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Papers by Ricardo Antonio Palomares Horta

Injury, 2014

Perforator-based propeller flap with venous axial supercharging for reconstruction of a leg defec... more Perforator-based propeller flap with venous axial supercharging for reconstruction of a leg defect G Model JINJ-5886; No. of Pages 2 Please cite this article in press as: Horta R, et al. Perforator-based propeller flap with venous axial supercharging for reconstruction of a leg defect. Injury (2014), http://dx.Please cite this article in press as: Horta R, et al. Perforator-based propeller flap with venous axial supercharging for reconstruction of a leg defect. Injury (2014), http://dx.

Journal of Hand and Microsurgery, 2011

Microsurgical hand reconstruction can be the first option to consider in some particular and comp... more Microsurgical hand reconstruction can be the first option to consider in some particular and complex clinical situations. An algorithm based on anatomical considerations and functional outcomes, may be useful for the plastic surgeon that deals with these challenging cases.

Congenital Anomalies, 2009

The triad of glossoptosis, micrognathia, and cleft palate characterizes the Pierre Robin sequence... more The triad of glossoptosis, micrognathia, and cleft palate characterizes the Pierre Robin sequence (PRS). Complications can be severe and the clinical manifestations are very heterogeneous, but airway obstruction is almost present and may be life threatening. To avoid tracheostomy or allow for early decannulation in severely affected children, external or biorebsorbable internal distraction devices can be applied to repair mandibular deficiences. We report a case of a children submitted to bilateral mandibular distraction with external nonresorbable devices. After optimal lengthening of mandibles, laringotracheoplasty was performed to close the tracheostomy with improvement of respiratory pattern and quality of life this child. Biorebsorbable internal distraction devices offers some advantages, but complications include device failure to support resistance. Distraction osteogenesis has become a safe, lessinvasive procedure with a negligible risk of infection making it effective to substitute tracheostomy as first choice in treatment of patients with Pierre Robin Sequence and life threatening airway obstruction.

Plastic and Reconstructive Surgery, 2013

Microsurgery, 2014

Background: Full face transplantation is a complex procedure and a detailed plan is needed. Coapt... more Background: Full face transplantation is a complex procedure and a detailed plan is needed. Coaptation of motor nerve branches at more distal sites instead of the level of the main trunk is highly desirable, but may be difficult to find, are thin, fragile and have limited length for safe and tension-free coaptation. In addition, nerve grafts may be necessary. In this study, the technical feasibility of facial allotransplantation procurement using a transparotid approach was investigated. Methods: Three mock cadaver dissections were performed, procuring full face transplants with en bloc facial nerve dissection. The facial nerve (main trunk, temporofacial/cervicofacial divisions, and individual facial branches) was elevated en bloc as part of the allograft, dissected out from the parotid completely, and left as loose attachments to the allograft specimen. Results: Full face transplantation with en bloc facial nerve dissection was technically feasible, allowing for more proximal or distal nerve section, and to achieve the desired length and diameter for appropriate matching during nerve coaptation. Conclusion: This technique follows principles of targeted nerve reinnervation. It allows to select the level of facial nerve section to the temporofacial and cervicofacial divisions or final branches, with further adaptation to the remaining recipient's anatomic structures, and avoiding the need for nerve grafts; it also excludes the parotid gland (reduces bulk). Despite a small increase in the time required for dissection, this disadvantage may be compensated by an improved functional recovery.

Journal of Reconstructive Microsurgery, 2014

Journal of Plastic, Reconstructive & Aesthetic Surgery, 2009

Please cite this article in press as: Rebelo M et al., Deltopectoral flap: an old but contemporan... more Please cite this article in press as: Rebelo M et al., Deltopectoral flap: an old but contemporaneous solution for neck reconstruction, J Plast Reconstr Aesthet Surg ,

Journal of Plastic, Reconstructive & Aesthetic Surgery, 2014

Journal of Craniofacial Surgery, 2011

Traumatic auricular amputation due to human bite is not a common event, but it constitutes a diff... more Traumatic auricular amputation due to human bite is not a common event, but it constitutes a difficult challenge for the reconstructive surgeon. Microsurgery can be performed in some cases, but replantation of a severed ear without microsurgery can be a safe alternative.

Aesthetic Plastic Surgery, 2010

The pedicle and the skin excision are two related but independent components of breast reduction.... more The pedicle and the skin excision are two related but independent components of breast reduction. The inferior pedicle technique remains one of the most commonly used procedures in breast reduction surgery .

Actas Urológicas Españolas, 2009