Microsurgical Breast Reconstruction with Abdominal Flaps	5
Long-Term Implications of Combined Cross-Facial Nerve Graft and Nerve Transfer in Facial Paralysis	5
Corrigendum: Dynamic Eye Closure Restoration in Facial Palsy with Neurotized Platysma Muscle Graft in Rats	5
HoloDIEP—Faster and More Accurate Intraoperative DIEA Perforator Mapping Using a Novel Mixed Reality Tool	5
Largest Investigation of Branching Patterns of the Popliteal Artery	5
Facilitated Small Venous Anastomosis with Couplers using an Intravenous Catheter Suction System	5
Artificial Intelligence in Microsurgical Education: A Systematic Review of Its Role in Training Surgeons	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
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
Career Paths After Microsurgery Fellowship: A 10-Year Analysis	5
Effectiveness of Risk Analysis Index Frailty Scores as a Predictor of Adverse Outcomes in Lower Extremity Reconstruction	5
A New Concept in Peripheral Nerve Repair: Incorporating the Tunica Adventitia	5
From Augmented to Virtual Reality in Plastic Surgery: Blazing the Trail to a New Frontier	5
Co-surgeon versus Single-surgeon Outcomes in Free Tissue Breast Reconstruction: A Meta-analysis	5
	4
Microsurgery in Motion: An Objective Assessment of Microsurgical Skill and Efficiency	4
Functional Muscle Transfer after Oncologic Extremity Resection	4
The Impact of Perioperative Blood Transfusion on Flap Survival: A Single-Center Review of Limb Salvage in the Trauma Setting	4
Simulating the IMA Recipient Site for DIEP Flap Surgery: A New Model for Dynamic Microsurgery Simulation with Real-Time Respiration and a Pilot Study	4
Postoperative Tachycardia in Deep Inferior Epigastric Perforator Flap Breast Reconstruction: Is It a Reason to Worry?	4
A Comparative Analysis of Risk Factors for Breast Skin Necrosis following Autologous versus Device-Based Breast Reconstruction	4
Here's My QR, So Call Me Maybe: Facilitating Communication in Free Flap Monitoring Using QR Code Printed Dressing	4
Differential Diagnosis of “Foot Drop”: Implications for Peripheral Nerve Surgery	4
The Intersaphenous Veins in the Leg: Anatomical Considerations	4
Economic Impact of Refinements in ERAS Pathways in DIEP Flap Breast Reconstruction	4
Experimental Cranial Nerve Models in the Rat	4
Latex-Infused Porcine Abdominal Model: A Novel Microsurgery Simulator for Deep Inferior Epigastric Perforator Dissection	4
	4
Lower Extremity Reconstruction with Anterolateral Thigh Free-Flap Anastomoses: A Computational Fluid Dynamic Analysis	4
	4
Learning from Abdominoplasty to Reduce the Seroma Rate following Deep Inferior Epigastric Perforator Flap with Umbilectomy	4
Scar Decompression in Managing Breast Cancer-Related Lymphedema: Is it Needed?	4
The Impact of Needle Geometry on Tissue Damage and Anastomotic Leakage: A Combined Analysis of Human Skin and Porcine Cardiovascular Models	4
Optimizing Surgical Outcomes and the Role of Preventive Surgery: A Scoping Review	4
Patient-Reported Abdominal Morbidity Following Abdomen-Based Breast Reconstruction	4
Prevalence of Popliteal Artery Variants in Free Tissue Transfer for Limb Salvage: A 12-Year Vasculoplastic Experience	4
Strategy for Indocyanine Green Injection to Identify Lymphatic Vessels in Groin Territory	4
	4
Secondary Bony Defects after Soft Tissue Reconstruction in Limb-Threatening Lower Extremity Injuries: Does the Approach to Flap Elevation Matter?	4