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55건 · 최신순-
Microvascular Surgeons: The Second Victim With Free Flap Failure.
[OBJECTIVE] Second victim syndrome (SVS) is when a health care provider involved in a patient complication is traumatized by the event, manifesting as symptoms of anxiety, depression, and shame. We investigated microvascular surgeons' emoti…
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Etiology and Management of Intraoperative Free Flap Failure.
[BACKGROUND] Intraoperative free flap failure necessitates prompt intraoperative decision-making on alternative reconstructive strategies. In this study, we investigate the etiology and management of intraoperative flap loss. [METHODS] Ret…
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Clinical application of the free anterolateral thigh chimeric muscle flap for reconstruction of composite tissue defects of the forearm and hand.
[BACKGROUND] Composite tissue defects (CTD) of the forearm and hand commonly result from industrial, agricultural, and traffic-related injuries and often involve multiple anatomical structures, making reconstruction challenging. Simple skin…
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Optimal target localization for botulinum toxin A in treating splenius muscles dystonia based on the distribution of intramuscular nerves and spindles.
Botulinum toxin A injection is commonly used to treat splenius muscle dystonia; however, the optimal injection site within the muscle remains unidentified. This study identified the optimal target for botulinum toxin A based on the distribu…
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Long-Term Complications in Patient-Specific Plates for Maxillary Reconstruction.
[OBJECTIVES] Virtual surgical planning (VSP) allows for optimal reconstruction of maxillary defects with fibula free flaps. Current data are limited regarding long-term complications of patient-specific plates (PSPs) in this setting. Our ob…
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The Impact of Lovenox Prophylaxis and Other Anticoagulants on Microvascular Free Flap Outcomes.
[OBJECTIVE] Microvascular free flap reconstruction for head and neck defects carries a 95% success rate. When flap compromise occurs, it is often due to vascular occlusion. This study seeks to determine what impact lovenox prophylaxis has o…
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Late Flap Failure: Etiology and Management.
[OBJECTIVE] Late free flap failure is an unusual setback for patients; we investigated the etiology and management of late flap failure. [STUDY DESIGN] Single-institution retrospective review of 1959 free flaps from 2010 to 2023 for head a…
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Magnification-Invariant Retinal Distance Estimation for Vitreoretinal Surgery Using a Laser Aiming Beam.
[BACKGROUND] Virtual fixtures in robot-assisted retinal surgery require knowledge of the position of the retina with respect to the surgical tool to be effective. Retinal surface estimation is a difficult problem due to the lack of features…
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Endoscope-Assisted Transcranial Surgery for Petroclival Meningiomas: A Single-Centre Experience.
[OBJECTIVE] The surgical management of petroclival meningioma (PCM) remains a challenge in neurosurgery. This study compared the outcomes of endoscope-assisted microsurgery and conventional microscopic approaches to evaluate the safety and …
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Experimental study of the center of the intramuscular nerve dense region of the masseter muscle as the optimal botulinum neurotoxin A injection site.
[BACKGROUND] Masseter hypertrophy impacts facial aesthetics. Botulinum neurotoxin type A(BoNT-A) injection is common, but the best site is unclear. This study seeks the optimal injection site for better facial contouring. [MATERIAL] Sixty …
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Microsurgery in Motion: An Objective Assessment of Microsurgical Skill and Efficiency.
High levels of precision, as well as controlled, efficient motions, are important components of microsurgical technique and success. An accurate and objective means of skill assessment is lacking in resident microsurgical education. Here we…
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Serratus Anterior Fascia for Immediate Implant-Based Breast Reconstruction: A Case Series of 65 Patients With Breast Cancer.
[OBJECTIVE] After immediate implant-based breast reconstruction (IIBR) after mastectomy, implant exposure or capsular contracture can occur. This study aimed to evaluate IIBR using serratus anterior fascia in patients with breast cancer. […
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3D Motion Manipulation for Micro- and Nanomachines: Progress and Future Directions.
In the past decade, micro- and nanomachines (MNMs) have made outstanding achievements in the fields of targeted drug delivery, tumor therapy, microsurgery, biological detection, and environmental monitoring and remediation. Researchers have…
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Microvascular Free Flap Outcomes in Maxillectomy Defects from Invasive Fungal Sinusitis.
[OBJECTIVES] Microvascular free tissue transfer is routinely used for reconstructing midface defects in patients with malignancy, however, studies regarding reconstructive outcomes in invasive fungal sinusitis (IFS) are lacking. We aim to d…
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Hyalinizing clear cell carcinoma of the sublingual gland: A case report and literature review.
[RATIONALE] Hyalinizing clear cell carcinoma (HCCC) of the salivary glands is a rare low-grade malignant tumor. This type of tumor is particularly uncommon in the sublingual glands. [PATIENT CONCERNS] A 57-year-old female with a mass on th…
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Microvascular reconstruction of medication related osteonecrosis of the head and neck.
[BACKGROUND] Medication related osteonecrosis of the jaw (MRONJ) requiring free flap (FF) reconstruction is uncommon with limited reported findings. [METHODS] Multicenter, retrospective case series of 49 consecutive adult patients presenti…
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Free Flap Outcomes for Head and Neck Surgery in Patients with COVID-19.
[INTRODUCTION] Coronavirus disease 2019 (COVID-19) affects the vascular system, subjecting patients to a hypercoagulable state. This is of particular concern for the success of microvascular free flap reconstruction. This study aims to repo…
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Microvascular reconstruction of midface osteoradionecrosis.
[BACKGROUND] Head and neck osteoradionecrosis (ORN) of the midface requiring free flap (FF) reconstruction is uncommon. This multi-institutional study was designed to review outcomes for this rare patient population. [METHODS] Retrospectiv…
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Fibula Free Flap Reconstruction of Cervical Spine Defects: A Multi-Institutional Study.
[INTRODUCTION] Cervical spine defects result in spinal instability, putting the spinal cord and vertebral arteries at risk of damage and possibly devastating neurological injuries. The fibula free flap can span the spinal defects for stabil…
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Long-Term Plate Complications in Patient-Specific Plates Utilizing Computer-Aided Design.
[OBJECTIVE] Assess the long-term plate complications with patient-specific plates (PSPs) created with computer-aided design (CAD) and computer-aided manufacturing (CAM) for fibula free flap reconstructions for mandibular defects. [METHODS]…
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Division of neuromuscular compartments and localization of the center of the intramuscular nerve-dense region in pelvic wall muscles based on Sihler's staining.
The innervation of the pelvic wall muscles is not very clear. This study aimed to reveal the division of neuromuscular compartments and localize the surface position and depth of the center of the intramuscular nerve-dense region (CINDR) of…
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Localisation of the centre of the highest region of muscle spindle abundance of anterior forearm muscles.
The centre of the highest region of muscle spindle abundance (CHRMSA) in the intramuscular nerve-dense region has been suggested as the optimal target location for injecting botulinum toxin A to block muscle spasms. The anterior forearm mus…
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Division of neuromuscular compartments and localization of the center of the highest region of muscle spindles abundance in deep cervical muscles based on Sihler's staining.
[PURPOSE] The overall distribution pattern of intramuscular nerves and the regions with the highest spindle abundance in deep cervical muscles have not been revealed. This study aimed to reveal neuromuscular compartmentalization and localiz…
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Bilateral hand dystonia following high-velocity thrust manipulation: a case report.
Thrust manipulation is one of the most commonly used techniques for managing musculoskeletal pain in clinical practice. This involves the application of a high-velocity, low-amplitude force directed to the joints with the intent of achievin…
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Novel mechanisms of Anshen Dingzhi prescription against PTSD: Inhibiting DCC to modulate synaptic function and inflammatory responses.
[ETHNOPHARMACOLOGICAL RELEVANCE] Anshen Dingzhi prescription (ADP), documented in "Yi Xue Xin Wu", is a famous prescription for treating panic-related mental disorders such as post-traumatic stress disorder (PTSD). However, the underlying m…
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Acupuncture for Meige syndrome: A case report.
[INTRODUCTION] Meige syndrome (MS) is a cranial dystonia disorder characterized by blepharospasm and oromandibular dystonia. Current treatments include botulinum toxin therapy, oral medications, and surgical interventions. Here, we present …
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Factors Affecting Patient Satisfaction with Double-Eyelid Blepharoplasty.
[BACKGROUND] Blepharoplasty is a common surgical technique performed in individuals seeking aesthetic enhancement. Thus, it is essential to investigate the factors influencing postoperative satisfaction from the patient's perspective. In th…
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Management of the Failing Flap.
Free tissue transfer has become the reconstructive modality of choice for replacing composite tissue defects. While the success rate in high-volume centers is reported to be greater than 95%, up to 10% of patients will require revision of t…
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Chelate-functionalized magnetic micelles for sequestration of cisplatin.
Many cancer patients suffer permanent hearing loss due to accumulation of ototoxic cisplatin in the inner ear. In this study, two types of 100 nm magnetic micelles were developed to sequester cisplatin from aqueous solutions, with the goal …
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The highest region of muscle spindle abundance should be the optimal target of botulinum toxin A injection to block muscle spasms in rats.
[PURPOSE] The effective relief of muscle spasticity requires prompt solutions in rehabilitation medicine. This study aimed to reveal that the highest region of muscle spindle abundance is the optimal target of botulinum toxin A (BTX-A) inje…