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18건 · 최신순-
Hardware Exposure After Mandibular Reconstruction: Bone Versus Soft Tissue Free Flap Comparison.
[OBJECTIVE] Hardware exposure after microvascular free tissue transfer (MFTT) for mandibular reconstruction is a significant complication. While osteocutaneous MFTTs are the preferred option, some patients require soft tissue-only MFTTs due…
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Cost Comparison of Industry Versus In-House Three-Dimensional Printed Models for Microvascular Mandible Reconstruction.
Computer-aided design and manufacturing can enhance microvascular mandible reconstruction, particularly in cases with preexisting segmental defects or exophytic tumors where precise in situ plate bending is difficult. However, its high cost…
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Patient-Reported Donor Site Quality of Life Outcomes Following Fibula Free Flap Reconstruction.
Retrospective cohort study. To (1) assess post-operative quality of life (QOL) and functional outcomes of fibula free flap (FFF) donor sites, (2) examine the incidence of post-operative claw toe deformities (CTDs) following FFF harvest, an…
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Microvascular free tissue transfer repair of pharyngoesophageal perforation following anterior cervical discectomy and fusion.
[BACKGROUND] There are no current best practice guidelines for management of pharyngoesophageal perforation (PEP), a rare complication of anterior cervical discectomy and fusion (ACDF). We describe our institution's experience with free fla…
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Social Determinants of Health in Patients Undergoing Osteocutaneous Free Flap Reconstruction for Malignant Disease of the Mandible.
[BACKGROUND] Social determinants of health (SDH), such as race, language, and insurance status, may impact access to surgical care and postoperative outcomes. This study investigates the role of SDH in patients undergoing osteocutaneous fre…
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Impact of Gender-Affirming Rhinoplasty Techniques on Objective Facial Appearance.
[OBJECTIVES] To evaluate the impact of transfemale gender-affirming rhinoplasty on nasal appearance as evaluated by common facial analysis measures. [METHODS] Retrospective case series of patients undergoing gender-affirming nasal surgery …
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Increasing Pedicle Reach with Musculocutaneous Perforator Dissection in Anterolateral Thigh Free Flaps.
[OBJECTIVE] To measure the increase in effective pedicle reach with microdissection of musculocutaneous perforators during anterolateral thigh (ALT) free tissue harvest. [METHODS] A review of our institution's free flap database was perfor…
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Assessment of Variability in Free Flap Color Match to Facial Skin by Donor Site and Race.
[OBJECTIVES] To use portable colorimetry to quantify color differences between facial skin and potential three head and neck microvascular free tissue transfer (MFTT) donor sites-radial forearm (RF), anterolateral thigh (ALT), and fibula (F…
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Postoperative inpatient surgical complications following head and neck microvascular free tissue transfer.
[BACKGROUND] Complications following head and neck microvascular free tissue transfer (MFTT) are common. Less is known about when they occur. [METHOD] Retrospective study of patients with primary or recurrent head and neck cancer undergoin…
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Ergonomic Assessment of Septorhinoplasty Maneuvers During Simulated Pregnancy.
[OBJECTIVE] Women represent an increasing proportion of the otolaryngology workforce. Work-related musculoskeletal disorders (WRMSD) are a little-studied yet important impediment to career completion. Scant attention has been directed to st…
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Patterns of Postoperative Trismus Following Mandibulectomy and Fibula Free Flap Reconstruction.
The factors that contribute to postoperative trismus after mandibulectomy and fibula free flap reconstruction (FFFR) are undefined. We retrospectively assessed postoperative trismus (defined as a maximum interincisal opening ≤35 mm) in 106 …
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Anterolateral Thigh Free Flap Versus Thigh Split Thickness Skin Graft: Comparison of Morbidity in the First 30 Days.
An anterior thigh split thickness skin graft (AT-STSG) is frequently needed to close the radial forearm free flap (RFFF) donor site, conferring morbidity to two extremities. The anterolateral thigh (ALT) free flap is virtually always closed…
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Effect of microporous polysaccharide hemospheres on anterolateral thigh free flap donor site complications.
[BACKGROUND] Postoperative seroma is the most common donor site complication following anterolateral thigh (ALT) free flap harvest for head and neck reconstruction. The utility of novel microporous polysaccharide hemospheres (MPH) has not b…
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Utility of Microporous Polysaccharide Hemosphere on Anterolateral Thigh Free Flap Donor Site Complications.
Anterolateral thigh (ALT) microvascular free tissue transfer is an integral part of head and neck reconstructive surgery, but it can be complicated by postoperative donor site fluid collections. To measure the rate of hematoma and seroma f…
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Skin Color Match in Head and Neck Reconstructive Surgery.
[OBJECTIVES/HYPOTHESIS] To quantify the degree of color match achieved during microvascular facial reconstruction, and to describe a novel technique for improving reconstructive skin color match. We hypothesize that split-thickness skin gra…
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Risk Factors for and Cost Implications of Free Flap Take-backs: A Single Institution Review.
[OBJECTIVE/HYPOTHESIS] For patients undergoing microvascular free tissue transfer (MFTT), we evaluated risk factors and financial implications of operating room (OR) take-back procedures. [STUDY DESIGN] Retrospective review at a tertiary c…
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Assessing Free Flap Reconstruction Accuracy of the Midface and Orbit Using Computer-Aided Modeling Software.
Aesthetically pleasing and functionally stable total maxillectomy reconstruction is among the greatest of challenges within head and neck surgery. Maintaining presurgical midface projection, contour, and cheek volume requires high-fidelity …
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Minithyrotomy with radiofrequency-induced thermotherapy for the treatment of adductor spasmodic dysphonia.
[OBJECTIVES/HYPOTHESIS] A simple, safe and effective surgical alternative for treating adductor spasmodic dysphonia (ADSD) would appeal to many patients. This study evaluates a new option, using radiofrequency-induced thermotherapy (RFITT) …