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Pedicled versus free flap reconstruction in head and neck surgery: analysis of complications and quality of life.
[PURPOSE] This study aims to systematically compare free flaps and pedicled flaps in patients with head and neck cancer. By tracking postoperative complications, psychosocial adaptation, and quality of life through long-term follow-up, this…
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Is the use of intraoperative vasopressors associated with flap failure in head and neck free tissue transfer surgery?
[BACKGROUND] Maintaining appropriate blood pressure during head and neck free tissue transfer surgery is important for both organ and flap perfusion. However, the use of vasopressors to treat intraoperative hypotension is controversial. The…
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Lung ultrasonography to assess pulmonary complications after head and neck cancer surgery.
[OBJECTIVES] Postoperative pulmonary complications (PPCs) are common after major head and neck cancer surgery. This trial evaluated whether adding daily lung ultrasonography (LUS) to the current diagnostic strategy (clinical evaluation with…
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3D printed microporous titanium prosthesis for single implantation or combined with free flap for infected bone defects in the limbs: a single-center retrospective cohort study.
[BACKGROUND] This study represents the largest single-center cohort to date evaluating the early- and mid-term safety and effectiveness of a staged reconstructive strategy using 3D-printed microporous titanium prostheses, applied either alo…
- Feasibility and role of the lateral arm free flap following pull-through oropharyngectomy for tonsillar carcinoma: a clinical analysis.
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Evaluating the efficacy of botulinum toxin type a in alleviating neuropsychological symptoms in hemifacial spasm patients.
[OBJECTIVE] To evaluate the efficacy of botulinum toxin type A (BTX-A) in the treatment of neuropsychological symptoms in patients with hemifacial spasm (HFS). [METHODS] Sixty-three HFS patients with neuropsychological symptoms were random…
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Twenty Years of Macromastia Research: A Comprehensive Analysis of Diagnostic Standardization, Surgical Technique Optimization, and Exploration of Molecular Mechanisms.
Macromastia, characterized by excessive breast tissue growth, causes physical symptoms, psychosocial distress, and diminished quality of life. Despite the effectiveness of reduction mammaplasty, progress remains limited by inconsistent diag…
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Aesthetic Correction of Mild Blepharoptosis: Balancing the Effect of Hering's Law.
[BACKGROUND] Disregarding the influence of Hering's law of equal innervation, which dictates conjugate movement of the eyelids during saccadic eye movements, in blepharoptosis correction leads to unsatisfactory surgical outcomes. The author…
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Superficial circumflex iliac artery perforator propeller flap for penoscrotal extramammary Paget's disease.
[BACKGROUND] Extramammary Paget's disease (EMPD) is a rare intra-epidermal adenocarcinoma, and reconstruction of the penoscrotal region remains a clinical challenge. The superficial circumflex iliac artery perforator (SCIP) flap has been su…
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Self-reinforced silk nanofibrils networks enable ultrafine fibroin monofilament sutures applied in minimally invasive surgery.
Superfine recycled regenerated silk fibroin (RRSF) monofilament sutures are designed to minimize surgical incisions, prevent scar formation, and facilitate precise suturing in cosmetic and plastic surgeries. However, balancing fineness and …
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Autonomous Robot-Assisted Endodontic Microsurgery on First Molar in Complex Anatomical Scenarios: A Case Series.
Endodontic microsurgery (EMS) is an important approach for preserving teeth with failed root canal treatment. However, implementing minimally invasive osteotomies and accurate apicoectomies can be challenging in anatomically complex areas, …
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Intraoperative Indocyanine Green Videoangiography with FLOW800 and Multimodal Fusion Neuro-Navigation for the Resection of Arteriovenous Malformation with Reduced Blood Loss.
[OBJECTIVE] To assess the safety and effectiveness of combining indocyanine green videoangiography with FLOW800 and multimodal fusion neuro-navigation in brain arteriovenous malformation (AVM) microsurgical resection. [METHODS] From Januar…
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A Novel Microsurgical Model of Cervical Lymph Node-to-Vein Anastomosis (LNVA) for Studying Brain Lymphatic Outflow.
[BACKGROUND] Cervical lymphaticovenous bypass has recently emerged as an innovative surgical approach to enhance brain lymphatic clearance for the treatment of Alzheimer disease (AD). Although early clinical findings are promising, the abse…
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Feasibility and Clinical Efficacy of Minimally Invasive Straight-Incision Endodontic Microsurgery Guided by 3-Dimensional Printed Templates: A Retrospective Case Series.
[INTRODUCTION] Endodontic microsurgery (EMS) is a minimally invasive treatment for persistent periapical lesions. This study evaluates the accuracy and outcomes of a straight-incision EMS guided by 3-dimensional (3D)-printed template, with …
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Remimazolam vs. dexmedetomidine for postoperative sedation in oral tumor patients undergoing free flap reconstruction: a randomized controlled pilot trial.
[BACKGROUND] Patients with oral tumors undergoing free-flap reconstruction require postoperative sedation to improve endotracheal tube tolerance and prevent emergence agitation. While remimazolam offers theoretical hemodynamic advantages ov…
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Endodontic microsurgery utilizing an autonomous robotic system for the maxillary second molar: a case report.
[BACKGROUND] Endodontic microsurgery (EMS) is a widely utilized technique for addressing periapical periodontitis that is unresponsive to conventional root canal treatment. Nevertheless, achieving precise root apex location and resection ca…
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The effects of Pressure-Controlled Volume-Guaranteed ventilation (PCV-VG) on Postoperative Pulmonary Complications (PPCs) of oral and maxillofacial patients undergoing free flap reconstruction: a randomized controlled trial.
[BACKGROUND] To analyze the effects of pressure-controlled volume-guaranteed ventilation (PCV-VG) and volume-controlled ventilation (VCV) on postoperative pulmonary complications (PPCs) after oral and maxillofacial surgery with free flap re…
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[Application of a new super-micro flap in endoscopic tympanoplasty].
To introduce a new design of super-micro flap for endoscopic ear surgery, and to evaluate the application effect of super-micro flap in endoscopic tympanoplasty. Between January, 2023 and March, 2024, 58 patients(64 ears) with tympanosclero…
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Application of computed tomographic angiography and a three-dimensional reconstruction technique for repairing facial skin defects.
This study aims to assess the clinical value of computed tomographic angiography (CTA) and three-dimensional reconstruction techniques in the repair of facial skin defects. A total of 40 patients with facial trauma or scars underwent free f…
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Nonhuman Primate Model of Super-selective Intra-arterial Ophthalmic Arterial Interventional Thrombolysis for Treatment of Ophthalmic Arterial Embolism Resulting From Hyaluronic Acid Filler Cosmetic Injection.
[BACKGROUND] Although intravascular interventional thrombolysis therapy is beneficial for patients suffering from impaired vision caused by hyaluronic acid (HA) embolism, there is no medical evidence-base for the efficacy of this treatment.…
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Treatment of Neuropsychiatric Symptoms in Parkinson's Disease With Botulinum Toxin A: A 12 week Randomized, Double-Blind, Placebo-Controlled Trial.
ObjectiveThe study aimed to evaluate the impact of Botulinum toxin A (BoNT/A) on neuropsychiatric symptoms in Parkinson's disease (PD) patients.MethodsA total of 125 PD patients and an equal number of age- and gender-matched healthy control…
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Ocular surface side effects of botulinum toxin type A injections in the treatment of lateral canthal wrinkles (Crow's Feet).
[PURPOSE] This study investigates the impact of Botulinum Toxin Type A (BoNT-A) injections for lateral canthal wrinkles on the ocular surface. [METHODS] A total of 30 patients (30 eyes) who received BoNT-A injections were followed over a t…
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Efficacy of Facial Botulinum Toxin A Injections in Alleviating Neuropsychiatric Symptoms in Parkinson's Disease Patients: An Open-Label, Nonrandomized Controlled Trial.
[BACKGROUND AND PURPOSE] Parkinson's disease (PD), a prevalent neurodegenerative disorder characterized by motor impairments, frequently accompanied by neuropsychiatric symptoms that significantly impair daily functioning and quality of lif…
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Integrated metabolomics and proteomics analysis in children with cerebral palsy exposed to botulinum toxin-A.
[BACKGROUND] We previously examined plasma metabolic changes before and after botulinum toxin-A injections of cerebral palsy (CP) children and showed that the glycine, serine and threonine metabolism may play a key role in neuritogenesis. T…
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Enhancing Mid-Upper Facial Contours: Hairline Transplant Solutions for East Asian Women With High and Wide Foreheads.
[BACKGROUND] A high and wide forehead is a common congenital facial characteristic among East Asian women, often resulting in an imbalanced mid-upper facial proportion, diminished three-dimensional contour, and reduced femininity. Although …
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Clinical outcomes of endodontic microsurgery in complicated cases with large or through-and-through lesions: a retrospective longitudinal study.
[OBJECTIVES] To investigate the clinical outcomes of endodontic microsurgery in complicated cases presenting with large or through-and-through lesions. [MATERIALS AND METHODS] We retrospectively collected and analyzed preoperative, intraop…
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Clinical application of digital technology in the use of anterolateral thigh lobulated perforator flaps to repair complex soft tissue defects of the limbs.
[BACKGROUND] It is challenging to repair wide or irregular defects with traditional skin flaps, and anterolateral thigh (ALT) lobulated perforator flaps are an ideal choice for such defects. However, there are many variations in perforators…
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[The effect of narrow band imaging in CO2 laser therapy in early-stage glottic cancer].
To explore efficacy of narrow band imaging(NBI) technique in CO2laser therapy in Early-Stage Glottic cancer. The clinical data of patients with Early-Stage Glottic cancer who underwent CO2laser vocal cord resection from June 2011 to Augus…
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Endodontic Microsurgery with the Aid of Dynamic Navigation System Using Minimally Invasive Incision Approach in Anatomically Complex Scenarios: A Case Series.
Endodontic microsurgery (EMS) is an alternative treatment option for previously treated teeth with persistent periapical disease, offering a favorable prognosis. However, it can be particularly challenging in anatomically complex cases, ris…
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Intravesical injection of botulinum toxin type a may be an effective treatment option for autonomic dysreflexia in patients with high-level spinal cord injury.
[OBJECTIVE] To evaluate the efficacy of intravesical injection of botulinum toxin type A (BTX-A) for neurogenic detrusor overactivity (DO) in reducing the frequency and severity of autonomic dysreflexia (AD). [DESIGN] A cross-sectional non…