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10건 · 최신순-
Free Flap Enhanced Recovery Protocols in Head and Neck Surgery.
Enhanced recovery after surgery (ERAS) protocols facilitates a standardized patient care regimen with a goal of reducing the metabolic stress of surgery. Adapted to head and neck free flap reconstructive surgery in 2017, these protocols foc…
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The osteocutaneous radial forearm free flap: A pictorial essay.
The osteocutaneous radial forearm free flap (OCRFFF) is a versatile flap with the ability to reconstruct complex defects. We detail the techniques necessary to harvest an OCRFFF, including an outline on making 90-degree osteotomies to maxim…
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The osteocutaneous radial forearm free flap: A multidisciplinary review of the evidence.
The osteocutaneous radial forearm (OCRFF) is a versatile free flap option for bony defects of the head and neck, given the thinness and pliability of the forearm cutaneous paddle, pedicle length, reliability, lack of atherosclerosis, and fu…
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Advantages of the scapular system in mandibular reconstruction.
[BACKGROUND] Fibula free flaps (FFF) are often considered the first choice for mandibular reconstruction, but scapular system free flaps (SFF) have increased in popularity due to versatility, donor site advantages, and patient factors. [ME…
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History, Innovation, Pearls, and Pitfalls in Complex Midface Reconstruction.
Midface reconstruction in head and neck cancer or individuals with extensive trauma to the face has evolved significantly over the past few decades with the introduction of free flap reconstruction and virtual surgical planning enabling sur…
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Bone Union of Osseous Microvascular Free Tissue Transfer in Mandibular Reconstruction.
[OBJECTIVES] Osseous microvascular free tissue transfer (MFTT) is the gold standard for reconstruction for most segmental mandibulectomy defects. The most common osseous MFTT utilized in reconstruction is the fibular, scapular, and osteocut…
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The role of computer aided design/computer assisted manufacturing (CAD/CAM) and 3- dimensional printing in head and neck oncologic surgery: A review and future directions.
Microvascular free flap reconstruction has remained the standard of care in reconstruction of large tissue defects following ablative head and neck oncologic surgery, especially for bony structures. Computer aided design/computer assisted m…
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Utilization of microvascular couplers in salvage arterial anastomosis in head and neck free flap surgery: Case series and literature review.
[BACKGROUND] In microvascular reconstruction of ablative oncologic defects, coupler devices have traditionally been used for venous anastomosis, whereas the arterial anastomosis is hand-sewn. In the setting of repeated intraoperative arteri…
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The Use of Vasopressor Agents in Free Tissue Transfer for Head and Neck Reconstruction: Current Trends and Review of the Literature.
[BACKGROUND/OBJECTIVES] Microvascular free tissue transfer has become essential to head and neck reconstruction and recent advancements in microvascular surgery have led to excellent surgical outcomes. However, there continues to be controv…
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Predictors of Postoperative Radiation Following Laser Resection in Early-Stage Glottic Cancer.
[OBJECTIVE] Guideline recommendations for the treatment of early-stage glottic cancer are limited to single-modality therapy with surgery or radiation alone. We sought to investigate the clinicopathologic and treatment factors associated wi…