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Free tissue reconstruction in the "vessel-depleted" neck: A multi-institutional cohort study.
[OBJECTIVES] Much of the literature on free tissue reconstruction in the "vessel-depleted" neck is focused on identification of vessels outside the pretreated field and data on free flap outcomes when infield microvascular anastomosis is pe…
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Perioperative Topical Antisepsis and Surgical Site Infection in Patients Undergoing Upper Aerodigestive Tract Reconstruction.
[IMPORTANCE] Surgical site infections (SSIs) after vascularized reconstruction of the upper aerodigestive tract (UADT) are associated with considerable morbidity. The association between perioperative prophylaxis practices, particularly top…
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Safety of microvascular free tissue transfer reconstruction of the head and neck in the setting of chronic pharmacologic immunosuppression.
[BACKGROUND] Patients on chronic pharmacologic immunosuppressive therapy are at increased risk of wound infection and complications after surgery. There is a paucity of data examining perioperative complications after microvascular free tis…
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Management of Flap Failure After Head and Neck Reconstruction: A Systematic Review and Meta-analysis.
[OBJECTIVE] To systematically review management of flap loss in head and neck construction with free tissue transfer as compared with locoregional flap or conservative management. [DATA SOURCES] Medline, Embase, Scopus, Cochrane Central Re…
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Free Flap Inset Techniques in Salvage Laryngopharyngectomy Repair: Impact on Fistula Formation and Function.
[OBJECTIVE] To characterize pharyngocutaneous fistula (PCF) rates and functional outcomes following microvascular free tissue transfer (MVFTT) reconstruction of salvage total laryngectomy (STL) with a review of two different flap inset tech…
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Factors Associated With Risk of Body Image-Related Distress in Patients With Head and Neck Cancer.
[IMPORTANCE] Body image-related distress (BID) is common among head and neck cancer (HNC) survivors and associated with significant morbidity. Risk factors for HNC-related BID remain poorly characterized because prior research has used outc…
- Perforator-based propeller flap for fibula free flap donor site repair: A novel surgical technique.
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Acute Pain Management Following Head and Neck Surgery.
Acute pain management following major head and neck (HN) surgery is complex. Multimodal analgesia (MMA) regimens including acetaminophen, nonsteroidal anti-inflammatory drugs, gabapentinoids, and locoregional anesthetics are safe and effect…