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16건 · 최신순-
Novel flap designs for reconstructing the exenterated orbital cavity - A systematic review.
Orbital exenteration is an extremely mutilating procedure for patients, and reconstruction is mandatory in most cases. The inverted cone shape of the exenterated orbit poses a significant challenge for reconstructive surgeons and anaplastol…
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Management of extended oncologic orbital exenteration reconstruction: a collaboration between surgeons and prosthetists for optimized results.
Extensive orbital exenteration requires complex reconstructive strategies to restore both function and aesthetic form while allowing for durable prosthetic rehabilitation. This retrospective study analyzed reconstructive outcomes following …
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Zygomatic implants perforated through a composite scapulo-dorsal free flap for maxillary reconstruction allowing dental rehabilitation: A surgical technique with a step-by-step video.
[BACKGROUND] Dental rehabilitation is considered challenging to achieve whenever composite scapulo-dorsal free flaps are used to reconstruct medium-to-large maxillary defects due to the fact that bone quality and quantity may be low, which …
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Extensive and delayed necrosis of a free flap following subtotal glossectomy and adjuvant radiotherapy.
Oral tongue squamous cell carcinoma is the most common malignancy of the oral cavity. Treatment of this tumor is based on surgical removal with a centimeter margin, which can be combined with radiotherapy. This case report details a late ne…
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Jejunum free flap for head and neck reconstruction, a step-by-step surgical technique videos.
Circular pharyngolaryngectomy for oncologic resection requires a tubular reconstruction. Different options can be proposed to the patient: digestive free flap, fasciocutaneous flap, or musculocutaneous flap. The jejunum free flap is a tubul…
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Outcomes of mandibular reconstruction using three-dimensional custom-made porous titanium prostheses.
[BACKGROUND] Our aim was to report the long-term outcomes of mandibular reconstruction using CAD-CAM-designed 3D-printed porous titanium implants in patients not amenable to a free vascularized fibula flap reconstruction. [METHODS] The imp…
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Swallowing outcomes over time after total pharyngolaryngectomy and free flap reconstruction.
[BACKGROUND] One of the challenges after total pharyngolaryngectomy (TPL) is to restore the swallowing function. The aim of this study was to compare swallowing outcomes between patients who underwent reconstruction with jejunum free flap (…
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Reconstruction of subtotal pharyngolaryngectomy using a fasciocutaneous free flap with cartilage graft: A case series of 17 patients.
[INTRODUCTION] Subcricoid-hemilaryngopharyngectomy (SCHLP) with a reconstruction using a fasciocutaneous free flap armed with cartilage graft (FFACG) aims to avoid permanent tracheostomy while still maintaining the laryngopharyngeal functio…
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Delto-acromial artery perforator flap combined with a radial forearm free flap as a "vascular bridge" for nasal reconstruction.
Nasal reconstruction for total rhinectomy is challenging, especially if locoregional flaps are unavailable. Herein, we report the case of a nasal reconstruction combining a forearm free flap as "vascular bridge" and a Delto-Acromial Artery …
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Vestibuloplasty for immediate dental implantation in fibular free flap for oral cancer patients undergoing mandibulectomy reconstruction: A technical note.
Vestibuloplasty is fundamental to restore an oral vestibule for immediate dental implantation in fibular free flap (FFF) for oral cancer patients undergoing mandibulectomy reconstruction. Double surgical team including reconstructive head a…
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Reconstruction of Extensive Composite Parotid Region Oncologic Defects with Immediate Facial Nerve Reconstruction Using a Chimeric Scapulodorsal Vascularized Nerve Free Flap.
[BACKGROUND] Cancer involving the parotid gland region may originates from parotid parenchyma itself or from locoregional organs and in rare cases, the facial nerve (FN) has to be sacrificed during tumor resection. In these cases, cancer e…
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Indications and Clinical Outcomes of Transoral Robotic Surgery and Free Flap Reconstruction.
We reviewed the indications, peroperative feasibility, and postoperative clinical outcomes of our first 50 consecutive patients who underwent free flap reconstruction after TORS for complex pharyngeal defects at our institution. We analyzed…
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Thoracodorsal artery perforator free flap with vascularized thoracodorsal nerve for head and neck reconstruction following radical parotidectomy with facial nerve sacrifice: Step-by-step surgical technique video.
Oncological surgery of the parotid region sometimes requires the sacrifice of the facial nerve (parotid cancers, extensive skin cancers of the face, soft tissue sarcomas). The sacrificed portion of nerve can be reconstructed by a vasculariz…
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Powered Rhinoplasty: A Simple Step-by-Step Approach.
Reduction of a nasal hump and nasal base narrowing are very common steps during a primary rhinoplasty procedure. The greatest difficulty is to obtain stable fracture lines, a natural appearance, beautiful dorsal aesthetic lines, and the abs…
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The Modified Sliding Alar Cartilage Flap: A Novel Way to Preserve the Internal Nasal Valve as Illustrated by Three-Dimensional Modeling.
[BACKGROUND] Preservation of the scroll area is essential when performing rhinoplasty to achieve a good functional outcome. This is of particular concern with tip-plasty procedures. The objectives of this study were (1) to describe a novel …
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Lower lateral crural turnover flap combined with alar batten graft for the long-term result of the treatment of alar convexities.
[INTRODUCTION] Concave lower lateral cartilages not only cause an esthetic defect but can also lead to external nasal valve insufficiency. The objective of this article is to analyze the combination of two well-known surgical techniques: tu…