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Three Steps Hybrid Treatment: En Bloc Resection, Endovascular Treatment and Microsurgical Reconstruction. Case Report of a Giant Dorsum-Abdominal-Pelvic Arteriovenous Malformation.
Arteriovenous malformations (AVMs) are a rare condition involving the trunk. We present a case of a 55-year-old woman affected by a giant dorsum-abdominal-pelvic AVM, even after multiple endovascular and surgical treatments over decades whi…
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Letter to the Editor: "How Does the Buccal Fat Pad Age and How Can it Be Managed in Facelift Surgery? A Scoping Review of the Literature and Our Proposed Algorithm".
Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors …
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A rare case of high-grade synovial sarcoma of the hindfoot.
Aim To report our personal experience in hindfoot reconstruction using an anterolateral thigh (ALT) free flap following radical resection of a high-grade synovial sarcoma. Methods The patient underwent clinical and imaging assessments, and …
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Robotic-Assisted Anastomosis in Orthoplastic Surgery: Preliminary Data.
[BACKGROUND] The evolution of microsurgery has relied on advancements in operating microscopes and surgical instruments. Pioneering advancements, however, especially within the domain of "super-microsurgery", challenge the limits of human d…
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Safety and efficacy of Symani robotic-assisted microsurgery: Assessment of vascular anastomosis patency, thrombus, and stenosis in a randomized preclinical study.
[INTRODUCTION] The Symani surgical system undergoes scrutiny in this study as part of a series of preclinical investigations. Previous studies compared the precision of robotic-assisted anastomoses with manual techniques. This study aimed t…
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First-in-Human Free Flap Tissue Reconstruction Using a Dedicated Microsurgical Robotic Platform.
[BACKGROUND] Microsurgery has become standard of care for increasingly complex techniques in tissue harvest, replantation, reconstruction, allotransplantation, and supermicrosurgery on submillimetric vessels. As techniques become more chall…
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Microsurgical robotic system enables the performance of microvascular anastomoses: a randomized in vivo preclinical trial.
Technical advances in microsurgery have enabled complex oncological reconstructions by performing free tissue transfers, nerve and lymphatic reconstructions. However, the manual abilities required to perform microsurgery can be affected by …
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Rhino-oropharingeal osteoradionecrotic soft-tissue and bony defect reconstruction with submental artery island flap: a case report.
[BACKGROUND] The submental artery island flap is widely used in head and neck reconstruction, since it is easy and quick to harvest, and it can be successfully used for the coverage of perioral, intraoral and facial defects. We used this te…
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Six-years experience in major scalp defect reconstruction with free flap: analysis of the results.
Introduction The purposes of this study were to report 10-years experiences in microsurgical reconstruction of major scalp defects, comparing outcomes, evaluating complications. Materials and methods From November to July 2015, 10 consecut…
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Microvascular reconstruction of the mandible with medial femoral condylar flap for treatment of mandibular non-union.
Mandibular non-union occurs in 2-9% after open reduction and internal fixation of a mandibular fracture (trauma surgery, orthognathic cases, access osteotomy for oncological purposes). The medial femoral condyle (MFC) has emerged more recen…
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Pelvic ring reconstruction with double-barreled fibular free flap: A systematic review.
[INTRODUCTION] Pelvic ring reconstruction after internal hemipelvectomy is an extremely challenging surgical procedure, and mandatory reconstruction is to provide a durable and pain-free functional outcome, especially for young, active pati…
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New Robotic System with Wristed Microinstruments Allows Precise Reconstructive Microsurgery: Preclinical Study.
[BACKGROUND] Microsurgery allows complex reconstruction of tissue defects after oncological resections or severe trauma. Performing these procedures may be limited by human tremor, precision, and manual dexterity. A new robot designed speci…
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Reconstruction after complete mandibular avulsion with double-paddle fibular free flap. A case report.
Reconstruction after maxillofacial trauma is extremely challenging. During the past several decades, the chimeric fibular-free flap has emerged as a leading reconstructive option for head and neck compound defects. This report describes a u…
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Radial forearm free flap in a patient with an unusual radial artery variation: a case report.
Head and neck reconstruction poses unique challenges in rehabilitating surgical defects in terms of integrity, function, and form. The radial forearm free flap (RFFF) has been widely used for defect coverage, especially in the head and neck…
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Extensor hallucis longus tendon and soft-tissue reconstruction with palmaris longus tendon included in a radial forearm free flap: A case report.
Reconstruction of foot structures is challenging because of the need to restore both anatomy and function. Extensor hallucis longus (EHL) excision without reconstruction could result in a flexion deformity of the toe at the interphalangeal …