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Simple and generalizable formula for predicting deep inferior epigastric artery perforator flap weight in breast reconstruction.
[BACKGROUND] Prediction of flap weight is valuable for surgical planning when using a deep inferior epigastric artery perforator (DIEP) flap for breast reconstruction and may reduce donor site morbidity and perfusion-related problems. The a…
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Impact of Suture Materials on Surgical Site Infection in Oral Oncological Surgery With Free-Flap Reconstruction: Analysis Using Propensity Scores.
[OBJECTIVE] The impact of suture materials on surgical site infections (SSIs) has been well documented in various surgical fields; however, it has not been thoroughly examined in oral oncological surgery with free-flap reconstruction. This …
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The Comprehensive Complication Index in Postoperative Assessment After Head and Neck Reconstruction.
[BACKGROUND] Postoperative complications significantly impact outcomes in head and neck free-flap reconstruction. The comprehensive complication index (CCI) offers a continuous measure of complication burden but is rarely applied in head an…
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The Ischemic Tolerance up to Four Hours of Free Jejunum Flap: A Retrospective Cohort Study.
[BACKGROUND] While free jejunum transfer (FJT) following total pharyngo-laryngo-esophagectomy (TPLE) is a reliable reconstruction technique, the jejunum flap is viewed as more susceptible to ischemia than a standard free flap. Animal studi…
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Early enteral nutrition and mobilization following head and neck surgery with free flap reconstruction.
[BACKGROUND] Perioperative management methods that reduce surgery-associated invasiveness and improve the quality of postoperative recovery are being promoted as enhanced recovery after surgery programs in various areas. Early enteral nutri…
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Combination of an Exteriorized Monitoring Flap and Hand-held Doppler for Simple and Reliable Monitoring of a Free Jejunal Graft Transfer in Hypopharyngeal Reconstruction Microsurgery.
We introduced a new, simple, reliable method for monitoring a free jejunal graft transfer by assessing visual signs and arterial blood flow in an exteriorized flap. In this retrospective study, all patients that underwent free jejunal graft…
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Clinical assessment of early mobilization after head and neck free flap reconstruction: A retrospective case-control study.
[PURPOSE] We examined whether there were any differences in perioperative complications between patients who mobilized on the first postoperative day (early mobilization) and those who mobilized on the second postoperative day after head an…
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Salvage Reconstructive Surgery During Nivolumab Therapy for a Patient With Hypopharyngeal Cancer.
[OBJECTIVES] Nivolumab, a fully IgG4-programmed death-1 inhibitor antibody, led to improved overall survival compared with single-agent therapy in patients with platinum-refractory recurrent head and neck cancers. In general, nivolumab is u…