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17건 · 최신순-
The Effect of Prior Radiotherapy on Postoperative Complications in Patients Undergoing Free Flap Reconstruction of the Head and Neck.
[BACKGROUND] Free tissue transfer is standard of care in the reconstruction of large defects in the head and neck. Many patients who undergo free flap reconstruction have had prior head and neck radiotherapy (HNRT). The aim of this study is…
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Economic evaluation of microvascular reconstruction of the jaw: A micro-costing analysis and identification of key cost-drivers.
[PURPOSE] Efficient resource allocation in surgery requires thorough economic evaluation that reflects the true costs of a procedure, with micro-costing being a primary method. Existing economic studies on microvascular jaw reconstruction o…
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Preoperative Frailty Screening in Head and Neck Cancer: A Prospective Comparison of Three Assessment Tools.
[BACKGROUND] Whilst guidelines recommend routine frailty screening for elderly patients with head and neck cancer (HNC), no consensus exists on the preferred tool to predict postoperative morbidity. The aim of this study was to assess the p…
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A Pilot Trial of Tongue Reconstruction Using the Chimeric Innervated Vastus Lateralis Muscle and Antero-Lateral Thigh Free Flap.
[BACKGROUND] Subtotal and total glossectomies for advanced tongue cancer result in significant speech- and swallow-related morbidity, impairing quality of life. This prospective pilot study compares the safety and functional outcomes associ…
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Subperiosteal Implants for Auricular Reconstruction in the Setting of Significant Temporal Bone Defects.
[BACKGROUND] While several techniques have been established in the field of auricular reconstruction, these methods are often inadequate in restoring aesthetic function for cases involving significant defects of the temporal bone, particula…
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A comparison of facial contour and patient-reported outcomes following zygomatic implant perforated (ZIP) flaps and fibular osseous flaps for maxillary reconstruction.
The zygomatic implant perforated (ZIP) flap is an alternative to the fibular free flap (FFF) for maxillary reconstruction with dental rehabilitation. The aim of this study was to compare facial contour and patient-reported outcomes in match…
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Effect of botulinum toxin injection on speech outcomes among patients with synkinetic facial nerve palsy: An assessment of speech intelligibility and quality of life.
[BACKGROUND] Facial nerve palsy (FNP) considerably impairs functional outcomes and quality of life. For patients with synkinetic FNP, physiotherapy and botulinum toxin A (BTX) are commonly used to reduce hyperkinesis and improve facial expr…
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A comparison of preoperative soft tissue contour versus bone accuracy as a predictor of quality of life outcomes in osseous free flap jaw reconstruction using occlusal-based virtual surgical planning.
[OBJECTIVES] Occlusal-based virtual surgical planning (VSP) prioritises the placement of endosseous dental implants, over replicating native bone contour. This may compromise facial aesthetics. This study aimed to compare function and healt…
- Zygomatic Implant Perforated Flap vs Fibula Osseous Flap Maxillary Reconstruction.
- Virtual surgical planning for combined nasal, dental and maxillary reconstruction with the prefabricated fibula flap.
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Anterolateral thigh, radial forearm and superficial circumflex iliac perforator flaps in oral reconstruction: a comparative analysis.
[BACKGROUND] Anterolateral thigh (ALT) and Radial forearm free flaps (RFFF) are historically the most common methods of oral reconstruction. The Superficial circumflex iliac artery perforator flap (SCIP) is an alternative providing a donor …
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Fascio-cutaneous and fascio-periosteal free flaps for treatment of intermediate stage osteoradionecrosis of the jaws.
[OBJECTIVES] Osteoradionecrosis (ORN) of the jaw is a potentially devastating consequence of head and neck irradiation. Despite recent advances, there are patients who fail to respond to conventional therapies. Historically, free flaps were…
- How to prevent excessive fluid within the surgical field during microvascular anastomosis: early neck drain placement as a continuous suction device.
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Microvascular reconstruction of head and neck defects in the elderly.
[BACKGROUND] Microvascular free-flap reconstruction of the head and neck is a common technique utilized across many ages. The purpose of this study was to identify if advanced age or comorbidity was associated with worse post-operative outc…
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Implantable Doppler Ultrasound Monitoring in Head and Neck Free Flaps: Balancing the Pros and Cons.
[OBJECTIVES/HYPOTHESIS] Free flap transfer offers a versatile option for reconstruction in head and neck surgery, with success rates over 95%. There remains a substantial re-exploration rate of roughly 5% to 15%, with early recognition of c…
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Tracheostomy in free-flap reconstruction of the oral cavity: can it be avoided? A cohort study of 187 patients.
[BACKGROUND] Head and neck surgeons are moving away from routine tracheostomy in free-flap reconstruction. We reviewed prophylactic tracheostomy use in patients undergoing oral cavity or oropharynx free-flap reconstruction to identify patie…
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Sydney Facial Nerve Clinic: experience of a multidisciplinary team.
[BACKGROUND] The Sydney Facial Nerve Clinic (SFNC) is a multidisciplinary clinic established in 2015, consisting of surgeons (otolaryngologists, head and neck and plastics/reconstructive), physiotherapists and speech pathologists. [METHODS…