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Chronological Changes in Breast and Nipple Position After Autologous Reconstruction in an Asian Population.
The breast shape changes between reconstructed and native breasts in autologous reconstruction, which is important to achieve symmetry. This study was conducted to clarify chronological changes in the shape and nipple position of the recons…
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Tranexamic Acid in Reconstructive Microsurgery: A Systematic Review and Meta-Analysis.
Tranexamic acid (TXA) has gained popularity across various surgical specialties for reducing perioperative blood loss. However, its role in microsurgery remains underexplored, likely due to concerns that TXA may increase the risk of thrombo…
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Salvage Microsurgery After Failed Bevacizumab Treatment for NF2-Related Schwannomatosis Vestibular Schwannoma: A Multicentric Retrospective Study.
[BACKGROUND AND OBJECTIVES] Surgery in NF2-related schwannomatosis (NF2-SWN) vestibular schwannoma (VS) carries a higher risk of facial nerve damage, hearing loss, and partial resection, than in sporadic cases. Radiosurgery is also associat…
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Bone Transport Has Significant Advantages Over the Induced Membrane Technique for Tibial Bone Defects.
A 32-year-old man is involved in motorcycle accident and sustained a Gustilo-Anderson type 3b open tibia shaft fracture. He underwent a debridement, nailing, and free flap by the plastic surgery team. After the debridement, there is a 6 cm …
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Nomogram for Predicting Osteoradionecrosis After Fibula Free Flap for Mandibular Reconstruction.
[BACKGROUND] Osteoradionecrosis (ORN) is a severe complication following radiotherapy (RT), particularly after mandibular reconstruction with a fibula free flap. Risk prediction remains challenging due to limited data. [METHODS] We conduct…
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Postoperative Loss of Independence in Geriatric Head and Neck Cancer Patients: A Database Study.
[OBJECTIVE] Loss of independence (LOI) is a key concern after head and neck cancer (HNC) surgery, yet its predictors remain unclear. This study aimed to identify perioperative and postoperative factors linked to LOI in geriatric HNC patient…
- Comment on "The Contribution of Voice Therapy to Voice Quality and Quality of Life in Patients With Early Glottic Cancer Treated With Transoral CO Laser Microsurgery".
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IN-HUMAN FEASIBILITY AND SAFETY OF SUBRETINAL DRUG INJECTION THROUGH ATTACHED RETINA USING A ROBOTIC COMANIPULATION SYSTEM.
[PURPOSE] To evaluate feasibility and safety of robot-assisted subretinal injections through attached retina using the comanipulated Mynutia system in patients with submacular hemorrhage. [METHODS] This prospective, single-center case seri…
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Optimising Outcomes in Endodontic Microsurgery: Evidence, Uncertainties and Future Directions.
Endodontic microsurgery (EMS) is a reliable treatment modality for managing persistent or recurrent periapical pathologies, particularly when conventional nonsurgical retreatment is infeasible or has failed. Various factors influence EMS ou…
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Microsurgical resection of brain arteriovenous malformations with or without preoperative embolization: a 10 year observational cohort study.
[OBJECTIVES] The role of preoperative embolization as an adjunct to microsurgical resection of brain arteriovenous malformations (AVMs) remains uncertain. We evaluated clinical and angiographic outcomes of microsurgical resection performed …
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Immediate dental implants in jaw reconstructions show high accuracy with mean deviations under 2mm: A cohort study.
The "Jaw in a Day®" approach enables simultaneous functional and aesthetic mandibular reconstruction through immediate dental implant placement in osseous free flaps. This retrospective cohort study evaluated the accuracy of immediate denta…
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A single transoral laser microsurgery to simultaneously diagnose and treat early glottic cancer and premalignancies.
Transoral laser microsurgery (TLM) for early glottic cancer is often performed after pathological diagnosis is obtained by a biopsy, requiring two separate procedures. Single-stage TLM (SSTLM), both diagnostic and curative in one surgery, m…
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Pedicled extensor digitorum brevis flap for the distal third lower limb reconstruction: A review of the literature.
[INTRODUCTION] Reconstruction of the distal lower limb is often complex due to limited local tissues. The pedicled extensor digitorum brevis (EDB) flap is a reliable, loco-regional option for small- to medium-sized ankle and foot defects. T…
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Free vascularized tibial bone and nerve transfer: A spare-part reconstruction strategy for multiple extremity injuries.
We describe a novel reconstructive approach using a free vascularized tibial bone transfer with skin and tibial nerve components to salvage a complex upper extremity injury in the setting of a non-salvageable lower limb. This technique was …
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Transoral laser microsurgery for glottic cancer: landmark 24-year single-institution experience with 661 patients and validation of the isoprognostic zone system.
[BACKGROUND] Transoral laser microsurgery (TOLMS) is a cornerstone organ-preserving treatment for early and selected intermediate glottic squamous cell carcinoma (LSCC). Prognostic value of infiltration patterns remains underexplored. We ev…
- Burned by tradition: Why microsurgery deserves a place in burn reconstruction.
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Health-related quality of life after free flap reconstruction of maxillary defects: a systematic review and meta-analysis.
[BACKGROUND] Data addressing health-related quality of life (HRQOL) following maxillary reconstruction with free flaps remain scarce. Insight into these outcomes is essential for clinical decision-making. [METHODS] A systematic review of M…
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Multistage microsurgical reconstruction after catastrophic shark attack: Vascularized ulnar nerve grafting for a large segmental sciatic nerve defect.
We present a 48-year-old woman who sustained life threatening polytrauma from a shark attack in New Caledonia, including posterior trunk and thigh crush-avulsion, bilateral upper-limb amputations and a 16 cm segmental sciatic nerve defect. …
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Enhancing precision or adding complexity? The impact of surgical microscope use in palatal cleft repair: A prospective comparative study.
The use of an operating microscope in cleft palate repair offers improved visualization, enhanced illumination, and ergonomic advantages. However, its clinical adoption remains limited. This study compares surgical efficiency, intraoperativ…
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Avoiding prophylactic tracheostomies in head and neck surgeries with reconstructive free flaps: An institutional shift in practice.
[BACKGROUND] In 2018, an initiative at the authors' institution aimed at reducing routine prophylactic tracheostomies for head and neck reconstructions with free flaps was implemented. Discussion between the surgical team and anesthesia abo…