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16건 · 최신순-
Carotid Blowout Syndrome in Head and Neck Cancer Patients after Free Flap Reconstruction.
Carotid blowout syndrome (CBS) is a rare but potentially fatal complication in head and neck cancer patients who have undergone free flap reconstruction and/or radiotherapy. This review examines CBS, with incidence ranging from 0.5-0.9% in …
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Airway Management Following Head and Neck Microvascular Reconstruction: When is a Tracheostomy Necessary?
Head and neck free flap reconstruction presents complex airway challenges due to postoperative swelling, bleeding, and anatomical distortion that can jeopardize breathing. Many centers once performed routine prophylactic tracheostomy for ma…
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A Retrospective Observational Study of Combination Treatment of Thread Lift and High-intensity Focused Ultrasound for Facial Aging.
[BACKGROUND] Current literature lacks guidelines on the optimal treatment number of threads for specific indications and provides limited evidence on the efficacy of combining thread lift with other materials or devices for synergistic effe…
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Utilization of Recipient Veins with Reflux during Supermicrosurgical Lymphaticovenous Anastomosis for Lower Limb Lymphedema.
[BACKGROUND] The use of recipient veins with venous reflux for lymphaticovenous anastomosis (LVA) is discouraged because it is commonly believed that this may lead to venous-lymphatic reflux (VLR). VLR is a phenomenon in which venous blood …
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Linking Lymphedema, Chronic Inflammation, Oxidative Stress, Alzheimer Disease, and Potential Role of Lymphaticovenous Anastomosis.
[BACKGROUND] Lymphedema and Alzheimer disease (AD) share common mechanisms involving oxidative stress and chronic inflammation. However, the link between these 2 conditions and the impact of lymphaticovenous anastomosis (LVA) has not been f…
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Impact of Lymphedema Duration on Lymphatic Vessel Quality and Outcomes after Super-microsurgical Lymphaticovenous Anastomosis.
[BACKGROUND] Inferior lymphatic vessel (LV) quality was thought to be associated with prolonged lymphedema duration (LD), which can lead to unfavorable lymphaticovenous anastomosis (LVA) outcomes. However, increasing evidence supports the u…
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Groin-only lymphaticovenous anastomosis: a paradigm shift for lower extremity lymphedema - a prospective cohort propensity-score matched analysis.
[BACKGROUND] Based on the recent advancement in the concepts of lymphosome and the use of antegrade lymph flow, shifting lymphaticovenous anastomosis (LVA) more proximally to the groin region for lower extremity lymphedema (LEL) offers theo…
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Zigzag Barbed Polydioxanone Thread Implantation and Evaluation Using Polydimethylsiloxane Model to Simulate Thread Migration in Tissue.
Facial lifting with polydioxanone barbed threads has been widely used in aesthetic treatment for years. However, gravity resists the thread and continuously pulls the face downward. This study aims to determine methods to lift the skin more…
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Comparison of contraction-type and noncontraction-type lymphatic vessels in lymphaticovenous anastomosis for cancer-related unilateral lower limb lymphedema: a retrospective cohort propensity-score-matched outcome analysis.
[BACKGROUND] Contraction-type lymphatic vessels (LV) are considered suboptimal for lymphaticovenous anastomosis (LVA). However, despite these pathological changes, their functionality and link to outcomes have not been fully elucidated. The…
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The Multiple-U Technique: A Novel Microvascular Anastomosis Technique That Guarantees Everted Anastomosis Sites with Solid Intima-to-Intima Contact.
The key to successful microvascular anastomosis is achieving intima-to-intima contact, which is not always easy. In this article, the authors propose the multiple-U technique, which is a novel microvascular anastomosis technique that charac…
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Impact of retrograde anastomosis during supermicrosurgical lymphaticovenous anastomosis for cancer-related lower limb lymphedema: A retrospective cohort propensity-score-matched outcome analysis.
[BACKGROUND] In addition to antegrade anastomosis, retrograde anastomosis has been thought to offer further improvements after lymphaticovenous anastomosis (LVA) by bypassing the retrograde lymphatic flow. However, this concept has yet to b…
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Comparison of the surgical outcomes of free flap reconstruction for primary and recurrent head and neck cancers: a case-controlled propensity score-matched study of 1,791 free flap reconstructions.
This study was designed to compare the outcome and analyze the operation-related risk factors in free flap reconstruction for patients with primary and recurrent head and neck cancers. A 1:1 propensity score-matched analysis of the microsur…
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Increased Angiogenesis by Exosomes Secreted by Adipose-Derived Stem Cells upon Lipopolysaccharide Stimulation.
Exosomes secreted by adipose-derived stem cells (ADSCs) enhance angiogenesis and wound healing. However, in clinical settings, wounds may be infected by various bacteria or pathogens. We investigated whether human ADSCs stimulated with lipo…
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Lower Limb Lymphedema Patients Can Still Benefit from Supermicrosurgical Lymphaticovenous Anastomosis (LVA) after Vascularized Lymph Node Flap Transfer (VLNT) as Delayed Lymphatic Reconstruction-A Retrospective Cohort Study.
[BACKGROUND] For lymphedema patients who received a vascularized lymph node flap transfer (VLNT) as their primary treatment, what are the treatment options when they seek further improvement? With recent publications supporting the use of l…
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Risk factors associated with postoperative complications of free anterolateral thigh flap placement in patients with head and neck cancer: Analysis of propensity score-matched cohorts.
[BACKGROUND] From the perspective of a surgeon, knowledge of the operative risk factors that may affect postoperative outcomes is important in free anterolateral thigh (ALT) flap reconstruction for head and neck defects after tumor ablation…
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Comparison of the outcomes between free anteromedial thigh flap and anterolateral thigh flap in head and neck cancer reconstruction: Analysis of propensity-score-matched patient cohorts.
[BACKGROUND] The anterolateral thigh (ALT) flap is a workhorse flap in head and neck cancer reconstruction. The anteromedial thigh (AMT) flap was developed as a rescue or alternative flap whenever the ALT flap is not available; however, the…