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28건 · 최신순-
A Longitudinal Assessment of Patient Satisfaction Following Head and Neck Free Flap Reconstruction.
[OBJECTIVES] Long-term aesthetic outcomes following head and neck (HNC) microvascular free flap reconstruction are poorly understood. As patient survival improves for HNC, it is critical to understand the impact of surgical treatment upon a…
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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…
- Commentary on the study: Impact of adipose-derived stem cell exosomes on complications from hyaluronic acid filler injections.
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Functional and Cosmetic Considerations in Gender-Affirming Feminization Rhinoplasty.
Gender-affirming facial surgery is increasing in prevalence, and rhinoplasty plays an integral role in its success. The nose displays considerable gender dimorphism, and maneuvers performed during gender-affirming rhinoplasty may differ con…
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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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Ultrasonic Shears Decrease Postoperative Hematomas in Head and Neck Microvascular Reconstruction.
[OBJECTIVE] To evaluate postoperative hematoma and takeback rates in a large series of microvascular reconstructions. We sought to determine whether the use of ultrasonic shears reduced these rates. [STUDY DESIGN] Retrospective cohort stud…
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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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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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Outcomes of Vascularized Versus Nonvascularized Adipofascial Grafts for Parotidectomy Reconstruction.
Parotidectomy defects can leave patients with considerable functional and cosmetic deformities. We aim to compare the success rates and complications associated with vascularized versus nonvascularized adipofascial grafts for reconstruction…
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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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Sex Differences in Adult Facial Three-Dimensional Morphology: Application to Gender-Affirming Facial Surgery.
Gender-affirming facial surgery (GFS) is pursued by transgender individuals who desire facial features that better reflect their gender identity. Currently, there are a few objective guidelines to justify and facilitate effective surgical d…
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Vasodilation by Verapamil-Nitroglycerin Solution in Microvascular Surgery.
[OBJECTIVE] Papaverine is a topical vasodilator commonly used during microvascular surgery to inhibit undesired vasoconstriction. A previous national shortage of papaverine prompted evaluation of an alternative, effective vasodilator. This …
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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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Appearance-Related Distress and Social Functioning after Head and Neck Microvascular Reconstruction.
[OBJECTIVES/HYPOTHESIS] To better understand aesthetic patient-reported outcomes and psychosocial quality of life (QOL) after head and neck microvascular reconstruction for benign or malignant tumors. [STUDY DESIGN] Single-center prospecti…
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Facial Reanimation and Reconstruction of the Radical Parotidectomy.
Radical parotidectomy may result from treating advanced parotid malignancies invading the facial nerve. Survival is often enhanced with multimodality treatment protocols, including postoperative radiation therapy. In addition to the reconst…
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Surveillance Imaging Following Head and Neck Cancer Treatment and Microvascular Reconstruction.
[OBJECTIVES/HYPOTHESIS] To assess the accuracy and utility of positron emission tomography/computed tomography (PET/CT) compared with magnetic resonance imaging (MRI) for detecting head and neck cancer (HNC) recurrence after microvascular r…
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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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Association of Bolster Duration With Uptake Rates of Fibula Donor Site Skin Grafts.
[IMPORTANCE] The fibula free flap donor site is associated with both short-term and long-term morbidity. Split-thickness skin graft (STSG) loss can lead to long delays in donor site healing and is associated with significant adverse sequela…
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Machine Learning for Predicting Complications in Head and Neck Microvascular Free Tissue Transfer.
[OBJECTIVES/HYPOTHESIS] Machine learning (ML) is a type of artificial intelligence wherein a computer learns patterns and associations between variables to correctly predict outcomes. The objectives of this study were to 1) use a ML platfor…
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Trainee Exposure and Education for Minimally Invasive Gender-Affirming Procedures.
Minimally invasive gender-affirming procedures (MIGAPs), which aim to align gender identity and expression for transgender and gender-nonbinary patients in a way that is safe, effective, and semipermanent or reversible, are gaining in popul…
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Midface lift: panel discussion.
[UNLABELLED] What is the most efficient dissection plane to perform midface lift? What is the best incision/approach (preauricular, transtemporal, transoral)? Why? What specific technique do you use? Why? What is the best method/substance f…
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Volume-directed facial soft tissue deficit reconstruction.
Extensive facial soft tissue volume deficits can pose a significant challenge to the facial reconstructive surgeon. These defects are typically the result of trauma, tumor extirpation, or congenital defects and produce troubling cosmetic an…