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37건 · 최신순- Evaluation of the Effectiveness of Immediate Preoperative Team Discussion in Enhancing Surgical Safety and Clinical Outcomes in Head and Neck Free Flap Reconstruction.
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The pectoralis major myocutaneous pedicled flap-Its past and current practice in a dedicated microsurgery service. Review of the literature, and debunking controversies.
[BACKGROUND] The pectoralis major myocutaneous pedicled (PMMP) flap is still considered by many a workhorse flap in head and neck (H&N) reconstruction, despite free flap surgery advancing. The authors aimed to examine this claim and associa…
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Free Latissimus Dorsi Flaps in Head and Neck Reconstruction at a Modern High-Volume Microsurgery Center.
[BACKGROUND] Over the past two decades, with the introduction of the perforator flap concept and advances in flap dissections, lower extremities have emerged as the preferred soft tissue flap donor sites. As a modern and high-volume micros…
- Reconstructive Microsurgery at Chang Gung (Part 1): Upper and Lower Extremities.
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Debunking the "Vessel Depleted Neck"-Study of 52 Patients With More Than Three Reconstructions.
[BACKGROUND] Recurrences, complications, or unfavorable results in head and neck cancer can be treated surgically, including major flap reconstruction. The "vessel depleted neck" may lead to unnecessarily heroic solutions and even prevent s…
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Facing a "Vessel Challenged Neck" in Head and Neck Microsurgical Reconstruction: Chang Gung Concepts, Approach, and Systematic Review.
Microsurgical free tissue transfer has become the standard for complex head and neck reconstruction. One of the most feared scenarios is the so-called "vessel-depleted neck" (VDN), in which prior surgery, irradiation, or multiple reconstruc…
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Evolution of Dental Rehabilitation in Free Fibula Flap for Segmental Jaw Defects.
The free fibula flap has transformed mandibular reconstruction, evolving from simply for bone defect reconstruction to including immediate dental rehabilitation and from a staged to a simultaneous procedure. This paper chronicles the progre…
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Evolution of free flap reconstruction in the upper extremity: perspective from a tertiary plastic and reconstructive institution.
Soft tissue reconstruction of the upper extremity requires consideration of wound bed status, varied anatomic composition, future function and tissue match, whether in thickness, pliability or involvement of other tissue components. Of the …
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Quality-of-Life Outcomes in Oral Cancer Patients Reconstructed With Double Free Flaps: A Preoperative and Postoperative Assessment.
[PURPOSE] This study aimed to evaluate quality of life (QOL) in patients with locally advanced oral cancer who underwent surgical resection followed by simultaneous double free flap reconstruction. [METHODS] Institutional database was revi…
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The Past, Present, and Future of Perforator Flaps in Head and Neck Surgery.
A perforator is a vessel that travels through muscle and perfuses the skin. Perforator flaps require intramuscular dissection and can be used as pedicled or free flap. With improved understanding of microvasculature, they can be tailored to…
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The fibula osteoseptocutaneous flap: evolution in concepts, techniques, and technologies during mandibular reconstruction - a review.
The fibula-free flap has evolved from its initial description to be a reliable workhorse-free flap providing bone, soft tissue, and a reliable skin paddle. The senior author has been refining this technique since the mid-1980s and has perso…
- Reply to Letter to Editor by Drs Hua and Wei on Our Paper 'Asian Upper Blepharoplasty with the Hinge technique'.
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Quantization of extraoral free flap monitoring for venous congestion with deep learning integrated iOS applications on smartphones: a diagnostic study.
[BACKGROUND] Free flap monitoring is essential for postmicrosurgical management and outcomes but traditionally relies on human observers; the process is subjective and qualitative and imposes a heavy burden on staffing. To scientifically mo…
- Dialogue with the Giants of Microsurgery: Professor Fu-Chan Wei and Professor Joon Pio Hong.
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Asian Upper Blepharoplasty with the Hinge Technique.
Asian upper blepharoplasty is one of the most commonly requested procedures in Asian patients. Many incisional and suture methods have been described in the literature. While the suture method is advantageous for its simplicity and quick re…
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Reconstruction of mandibular defects involving the central segment with fibula osteoseptocutaneous free flap following ameloblastoma resection: Patient-reported outcomes.
[OBJECTIVES] Mandibular defects involving the central segment are challenging. This study analyzes the impact of defect extent and reconstruction method on quality of life (QOL) and obstructive sleep apnea (OSA). [MATERIALS AND METHODS] Tw…
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Scalp, skull, orbit, and maxilla reconstruction and hair transplantation.
Orbitomaxillary, skull, scalp, and hair restoration covers a broad segment of reconstructive surgery. The purpose of this article is to review considerations in available options for reconstruction, flap selection, relevant anatomy, and pot…
- The second world congress for plastic surgeons of Chinese descent.
- The First World Congress for Plastic Surgeons of Chinese Descent.
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Simultaneous endoscope-assisted contralateral breast augmentation with implants in patients undergoing postmastectomy breast reconstruction with abdominal flaps.
[BACKGROUND] Unilateral breast reconstruction after mastectomy provides the challenge of achieving symmetry with the opposite side. Reduction mastopexy is a common balancing procedure for the contralateral breast used to achieve pleasing an…
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In vivo evaluation of leucocyte dynamics in cremaster muscle in rats after exposure to cigarette smoke.
This experiment was designed to examine the effects of chronic cigarette smoking on the microcirculation immediately after exposure to smoke for two, four, and six weeks and after withholding smoke for two weeks from those previously expose…
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Anterolateral thigh flap for postmastectomy breast reconstruction.
Most postmastectomy defects are reconstructed by use of lower abdominal-wall tissue either as a pedicled or free flap. However, there are some contraindications for using lower abdominal flaps in breast reconstruction, such as inadequate so…
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Pseudoxanthoma elasticum. Case report.
Pseudoxanthoma elasticum is an uncommon disorder of elastin with characteristic skin laxity. Rhytidectomy of the excessive redundant skin is necessary for cosmetic improvement, and reports of surgical management are rare. We report a case o…
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Classification and reconstructive options in foot plantar skin avulsion injuries.
Between 1989 and 1994, 28 patients who had plantar avulsion injuries were treated. Patient ages averaged 30 years (range 7 to 62 years). Length of follow-up averaged 20 months. Five patients (18 percent) were classified as having suprafasci…
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Replantation of ring avulsion of index, long, and ring fingers.
The salvage rate of degloved amputation of the fingers is as low as 50%. This case report consists of a multiple-finger degloving amputation characterized by intact tendons, pulleys, and bone, but avulsed neurovascular bundles. After replan…
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The salvage of a degloved hand skin flap by arteriovenous shunting.
Nine cases of hand degloving injuries were treated successfully with arteriovenous shunting technique. Of these nine cases, four were degloved from the wrist level and one from the forearm, three were degloved at the palm and one at the dor…
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Aesthetic refinements in toe-to-hand transfer surgery.
Techniques for aesthetic refinement are as important as those for functional improvement in toe-to-hand transfer. The appearance of the thumb reconstructed using various types of great toe transfer can be improved by reduction of the soft t…
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Irreversible muscle contracture after functioning free muscle transplantation using the ipsilateral facial nerve for reinnervation.
Four patients who underwent functioning free muscle transplantation (FFMT) for facial reconstruction developed a progressive disfiguring muscle contracture. This complication has not been previously reported. Three of the patients had longs…
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Pulp plasty after toe-to-hand transplantation.
Pulp plasty is a simple procedure that is used to debulk the bulbous-appearing pulp of a transplanted digit after toe-to-hand transplantation. A retrospective review of the effect of pulp plasty on the appearance and function of the debulke…
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Microsurgical thumb reconstruction with toe transfer: selection of various techniques.
Microsurgical toe transfer is an established method for reconstruction of missing thumbs. However, there is little agreement on which of the various techniques represents the ideal transfer. Basically, selection of technique requires balanc…