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31건 · 최신순-
Beyond the Scar: Exploring Functional Outcomes, Donor Site Morbidity and Cosmesis for Radial Forearm Free Flap Reconstruction for Head and Neck Cancer.
[BACKGROUND] Surgical reconstruction for head and neck cancer (HNC) using a radial forearm free flap (RFFF) allows surgeons to autotransplant vascularised tissue to repair soft tissue defects. This study investigated donor-site morbidity, c…
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The Effect of Prior Radiotherapy on Postoperative Complications in Patients Undergoing Free Flap Reconstruction of the Head and Neck.
[BACKGROUND] Free tissue transfer is standard of care in the reconstruction of large defects in the head and neck. Many patients who undergo free flap reconstruction have had prior head and neck radiotherapy (HNRT). The aim of this study is…
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Economic evaluation of microvascular reconstruction of the jaw: A micro-costing analysis and identification of key cost-drivers.
[PURPOSE] Efficient resource allocation in surgery requires thorough economic evaluation that reflects the true costs of a procedure, with micro-costing being a primary method. Existing economic studies on microvascular jaw reconstruction o…
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Developing a metric for bone union in mandibular reconstruction using quantitative CT.
[BACKGROUND] Objective quantification of bone union after mandibular reconstruction is important for evaluating reconstructive outcomes, yet current assessments are largely semi-quantitative. [OBJECTIVE] To explore the feasibility of using…
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Preoperative Frailty Screening in Head and Neck Cancer: A Prospective Comparison of Three Assessment Tools.
[BACKGROUND] Whilst guidelines recommend routine frailty screening for elderly patients with head and neck cancer (HNC), no consensus exists on the preferred tool to predict postoperative morbidity. The aim of this study was to assess the p…
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Quality of life outcomes in patients receiving dental implants in vascularised bone flaps for mandibular reconstruction.
Resection, reconstruction, and rehabilitation of the mandible impact function and health related quality of life (HRQOL). In this study, we aimed to understand the impact of delayed versus immediate dental implant placement. A cross-section…
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Biomechanical assessment in virtual surgical planning for mandibular reconstruction.
The fibula free flap has been widely used for reconstructing large segmental bone defects in the maxillofacial region. While mandibular reconstruction requires a high degree of precision, the impact of surgical deviations on clinical outcom…
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A Pilot Trial of Tongue Reconstruction Using the Chimeric Innervated Vastus Lateralis Muscle and Antero-Lateral Thigh Free Flap.
[BACKGROUND] Subtotal and total glossectomies for advanced tongue cancer result in significant speech- and swallow-related morbidity, impairing quality of life. This prospective pilot study compares the safety and functional outcomes associ…
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A comparison of facial contour and patient-reported outcomes following zygomatic implant perforated (ZIP) flaps and fibular osseous flaps for maxillary reconstruction.
The zygomatic implant perforated (ZIP) flap is an alternative to the fibular free flap (FFF) for maxillary reconstruction with dental rehabilitation. The aim of this study was to compare facial contour and patient-reported outcomes in match…
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Trends in free flap reconstruction of the head and neck: a single surgeon series of 1027 free tissue transfers.
[BACKGROUND] Free tissue transfer has fundamentally changed head and neck surgery, enabling reliable reconstruction of large defects with better function and aesthetics. This study assesses two decades of trends in free flap reconstruction,…
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Medial Femoral Condyle Periosteal Free Flap for Bone Coverage Following Debridement of Intermediate-Stage Osteoradionecrosis of the Jaw.
Case report. Osteoradionecrosis (ORN) of the jaw is a potentially devastating consequence of head and neck irradiation. The progression of ORN can lead to loss of bone, teeth, soft tissue necrosis, pathologic fracture, and oro-cutaneous fis…
- Zygomatic Implant Perforated Flap vs Fibula Osseous Flap Maxillary Reconstruction.
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What is the force required to treat trismus in patients undergoing oral cavity free flap reconstruction?
[BACKGROUND] Trismus therapy is often delayed after jaw reconstruction to avoid hardware failure or non-union. The aim of this study is to document the forces that have been applied to patients undergoing free flap reconstruction of the ora…
- Virtual surgical planning for combined nasal, dental and maxillary reconstruction with the prefabricated fibula flap.
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Comparison between the radial forearm and superficial circumflex iliac artery perforator free flaps for oral soft tissue reconstruction.
The radial forearm free flap (RFFF) is widely used for oral reconstruction. The superficial circumflex iliac artery perforator (SCIP) flap is an increasingly utilized alternative. The cases of 165 patients who received either an RFFF or SCI…
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Anterolateral thigh, radial forearm and superficial circumflex iliac perforator flaps in oral reconstruction: a comparative analysis.
[BACKGROUND] Anterolateral thigh (ALT) and Radial forearm free flaps (RFFF) are historically the most common methods of oral reconstruction. The Superficial circumflex iliac artery perforator flap (SCIP) is an alternative providing a donor …
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Expanding the digital workflow for a prefabricated prelaminated fibula flap: A dental technique.
The workflow for a prefabricated prelaminated fibula free flap has been almost entirely digitized. One of the last 2 remaining steps is the impression making in stage 1 surgery. This article describes a novel computed-tomography based digit…
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Fascio-cutaneous and fascio-periosteal free flaps for treatment of intermediate stage osteoradionecrosis of the jaws.
[OBJECTIVES] Osteoradionecrosis (ORN) of the jaw is a potentially devastating consequence of head and neck irradiation. Despite recent advances, there are patients who fail to respond to conventional therapies. Historically, free flaps were…
- How to prevent excessive fluid within the surgical field during microvascular anastomosis: early neck drain placement as a continuous suction device.
- Use of Kirschner wires to assist with plate alignment in jaw reconstruction.
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Health-related quality of life in maxillectomy patients undergoing dentoalveolar rehabilitation.
[OBJECTIVES] Surgical resection of the maxilla impairs aesthetics, speech, swallowing, and mastication. Maxillary reconstruction is increasingly performed with virtual surgical planning (VSP) to enhance functional dental rehabilitation with…
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Institutional-based and commercial virtual surgical planning in maxillomandibular reconstruction - Comparing the digital plan and postoperative scan.
[BACKGROUND] Virtual surgical planning (VSP) is increasingly used in maxillomandibular osseous free flap reconstruction. Non-commercial ('in-house') VSP may offer the same level of accuracy and other benefits, without the inflated costs and…
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"Surgical technique: A novel pedicled periosteal scapular flap to facilitate bone growth in an Ovine model".
[BACKGROUND] Vascularised periosteum can used for reconstructing bony defects due to its intrinsic osteogenic properties. This osteogenic potential can be harnessed as a vascularised flap to induce bone growth of complex constructs in-vivo.…
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Validation of a risk prediction calculator in Australian patients undergoing head and neck microsurgery reconstruction.
[BACKGROUND] The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) surgical risk calculator (SRC) is an open access calculator predicting patients' risk of postoperative complications. This study aims …
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Hydrogel: A Potential Material for Bone Tissue Engineering Repairing the Segmental Mandibular Defect.
Free flap surgery is currently the only successful method used by surgeons to reconstruct critical-sized defects of the jaw, and is commonly used in patients who have had bony lesions excised due to oral cancer, trauma, infection or necrosi…
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The Sydney Modified Alberta Reconstruction Technique (SM-ART) for dental rehabilitation following mandibulectomy or maxillectomy.
The Sydney Modification of the Alberta Mandibular Reconstruction technique (SM-ART) is a hybrid of the Rohner method and the Alberta Reconstructive Technique (ART). SM-ART differs from ART in three ways, notably the use of custom plates, in…
- Transoral robotic free flap inset in oropharyngeal cancer.
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Validated specialty-specific models for multi-disciplinary microsurgery training laboratories: a systematic review.
[BACKGROUND] Laboratory simulation is increasingly important for teaching microsurgical skills. Training microsurgeons of different specialties within the same simulation laboratory increases efficiency of resource use. For maximal benefit,…
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Defining the Dimensions of Periosteal Free Tissue Transfer Harvest Sites.
Information about the use and donor site morbidity of periosteal free flaps in head and neck reconstruction is limited. The aim of this study was to examine potential periosteal free flap donor sites with respect to their dimensions, tissue…
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Assessment of post-surgical donor-site morbidity in vastus lateralis free flap for head and neck reconstructive surgery: an observational study.
[BACKGROUND] Vastus lateralis (VL) can be used to reconstruct defects of the head and neck. Whilst the advantages are documented, donor-site morbidity is not well described. This study aimed to assess donor-site morbidity after VL flap harv…