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Timing of Split Thickness Skin Grafting for Radial Forearm Free Flaps on Donor Site Morbidity.
[INTRODUCTION] The radial forearm free flap (RFFF) is a versatile free flap in the reconstruction of head and neck defects. There is little consensus on the optimal technique for reconstructing RFFF donor site defects. Our group previously …
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Long-Term Outcomes of Radial Forearm Free Flap Reconstruction of the Trachea.
[BACKGROUND] Long-segment tracheal defects present complex reconstructive challenges due to the risk of airway collapse and disrupted mucociliary clearance. Osteocutaneous radial forearm free flaps (RFFFs) offer a promising alternative to t…
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Utility and Safety of Artificial Intelligence for Patient-Initiated Contact After Functional Rhinoplasty.
[OBJECTIVE] To understand the content of patient calls after functional rhinoplasty and to evaluate artificial intelligence chatbots' ability to provide accurate, intelligible, and safe responses. [STUDY DESIGN] Retrospective review. [SET…
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Ergonomics in Facial Plastic and Reconstructive Surgery: A Clinical Evaluation.
[OBJECTIVES] Surgeons experience a risk for physical strain and injury secondary to physical demands in the workplace. To minimize injury and maximize career longevity, physicians should be aware of ergonomics pitfalls and postural correcti…
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A Survey of Microvascular Technique Preferences Among American Head Neck Society Members.
[OBJECTIVE] To identify practices in microvascular techniques in routine and challenging scenarios. [STUDY DESIGN] Cross-sectional study. [METHODS] A national survey addressing practices related to microvascular free flap reconstruction w…
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Complications and Functional Outcomes After Esophageal Reconstruction with an Intact Larynx.
[BACKGROUND] Esophageal defects can result from primary pathologies such as malignancy or stricture, or secondary ones such as perforation due to trauma or iatrogenic injury. Techniques, management, and outcomes of reconstruction in this se…
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Factors Predicting Discharge Disposition Following Head and Neck Free Flap Reconstruction.
[OBJECTIVES] Patients undergoing head and neck free flap reconstruction (HNFFR) may have significant change to their baseline functional status requiring inpatient rehabilitation (IPR) after discharge. We sought to identify patient/procedur…
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The Impact of Surgical and Nonsurgical Interventions on Overall Oral, Palpebral Fissure, and Brow Height Symmetry in a Patient with Facial Synkinesis.
The treatment of facial nerve synkinesis remains complex and variable. To compare oral, palpebral fissure, and brow symmetry among surgical and nonsurgical interventions in patients with facial synkinesis. Patients with facial nerve synki…
- The Implications of AI Photo Enhancers in Facial Plastic and Reconstructive Surgery.
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Chatbots as Patient Education Resources for Aesthetic Facial Plastic Surgery: Evaluation of ChatGPT and Google Bard Responses.
ChatGPT and Google Bard™ are popular artificial intelligence chatbots with utility for patients, including those undergoing aesthetic facial plastic surgery. To compare the accuracy and readability of chatbot-generated responses to patient…
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Artificial intelligence for objectively measuring years regained after facial rejuvenation surgery.
[BACKGROUND] Few objective measures are available for assessing the success of facial rejuvenation after face lift surgery. Convolutional neural networks (CNNs) may be used for this type of measurement. The purpose of this investigation is …
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Evaluating YouTube Videos on Facelift Surgery for Facial Rejuvenation as a Resource for Patients.
[OBJECTIVES] This study evaluated the content and patient educational quality of YouTube videos on facelift surgery for facial rejuvenation. This study investigated the relationship between education quality compared to video content, video…
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Tap-Tap: Learning Endonasal and Percutaneous Nasal Osteotomy Techniques on 3D-Printed Midface Models.
Nasal osteotomy is one of the most challenging steps of rhinoplasty. Lack of hands-on training and confidence with this procedure adds to the complexity for learners and trainees. As three-dimensional (3D) printing becomes increasingly acce…
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Design, printing optimization, and material testing of a 3D-printed nasal osteotomy task trainer.
[BACKGROUND] For difficult or rare procedures, simulation offers an opportunity to provide education and training. In developing an adequate model to utilize in simulation, 3D printing has emerged as a useful technology to provide detailed,…
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Recovery Benefit With Total Intravenous Anesthesia in Patients Receiving Rhinoplasty.
[OBJECTIVE] The aim was to evaluate the difference in recovery when comparing total intravenous anesthesia (TIVA) to inhalational gas anesthesia in patients receiving rhinoplasty. [STUDY DESIGN] Retrospective review. [SETTING] Postoperati…
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Analysis of cost and outcomes in bony versus soft tissue midface free flap reconstruction.
[BACKGROUND] Outcomes and cost of soft tissue versus bony midface free flap reconstruction (MR) with and without virtual surgical planning (VSP) were evaluated. [METHODS] Retrospective review of MR including ischemic time (IT), operative d…
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Postoperative Anatomic Position of Mandibular Free Flap Neocondyles Affects Patient Symptoms.
Mandibular condyle reconstruction with vascularized free flaps can re-establish form and function after resection. However, no reports have been published regarding the postoperative anatomic seating of these reconstructions. To use postop…
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Free tissue transfer for central skull base defect reconstruction: Case series and surgical technique.
[OBJECTIVES] Local reconstruction of central skull base defects may be inadequate for large defects or reoperative cases; free tissue transfer may be necessary. Inset of the flap and management of the pedicle can be challenging. We report o…
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Anastomotic Revision in Head and Neck Free Flaps.
[OBJECTIVES/HYPOTHESIS] Predictors of free tissue transfer (FTT) failure and the need for postoperative revision (POR) have been extensively studied; however, there are little data evaluating outcomes when intraoperative revision (IOR) at i…
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Outcomes of Venous End-to-Side Microvascular Anastomoses of the Head and Neck.
[OBJECTIVES/HYPOTHESIS] The literature on outcomes of end-to-side (ETS) anastomoses for microvascular reconstruction of the head and neck is limited. This series reviews ETS in free tissue transfer (FTT) across multiple institutions to bett…
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Technical Considerations in Pedicle Management in Upper and Midfacial Free Flap Reconstruction.
[OBJECTIVES] Mid and upper face free flaps frequently are associated with challenges due to pedicle length. We sought to evaluate the frequency at which alternative pedicle maneuvers were required for these reconstructions and determine if …
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Online Ratings of Facial Plastic Surgeons: Worthwhile Additions to Conventional Patient Experience Surveys.
Physician review websites are now commonly used by patients. However, in facial plastic surgery, the trends and content in these websites are not well studied. We examined online reviews for U.S. facial plastic surgeons, and compared commen…
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Factors impacting successful salvage of the failing free flap.
[BACKGROUND] Understanding factors impacting successful salvage of a compromised free flap. [METHODS] Multi-institutional review of free flap reconstructions for head and neck defects (n = 1764). [RESULTS] Free flap compromise rate: 9% (n…
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Design and Printing of a Low-Cost 3D-Printed Nasal Osteotomy Training Model: Development and Feasibility Study.
[BACKGROUND] Nasal osteotomy is a commonly performed procedure during rhinoplasty for both functional and cosmetic reasons. Teaching and learning this procedure proves difficult due to the reliance on nuanced tactile feedback. For surgical …