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41건 · 최신순-
Complex Chimeric Flap Microsurgery.
Extensive and 3-dimensionally complex defects require free flap reconstruction with multiple tissue types. This has traditionally been accomplished with 2 or more free flaps. Recent advancement in perforator anatomy and perforator flaps has…
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Microvascular Free Tissue Transfer for Reconstruction of Anterior Skull Base Defects.
[BACKGROUND] We present our experience with free flap reconstruction of the anterior skull base (SB), focusing on complex composite defects in patients undergoing multimodality therapy for SB tumors. [METHODS] Outcomes of patients undergoi…
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Innovative Approaches for Utilizing the Fibula Flap Skin Paddle in the Presence of Alternate Vessel Anatomy-A Report of Three Clinical Cases.
The fibula free flap is a versatile option for reconstructing complex defects, particularly in the head and neck region. However, variations in the vascular anatomy of the skin paddle can pose challenges during flap harvest and inset. We id…
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What Happened to Masticatory Muscles after Botulinum-Toxin-Type A Injection into Masseter: A Systematic Review.
[BACKGROUND] Botulinum toxin type A (BoNT-A) is commonly used in neuromuscular disorders and cosmetic fields, but the detailed histological and subcellular changes in masticatory muscles, mainly in masseter, remain underexplored. [METHODS]…
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Longitudinal Assessment of Masseter Muscle Elasticity Changes After BoNT-A Injection Using Ultrasound Elastography: A Prospective Self-Controlled Study.
[BACKGROUND] Botulinum neurotoxin type A (BoNT-A) is widely used to treat masseter hypertrophy, but its long-term structural effects remain unclear. While animal studies suggest reversible and irreversible remodeling, human data on microstr…
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Closure of the osteocutaneous fibula flap donor site with a tonearm (propeller) flap: Anatomic considerations and surgical indications.
[BACKGROUND] Skin graft is frequently used for donor site closure after osteocutaneous fibula free flap (OCFFF) harvest when primary closure is not possible. Partial skin graft loss requiring wound care is a common complication. The purpose…
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Development and validation of a nomogram model for predicting postoperative delirium in elderly patients with oral cancer: a retrospective study.
[OBJECTIVE] This study aimed to develop and internally validate a dynamic a nomogram model by analysing the risk factors for postoperative delirium (POD) in elderly patients with oral cancer. [METHODS] This was a single-centre, retrospecti…
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"Orochi" Flaps in Head and Neck Reconstruction.
[BACKGROUND] Multiple simultaneous free flap reconstructions for extensive head and neck defects in vessel-depleted necks are extremely challenging. The "Orochi" flap, described by Koshima, in which one or more secondary free flaps are anas…
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Temporary Orbicular Oculi Palsy After Radio-Frequency Assisted Liposuction (RFAL) Combined with Transconjunctival Lower Blepharoplasty: Case Report and Systematic Review of Complication.
[BACKGROUND] Radio-frequency assisted liposuction (RFAL) is a minimally invasive procedure that harnesses the subcutaneous fat and fascia for thermal skin tightening and subcutaneous tissue remodeling. It has gradually become an ancillary p…
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Outcomes for 160 Consecutive Lateral Arm Free Flaps for Head and Neck Reconstruction.
[OBJECTIVE] Examine outcomes for lateral arm autologous tissue transfer in head and neck reconstruction. [STUDY DESIGN] Retrospective cohort study. [SETTING] Tertiary cancer center. [METHODS] All patients who underwent traditional latera…
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Free fibula mandible reconstruction for osteoradionecrosis is more challenging than for primary cancer.
[INTRODUCTION] Osteoradionecrosis (ORN) of the mandible is an unfortunate potential sequela of radiotherapy for head and neck cancer. In advanced cases of ORN, mandibulectomy, and free fibula flap reconstruction are required. We hypothesize…
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The Anterolateral Thigh Flap in Head and Neck Reconstruction.
The anterolateral thigh (ALT) free flap has become a workhorse for head and neck reconstruction. This paper offers a thorough introduction to the ALT flap, covering its anatomy, surgical technique, adaptable designs, and use in a range of c…
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Early postoperative interventions in the prevention and management of thyroidectomy scars.
Thyroidectomy scars, located on the exposed site, can cause distress in patients. Owing to the cosmetic importance of thyroidectomy scars, many studies have been conducted on its prevention and treatment. Scar formation factors mainly inclu…
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Small-Incisional Double Eyelid Blepharoplasty: A Retrospective Study of Our Minimally Invasive Technique with Three Mini Incisions.
[BACKGROUND] Small-incisional double eyelid surgery has been increasingly performed these years and achieved good aesthetic results, but the techniques vary greatly between literatures. The authors reviewed the cases of three-small-incision…
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ADM-assisted prepectoral breast reconstruction is not associated with high complication rate as before: a Meta-analysis.
Implant-related breast reconstruction can be divided into subpectoral breast reconstruction (SPBR) and prepectoral breast reconstruction (PPBR) according to the different anatomical planes. The previous stereotype was that PPBR had a high c…
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The Use of Machine Learning for Predicting Complications of Free-Flap Head and Neck Reconstruction.
[BACKGROUND] Machine learning has been increasingly used for surgical outcome prediction, yet applications in head and neck reconstruction are not well-described. In this study, we developed and evaluated the performance of ML algorithms in…
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The Dorsal Nasal Complex in Asians: Anatomical Variations and Injection Guide for Botulinum Toxin Type A.
[BACKGROUND] Multiple muscles contribute to the formation of dorsal nasal lines (DNLs) and affect nasal aesthetics. Few attempts have been made to explore the range of distribution of DNLs in relation to injection planning. [OBJECTIVES] Th…
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"Subzone-Counting" Method in Asian Facial Liposuction: A Retrospective Study.
[BACKGROUND] Facial liposuction is a popular and reliable procedure for patients with subcutaneous fat accumulation pursuing the ideal face shape. However, complications like irregularities and asymmetry are still problems for plastic surge…
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Small-Incisional Techniques for Double-Eyelid Blepharoplasty: A Systematic Review.
[BACKGROUND] Small-incisional double-eyelid surgery has increasingly gained popularity. In the published studies, the number of incisions, the debulking method, and the pretarsal fixation differ significantly among studies. Hence, this arti…
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The Thermal Damage of Canine Vocal Fold by CO Laser Under Different Laser Emission Mode.
[OBJECTIVE] The purpose of this study is to review the differences between continuous wave (CW) and UltraPulse (UP) on thermal damage of the laser with different power. [METHODS] Four adult beagle dogs underwent transoral laser microsurger…
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Impact of Body Mass Index on Surgical Outcomes in Oncologic Microvascular Head and Neck Reconstruction.
[BACKGROUND] Despite increasing recognition, obesity continues to represent a major health issue for millions of people in the USA and worldwide. There is a paucity in the literature regarding the effect of body mass index (BMI) on microsur…
- Reply: Free Flap Reconstruction of Posterior Trunk Soft-Tissue Defects: Single-Institution Experience and Systematic Literature Review.
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Analysis of the therapeutic effect of transanal endoscopic microsurgery on large rectal adenoma.
[PURPOSE] Rectal adenoma, a pre-cancerous lesion, is one of the indications for transanal endoscopic microsurgery (TEM). TEM has its unique advantages in the treatment of rectal adenomas. However, there are few reports on the therapeutic ef…
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Free Flap Reconstruction of Posterior Trunk Soft-Tissue Defects: Single-Institution Experience and Systematic Literature Review.
[BACKGROUND] The posterior trunk is a technically demanding location for microvascular free tissue transfer. In this study, the authors report their own institutional experience with soft-tissue free flap reconstruction of the posterior tru…
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Intraoperative Fluid Management Implies Insignificant Influence to Surgical Outcomes in Head and Neck Microvascular Reconstruction Cases.
[BACKGROUND] Deliberate fluid administration has been used to maintain a hyperdynamic systemic circulation in free tissue transfer operations. The effects of intraoperative volume loading on postoperative complications have been controversi…
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The Profunda Artery Perforator Flap: A Versatile Option for Head and Neck Reconstruction.
[BACKGROUND] Although the profunda artery perforator flap has gained popularity in breast reconstruction, it has not been well described for reconstruction of head and neck defects. The authors report their experience with free profunda art…
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Oncological Outcomes of Transanal Endoscopic Microsurgery Plus Adjuvant Chemoradiotherapy for Patients with High-Risk T1 and T2 Rectal Cancer.
Radical surgery is recommended for high-risk pathological stage T1 (pT1) or pT2 rectal cancer after transanal endoscopic microsurgery (TEM). However, in clinical practice, many patients may unfit or decline radical surgery. In recent years,…
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Consensus of free flap complications: Using a nomenclature paradigm in microvascular head and neck reconstruction.
[BACKGROUND] We aim to define a set of terms for common free flap complications with evidence-based descriptions. [METHODS] Clinical consensus surveys were conducted among a panel of head and neck/reconstructive surgeons (N = 11). A conten…
- [A case report of metachronous multiple primary rectal gastrointestinal stromal tumor 9 years after transanal endoscopic microsurgery].
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The chicken or the egg? Relationship between venous congestion and hematoma in free flaps.
[BACKGROUND] Postoperative hematoma and venous congestion after free tissue transfer may occur independently or concurrently. We aimed to explore the association between these two events. [METHODS] All free flap reconstructions for head an…