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24건 · 최신순-
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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Prognostic significance of surgical margins in laryngeal cancer treated by transoral laser microsurgery: a systematic review and meta-analysis.
[OBJECTIVE] To evaluate the prognostic significance of surgical margins in patients undergoing transoral laser microsurgery (TLM) for laryngeal squamous cell carcinoma (LSCC). [METHODS] A comprehensive literature search was conducted in Pu…
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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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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…
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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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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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Second primary carcinoma arising on a flap: a new primary or a relapse?
Free flaps or pedicle flaps are the mainstay of cancer surgery in the head and neck area. However, their long-term sequelae are still poorly understood. Among these, the development of a secondary primary tumor on a flap is a rare and uncer…
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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;…
- Prevention of fistulas after salvage laryngectomy using temporoparietal fascia free flap.
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Free flap microvascular anastomosis in head and neck reconstruction using a 4K three-dimensional exoscope system (VITOM 3D).
The aim of this study was to evaluate the feasibility of microvascular anastomosis using a 4K three-dimensional exoscope system (VITOM 3D) in 10 consecutive cases of free flap head and neck reconstructive surgery. This was a clinical human …
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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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Robotic sialoadenectomy of the submandibular gland via a modified face-lift approach.
The purpose of this study was to describe and analyse the advantages and disadvantages of submandibular gland (SMG) resection using a robotic surgical system through a modified face-lift approach. The authors performed robotic sialoadenecto…