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12건 · 최신순-
Debunking the "Vessel Depleted Neck"-Study of 52 Patients With More Than Three Reconstructions.
[BACKGROUND] Recurrences, complications, or unfavorable results in head and neck cancer can be treated surgically, including major flap reconstruction. The "vessel depleted neck" may lead to unnecessarily heroic solutions and even prevent s…
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Workhorse Soft Tissue Free Flaps in Head and Neck Reconstruction: 40 Years of Chang Gung Experience.
Microsurgical free flaps have become the cornerstone for soft tissue reconstruction in the head and neck following tumor resection, offering improved functional and aesthetic outcomes with reduced donor site morbidity compared to traditiona…
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"Submarine-Shaped" Radial Forearm Flap for Simultaneous Reconstruction of Oral and Lower Lip Defects".
[BACKGROUND] Reconstruction of the oral cavity commonly results in trismus and lip incompetence. [AIM AND OBJECTIVES] In this study, we aim to describe an innovative design of a radial forearm free flap for resurfacing bilateral buccal def…
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Quality-of-Life Outcomes in Oral Cancer Patients Reconstructed With Double Free Flaps: A Preoperative and Postoperative Assessment.
[PURPOSE] This study aimed to evaluate quality of life (QOL) in patients with locally advanced oral cancer who underwent surgical resection followed by simultaneous double free flap reconstruction. [METHODS] Institutional database was revi…
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Delayed Commissuroplasty Increases Interincisal Distance in Buccogingival Cancer Patients Treated with Free Flap Reconstruction of the Oral Commissure.
[BACKGROUND] Oral cavity cancers requiring excision of the oral commissure and free flap reconstruction often requires commissuroplasty to manage oral incontinence. We aimed to evaluate the implications of primary versus delayed commissuro…
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Microsurgical Reconstruction of Extensive Lower Lip Defects: An Algorithm for Free Flap Selection and Functional Outcomes.
[BACKGROUND] Large defects of the lower lip pose a difficult challenge for any reconstructive surgeon. When there is limited local tissue available to resurface the defects, free flaps are the preferred option. [AIM AND OBJECTIVES] We repo…
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Quantization of extraoral free flap monitoring for venous congestion with deep learning integrated iOS applications on smartphones: a diagnostic study.
[BACKGROUND] Free flap monitoring is essential for postmicrosurgical management and outcomes but traditionally relies on human observers; the process is subjective and qualitative and imposes a heavy burden on staffing. To scientifically mo…
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Two-Layer Palatal Reconstruction Reduces Postoperative Intraoral Complications in Head and Neck Surgery.
[BACKGROUND] Although microvascular free flaps are commonly performed and have high success rates, postoperative oronasal fistulas or infections do occur. The authors hypothesized that a two-layer closure is effective for prevention of intr…
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Current Concepts for Reconstruction of Oral Tissues Following Ablative Surgery: A Comprehensive Approach.
Appropriate concepts of reconstruction can eliminate contraindications, reduce the incidence of complications, increase the success rates, and promote the outcomes. Besides, appropriate concepts can also help economical use of expensive tec…
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Venous Size Discrepancy Is a Critical Factor When Using Superficial Temporal Vessels as Recipient Vessels for Free Flaps.
[BACKGROUND] Superficial temporal vessels have been used successfully as recipient vessels for head and neck reconstruction. This study evaluates the impact of several treatment variables on flap failure and take-back rate when using these…
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The "Safe Index" Considering Body Surface Area for Prolonged Dexamethasone Regimen in Airway Control After Head and Neck Microsurgical Reconstruction.
[BACKGROUND] Dexamethasone (Dexa) is frequently administrated to patients receiving head and neck microsurgical reconstruction with nasotracheal intubation postoperatively for airway control. Infection is the greatest concern when prolongin…
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Synchronous reconstruction of esophageal defect and voice with J-flap after laryngopharyngectomy: Indications and outcomes.
[BACKGROUND] The primary reconstruction goal for patients with laryngopharyngectomy is the restoration of esophagus, whereas voice reconstruction is less readily reconstructed. J-flap is a novel surgical technique designed to reconstruct vo…