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13건 · 최신순-
Hardware Exposure After Mandibular Reconstruction: Bone Versus Soft Tissue Free Flap Comparison.
[OBJECTIVE] Hardware exposure after microvascular free tissue transfer (MFTT) for mandibular reconstruction is a significant complication. While osteocutaneous MFTTs are the preferred option, some patients require soft tissue-only MFTTs due…
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Timely Matters: Predictors of Delay in Oral Cavity Cancer Patients Across the Care Continuum.
[OBJECTIVE] Limited literature focuses on delays in accessing head and neck cancer (HNC) care across the entire care continuum. This study aims to describe the time to care from symptom onset to treatment completion and identify predictors …
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Cost Comparison of Industry Versus In-House Three-Dimensional Printed Models for Microvascular Mandible Reconstruction.
Computer-aided design and manufacturing can enhance microvascular mandible reconstruction, particularly in cases with preexisting segmental defects or exophytic tumors where precise in situ plate bending is difficult. However, its high cost…
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Patient-Reported Donor Site Quality of Life Outcomes Following Fibula Free Flap Reconstruction.
Retrospective cohort study. To (1) assess post-operative quality of life (QOL) and functional outcomes of fibula free flap (FFF) donor sites, (2) examine the incidence of post-operative claw toe deformities (CTDs) following FFF harvest, an…
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Increasing Pedicle Reach with Musculocutaneous Perforator Dissection in Anterolateral Thigh Free Flaps.
[OBJECTIVE] To measure the increase in effective pedicle reach with microdissection of musculocutaneous perforators during anterolateral thigh (ALT) free tissue harvest. [METHODS] A review of our institution's free flap database was perfor…
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Postoperative inpatient surgical complications following head and neck microvascular free tissue transfer.
[BACKGROUND] Complications following head and neck microvascular free tissue transfer (MFTT) are common. Less is known about when they occur. [METHOD] Retrospective study of patients with primary or recurrent head and neck cancer undergoin…
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Patterns of Postoperative Trismus Following Mandibulectomy and Fibula Free Flap Reconstruction.
The factors that contribute to postoperative trismus after mandibulectomy and fibula free flap reconstruction (FFFR) are undefined. We retrospectively assessed postoperative trismus (defined as a maximum interincisal opening ≤35 mm) in 106 …
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Effect of microporous polysaccharide hemospheres on anterolateral thigh free flap donor site complications.
[BACKGROUND] Postoperative seroma is the most common donor site complication following anterolateral thigh (ALT) free flap harvest for head and neck reconstruction. The utility of novel microporous polysaccharide hemospheres (MPH) has not b…
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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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Utility of Microporous Polysaccharide Hemosphere on Anterolateral Thigh Free Flap Donor Site Complications.
Anterolateral thigh (ALT) microvascular free tissue transfer is an integral part of head and neck reconstructive surgery, but it can be complicated by postoperative donor site fluid collections. To measure the rate of hematoma and seroma f…
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Skin Color Match in Head and Neck Reconstructive Surgery.
[OBJECTIVES/HYPOTHESIS] To quantify the degree of color match achieved during microvascular facial reconstruction, and to describe a novel technique for improving reconstructive skin color match. We hypothesize that split-thickness skin gra…
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Vasodilation by Verapamil-Nitroglycerin Solution in Microvascular Surgery.
[OBJECTIVE] Papaverine is a topical vasodilator commonly used during microvascular surgery to inhibit undesired vasoconstriction. A previous national shortage of papaverine prompted evaluation of an alternative, effective vasodilator. This …
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Risk Factors for and Cost Implications of Free Flap Take-backs: A Single Institution Review.
[OBJECTIVE/HYPOTHESIS] For patients undergoing microvascular free tissue transfer (MFTT), we evaluated risk factors and financial implications of operating room (OR) take-back procedures. [STUDY DESIGN] Retrospective review at a tertiary c…