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Contemporary Indications and Technical Limits of Transoral Laser Microsurgery for Laryngeal Squamous Cell Carcinoma.
Transoral laser microsurgery (TOLMS) is an established organ-preserving treatment for early-stage and selected intermediate-stage laryngeal squamous cell carcinoma (SCC). Initially indicated for Tis-T1 lesions, its use has progressively exp…
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Nomogram for Predicting Osteoradionecrosis After Fibula Free Flap for Mandibular Reconstruction.
[BACKGROUND] Osteoradionecrosis (ORN) is a severe complication following radiotherapy (RT), particularly after mandibular reconstruction with a fibula free flap. Risk prediction remains challenging due to limited data. [METHODS] We conduct…
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Surgical outcomes of profunda artery perforator flap in head and neck reconstruction: A systematic review and meta-analysis.
[OBJECTIVE] This study aims to evaluate the efficacy of the profunda artery perforator (PAP) flap in head and neck reconstruction. [METHODS] A single arm meta-analysis was performed for flap survival rate (primary outcome), reoperation for…
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Refining prognostic subcategories in intermediate-advanced glottic cancer: A multicentric study on 637 patients treated by transoral laser microsurgery.
[BACKGROUND] The current TNM staging system does not fully address the variations in glottic squamous cell carcinoma (SCC) extension and subsites involvement, especially if treated with transoral laser microsurgery (TOLMS). This study aims …
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Global Variations in Surgical Techniques and Postoperative Care for Radial Forearm Free Flap (RFFF) in Head & Neck Surgery: A Cross-Sectional International Survey.
: This cross-sectional survey aimed to comprehensively gather data on radial forearm free flap (RFFF) utilization and practices in head and neck reconstructive surgery. : An online questionnaire was organized into seven sections: demographi…
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Optimising oncologic outcomes in pT3 glottic cancers treated by transoral laser microsurgery: the impact of adjuvant treatment.
[OBJECTIVE] The treatment strategy for cT3 glottic squamous cell carcinoma (SCC) is far from being standardised, and the role of adjuvant treatment(s) is not clearly defined. This study assessed the impact of adjuvant (chemo-)radiotherapy (…
- Comments on: Value and role of surgical margins in transoral laser microsurgery of the larynx, literature review and clinical considerations.
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Defining the Learning Curve of the Exoscope in Spine Surgery.
[INTRODUCTION] In recent years, introduction of the exoscope system has been responsible for a new era of optics in surgery. Such a system has started to be widely used in neurosurgery. More recently, the exoscope has also been increasingly…
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Enhancing quality of life in head and neck cancer patients: a comparative analysis of 3D exoscope-assisted surgery vs. traditional approaches.
[INTRODUCTION] The increasing population of survivors of head and neck carcinomas is becoming more conspicuous. Consequently, the pivotal role of quality of life, particularly elucidated through the assessment of dysphagia and dysphonia, is…
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The impact of margins in laryngeal cancer patients treated with transoral laser microsurgery: a systematic review and meta-analysis.
[PURPOSE] In laryngeal squamous cell carcinoma (LSCC) treated with transoral laser microsurgery (TOLMS), the status of margins significantly affected local control. When a positive or close margin is present, there is no ubiquitous consensu…
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High-resolution US of the facial vessels with new facial vein landmarks for reconstructive surgery and dermal injection.
[BACKGROUND] Accurate knowledge of vessel anatomy is essential in facial reconstructive surgery. The technological advances of ultrasound (US) equipment with the introduction of new high-resolution probes improved the evaluation of facial a…
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Comprehensive Evaluation of Vocal Outcomes and Quality of Life after Total Laryngectomy and Voice Restoration with J-Flap and Tracheoesophageal Puncture.
[BACKGROUND] Tracheoesophageal puncture with a voice prosthesis is the gold standard for speech rehabilitation in patients that receive a laryngopharyngectomy. However, a novel surgical technique, using a tubularized anterolateral tight fla…