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14건 · 최신순-
Post-Operative Tracheostomy Decannulation Protocol Following Head and Neck Free Flap Reconstruction: A Prospective Cohort Study.
[OBJECTIVE] Methods used in assessing decannulation timing after head and neck reconstruction vary widely. In this study, we examined the effect of implementation of a standardized post-operative tracheostomy decannulation protocol on our p…
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Outcomes of free flap reconstruction for mandibular ORN: Systematic review and meta-analysis.
[OBJECTIVE] This study aims to evaluate the success rates and complications associated with different free flap donor sites used in surgical reconstruction for mandibular osteoradionecrosis, providing insights to aid clinical decision-makin…
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Flow-Through Flaps as a Robust Method for Advanced Free Flap Reconstruction in the Head and Neck: A Multi-Institutional Experience.
[BACKGROUND] Flow-through flaps (FTFs) are an advanced technique in which a free flap is anastomosed to the pedicle of another free flap to reconstruct extensive head and neck defects when recipient vessels are scarce. [METHODS] A multi-in…
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Routine Contrasted Chest CT Identifies the Angular Branch of the Thoracodorsal Trunk: Case Series.
[OBJECTIVES] The location of the angular branch is highly variable. Preoperative imaging localization could provide clinical value in scapular flap harvest. [METHODS] Surgical and radiographic case series at an academic, tertiary care cent…
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Routine Contrasted Chest CT Accurately Identifies Anatomic Variations of the Proximal Subscapular System.
[OBJECTIVE] The vascular anatomy of the proximal subscapular artery has been previously classified into 2 major types depending on the presence of a common subscapular trunk. The purpose of this study was to determine the utility, reliabili…
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Microvascular Free Flap Outcomes in Maxillectomy Defects from Invasive Fungal Sinusitis.
[OBJECTIVES] Microvascular free tissue transfer is routinely used for reconstructing midface defects in patients with malignancy, however, studies regarding reconstructive outcomes in invasive fungal sinusitis (IFS) are lacking. We aim to d…
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Virtual surgical planning for mandibular reconstruction in an abbreviated admission pathway.
[OBJECTIVES] Virtual Surgical Planning (VSP) creates individualized surgical plans for free flap reconstruction of mandibular defects. Prior studies indicate that VSP can offer cost benefits due to reduced operative time and length of stay …
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Functional Status Predicts Delay to Radiation in Free Tissue Transfer for Head and Neck Cancer.
[OBJECTIVE] Evaluate the effect of functional status and patient factors on delays in treatment with adjuvant therapy. [METHODS] Retrospective chart review (2020-2022) was conducted at a single tertiary referral center. Data were collected…
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Comparing donor site morbidity in osteocutaneous radial forearm versus fibula free flap for mandibular reconstruction.
[PURPOSE] The osteocutaneous radial forearm free flap has gained popularity as a less morbid option for oromandibular reconstruction compared to the fibular free flap. However, there is a paucity of data regarding direct outcome comparison …
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Postoperative and 1-Year Functional Outcomes After Free Flap Surgery Among Patients 80 Years or Older.
[OBJECTIVE] To evaluate the postoperative and 1-year functional outcomes after free flap surgery among patients ≥80 years old. [STUDY DESIGN] Retrospective chart review. [SETTING] Single tertiary care center. [METHODS] We conducted a ret…
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Bedside Neck Exploration for Venous Flow Coupler Signal Loss in Postoperative Free Tissue Transfer Monitoring.
[OBJECTIVE] To describe the role and efficacy of bedside neck exploration following free tissue transfer. [STUDY DESIGN] Retrospective case series. [SETTING] Single tertiary care institution. [METHODS] A retrospective chart review was co…
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Outcomes of Single Anastomoses for Superficial and Deep-System Venous Drainage of Radial Forearm Free Flaps.
[OBJECTIVE] Venous insufficiency occurs in radial forearm free flaps (RFFFs) when either the deep venous system (DVS) or superficial venous system (SVS) is used as the venous outlet. We report our experience using the antecubital perforatin…
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Free Tissue Transfer for Repair of Chronic Esophageal Perforations.
[OBJECTIVE] Anterior cervical discectomy and fusion have become a common intervention for cervical spine stabilization. However, complications can cause life-threatening morbidity. Among them, esophageal perforation is associated with sever…
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Association of Continuous Intraoperative Vasopressor Use With Reoperation Rates in Head and Neck Free-Flap Reconstruction.
[IMPORTANCE] Continuous vasopressor use in free-flap reconstruction is a point of contention among microvascular surgeons despite data demonstrating safety. [OBJECTIVE] To investigate the association between continuous vasopressor use and …