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34건 · 최신순-
Facial Lymphedema Following Head and Neck Tumor Resection: Preliminary Experience of Supermicrosurgical Treatment With LVA-Report of Three Cases.
Facial lymphedema (FL) is a potential complication following head-and-neck tumor (HNT) therapy. Conservative management is often difficult, and there is limited literature on surgical treatments for FL. This report presents three cases of F…
- Using Smartphone Thermal Imaging to Determine Safe Window for Cross-Leg Free Flap Detachment.
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Tactile Sensory Recovery in Neurotized Versus Non-Neurotized Autologous Breast Reconstruction: A Systematic Review and Meta-Analysis.
[BACKGROUND] Tactile sensory recovery in autologous breast reconstruction (ABR) has been shown to prevent injuries and improve quality of life. However, the studies comparing neurotized versus non-neurotized outcomes are still controversial…
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Surgical treatment of breast cancer-related lymphedema: an updated review.
Breast cancer-related lymphedema is a common complication after axillary lymph node dissection and radiotherapy, significantly affecting patients' quality of life. This review aims to outline the latest surgical advances for his management,…
- Technical pearls and pitfalls of the posterior auricular artery free flap in facial reconstruction.
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Outcomes of liposuction techniques for management of lipedema: a case series and narrative review.
[BACKGROUND AND OBJECTIVE] Lipedema is a commonly underdiagnosed chronic condition. This study aimed to evaluate liposuction techniques for lipedema by conducting a systematic review and presenting our experience. A case series study and a …
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Free flap transfer with supermicrosurgical technique for soft tissue reconstruction: A systematic review and meta-analysis.
[BACKGROUND] Supermicrosurgery is a technique that allows microsurgeons to accomplish dissections and anastomoses of vessels and nerve fascicles with diameters of ≤0.8 mm. Considering the potential benefits of this technique and limited lit…
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Inexpensive Materials for Microsurgery in Middle- and Low-Income Countries.
With the continuous incorporation of new technologies and advancements in surgical technique, microsurgical procedures around the world have generated a higher success rate and innovative procedures are now possible. In this setting, limita…
- Maximizing the use of the distal descending branch of the lateral circumflex femoral artery during donor site closure: An opportunity for learning.
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The breast cancer-related lymphedema multidisciplinary approach: Algorithm for conservative and multimodal surgical treatment.
[BACKGROUND] Multiple surgical alternatives are available to treat breast cancer-related lymphedema (BCRL) providing a variable spectrum of outcomes. This study aimed to present the breast cancer-related lymphedema multidisciplinary approac…
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The medial sural artery perforator flap for retromolar trigone reconstruction: A multicenter case series.
[BACKGROUND] Retromolar trigone (RMT) cancer is a rare malignancy, which develops in a narrow area of the oral cavity. Surgical intervention requires wide excision and appropriate reconstruction usually with a free tissue transfer. Little h…
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The Limited Coverage of Facial Feminization Surgery in the United States: A Literature Review of Policy Constraints and Implications.
There is a literature gap regarding facial feminization surgery (FFS) access and coverage. Our goal is to compile information from previous studies and assess the current policy landscape for these surgeries in the US. We also explored why …
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The profunda artery perforator free flap for lower extremity reconstruction.
[BACKGROUND] The profunda artery perforator (PAP) flap has been reported in several types of reconstructions. This report aims to evaluate the usefulness and the clinical outcome of patients who underwent the PAP free flap for lower limb re…
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Primary Prevention of Cancer-Related Lymphedema Using Preventive Lymphatic Surgery: Systematic Review and Meta-analysis.
Several studies have proven prophylactic lymphovenous anastomosis (LVA) performed after lymphadenectomy can potentially reduce the risk of cancer-related lymphedema (CRL) without compromising the oncological treatment. We present a systema…
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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.
[BACKGROUND] Various studies have discussed the benefits of applying three-dimensional (3D) techniques, specifically its advantages with respect to ergonomics, feasibility, and the rate of learning achievable in microsurgery training. Howe…
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Reconstruction of Pharyngolaryngeal Defects with the Ileocolon Free Flap: A Comprehensive Review and How to Optimize Outcomes.
Several reconstructive methods have been reported to restore the continuity of the aerodigestive tract following resection of pharyngeal and hypopharyngeal cancers. However, high complication rates have been reported after voice prosthesis …
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The Versatility of the DCIA Free Flap: A Forgotten Flap? Systematic Review and Meta-Analysis.
[BACKGROUND] Studies reporting on the deep circumflex iliac artery (DCIA) free flap are restricted to a limited number of patients and areas of application. The aim of this review was to assess the reliability and versatility of the DCIA f…
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Carotid artery and soft tissue reconstruction with superficial femoral artery-sartorius muscle-anteromedial thigh chimeric free flap: A case report and review of the literature.
Tumoral involvement of the carotid artery may require en-bloc resection in order to achieve a better regional control. Among the carotid reconstruction methods at disposal, autologous tissues appear to be more reliable in cases with high ri…
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Lymphedema prevention and immediate breast reconstruction with simultaneous gastroepiploic vascularized lymph node transfer and deep inferior epigastric perforator flap: A case report.
Breast cancer-related lymphedema following axillary lymph node dissection (ALND) has been documented in 6%-55% of patients, mostly occurring within the next 3 years after radiation or surgery. We present a case of a 53-year-old patient with…
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Definitive Closure of the Tracheoesophageal Puncture Site after Oncologic Laryngectomy: A Systematic Review and Meta-Analysis.
Tracheoesophageal puncture (TEP) and voice prosthesis insertion following laryngectomy may fail to form an adequate seal. When spontaneous closure of the fistula tract does not occur after conservative measures, surgical closure is required…
- Commentary: Reconstruction of Pharyngolaryngeal Defects with the Ileocolon Free Flap: A Comprehensive Review and How to Optimize Outcomes.
- Conceptual framework for trainers in a microsurgical project: Attendee-oriented and structured learning using a nonliving animal model.
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Gastroepiploic vascularized lymph node transfer for the treatment of extremity lymphedema: comparison between middle and distal inset.
[BACKGROUND] Middle and distal insets of gastroepiploic vascularized lymph node transfer (GE-VLNT) for extremity lymphedema have been described. However, there has been no prior comparison of surgical or patient-reported outcomes between th…
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Simultaneous Restoration of Swallowing and Voice Function With Ileocolon Free Flap.
[BACKGROUND] Free ileocolon flap is a reliable technique allowing simultaneous restoration of swallowing and speech. The aim is to report our 6-year experience in a single center. [METHODS] Thirty-seven patients treated between 2010 and 20…
- Collaborative anesthesia management in patients with neuropathic pain receiving microsurgery for lymphedema.
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Manejo de heridas traumáticas de difícil cicatrización con colgajos microvasculares.
[OBJECTIVE] Present different flap alternatives when performing microvascular free-flap reconstruction in acute hard-to-heal wounds. [METHOD] A retrospective review of patients whose acute hard-to-heal wounds were treated with microvascula…
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Manejo de heridas traumáticas de difícil cicatrización con colgajos microvasculares.
[OBJECTIVE] Present different flap alternatives when performing microvascular free-flap reconstruction in acute hard-to-heal wounds. [METHOD] A retrospective review of patients whose acute hard-to-heal wounds were treated with microvascula…
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Combined microvascular breast and lymphatic reconstruction with deep inferior epigastric perforator flap and gastroepiploic vascularized lymph node transfer for postmastectomy lymphedema patients.
[BACKGROUND] The combination of microvascular breast reconstruction (MBR) and vascularized lymph node transfer (VLNT) in a single-stage procedure is a surgical option for women who desire breast reconstruction and postmastectomy lymphedema …
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Single-stage VASER-assisted liposuction and lymphatico-venous anastomoses for the treatment of extremity lymphedema: a case series and systematic review of the literature.
[BACKGROUND] A paradigm shift towards the use of combined physiological and excisional surgical approaches for the treatment of lymphedema is permeating the surgical practice worldwide. We describe a single-stage surgical approach combining…
- Impact of social media presence on online reviews among plastic surgeons who perform gender confirming surgeries.