논문 목록
14건 · 최신순-
Donor Site Morbidity of Lower Extremity Free Flaps After Reconstructive Surgery of the Head and Neck, a Single-Center Retrospective Cohort Study.
[BACKGROUND] This study aimed to compare donor-site morbidity among three common major lower extremity free flaps: fibula (FFF), anterolateral thigh (ALT), and the medial sural perforator (MSAP) using an established patient-reported outcome…
-
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…
-
Donor Site Morbidity of the Medial Sural Artery Perforator (MSAP) Free Flap for Head & Neck Reconstruction.
[BACKGROUND] Minimal donor site morbidity is often cited as one of the main advantages of the medial sural artery perforator (MSAP) free flap; however, few studies have examined functional outcomes. [METHODS] This retrospective cohort stud…
-
Early Weight-Bearing After Fibula Free Flap Surgery.
[IMPORTANCE] Despite the widespread use of fibula free flap (FFF) surgery for head and neck reconstruction, there are no studies assessing if early weight-bearing (EWB) affects postoperative recovery, and the timing of weight-bearing initia…
-
Use of the spider limb positioner for fibular free flap reconstruction of head and neck bony defects.
[BACKGROUND] Osseous and osteocutaneous fibular free flaps are the workhorse of maxillomandibular reconstruction over 30 years after the initial description. Since 2019, we have routinely used the Spider Limb Positioner, adapted from its us…
-
Fibula Free Flap Reconstruction of Cervical Spine Defects: A Multi-Institutional Study.
[INTRODUCTION] Cervical spine defects result in spinal instability, putting the spinal cord and vertebral arteries at risk of damage and possibly devastating neurological injuries. The fibula free flap can span the spinal defects for stabil…
-
Comparison of patient-reported upper extremity disability following free flaps in head and neck reconstruction: A systematic review and meta-analysis.
[BACKGROUND] Comparisons of patient-reported donor site morbidity based on the Disabilities in Arm, Shoulder, and Hand (DASH) instrument across upper trunk free flaps in head and neck surgery, including radial forearm (RFFF), osteocutaneous…
-
Perioperative Topical Antisepsis and Surgical Site Infection in Patients Undergoing Upper Aerodigestive Tract Reconstruction.
[IMPORTANCE] Surgical site infections (SSIs) after vascularized reconstruction of the upper aerodigestive tract (UADT) are associated with considerable morbidity. The association between perioperative prophylaxis practices, particularly top…
-
Immediate postoperative non-invasive positive pressure ventilation following midface microvascular free flap reconstruction.
[BACKGROUND] There is a rare need for postoperative non-invasive positive pressure ventilation (NIPPV) following microvascular reconstruction of the head and neck. In midface reconstruction, the free flap vascular pedicle is especially vuln…
-
The effect of reconstruction on positive margin rates in oral cancer: Using length of stay as a proxy measure for flap reconstruction in a national database.
[PURPOSE] Planned flap reconstruction, allowing aggressive resections of oral cavity squamous cell carcinoma (OCSCC), may decrease positive surgical margins. The purpose of this study was to determine if length of stay (LOS), as a proxy mea…
-
Consensus of free flap complications: Using a nomenclature paradigm in microvascular head and neck reconstruction.
[BACKGROUND] We aim to define a set of terms for common free flap complications with evidence-based descriptions. [METHODS] Clinical consensus surveys were conducted among a panel of head and neck/reconstructive surgeons (N = 11). A conten…
-
Cosmetic Approaches to Parotidectomy.
The parotid gland is located in a cosmetically sensitive area. Given cultural emphasis on cosmesis, using minimally invasive or hidden incisions, when appropriate, can significantly improve patient satisfaction and quality of life following…
-
Anterior cervical incision-sparing thyroidectomy: Comparing retroauricular and transoral approaches.
[OBJECTIVES] The robotic retroauricular approach and transoral endoscopic thyroidectomy vestibular approach (TOETVA) have been employed to avoid anterior neck scarring in thyroidectomy with good success. However, outcomes have yet to be com…
-
Remote Access Robotic Facelift Thyroidectomy: A Multi-institutional Experience.
[BACKGROUND] Robotic facelift thyroidectomy (RFT) was developed as a new surgical approach to the thyroid gland using a remote incision site. Early favorable results led to this confirmatory multi-institutional experience. [METHODS] Prospe…