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11건 · 최신순-
Innovative Refinements in Robotic-assisted Transoral Free Flap Inset Using Mini-pharyngotomy.
Transoral robotic surgery (TORS) has revolutionized head and neck cancer treatment by offering minimally invasive access to challenging anatomical regions. The first TORS procedure was performed in 2003, using the da Vinci Surgical System t…
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Closure of the osteocutaneous fibula flap donor site with a tonearm (propeller) flap: Anatomic considerations and surgical indications.
[BACKGROUND] Skin graft is frequently used for donor site closure after osteocutaneous fibula free flap (OCFFF) harvest when primary closure is not possible. Partial skin graft loss requiring wound care is a common complication. The purpose…
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Outcomes for 160 Consecutive Lateral Arm Free Flaps for Head and Neck Reconstruction.
[OBJECTIVE] Examine outcomes for lateral arm autologous tissue transfer in head and neck reconstruction. [STUDY DESIGN] Retrospective cohort study. [SETTING] Tertiary cancer center. [METHODS] All patients who underwent traditional latera…
- Discussion: Optimal Timing for Secondary Reconstruction of Head and Neck Defects after Free Flap Failure.
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Free fibula mandible reconstruction for osteoradionecrosis is more challenging than for primary cancer.
[INTRODUCTION] Osteoradionecrosis (ORN) of the mandible is an unfortunate potential sequela of radiotherapy for head and neck cancer. In advanced cases of ORN, mandibulectomy, and free fibula flap reconstruction are required. We hypothesize…
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Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps.
The free fibula flap is the gold standard in reconstruction of oncologic mandibular defects. When the mandibular condyle is resected, reconstruction of the temporomandibular joint (TMJ) continues to pose a unique challenge to the reconstruc…
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Down with the Bean Bag: A Multi-institutional Experience with Total Latissimus Muscle Free Flap Harvest in the Supine Position.
The latissimus muscle continues to be a head to toe workhorse in free tissue transfer for coverage of large defects. Traditional full muscle harvest is performed in the lateral decubitus position which is frequently suboptimal or requires p…
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Innovative Strategies in Microvascular Head and Neck Reconstruction.
The field of reconstructive microsurgery has witnessed considerable advancements over the years, driven by improvements in technology, imaging, surgical instruments, increased understanding of perforator anatomy, and experience with microsu…
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The Full Continuum of Robotic Breast Surgery: Robotic-assisted Mastectomy, Robotic DIEP Flap, and Robotic Supermicrosurgery.
In recent years, robotic surgery has rapidly expanded to improve surgical outcomes in a variety of surgical subspecialties. Although plastic surgery has taken longer to integrate robotic surgery into practice, the advantages of robotic-assi…
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Robotic DIEP Patient Selection: Analysis of CT Angiography.
[BACKGROUND] Preoperative CTA is widely used and extensively studied for planning of DIEP flap breast reconstruction. However, its utility in planning robotic DIEP harvest is undescribed. [METHODS] The authors conducted a retrospective stu…
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Is Our Effort Appropriately Valued? An Analysis of Work Relative Value Units in Immediate Breast Reconstruction.
[BACKGROUND] The work relative value units system was developed as a quantifier of physician labor, technical skill, and training time required to complete surgical procedures. Thus, more complex surgical procedures that require greater tec…