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10건 · 최신순-
Postoperative analysis of osseous midface reconstructions: The value of imaging and a novel scoring system for complexity and operative success.
[BACKGROUND] Few standardized methods exist for evaluating the postoperative outcomes of osteocutaneous free flaps. We propose an anatomic-based scoring system for midface free flap reconstruction. [METHODS] One hundred and twelve patients…
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Outcomes in Head and Neck Free Flap Reconstruction Among Patients With a History of Venous Thromboembolism.
[OBJECTIVE] To investigate if a history of venous thromboembolism (VTE) is a risk factor for complications in head and neck free flap surgery by assessing outcomes among patients with a history of deep vein thrombosis (DVT) and/or pulmonary…
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Analysis of cost and outcomes in bony versus soft tissue midface free flap reconstruction.
[BACKGROUND] Outcomes and cost of soft tissue versus bony midface free flap reconstruction (MR) with and without virtual surgical planning (VSP) were evaluated. [METHODS] Retrospective review of MR including ischemic time (IT), operative d…
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Postoperative Anatomic Position of Mandibular Free Flap Neocondyles Affects Patient Symptoms.
Mandibular condyle reconstruction with vascularized free flaps can re-establish form and function after resection. However, no reports have been published regarding the postoperative anatomic seating of these reconstructions. To use postop…
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Free tissue transfer for central skull base defect reconstruction: Case series and surgical technique.
[OBJECTIVES] Local reconstruction of central skull base defects may be inadequate for large defects or reoperative cases; free tissue transfer may be necessary. Inset of the flap and management of the pedicle can be challenging. We report o…
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Anastomotic Revision in Head and Neck Free Flaps.
[OBJECTIVES/HYPOTHESIS] Predictors of free tissue transfer (FTT) failure and the need for postoperative revision (POR) have been extensively studied; however, there are little data evaluating outcomes when intraoperative revision (IOR) at i…
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Outcomes of Venous End-to-Side Microvascular Anastomoses of the Head and Neck.
[OBJECTIVES/HYPOTHESIS] The literature on outcomes of end-to-side (ETS) anastomoses for microvascular reconstruction of the head and neck is limited. This series reviews ETS in free tissue transfer (FTT) across multiple institutions to bett…
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Technical Considerations in Pedicle Management in Upper and Midfacial Free Flap Reconstruction.
[OBJECTIVES] Mid and upper face free flaps frequently are associated with challenges due to pedicle length. We sought to evaluate the frequency at which alternative pedicle maneuvers were required for these reconstructions and determine if …
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Long-Term Complications of Osteocutaneous Free Flaps in Head and Neck Reconstruction.
[OBJECTIVE] To determine the frequency at which patients with osteocutaneous free flap reconstruction of the head and neck develop long-term complications and identify predisposing perioperative factors. [STUDY DESIGN] A prospectively main…
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Natural History and Consequences of Nonunion in Mandibular and Maxillary Free Flaps.
[OBJECTIVE] To describe the natural history of bone segment union in head and neck free flap procedures and detail the association of poor segment union with postoperative complications. [STUDY DESIGN] Case series with chart review. [SETT…