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 2021-05-01 to 2025-05-01.)

Article	Citations
Usefulness of Free Tissue Transfer for the Reconstruction of Extensive Thigh Defects	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
Use of the Vertical Profunda Artery Perforator Flap to Capture the Dominant Perforator: A Cadaver Dissection and Imaging Study	18
Planes for Perforator/Skin Flap Elevation—Definition, Classification, and Techniques	17
Comparison of Arterial and Venous Interposition Grafting for Arterial Defects in a Rat Model	16
Impact of Resident and Attending Surgeon Training Level on Free Tissue Transfer Ischemia Time and Complications	15
Pedicled Flaps for High-Risk Open Vascular Procedures of the Lower Extremity: An Analysis of The National Surgical Quality Improvement Project Database	15
Outcomes and Perioperative Risk Factors after Oncologic Free-Flap Scalp Reconstruction	14
Increased Patient Age as a Risk Factor Following Free Flap Reconstruction after Breast Cancer: A Single Institutional Review of 2,598 Cases	14
Quality of Life Outcomes after Free Fibula Flap Reconstruction of Mandibular Defects: A Longitudinal Examination	14
Outcomes of Autologous Free Flap Reconstruction Following Infected Device Explantation	14
Upper Eyelid Postseptal Weight Placement for Treatment of Paralytic Lagophthalmos: Long-Term Outcomes	14
A Surgical Framework for the Management of Incomplete Axillary Nerve Injuries	13
The Vascular Anatomy and Harvesting of the Lateral Femoral Condyle Flap in Pigs	13
Superficial Inferior Epigastric Artery Flap: Vascular Pattern and Territory Across the Midline	13
Recent Advances in Ultrasound Technology: Ultra-High Frequency Ultrasound for Reconstructive Supermicrosurgery	12
Superficial Circumflex Iliac Artery Perforator Flap Elevation Using Preoperative High-Resolution Ultrasonography for Vessel Mapping and Flap Design	11
Technical Variables in Lower Extremity Free Flap Reconstruction	11
Using Duplex Ultrasound for Recipient Vessel Selection	11
Video-Based Microsurgical Education versus Stationary Basic Microsurgical Course: A Noninferiority Randomized Controlled Study	11
Aesthetic Implications of Bilateral Profunda Artery Perforator Flaps on Thigh and Buttock Proportions	11
Ultrasound as a Useful Tool for a Peripheral Nerve Surgeon: Examples in Clinical Practice	10
Lymphatic Patterns in the Superficial Circumflex Iliac Artery Perforator Flap	10
Free Tissue Transfer to the Lower Extremity in the Setting of Thrombocytosis and the Role of Antiplatelet Therapy: A Propensity Score–Matched Analysis	10
Transverse Cervical Artery for Head and Neck Reconstruction with Free Jejunal Flaps: A Retrospective Study of Computed Tomography Angiography	10

Evaluation of a Full-Time Microsurgeon Educator on Resident Training, Research Collaboration, and Grant Funding	10
A Paradigm Shift: Outcomes of Early Autologous Breast Reconstruction after Radiation Therapy	9
When a Good Flap Turns Bad: A Temporal Predictive Model for Free Flap Complications	9
Treatment of Rat Lymphedema by Propeller Lymphatic Tissue Flap Combined with Nanofibrillar Collagen Scaffolds	9
Traumatic Brachial Plexus Injury in Indonesia: An Experience from a Developing Country	9
Investigating the Thickness of the Deltoid Free Flap Using Ultrasonography and Clinical Application in Foot and Hand Soft-Tissue Defect Reconstruction	9
Social Determinants of Health and Patient-reported Outcomes Following Autologous Breast Reconstruction, Using Insurance as a Proxy	9
Postparetic Synkinesis: Objective and Subjective Comparisons of Depressor Anguli Oris Myectomies versus Depressor Anguli Oris and Buccinator Myectomies	9
Incidence of Venous Thromboembolism Based on Caprini Score in Deep Inferior Epigastric Perforator Flap Breast Reconstruction	9
	9
Thermography Supported Color Duplex Ultrasound Accelerates ALT Perforator Imaging	9
Influence and Longevity of a Microsurgery Course for Medical Students on Their Future Careers: A Retrospective Report of Up to 10 Years	9
A Comparison of the Use of Two-Dimensional and Three-Dimensional Visualization Systems by Novice and Experienced Microsurgeons in Microsurgical Vessel Anastomosis: An Analysis Using the Chicken Model	9
The Use of Ultrasound Imaging for Upper Extremity Lymphedema after Breast Cancer: A Systematic Review	9
Microvascular Free-Flap Head and Neck Reconstruction: The Utility of the Modified Frailty Five-Item Index	9
	8
Accessibility of Neurotization in Deep Inferior Epigastric Perforator Flap Reconstruction: Inequities and Implications for Preauthorization	8
Red Blood Cell Transfusion and its Relationship with Pedicle Thrombosis in Microvascular Free Flaps	8
Intraoperative Ergonomic Assessment of Exoscopes versus Conventional DIEP Flap	8
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	8
Observations from Implementation of the ERAS Protocol after DIEP Flap Breast Reconstruction	8
Surface to Perforator Index: Assessing the Importance of the Number of Perforators in Successful Harvesting of the Anterolateral Thigh Flap	8
A Review of Minimally Invasive Techniques for Perfusion Optimization of Flaps	8
Intraoperative Vasopressor Usage in Free Tissue Transfer: Should We Be Worried?	8
Evaluating the Merit and Applications of the Caprini Risk Score as a Complications Predictor	8
Applications of Ultrasound in the Postoperative Period: A Review	8
Lymphovenous Coupler-Assisted Bypass for Immediate Lymphatic Reconstruction	8
Composite Free Tissue Transfer for Reconstruction of Lower Extremity Tendon Injuries: A Systematic Review	8
Depressor Anguli Oris Myectomy versus Transfer to Depressor Labii Inferioris for Facial Symmetry in Synkinetic Facial Paralysis	8
Abdominal Wall Reinforcement Using OviTex after Deep Inferior Epigastric Perforator Flap	8
Optimizing Postoperative Anticoagulation Regimen To Improve Lower Extremity Free Flap Outcomes	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
Visual Perception of Breast Free Flap Size Is Influenced by Radiation Changes of Surrounding Tissue	8
Evaluating Resource Utilization with Free or Pedicled Perforator Flaps in Distal Leg Reconstruction	8
Ex Vivo Thrombolysis to Salvage Free Flaps Using Machine Perfusion: A Pilot Study in a Porcine Model	8
The Current State of Targeted Muscle Reinnervation: A Systematic Review	8
Blue-Blood Pig Thorax Model Increases Residents' Confidence in Internal Mammary Dissection	7
Use of Doppler Ultrasound for Early Rehabilitation of Replanted Hand and Finger	7
Surgical and Patient-Reported Outcomes of Open Perforator-Preserving Anterior Component Separation for Ventral Hernia Repair	7
An Innovative and Economical Device for Ischemic Preconditioning of the Forehead Flap Prior to Pedicle Division: A Comparative Study	7
Preoperative Computed Tomography Angiography for ALT Flaps Optimizes Design and Reduces Operative Time	7
Perforator Characteristics and Impact on Postoperative Outcomes in DIEP Flap Breast Reconstruction: A Systematic Review and Meta-Analysis	6
A Wireless Near-Infrared Spectroscopy Device for Flap Monitoring: Proof of Concept in a Porcine Musculocutaneous Flap Model	6
Effect of Enhanced Recovery after Surgery in Morbidly Obese Patients Undergoing Free Flap Breast Reconstruction	6
Co-surgeon versus Single-surgeon Outcomes in Free Tissue Breast Reconstruction: A Meta-analysis	6
From Augmented to Virtual Reality in Plastic Surgery: Blazing the Trail to a New Frontier	6
The Color Duplex Ultrasound: The Reconstructive Surgeon's Stethoscope	6
Predictors for Prolonged Drain Use Following Autologous Breast Reconstruction	6
One Size Does Not Fit All: Prediction of Nerve Length in Implant-based Nipple–Areola Complex Neurotization	6
Reduction of the Number of Live Animals Used for Microsurgical Skill Acquisition: An Experimental Randomized Noninferiority Trial	6

	6
Analysis of Readmissions and Reoperations in Pediatric Microvascular Reconstruction	6
A New Concept in Peripheral Nerve Repair: Incorporating the Tunica Adventitia	6
Corrigendum: Dynamic Eye Closure Restoration in Facial Palsy with Neurotized Platysma Muscle Graft in Rats	6
Secondary Bony Defects after Soft Tissue Reconstruction in Limb-Threatening Lower Extremity Injuries: Does the Approach to Flap Elevation Matter?	5
Here's My QR, So Call Me Maybe: Facilitating Communication in Free Flap Monitoring Using QR Code Printed Dressing	5
Microsurgery in Motion: An Objective Assessment of Microsurgical Skill and Efficiency	5
The Impact of Perioperative Blood Transfusion on Flap Survival: A Single-Center Review of Limb Salvage in the Trauma Setting	5
25th Anniversary of the Death of Nerve Surgery Pioneer Luis de Medinaceli	5
HoloDIEP—Faster and More Accurate Intraoperative DIEA Perforator Mapping Using a Novel Mixed Reality Tool	5
Functional Muscle Transfer after Oncologic Extremity Resection	5
A Comparative Analysis of Risk Factors for Breast Skin Necrosis following Autologous versus Device-Based Breast Reconstruction	5
Learning from Abdominoplasty to Reduce the Seroma Rate following Deep Inferior Epigastric Perforator Flap with Umbilectomy	5
Optimizing Surgical Outcomes and the Role of Preventive Surgery: A Scoping Review	5
Effectiveness of Risk Analysis Index Frailty Scores as a Predictor of Adverse Outcomes in Lower Extremity Reconstruction	5
Current Applications of Ultrasound Imaging in the Preoperative Planning of DIEP Flaps	5
Economic Impact of Refinements in ERAS Pathways in DIEP Flap Breast Reconstruction	5
	5
Latex-Infused Porcine Abdominal Model: A Novel Microsurgery Simulator for Deep Inferior Epigastric Perforator Dissection	5
Scar Decompression in Managing Breast Cancer-Related Lymphedema: Is it Needed?	5
Experimental Cranial Nerve Models in the Rat	5
Facilitated Small Venous Anastomosis with Couplers using an Intravenous Catheter Suction System	5
Less Is More: The Role of Mesh in Microsurgical Breast Reconstruction with Abdominal Flaps	5
Utility of ERAS Pathway in Nonabdominal-Based Microsurgical Breast Reconstruction: Efficacy in PAP Flap Reconstruction?	5
	4
Patient-Reported Abdominal Morbidity Following Abdomen-Based Breast Reconstruction	4
Does Side Matter? The Impact of Free Flap Harvest Laterality on Ambulatory Function in Lower Extremity Traumatic Reconstruction	4
	4
Postoperative Tachycardia in Deep Inferior Epigastric Perforator Flap Breast Reconstruction: Is It a Reason to Worry?	4
Intramuscular Near-Infrared Spectroscopy for Muscle Flap Monitoring in a Porcine Model	4
Precision of Dynamic Infrared Thermography in Anterolateral Thigh Flap Planning: Identification of the Perforator Fascia Passage	4
Does Steal Phenomenon Exist in Multiple Neurotization?—An Experimental Rat Study	4
The Co-Surgeon Model for Microsurgical Free Flaps: A Survey of Perspectives and Utility	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
	4
Differential Diagnosis of “Foot Drop”: Implications for Peripheral Nerve Surgery	4
Lower Extremity Reconstruction with Anterolateral Thigh Free-Flap Anastomoses: A Computational Fluid Dynamic Analysis	4
The Hidden Risks of Perioperative Transfusions in Traumatic Lower Extremity Free Flap Reconstruction	4
Strategy for Indocyanine Green Injection to Identify Lymphatic Vessels in Groin Territory	4
Mapping 216 Perforator Flaps Using Highly Portable Tablet-Based Color Doppler Ultrasound (PT-CDU)	4