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29건 · 최신순-
Outcomes of Free Flap Bony Reconstruction for Maxillary Defects: A Systematic Review and Meta-Analysis.
[OBJECTIVE] To analyze the clinical outcomes associated with free flap bony reconstruction of maxillary defects. [DATA SOURCES] A systematic search was performed on PubMed, Scopus, and Google Scholar databases. [REVIEW METHODS] A single-a…
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Predictive Nomogram for Risk Stratification After Transoral Surgery in HPV-Related Oropharyngeal Cancer.
[BACKGROUND] This study develops a predictive model that stratifies patients with HPV-related oropharyngeal squamous cell carcinoma (OPSCC) by survival outcomes based on adjuvant treatment received following transoral surgery (TOS). [METHO…
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Postoperative Antithrombotic Strategies in Head and Neck Free Flap Reconstruction: A Systematic Review and Network Meta-Analysis.
[BACKGROUND] The role of postoperative antithrombotic therapy in microvascular free flap reconstruction remains controversial, with no consensus on the optimal regimen. [METHODS] A systematic review and arm-based Bayesian network meta-anal…
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Nomogram for Predicting Osteoradionecrosis After Fibula Free Flap for Mandibular Reconstruction.
[BACKGROUND] Osteoradionecrosis (ORN) is a severe complication following radiotherapy (RT), particularly after mandibular reconstruction with a fibula free flap. Risk prediction remains challenging due to limited data. [METHODS] We conduct…
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Surgical outcomes of profunda artery perforator flap in head and neck reconstruction: A systematic review and meta-analysis.
[OBJECTIVE] This study aims to evaluate the efficacy of the profunda artery perforator (PAP) flap in head and neck reconstruction. [METHODS] A single arm meta-analysis was performed for flap survival rate (primary outcome), reoperation for…
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Microvascular Coupling in Venous Anastomoses for Head and Neck Reconstruction: A Systematic Review and Meta-Analysis.
[OBJECTIVE] We conducted a systematic review and meta-analysis to compare venous couplers and hand-sewn techniques for venous anastomosis in head and neck reconstruction. [DATA SOURCES] PubMed/MEDLINE and Scopus, databases were searched fo…
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Adjuvant treatment in elderly patients undergoing transoral surgery for HPV-related oropharyngeal cancer.
[OBJECTIVES] Older adults are an increasing proportion of patients with HPV-related oropharyngeal squamous cell carcinoma (OPSCC), and transoral surgery (TOS) remains a valid treatment option for this population. This study aimed to evaluat…
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Transoral Surgery Versus Radiotherapy as Primary Treatment for HPV-Related Oropharyngeal Cancer in the Elderly.
[BACKGROUND] This study compares the oncological outcomes of primary transoral surgery (TOS) and primary radiotherapy (RT) in elderly patients with HPV-related oropharyngeal squamous cell carcinoma (OPSCC). [METHODS] This retrospective coh…
- Staged transoral surgery in synchronous HPV-related oropharyngeal cancer.
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Global Variations in Surgical Techniques and Postoperative Care for Radial Forearm Free Flap (RFFF) in Head & Neck Surgery: A Cross-Sectional International Survey.
: This cross-sectional survey aimed to comprehensively gather data on radial forearm free flap (RFFF) utilization and practices in head and neck reconstructive surgery. : An online questionnaire was organized into seven sections: demographi…
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End-To-Side Venous Anastomosis in Head and Neck Free Flap Reconstruction: A Systematic Review and Meta-Analysis.
[PURPOSE] We performed a systematic review and meta-analysis to evaluate the outcomes of end-to-side (ETS) anastomosis to the internal jugular vein (IJV) in head and neck free flap reconstruction. Postoperative outcomes of ETS were compared…
- Comments on: Value and role of surgical margins in transoral laser microsurgery of the larynx, literature review and clinical considerations.
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Comparison of split thickness skin graft versus full thickness skin graft for radial forearm flap donor site closure: A systematic review and Meta-analysis.
[BACKGROUND] The radial forearm flap (RFF) is one of the most commonly used flaps in reconstructive surgery. Split-thickness skin grafting (STSG) has traditionally been used for closure of the forearm. However, full-thickness skin grafting …
- Comments on "Comparison of the outcomes of split thickness skin graft versus thickness skin graft for closure of the radial forearm free flap donor site: A systematic review".
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Comparison between the high-definition 3D exoscope and the operating microscope in head and neck reconstruction.
The purpose of this study was to compare the three-dimensional (3D) operating exoscope (OE) with the conventional operating microscope (OM) in head and neck reconstruction. A retrospective cohort study was performed including 50 consecutive…
- Microvascular anastomosis in head and neck free flap reconstruction using the RoboticScope.
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Complications of pectoralis major myo-cutaneous flap, anterolateral thigh flap and radial forearm free flap after total laryngectomy with partial pharyngectomy: A systematic review and network meta-analysis.
[BACKGROUND] No consensus exists regarding the most effective reconstruction after total laryngectomy with partial pharyngectomy (TLwPP). This study aims to compare different reconstructive techniques (pectoralis major myo-cutaneous flap, P…
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Surgical treatment of cerebellar metastases in elderly patients: A threshold that moves forward?
The impact of surgery for cerebellar brain metastases in elderly population has been the object of limited studies in literature. Given the increasing burden of their chronic illnesses, the decision to recommend surgery remains difficult. A…
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Transoral Laser Microsurgery in Recurrent Laryngeal Cancer: A Systematic Review and Meta-analysis.
[OBJECTIVE] To determine the oncological outcomes of salvage transoral laser microsurgery (TLM) in the treatment of patients suffering from recurrent laryngeal cancer. [METHODS] PubMed/MEDLINE, Cochrane Library, and Scopus databases were s…
- The Use of Machine Learning for Predicting Complications of Free Flap Head and Neck Reconstruction: Caution Needed.
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Near-Infrared Spectroscopy for Continuous Noninvasive Monitoring of Free Flap in Head and Neck Reconstruction: Systematic Review of the Literature and Personal Experience.
[BACKGROUND] Buried free flaps represent a reconstructive challenge concerning monitoring of vitality, which is fundamental for an early detection of flap failure and prompt surgical salvage. Many flap monitoring techniques have been develo…
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High-definition 3D exoscope-assisted soft palate excision and reconstruction.
The 3D exoscope is a surgical visualization and magnification tool that has been recently introduced in microvascular anastomoses. However, other surgical scenarios, such as transoral surgery which has a limited surgical field visualization…
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Circumferential pharyngeal reconstruction after total laryngopharyngectomy: A systematic review and network meta-analysis.
[OBJECTIVE] To compare the functional outcomes of different reconstructive techniques for circumferential pharyngeal reconstruction. [METHODS] A comprehensive electronic search was performed on PubMed/MEDLINE, Cochrane Library, and Google …
- The impact of frailty on adjuvant treatment in patients with head and neck free flap reconstruction-A retrospective study using two independent frailty scores: Avoiding the wrong conclusion.
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High-definition three-dimensional exoscope for head and neck reconstruction: Prospective analysis of 27 consecutive patients.
[PURPOSE] To analyze the advantages and disadvantages of a three-dimensional (3D) operating exoscope (OE) in head and neck free flap reconstruction. [METHODS] Twenty-seven consecutive patients (females: 8; mean age: 57.0) were included. Af…
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Preliminary Functional Outcomes and Quality of Life after Tongue Reconstruction with the Vastus Lateralis Myofascial Free Flap.
The aim of the present study is to report our preliminary experience with the vastus lateralis myofascial free flap (VLMFF) for tongue reconstruction according to tongue and donor site functional outcomes. Twelve consecutive patients (F: 5;…
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High definition three-dimensional exoscope (VITOM 3D) for microsurgery training: a preliminary experience.
[PURPOSE] To assess the feasibility of a high definition 3D exoscope (VITOM) for microsurgery training in a cohort of naïve medical students. [METHODS] Twenty-two consecutive medical students performed a battery of four exercises assessing…
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Lipofilling in skin affected by radiodermatitis: clinical and ultrasound aspects. Case report.
In recent years, lipofilling has established itself as one of the most effective and least invasive techniques to treat connective dystrophy subsequent to radiotherapy. We report the case of a patient diagnosed with intraductal carcinoma of…
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Elevated insulin receptor content in human breast cancer.
The growth of breast cancer cells is under the regulation of hormones, growth factors, and their receptors. In the present study, we have employed a new, sensitive, and specific radioimmunoassay for the direct measurement of insulin recepto…