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35건 · 최신순-
Osseous free flap vs. Bridging plate mandibular reconstruction: a retrospective cohort study on perioperative complications of 335 patients.
[OBJECTIVES] This study compared postoperative complication rates between bridging plate reconstruction with soft tissue free flaps and osseous free flaps for segmental mandibular defects. [MATERIALS AND METHODS] This retrospective study c…
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Maxillofacial surgery compendium: insights from 1373 microvascular free flap reconstructions in the head and neck area.
This study aims to provide an overview of patient characteristics, treatment modalities, and associated complications following microvascular free flap reconstructions in maxillofacial surgery, based on data from a large national tertiary c…
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Autonomization of Microvascular Free Flaps in Reconstructive Surgery: A Narrative Review.
[BACKGROUND] Microvascular free tissue transfer is a key technique in reconstructive surgery, enabling functional and aesthetic restoration of complex defects. While initial flap survival relies on the vascular pedicle, some flaps may becom…
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Accuracy of CAD/CAM planned mandibular reconstruction with scapula free flaps in reconstructive head and neck surgery - A single center study.
[PURPOSE] For the first time, this study explores the transfer precision of computer aided design and computer aided manufacturing (CAD/CAM) in mandibular reconstruction with scapula free flaps (SFF). [METHODS] Patients undergoing mandibul…
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Transfusion rates in oral squamous cell carcinoma patients undergoing free flap reconstruction in oral and maxillofacial surgery.
[INTRODUCTION] Oral squamous cell carcinoma (OSCC) frequently requires extensive resections and microvascular free flap reconstruction, procedures associated with relevant perioperative blood loss. This study aimed to quantify transfusion r…
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Complication drivers in head and neck free flap surgery: A single-center predictive analysis.
[PURPOSE] Head and neck free flap (HNFF) surgery is essential in reconstructive surgery, addressing complex defects with tailored approaches. Despite high success rates, complications remain significant, influenced by patient comorbidities,…
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Postoperative radiotherapy and external carotid artery diameter: is there a link to osseous free flap osteoradionecrosis risk?
[OBJECTIVES] Postoperative radiotherapy (PORT) is a cornerstone in the multimodal treatment of head and neck malignancies but may lead to osteoradionecrosis (ORN) inside healthy osseous free flaps. This study analyzes the role of external c…
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AI-Based Quantitative and Objective Analysis of Aesthetic Results in Genioplasty.
[BACKGROUND] Genioplasty and chin-augmentation are well-established procedures aimed at enhancing lower facial aesthetics. Traditionally, aesthetic outcomes have been assessed subjectively through expert opinions and patient-reported measur…
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Epidemiological and Economic Factors in Facelift Surgery in the USA: A Retrospective Multi-center Analysis.
[BACKGROUND] The demand for surgical facial rejuvenation procedures, such as facelifts, has risen in recent decades. However, limited research has addressed the epidemiological and economic aspects of these procedures. This study examines t…
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A critical reflection of radiotherapy on osseous free flaps in mandibular segmental resection and immediate reconstruction in locally advanced oral squamous cell carcinoma: A cohort study.
[BACKGROUND AND PURPOSE] With standard radiotherapy protocols after R0 resection of advanced local oral squamous cell carcinoma (OSCC) and primary reconstruction of segmental defects, a high radiation dose is applied to healthy tissue in au…
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Osteoradionecrosis in osseous free flaps after maxillofacial reconstruction: a single-center experience.
[OBJECTIVE] In the multimodal treatment of advanced head and neck malignancies, primary free flap reconstruction in a one stage procedure with tumor resection is frequently combined with adjuvant radiotherapy. Radiotherapy is known to exhib…
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Clinical implementation of the 3D 4K exoscope (Orbeye™) in reconstructive head and neck surgery.
[PURPOSE] To assess the clinical utility of the 3D 4K exoscope for reconstructive head and neck surgery. [METHODS] This retrospective study analyzed surgical details and complications with the use of the 3D 4K exoscope for microvascular re…
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Microvascular free flaps in head and neck reconstruction: an analysis of outcomes in elderly patients.
[OBJECTIVES] Maxillofacial reconstruction using microvascular free flaps is a well-established procedure to restore facial defects across various patients. Elderly patients face increased perioperative risks due to higher prevalence of como…
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Towards optimized donor site closure of radial forearm flaps: A cohort study of two techniques.
The radial forearm flap (RFF) is widely used for microvascular reconstruction in the head and neck region, but donor site complications, such as flexor tendon exposure, can impact patient recovery. This study retrospectively analyzed all pa…
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First-in-human application of dynamic fluoroscopic analysis to quantify intersegmental motion in mandibular free flap reconstruction.
Osseous non-union following free flap reconstruction of segmental mandibular defects can prolong patients' dental rehabilitation. Various plating systems have been developed to optimize biomechanical fixation, but healing may be retarded. Q…
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Clinical efficacy of subsequent microvascular free flaps in head and neck reconstructive surgery.
Microvascular free flap reconstruction is a standard technique in head and neck surgery with high success rates. Nevertheless, complications like early flap loss, locoregional recurrence of head and neck cancer and osteoradionecrosis may re…
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Reconstructing complexity: Indications for simultaneous and chimeric free flaps in extensive maxillofacial defects.
Reconstructing complex head and neck defects using multiple simultaneous or chimeric microvascular free flaps is rare, with no established guidelines on indications. This study evaluates the indications, flap combinations, outcomes, and com…
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Donor Site Morbidity in Fibula Free Flaps: A Technique-Dependent Comparative Analysis of Donor Site Wound Healing.
[BACKGROUND] The fibula free flap (FFF) is a mainstay in maxillofacial reconstruction, yet donor site morbidity remains a significant clinical concern. Closure technique is a key factor influencing complication rates, but comparative data r…
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Osseous Genioplasty and Its Impact on Airway Volume-What is the Evidence?
Osseous genioplasty (OG) improves facial aesthetics by 3-dimensionally repositioning the chin and associated soft tissues. Although its effects on airway volumes and obstructive sleep apnea (OSA) have been investigated, the available eviden…
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Implant-Based Chin Augmentation Vs Osseous Genioplasty: A Systematic Review of Indications and Outcomes.
Osseous genioplasty (OG) and implant-based chin augmentation are 2 primary approaches for correcting microgenia. A comprehensive synthesis comparing their outcomes, safety profiles, and patient satisfaction is lacking. In this study, the au…
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Biomechanical evaluation of CAD/CAM magnesium miniplates as a fixation strategy for the treatment of segmental mandibular reconstruction with a fibula free flap.
Titanium patient-specific (CAD/CAM) plates are frequently used in mandibular reconstruction. However, titanium is a very stiff, non-degradable material which also induces artifacts in the imaging. Although magnesium has been proposed as a p…
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Comparative study of CAD/CAM reconstruction and miniplates for patient-specific fixation in LCL-type mandibular reconstruction.
[OBJECTIVE] Miniplates offer superior clinical handling and facilitate postoperative removal after mandibular reconstruction but unfavorable load distribution under high stress has been shown. This study aimed to compare the clinical outcom…
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Clinical and Technical Validation of Novel Bite Force Measuring Device for Functional Analysis after Mandibular Reconstruction.
Bite force measuring devices that are generally suitable for edentulous patients or patients undergoing mandibular reconstruction are missing. This study assesses the validity of a new bite force measuring device (prototype of loadpad, nove…
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Patient-specific miniplates versus patient-specific reconstruction plate: A biomechanical comparison with 3D-printed plates in mandibular reconstruction.
[BACKGROUND] Patient-specific 3D-printed miniplates for free flap fixation in mandibular reconstruction were recently associated with enhanced osseous union. Higher mechanical strains resulting from these plates are discussed as reasons, bu…
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Patient-specific 3D-printed mini-versus reconstruction plates for free flap fixation at the mandible: Retrospective study of clinical outcomes and complication rates.
This study aimed to compare the clinical outcomes and complication rates of patient-specific 3D-printed mini- and reconstruction plates for free flap fixation in mandibular reconstruction. A retrospective monocentric study was carried out b…
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Impact of the adjacent bone on pseudarthrosis in mandibular reconstruction with fibula free flaps.
[BACKGROUND] Mechanical and morphological factors have both been described to influence the rate of pseudarthrosis in mandibular reconstruction. By minimizing mechanical confounders, the present study aims to evaluate the impact of bone ori…
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Removal of patient-specific reconstruction plates after mandible reconstruction with a fibula free flap: is the plate the problem?
Computer-aided microvascular mandible reconstruction is an increasingly common procedure in oral and maxillofacial surgery. The aim of this retrospective single-centre study was to evaluate the rate and specifics of hardware removal after f…
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Patient-Specific 3D-Printed Miniplates for Free Flap Fixation at the Mandible: A Feasibility Study.
[BACKGROUND] This study was conducted to evaluate the feasibility, clinical outcomes, and accuracy of patient-specific 3D-printed miniplates for mandible reconstruction with fibula free flaps. [METHODS] A feasibility study was conducted wi…
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Increased rate of pseudarthrosis in the anterior intersegmental gap after mandibular reconstruction with fibula free flaps: a volumetric analysis.
[OBJECTIVES] Pseudarthrosis after mandibular reconstruction leads to chronic overload of the osteosynthesis and impedes dental rehabilitation. This study evaluates the impact of gap site on osseous union in mandible reconstruction using a n…
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Towards mechanobiologically optimized mandible reconstruction: CAD/CAM miniplates vs. reconstruction plates for fibula free flap fixation: A finite element study.
Due to their advantages in applicability, patient-specific (CAD/CAM) reconstruction plates are increasingly used in fibula free flap mandible reconstruction. In addition, recently, CAD/CAM miniplates, with further advantages in postoperativ…