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11건 · 최신순-
Impact of Preoperative Multidisciplinary Conference on Head and Neck Reconstruction Outcomes.
[INTRODUCTION] Head and neck oncologic resections with microvascular reconstruction are lengthy and complex procedures with inefficiencies in the operating room (OR) associated with increased complications and higher costs. Multidisciplinar…
- Towards improved speech and swallowing outcomes after hemiglossectomy reconstruction: Impact of neurotization and free flap choice.
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Use of Tranexamic Acid in Head and Neck Free Flap Reconstruction.
[INTRODUCTION] Tranexamic acid (TXA) is commonly used in surgical settings to reduce blood loss. Due to its antifibrinolytic properties, TXA theoretically increases the risk of thrombosis. In this study, the use of TXA was assessed in patie…
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Drain Fluid Amylase as an Early Negative Predictor of Salivary Fistula Following Free Flap Reconstruction.
[OBJECTIVES] Salivary fistula is a known complication following head and neck free flap reconstruction involving the aerodigestive tract. We sought to examine the association between surgical drain fluid amylase and salivary fistula formati…
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Preoperative Care Clinic Improves Survival for Patients Undergoing Free-Flap Reconstruction.
[OBJECTIVE] This study aims to evaluate whether perioperative care improves postoperative outcomes for head and neck reconstruction patients with preexisting health conditions. [STUDY DESIGN] Retrospective cohort study. [SETTING] Single t…
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Co-surgery in head and neck microvascular reconstruction.
[PURPOSE] Co-surgery with two attending reconstructive surgeons is becoming increasingly common in breast microvascular reconstruction due to case complexity and the potential for improved outcomes and operative efficiency. The impact of co…
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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…
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3D modeling of anterior 2/3rds glossectomy reconstruction: A volume based donor site evaluation.
[OBJECTIVE] Anterior 2/3rds glossectomy results in significant patient morbidity due to speech and swallowing impairment. Microvascular free flap reconstruction compensates for large volume defects. Flap volume is based on the adipose conte…
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Bivalirudin for unsalvageable venous congestion or obstruction in head and neck free flap reconstruction.
Microvascular free flap surgery permits single-stage reconstruction of complex head and neck ablative defects. Venous congestion can occur in the early postoperative period, risking partial or total flap loss. While prompt surgical re-explo…
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Discharge Disposition After Head and Neck Reconstruction: Effect on Adjuvant Therapy and Outcomes.
[OBJECTIVES] Head and neck cancer patients that require major reconstruction often have advanced-stage disease. Discharge disposition of patients can vary and impact time to adjuvant treatment. We sought to examine outcomes in patients disc…
- Scapular free flap reconstruction of pharyngoesophageal defects.