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22건 · 최신순-
The Impact of BMI on Donor and Recipient Site Morbidity in Mandibular Reconstruction with Fibula Free Flap.
[BACKGROUND] Obesity is a known risk factor for surgical complications, but its impact on mandibular reconstruction with fibula free flap (FFF) remains unclear. This study examines the association between body mass index (BMI) and postopera…
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The Fibula Free Flap for Salvage of Complications After Orthopedic Extremity Bony Fixation in Oncologic Patients.
[BACKGROUND] Advances in orthopedic oncology have significantly improved outcomes following extremity tumor resections; however, complications like nonunion, hardware failure, and radiation-induced fractures can occur after orthopedic fixat…
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Management of the Condyle in Posterior Mandibular Reconstruction: Major Clinical and Patient-Reported Outcomes.
[BACKGROUND AND OBJECTIVES] Tumor involvement of the posterior mandible often requires resection of the mandibular condyle and associated soft tissue. This study explores clinical and patient-reported outcomes (PROs) associated with condyle…
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Chest Wall Resection and Reconstruction for T4 Non-Small Cell Lung Cancer.
Chest wall resection and reconstruction for T4 non-small cell lung cancer (NSCLC) represents a challenging surgical scenario; T4 Pancoast tumors and tumors involving the spine (T4 spine) are the most frequently encountered subsets. Multidis…
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Reconstructing Segmental Mandibular Defects: A Single-Center, 21-Year Experience with 413 Fibula Free Flaps.
[BACKGROUND] The fibula free flap (FFF) is a common choice for mandibular reconstruction after post-oncologic resection. Advances in technology and surgical technique have changed the workflow of FFF-based mandible reconstruction. This stud…
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The evolution of pediatric soft-tissue free flap reconstruction of the lower extremity after oncologic resection: A 30 year experience.
[INTRODUCTION] Limb salvage has become the standard of care for lower extremity tumors because of improvements in adjuvant treatments and reconstructive techniques. While there is literature assessing pediatric lower extremity free flap rec…
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A preliminary analysis of patient reported outcomes following posterolateral mandible reconstruction: The role of flap type.
[BACKGROUND] The choice of tissue type for free flap reconstruction of posterolateral mandible resections is dependent on patient and defect characteristics. We compared clinical and patient-reported outcomes following reconstruction of the…
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Clinical, functional, and patient-reported outcomes of radial forearm versus anterolateral thigh free tissue transfer for reconstruction of glossectomy defects.
[BACKGROUND] There is a lack of literature of health-related quality of life endpoints for radial forearm (RF) versus anterolateral thigh (ALT) free flap reconstruction for glossectomy defects. Our goal was to perform a comprehensive evalua…
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Tandem Reconstruction of the Femoral Diaphysis Using an Intercalary Prosthesis and a Fibular Free Flap.
[BACKGROUND] Femoral diaphyseal reconstructions with metal prostheses have mediocre results because of high mechanical forces that result in eventual implant failure. Biological alternatives require prolonged restrictions on weight-bearing …
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Comparisons of Impact of Vein Grafting with Different Indications on Outcomes of Reconstruction with Free Flaps.
[BACKGROUND] Prior studies have shown an increased risk of complications and flap loss with the use of vein grafts in microsurgery. We hypothesize that indication for use of a vein graft can affect flap complications and loss rates. [METH…
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Salvage Reconstruction of Composite Defects of the Anterior Mandible, Floor of Mouth, and Lip.
Anterior mandible defects result in loss of support for the tongue, floor of the mouth and lower lip, resulting in impairment of airway, feeding, and speech. We treated four patients with these "Andy Gump" deformities. Reconstruction was pe…
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Quality of Life Outcomes after Free Fibula Flap Reconstruction of Mandibular Defects: A Longitudinal Examination.
[BACKGROUND] A comprehensive understanding of changes in health-related quality of life after head and neck cancer surgery is necessary for effective preoperative counseling. The goal of this study was to perform a longitudinal analysis of…
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Pelvic and Perineal Reconstruction.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Classify types of bony pelvic resections. 2. Outline reconstructive options for pelvic and perineal defects. 3. Identify advantages and drawbacks of va…
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Propeller Flaps for Lower Back Defects.
What are the reconstructive challenges of the lumbosacral area?What are the goals and principles of reconstructing the lumbosacral defect?What are propeller flaps?How are propeller flaps used in the lumbosacral region?…
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The contribution of microvascular free flaps and pedicled flaps to successful chest wall surgery.
[OBJECTIVE] Pedicled flaps (PFs) have historically served as the preferred option for reconstruction of large chest wall defects. More recently, the indications for microvascular-free flaps (MVFFs) have increased, particularly for defects i…
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Reconstruction of oncologic upper extremity defects with fibula free flaps has high union rates and excellent functional outcomes.
[BACKGROUND] Limb salvage has better functional outcomes than amputation in the upper extremity. This can however be challenging after bony tumor resections. [METHODS] This is a retrospective case series of patients who underwent humerus, …
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How long to wait after local infiltration anaesthesia: systematic review.
[BACKGROUND] Conflicting evidence exists regarding the optimal waiting time for stable analgesic and vasoconstrictive effects after local infiltration of lidocaine with epinephrine. An objective review is needed to dispel surgical dogma. […
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Long-term Growth, Functional, and Aesthetic Outcomes after Fibula Free Flap Reconstruction for Mandibulectomy Performed in Children.
[BACKGROUND] The long-term outcome of mandible reconstruction when performed in children has not been well documented. [METHODS] This is a retrospective case series of patients who underwent immediate oncologic mandible reconstruction with…
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Mini-plate versus reconstruction bar fixation for oncologic mandibular reconstruction with free fibula flaps: A systematic review and meta-analysis.
Introduction There is currently no consensus as to the comparative complication profiles of mini-plate (MP) and reconstruction bar (RB) osseous fixation in fibula flap mandibular reconstruction. The aim of this study is to compare complicat…
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Endoscopic Endonasal Repair of Recurrent Cerebrospinal Fluid Leak With Adipofascial Anterolateral Thigh Free Flap: Case Report and Review of Literature.
Cerebrospinal fluid leaks are the most common complication of endoscopic endonasal skull base tumor resection. The workhorse nasoseptal flap or other vascularized intranasal flaps may not be a viable option in patients who have previously u…
- Assessment of Plastic Surgery Residency Applications without United States Medical Licensing Examination Step 1 Scores.
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Optimizing the Aesthetic Result of Parotidectomy with a Facelift Incision and Temporoparietal Fascia Flap.
The 3 most common problems after a parotidectomy are cheek contour deformity, Frey syndrome (gustatory sweating), and a visible scar on the neck. These problems can potentially be prevented by (1) facelift type incisions, which eliminate th…